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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана
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A.Nephroticsyndrome
B.Renalcellcarcinoma
C.Smokinghistory
D.Crossedfusedrenalectopia
22. Imagesfrom rightupperquadrant ultrasoundofa52-year-oldmalewith historyofnon–small cell
carcinomaoflungareshown.Whatisthenextbeststepinthemanagementofthispatient?

A.Thehyperechoicareasinthemasssuggestmyelolipoma.Nofurtherevaluationisneeded.
B. The lesion is solid and almost certainly represents a perinephric metastasis. Confirmwith
percutaneousbiopsy.
C.Minimalheterogeneityofthemassfavorsadrenaladenoma.Recommendfollow-upimagingin
1yeartoensurestability.
D. Large size and heterogeneity favor metastasis, but itshould be evaluated by adrenal mass
protocolCTorMRItoexcludeanadenomapriortopercutaneousbiopsy.
23a.A38-year-oldmalepresentswithhematuria.Arenalultrasoundwasperformed.Sagittalimagesof
the right kidney are provided. An incidental finding was noted in the pancreas as well. The patient’s
siblingwasdiagnosedwiththesamecondition2yearsprior.Whatisthemostlikelydiagnosis?



A.Tuberoussclerosis
B.vonHippel-Lindaudisease
C.Multipleendocrineneoplasia(MEN)I
D.Osler-Weber-Rendusyndrome

23b.Whichadditionalimagingstudyshouldbeperformedandwhy?
A.MRbraintoevaluateforsubependymaltubers
B.CardiacCTtoevaluateforrhabdomyomas
C.MRbraintoevaluateforintracranialAVMs
D.MRbrainandspinetoevaluateforhemangioblastomas
24a. A 50-year-old female with long-standinghistory ofaffectivedisorder presentswith renal failure.
Sagittalimageoftheleftkidneyshowswhichofthefollowing?
A.Renalmicrocysts
B.Renalcorticalnecrosis
C.Medullarynephrocalcinosis
D.Normalkidneys
24b.Whichofthefollowingimagingtestsmaybeusedtoconfirmthisfinding?
A.CTscan
B.MRI
C.Renalscintigraphy
D.Plainradiograph
25.A47-year-oldmalewithrightflankpainundergoesanultrasound.Imagesofthebladderareshown.

Whatisthebestdiagnosisbasedonthesefindings?

A.Ureterocele
B.Bladderdiverticulum
C.Hematomaorfungalball
D.Pseudoureterocele
26. A 47-year-old male presents with hematuria. Images from abdominal ultrasound are shown. The
patientisatincreasedriskforwhichofthefollowing?

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