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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.RCC(renalcellcancer)withextensionintoleftrenalvein
B.Horseshoekidney
C.Para-aortichematoma
D.Retroperitoneallymphadenopathy
46b.Horseshoekidneysaresituatedlowerthannormalbecauseof:
A.Failureoftherenalisthmustoascendpasttheinferiormesentericarteryorigin
B.Associatedretroperitonealfibrosisseencommonlywithhorseshoekidneys
C.Derivationofbloodsupplyexclusivelyfrominferiormesentericartery
D.Abnormalrotationoftherenalpelvespreventingnormalascent
47.A61-year-oldfemalepresentswith 4-day history of fever, nausea,vomiting,andrightflank pain.
Whichoneofthefollowingisthemostimportantriskfactorfortheabnormalityshown?

A.Urinarytractobstruction
B.Femalegender
C.Recurrenturinarytractinfections
D.Diabetesmellitus
48.A73-year-oldseverelymalnourishedfemalewithahistoryofuterinecancerstatusposthysterectomy
andpelvic radiation. Shehas a chronic rightureteral stent, which is exchanged every 3 months for a
presumedradiation-inducedureteralstricture.Shehadanormalrenalultrasound2monthsago.Whichof
thefollowingoptionsisthebestchoiceforfurtherworkupandmanagementofthispatient?


A.Nephrectomy
B.Referraltourologyfortreatmentofrenalcalculi
C.Short-termfollow-upimaging
D.Percutaneousnephrostomyorureteralstentexchange
49a.A51-year-oldmalewithgrosshematuriaisevaluatedwithrenalsonography.Animageoftheleft
kidneyisshown.Fromthechoiceslisted,whichwouldbemostlikelytohavethisappearance?



A.Adenocarcinoma
B.Squamouscellcarcinoma
C.Angiomyolipoma
D.Transitionalcellcarcinoma
49b.Whatisthenextbeststepforfurthermanagementofthisabnormalfinding?
A.Nephrectomy
B.Ureteralstenting
C.CT
D.Retrogradeurography
49c. The presence of which of the following features would best distinguish a renal cell carcinoma
(RCC)fromatransitionalcellcarcinoma(TCC)inthispatient?

A.Renalvein/cavaltumorthrombus
B.Hydronephrosis
C.Retroperitonealadenopathy
D.PresenceofintralesionalDopplerflow
50a.A66-year-oldmale withacuterenalinsufficiencyreceivesanultrasound.Sagittalimageobtained
from the midline ventral abdomen is shown. The abnormal structure contains low-resistance arterial
waveforms (not shown). Besides hepatocellular carcinoma and renal cell carcinoma, which of the
followingisthemostlikelytumortocausethisfinding?

A.Primaryleiomyosarcoma
B.Adrenalcorticalcarcinoma
C.Perinephriclymphoma
D.Retroperitonealliposarcoma
50b.Priortobiopsyofthislesion,whichpreprocedurallaboratorytestneedstobeperformed?
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