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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана

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A.RCC(renalcellcancer)withextensionintoleftrenalvein B.Horseshoekidney C.Para-aortichematoma D.Retroperitoneallymphadenopathy
46b.Horseshoekidneysaresituatedlowerthannormalbecauseof:
A.Failureoftherenalisthmustoascendpasttheinferiormesentericarteryorigin B.Associatedretroperitonealfibrosisseencommonlywithhorseshoekidneys C.Derivationofbloodsupplyexclusivelyfrominferiormesentericartery D.Abnormalrotationoftherenalpelvespreventingnormalascent
47.A61-year-oldfemalepresentswith 4-day history of fever, nausea,vomiting,andrightflank pain.
Whichoneofthefollowingisthemostimportantriskfactorfortheabnormalityshown?
A.Urinarytractobstruction B.Femalegender C.Recurrenturinarytractinfections D.Diabetesmellitus
48.A73-year-oldseverelymalnourishedfemalewithahistoryofuterinecancerstatusposthysterectomy
andpelvic radiation. Shehas a chronic rightureteral stent, which is exchanged every 3 months for a presumedradiation-inducedureteralstricture.Shehadanormalrenalultrasound2monthsago.Whichof thefollowingoptionsisthebestchoiceforfurtherworkupandmanagementofthispatient?
A.Nephrectomy B.Referraltourologyfortreatmentofrenalcalculi C.Short-termfollow-upimaging D.Percutaneousnephrostomyorureteralstentexchange
49a.A51-year-oldmalewithgrosshematuriaisevaluatedwithrenalsonography.Animageoftheleft
kidneyisshown.Fromthechoiceslisted,whichwouldbemostlikelytohavethisappearance?
A.Adenocarcinoma B.Squamouscellcarcinoma C.Angiomyolipoma D.Transitionalcellcarcinoma
49b.Whatisthenextbeststepforfurthermanagementofthisabnormalfinding?
A.Nephrectomy B.Ureteralstenting C.CT D.Retrogradeurography
49c.  The presence of which of the following features would best distinguish a renal cell carcinoma
(RCC)fromatransitionalcellcarcinoma(TCC)inthispatient?
A.Renalvein/cavaltumorthrombus B.Hydronephrosis C.Retroperitonealadenopathy D.PresenceofintralesionalDopplerflow
50a.A66-year-oldmale withacuterenalinsufficiencyreceivesanultrasound.Sagittalimageobtained
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 followingisthemostlikelytumortocausethisfinding?
A.Primaryleiomyosarcoma B.Adrenalcorticalcarcinoma C.Perinephriclymphoma D.Retroperitonealliposarcoma
50b.Priortobiopsyofthislesion,whichpreprocedurallaboratorytestneedstobeperformed?