15. Renal & Bladder Tumors

Question 1

A 67 year old male comes to his PCP after noticing blood in his urine for the past few days. He has had no pain associated with these episodes. Patient has been a smoker for the past 35 years. What is the most likely diagnosis? (MG)

A. MPGN
B. PSGN
C. Adenocarcinoma of the bladder
D. Urothelial carcinoma

Answer 1

D. Urothelial carcinoma

Question 2

A 77 year old male presens with hematuria and left sided flank pain. He is feverish and reports significant weight loss over the past few months. EPO levels are elevated in the blood. What other condition is he likely to develop? (MG)

A. Fatty casts in the urine
B. High PTH levels in the blood
C. Left sided varicocele of the scrotum
D. Blastema-containing tumors

Answer 2

C. Left sided varicocele of the scrotum

Pt has clear cell carcinoma/renal cell carcinoma. Involvement of the left renal vein by carcinoma blocks drainage of the left spermatic vein leading to varicocele

Question 3

A 69 year old man comes to his doctor complaining of blood during urination. Serum analysis shows that he has elevated calcium due to increased PTH. What condition or gene mutation is associated with the condition?

A. WT1
B. VHL
C. Rb
D. HER2 
E. COLA2

RFA

Answer 3

Ans. B VHL- Von Hippel- Lindau disease is associated with Renal Cell carcinoma

Question 4

A 32 year old woman is diagnosed with Bladder Cancer which infection increases risk of this cancer development?

A. Taenia Saginata 
B. Liver Fluke 
C. Staphylococcus 
D. Mycobacterium 
E.Schistosomiasis 

RFA

Answer 4

Ans. Schistosomiasis