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SEMINAR FOR OB/GYN > Ch. 29 The Fetal Genitourinary System > Flashcards

Ch. 29 The Fetal Genitourinary System Flashcards

1
Q 
The most common malignant adrenal pediatric tumor is the:
Nephroblastoma
Pheochromocytoma
Hepatoblastoma
Neuroblastoma
A

Neuroblastoma

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2
Q

The “keyhole” sign would be seen in all of the following situations except:

  • Urethal atresia
  • Prune belly syndrome
  • Autosomal dominant polycystic renal disease
  • Posterior urethral valves
A

Autosomal dominant polycystic renal disease

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3
Q

The “lying down” adrenal sign would be seen in all of the following situations except:

  • Unilateral renal agenesis
  • Bilateral renal agenesis
  • Potter syndrome
  • Megacystis
A

Megacystis

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4
Q 
The birth defect in which the sex of the fetus can't be determined defines:
Renal agenesis
Ovarian dysgenesis
Clitorimegaly
Ambiguous genitalia
A

Ambiguous genitalia

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5
Q 
Cloacal exstrophy is associated w/ all of the following except:
Omphalocele
Spina bifida
Encephalocele
Imperforate anus
A

Encephalocele

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6
Q

The renal cystic disease that results in the development of cysts late in adulthood is:

  • Multicystic dysplastic renal disease
  • Autosomal dominant polycystic disease
  • Autosomal recessive polycystic disease
  • Obstructive cystic dysplasia
A

Autosomal dominant polycystic disease

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7
Q

Bladder exstrophy describes:

  • Absence of the cloaca
  • Protrusion of the bladder into the umbilicus
  • External position of the bladder
  • Enlargement of the bladder
A

External position of the bladder

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8
Q

Which of the following would result in compensatory hypertrophy?

  • Unilateral renal agenesis
  • Bilateral renal agenesis
  • Pelvic kidney
  • Horseshoe kidneys
A

Unilateral renal agenesis

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9
Q

Which of the following is associated w/ enlarged echogenic kidneys and microscopic renal cysts?

  • Multicystic dysplastic kidney disease
  • Obstructive cystic dysplasia
  • Hydronephrotic syndrome
  • Autosomal recessive polycystic kidney disease
A

Autosomal recessive polycystic kidney disease

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10
Q

The “lying down” adrenal sign describes the sonographic findings of:

  • Enlarged bladder and urethra
  • Renal agenesis
  • Multicystic dysplastic kidney disease
  • Posterior urethral valves
A

Renal agenesis

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11
Q 
Another name for pelvocaliectasis is:
Caliectasis
Hydrocele
Hydronephrosis
Pyonephrosis
A

Hydronephrosis

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12
Q

Which of the following best describes hypospadias?

  • OEIS complex in the presence of a hydrocele
  • The chronic obstruction of the renal pelvis and urethra
  • The underdevelopment of the scrotum in the presence of a hydrocele
  • An abnormal ventral curvature of the penis
A

An abnormal ventral curvature of the penis

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13
Q

The “keyhole” sign describes the sonographic findings of a/an:

  • Enlarged bladder and dilated urethra
  • Bilateral renal agenesis
  • Unilateral renal agenesis
  • Dilation of the renal pelvis and proximal ureter
A

Enlarged bladder and dilated urethra

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14
Q 
What's the term for enlargement of the urinary bladder?
Posterior urethral valves
Urethral atresia
Prune belly syndrome
Megacystis
A

Megacystis

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15
Q

Numerous noncommunicating anechoic masses are noted w/in the left renal fossa of a fetus at 20 wks gestation. What’s the most likely etiology of these masses?

  • Autosomal recessive polycystic kidney disease
  • Autosomal dominant polycystic kidney disease
  • Multicystic dysplastic kidney disease
  • Hydronephrosis
A

Multicystic dysplastic kidney disease

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16
Q 
Fusion of the lower poles of the kidneys describes:
Renal agenesis
Horseshoe kidneys
Moiety
Meckel-Gruber syndrome
A

Horseshoe kidneys

17
Q 
The syndrome associated w/ an occipital cephalocele, cystic renal disease, and polydactyly is:
Meckel-Gruber syndrome
Potter syndrome
VACTERL association
Sirenomelia syndrome
A

Meckel-Gruber syndrome

18
Q 
OEIS complex is also referred to as:
Bladder exstrophy
Omphalocele
Potter syndrome
Cloacal exstrophy
A

Cloacal exstrophy

19
Q

Obstruction at the level of the ureteropelvic junction would lead to dilation of the:

  • Renal pelvis and bladder
  • Bladder and ureter
  • Ureter and renal pelvis
  • Renal pelvis and calices
A

Renal pelvis and calices

20
Q 
The most common location of an ectopic kidney is w/in the:
Lower abdomen
Pelvis
Chest
Contralateral quadrant
A

Pelvis

21
Q

Pyelectasis refers to:

  • Enlargement of the urinary bladder, ureter, and renal calices
  • Dilation of the ureter
  • Dilation of the renal pelvis
  • Enlargement of the ureter only
A

Dilation of the renal pelvis

22
Q

Prune belly syndrome is caused by:

  • An enlarged bladder
  • Unilateral renal agenesis
  • Bilateral renal agenesis
  • Hyopspadias
A

An enlarged bladder

23
Q

All of the following would be associated w/ oligohydramnios except:

  • Bilateral multicystic dysplastic kidney disease
  • Unilateral renal agenesis
  • Bilateral renal agenesis
  • Autosomal recessive polycystic kidney disease
A

Unilateral renal agenesis

24
Q 
The type of renal cystic disease associated w/ adult liver and pancreatic cysts is:
MCDK
ARPKD
ADPKD
VATER
A

ADPKD

25
Q 
Having more than the normal number of digits is:
Polydactyly
Clinodactyly
Multidigitopia
Sirenomelia
A

Polydactyly

26
Q 
Cryptorchidism describes:
Bilateral pelvic kidneys
Urethral atresia
Undescended testicles
Ovarian dysgenesis
A

Undescended testicles

27
Q

An obstruction at the ureterovesicular junction would lead to dilation of the:

  • Bladder and urethra
  • Bladder, urethra, and ureters
  • Bladder, urethra, ureters, and renal collecting system
  • Ureters and renal collecting system
A

Ureters and renal collecting system

28
Q 
Before 9 wks, the fetal kidneys are located w/in the:
Renal fossae
Pelvis
Chest
Umbilical cord
A

Pelvis

29
Q 
Which of the following is the most common renal anomaly?
Horseshoe kidneys
Pelvic kidneys
Renal agenesis
Duplex collecting system
A

Duplex collecting system

30
Q 
Failure of the kidneys to form is called:
Hydronephrosis
Renal dysplasia
Renal agenesis
Renal ectopia
A

Renal agenesis

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