Tumors

Question 1

What renal pathology is associated with berry aneurysms?

Answer 1

Autosomal dominant polycystic kidney disease (ADPKD)

Question 2

What is the likely diagnosis in an adult patient with hypertension and palpable bilateral, non-tender, upper abdominal masses on physical exam?

Answer 2

Autosomal dominant PKD (cysts enlarge over time)

Question 3

What is the likely diagnosis in a middle-aged patient with chronic renal failure, a palpable right flank mass, and an enlarged liver?

Answer 3

Autosomal dominant polycystic kidney disease (ADPKD)

Question 4

Renal cell carcinoma is associated with a classic triad of:

Answer 4

• Hematuria
• Palpable mass
• Flank pain

Question 5

What imaging modality is preferred for diagnosis of renal cell carcinoma?

Answer 5

CT abdomen with contrast

Question 6

Hematuria in the absence of RBC casts on urinalysis indicates:

Answer 6

Nonglomerular disease

Question 7

Renal cell carcinoma is associated with PEAR-neoplastic syndromes, producing:

Answer 7

• PTHr: hypercalcemia
• EPO: polycythemia (headache, facial plethora, blurry vision)
• ACTH:
• Renin: hypertension

Question 8

Left-sided varicoceles that do not resolve in supine position should raise suspicion for:

Answer 8

A tumor that obstructs the inferior vena cava or left renal vein (Renal cell carcinoma)

Question 9

When patients with ADPKD develop hypertension or proteinuria, you may treat with:

Answer 9

ACE inhibitors or ARBs