Urinary Devo Path

Question 1

obstruction location in posterior urethral valves

Answer 1

membranous urethra

Question 2

defect of ventral abd wall > living of bladder and urethra open to surface

associated with UG and skeletal anomalies

Answer 2

exstrophy of bladder

Question 3

Oligohydramnios=

associated with

Answer 3

too little amniotic fluid

associated with renal ageneiss, polycystic KD, urethral obstruction

chronic amniotic leak

Question 3

polyhydramnios =

associated with

Answer 3

excessive amniotic fluid

associated with diabetes, multiple gestation, anencephaly, esophageal atresia

Question 4

clinical presentation UPJ Obstruction adults and children

Answer 4

infant: flank mass, UTI, FTT, sepsis
adult: flank pain, colicky pain, UTI, hematuria

Question 5

atresia of urethra most associated with

Answer 5

prune belly syndrome

Question 6

pathophysiology ureteropelivc junction obstruction

Answer 6

diuresis enhances obstruction of urinary tract

back pressure leads to gross enlargement, thinning, scarring, fibrosis

Question 6

morpholohic condtion leading to ureteral reflux

Answer 6

lateralized ureter > recurrent kidney infection and atrophy

Question 7

complications, etiology multicystic dysplastic kidney

Answer 7

vesicoureteral reflux in other kidney

HTN

etiology: non genetic

Question 9

presentation/morphology multicystic dysplastic kidney

Answer 9

unilateral

cysts of varying size

non functioning

primitive ductules, cartilage, atretic ureter

contralateral kidney hypertrophies

Question 10

pelvic and lumbar kidneys due to

Answer 10

failed or incomlete ascent

Question 12

gene involvement in Nephroblastoma (WIlms tumor

Answer 12

chromosome 11

(mainly in children)

Question 13

treatment ureteral reflux

Answer 13

antibiotics or surgical repair

Question 14

mucosal folds that obsruct urethra,

common cause of renal failure in boys

Answer 14

posterior urethral valves