1.
Adrenal Glands sit _____ _____ on the kidneys
Correct Answer
A. Superior and medial
Explanation
The adrenal glands are situated superiorly and medially on the kidneys. This means that they are located above and towards the midline of the kidneys.
2.
Tuberculosis is an infection that affects the lungs and can spread to the adrenal glands
Correct Answer
A. True
Explanation
Tuberculosis is indeed an infection that primarily affects the lungs. It is caused by the bacterium Mycobacterium tuberculosis and can spread to other parts of the body, including the adrenal glands. This can occur when the bacteria enter the bloodstream and are carried to different organs. The adrenal glands, which are located on top of the kidneys, can become infected and develop tuberculosis. Therefore, the statement "Tuberculosis is an infection that affects the lungs and can spread to the adrenal glands" is true.
3.
Acute tuberculois typically affects
Correct Answer
B. Both adrenal glands
Explanation
Acute tuberculosis typically affects both adrenal glands. Tuberculosis is a bacterial infection caused by Mycobacterium tuberculosis that primarily affects the lungs, but it can also spread to other parts of the body, including the adrenal glands. The adrenal glands are located on top of the kidneys and produce hormones that are essential for various bodily functions. In acute tuberculosis, the infection can lead to inflammation and damage to both adrenal glands, resulting in adrenal insufficiency. This can cause symptoms such as fatigue, weight loss, low blood pressure, and electrolyte imbalances.
4.
Chronic tuberculosis the adrenal galnds atrophy and become more calcified and may see shadowing from the calcifications
Correct Answer
A. True
Explanation
Chronic tuberculosis can cause atrophy and calcification of the adrenal glands. This can be seen on imaging as shadowing from the calcifications. Therefore, the statement "Chronic tuberculosis the adrenal glands atrophy and become more calcified and may see shadowing from the calcifications" is true.
5.
Hemorrhage of the adrenal glands is typically due to _____ in adults and ______ in babies
Correct Answer
C. Trauma and spontaneous
Explanation
Hemorrhage of the adrenal glands is typically due to trauma in adults and spontaneous in babies. Trauma can cause bleeding in the adrenal glands in adults, while spontaneous hemorrhage can occur in babies without any external cause.
6.
With bilateral adrenal gland hemorrhage has no clinical significance
Correct Answer
B. False
Explanation
Causes adrenal insufficiency.
7.
Adrenal Gland cysts typically occur in females between the ages of
Correct Answer
B. 30-50yrs
Explanation
Adrenal gland cysts typically occur in females between the ages of 30-50 years. This age range is considered to be the most common time for the development of these cysts in women. It is important to note that adrenal gland cysts can also occur in males, but they are more commonly found in females. The reason for this age range being more susceptible to adrenal gland cysts is not mentioned in the question.
8.
There are 2 types of adenoma that occur in the adrenal glands
Correct Answer
hyperfunctioning and nonfunctioning
nonfunctioning and hyperfunctioning
Explanation
The correct answer is hyperfunctioning and nonfunctioning. Adenomas are tumors that can occur in the adrenal glands. Hyperfunctioning adenomas produce excessive amounts of hormones, leading to conditions such as Cushing's syndrome or Conn's syndrome. Nonfunctioning adenomas, on the other hand, do not produce hormones and are often discovered incidentally. Therefore, both types of adenomas, hyperfunctioning and nonfunctioning, can occur in the adrenal glands.
9.
Which of the following are associated with adenoma in the adrenal gland
Correct Answer(s)
A. Hypertension
C. Diabetes
E. Renal cell carcinoma
F. Hyperthroidism
Explanation
Adenoma in the adrenal gland is often associated with hypertension, diabetes, renal cell carcinoma, and hyperthyroidism. Adenomas can cause excessive production of hormones such as aldosterone, cortisol, and adrenaline, which can lead to high blood pressure (hypertension) and diabetes. Renal cell carcinoma is a type of kidney cancer that can be associated with adrenal adenomas. Hyperthyroidism, an overactive thyroid gland, can also be linked to adrenal adenomas as they can cause excessive production of thyroid hormones.
10.
Adrenal Cortical Cancer is very rare and more common in males
Correct Answer
A. True
Explanation
Adrenal cortical cancer is a rare form of cancer that primarily affects the adrenal cortex, which is the outer layer of the adrenal glands. This type of cancer is indeed more common in males, although it can occur in both genders. The exact reasons for this gender disparity are not fully understood, but it may be related to hormonal factors or genetic predisposition. Nonetheless, it is important to note that adrenal cortical cancer is still considered a rare disease overall.
11.
Symptoms early on of __________ causes cushings and conn's
Correct Answer
Adrenal Cortical Cancer
Explanation
Adrenal Cortical Cancer can cause symptoms early on that lead to Cushings and Conn's syndrome. Cushings syndrome is characterized by excessive production of cortisol, a hormone produced by the adrenal glands, which can be caused by adrenal cortical cancer. Conn's syndrome, on the other hand, is caused by excessive production of aldosterone, another hormone produced by the adrenal glands, which can also be a result of adrenal cortical cancer. Therefore, the symptoms early on of Adrenal Cortical Cancer can manifest as Cushings and Conn's syndrome.
12.
Lymphoma is rare and affects the lymph tissue in the adrenal gland
Correct Answer
A. True
Explanation
Lymphoma is indeed a rare type of cancer that affects the lymphatic system, which includes lymph nodes, lymph vessels, and lymphatic organs such as the spleen and thymus. While it can occur in various parts of the body, including the adrenal glands, it is not a common occurrence. Therefore, the statement that lymphoma affects the lymph tissue in the adrenal gland is true.
13.
What type of patient will you see Kaposis's sarcoma in?
Correct Answer
AIDS
Explanation
Kaposi's sarcoma is a type of cancer that is commonly seen in patients with AIDS. This is because AIDS weakens the immune system, making individuals more susceptible to various infections and cancers, including Kaposi's sarcoma. The human herpesvirus 8 (HHV-8) is the primary cause of this cancer, and it often presents as purplish lesions on the skin or mucous membranes. Therefore, the correct answer is AIDS.
14.
Metastases to the adrenal gland is the _____ most common site
Correct Answer
D. 4th
Explanation
Metastases to the adrenal gland is the fourth most common site. This suggests that there are three other sites that are more commonly affected by metastases than the adrenal gland.
15.
Neuroblastoma is seen in elderly patients, it is rare but is the most common abdominal malignancy
Correct Answer
B. False
Explanation
Seen in peds patients. most common abdominal malignancy in neonates
16.
Pyonephrois typically caused by stones in younger patients and cancer in older patients
Correct Answer
A. True
Explanation
Pyonephrosis is a condition characterized by the presence of pus in the kidney due to obstruction of the urinary tract. It is commonly caused by kidney stones in younger patients and cancer in older patients. This is because kidney stones can block the flow of urine, leading to infection and pus formation, while cancerous growths can also cause obstruction and infection. Therefore, the statement that pyonephrosis is typically caused by stones in younger patients and cancer in older patients is true.
17.
Vesicoureteral Reflux (VUR) is when urine flows from the bladder to the kidneys. Typically seen in infants and children and is typically outgrown
Correct Answer
A. True
Explanation
Vesicoureteral Reflux (VUR) is a condition where urine flows backward from the bladder to the kidneys. It is commonly observed in infants and children and is known to be typically outgrown as they grow older. This means that over time, the condition resolves itself and the urine flow returns to normal. Therefore, the statement "True" is the correct answer as it accurately reflects the nature of VUR being typically outgrown in infants and children.
18.
Renal Calculi is
Correct Answer(s)
B. Common
D. Seen more in older males
E. Can occur anywhere along the urinary track
Explanation
Renal calculi, also known as kidney stones, are a common condition. They are more frequently observed in older males. Furthermore, kidney stones can form anywhere along the urinary tract, including the kidneys, ureters, bladder, and urethra.
19.
Gold standard for renal stones is
Correct Answer(s)
CT
Explanation
CT (computed tomography) is considered the gold standard for diagnosing renal stones. This imaging technique provides detailed and accurate information about the size, location, and composition of the stones. It allows healthcare professionals to visualize the stones in the kidneys or urinary tract with high resolution, helping them make an accurate diagnosis and determine the most appropriate treatment plan. CT scans can also detect other abnormalities or complications associated with renal stones, such as obstruction or infection. Therefore, CT is the preferred imaging modality for evaluating renal stones due to its high sensitivity and specificity.
20.
______ is calcification in the kidney
Correct Answer(s)
nephrocalcinosis
Explanation
Nephrocalcinosis refers to the condition of calcification in the kidney. It occurs when calcium deposits build up in the renal tubules and interstitium of the kidney. This can be caused by various factors such as hypercalcemia, renal tubular acidosis, or certain medications. Nephrocalcinosis can lead to impaired kidney function and the formation of kidney stones. Treatment usually involves addressing the underlying cause, managing symptoms, and preventing complications.
21.
Nephrocalcinosis occurs in the cortex
Correct Answer(s)
A. Caused by sickle cell
B. Rejected renal transplant
D. Hypercalcemic states
Explanation
Nephrocalcinosis refers to the deposition of calcium salts in the renal parenchyma. It can occur due to various reasons including sickle cell disease, rejected renal transplant, and hypercalcemic states. Sickle cell disease can cause damage to the kidneys, leading to the formation of calcium deposits. Rejected renal transplant can also result in kidney damage and subsequent nephrocalcinosis. Hypercalcemic states, where there is an excess of calcium in the blood, can lead to the deposition of calcium in the kidneys. Therefore, all three conditions can contribute to the development of nephrocalcinosis in the cortex.
22.
Nephrocalcinosis occurs in the medullary
Correct Answer(s)
A. Hyperparathyroidism
B. Metastic disease
E. Increased echogencity of pyramids
Explanation
Nephrocalcinosis refers to the deposition of calcium in the kidneys. It can occur due to various reasons such as hyperparathyroidism, metastatic disease, and increased echogenicity of pyramids. Hyperparathyroidism is a condition where the parathyroid glands produce excessive amounts of parathyroid hormone, leading to increased calcium levels in the blood and subsequently calcium deposition in the kidneys. Metastatic disease refers to the spread of cancer from one part of the body to the kidneys, which can also result in nephrocalcinosis. Increased echogenicity of pyramids on imaging studies can indicate the presence of calcium deposits in the kidneys, contributing to nephrocalcinosis.
23.
Angiomyolipoma is the most common benign renal tumor made up of fat and muscle
Correct Answer
A. True
Explanation
Angiomyolipoma is indeed the most common benign renal tumor. It is characterized by the presence of fat, smooth muscle, and blood vessels. This tumor is typically found in the kidneys and can vary in size. While it is considered benign, it can still cause complications such as bleeding or kidney damage. Therefore, it is important to monitor and potentially treat angiomyolipomas to prevent any adverse effects.
24.
Angiomyolipoma is typically found in the right kidney, but if it is seen bilaterally it is associated with
Correct Answer
tuberous sclerosis
Explanation
Angiomyolipoma is a benign tumor that is commonly found in the right kidney. However, if it is observed bilaterally (affecting both kidneys), it is often associated with a genetic disorder called tuberous sclerosis. Tuberous sclerosis causes the growth of non-cancerous tumors in various organs, including the kidneys. Therefore, the presence of angiomyolipoma in both kidneys suggests a possible diagnosis of tuberous sclerosis.
25.
Parapelvic cysts are cysts that sit near the renal pelvis
Correct Answer
A. True
Explanation
Parapelvic cysts are cysts that are located near the renal pelvis. The renal pelvis is a part of the kidney where urine collects before it is passed into the ureter. Therefore, it is true that parapelvic cysts are cysts that sit near the renal pelvis.
26.
You want to make sure that the cyst is not connected to the ureter cause would be hydronephrosis
Correct Answer
A. True
Explanation
The statement is suggesting that in order to ensure that the cyst is not linked to the ureter, it is important to consider the possibility of hydronephrosis. This is because hydronephrosis is a condition where there is a blockage or obstruction in the urinary tract, leading to the accumulation of urine in the kidneys. If the cyst is connected to the ureter, it could potentially cause hydronephrosis. Therefore, it is true that one should be cautious about this possibility when dealing with a cyst.
27.
Autosomal Recessive Polycystic Kidney Disease
Correct Answer(s)
B. Affects infants
C. Death occurs as a result of renal failure
D. Cysts are typically small and close together
F. Bilateral and enlarged kidneys
H. Not compatible with life
Explanation
Autosomal Recessive Polycystic Kidney Disease is a genetic disorder that affects infants. It is characterized by the presence of small and close together cysts in the kidneys, which leads to bilateral and enlarged kidneys. The disease is not compatible with life, as death occurs as a result of renal failure.
28.
Unliateral Multicystic Dysplasic Kidney
Correct Answer
A. Can maintain normal renal function cause of compensatory hypertropHy
Explanation
Unilateral Multicystic Dysplastic Kidney refers to a condition where one kidney is affected by multiple cysts and abnormal tissue development. Despite the presence of these cysts, the unaffected kidney can compensate for the loss of function by undergoing compensatory hypertrophy, which means it grows larger in size and increases its functional capacity to maintain normal renal function. This compensatory mechanism allows the individual to maintain normal kidney function despite the presence of the dysplastic kidney.
29.
Medullary Sponge Kidney is cystic dilation of the collecting ducts in the medullary prymaids causing urine stasis and stone formation
Correct Answer
A. True
Explanation
Medullary Sponge Kidney is a condition characterized by the cystic dilation of the collecting ducts in the medullary pyramids. This leads to urine stasis, meaning that urine is unable to flow properly through the urinary system. As a result, there is an increased risk of stone formation within the kidneys. Therefore, the statement that Medullary Sponge Kidney causes urine stasis and stone formation is true.
30.
Medullary Sponge Kidney is associated with
Correct Answer
A. Polycystic Kidney Disease and Caroli's
Explanation
Medullary Sponge Kidney is a congenital disorder characterized by the formation of cysts in the medullary and papillary regions of the kidneys. It is commonly associated with Polycystic Kidney Disease, which is a genetic disorder causing the growth of numerous cysts in the kidneys. Additionally, it is also associated with Caroli's Disease, a rare condition characterized by the dilation of the intrahepatic bile ducts. Therefore, the correct answer is Polycystic Kidney Disease and Caroli's.
31.
Chronic Renal Failure is due to decrease in renal function, enlarged kidneys, obstruction with hypoechoic cortex
Correct Answer
B. False
Explanation
Acute Renal Disease
32.
Renal Infarction is
Correct Answer(s)
A. Necrosis due to cessation of blood flow
C. From renal artery stenosis
E. Tumor invasion
F. Thrombosis invasion
Explanation
Renal infarction refers to the necrosis (cell death) of renal tissue caused by the cessation of blood flow. This can occur due to various reasons, including renal artery stenosis (narrowing of the renal artery), tumor invasion, and thrombosis (formation of a blood clot) in the renal blood vessels. These conditions can lead to a reduction or complete blockage of blood flow to the kidneys, resulting in tissue death and subsequent renal infarction.
33.
Kidneys with cysts or hydro are more prone to trauma
Correct Answer
A. True
Explanation
Kidneys with cysts or hydro are more prone to trauma because these conditions can weaken the structure of the kidneys and make them more susceptible to injury. Cysts are fluid-filled sacs that can enlarge and cause pressure on the surrounding tissues, making the kidneys more fragile. Hydro, also known as hydronephrosis, is the swelling of the kidneys due to a buildup of urine, which can also weaken the kidney tissue. Therefore, individuals with these conditions are at a higher risk of experiencing trauma to their kidneys.
34.
Renal Cell Carcinoma is common in 20 and 30 year olds
Correct Answer
B. False
Explanation
more common in 60 and 70 year olds
35.
Transitional Cell Carcinoma is twice as common in males, usually in 7th decade, affects the renal pelvis, ureters and bladder and often multiple and bilateral
Correct Answer
A. True
Explanation
Transitional Cell Carcinoma is indeed twice as common in males and typically occurs in the 7th decade of life. It primarily affects the renal pelvis, ureters, and bladder. Moreover, it is often found to be multiple and bilateral, meaning it can occur in more than one location and in both kidneys. Therefore, the statement provided in the question is accurate, making the answer "True."
36.
_______ is a rare tumor of the renal pelvis, ureter and bladder caused by chronic infection and stones. it is highly affressive and typically detected at end stage with poor prognosis because it's asymptomatic
Correct Answer
Squamous Cell Carcinoma
Explanation
Squamous Cell Carcinoma is a rare tumor that primarily affects the renal pelvis, ureter, and bladder. It is caused by chronic infection and the presence of stones in these organs. This type of cancer is highly aggressive and often remains asymptomatic until it reaches an advanced stage. Due to the late detection and lack of symptoms, the prognosis for patients with Squamous Cell Carcinoma is usually poor.
37.
Lymphoma is more common as unilateral
Correct Answer
B. False
Explanation
bilateral
38.
Nephroblastoma is the most common abdominal tumor in children ages 1-8
Correct Answer
A. True
Explanation
Nephroblastoma, also known as Wilms tumor, is indeed the most common abdominal tumor in children between the ages of 1 and 8. It typically originates in the kidneys and is more prevalent in younger children. This tumor accounts for a significant portion of all pediatric kidney cancers and requires prompt medical attention and treatment.
39.
Nephroblastoma has an increased risk with ________
Correct Answer
horseshoe kidney
Explanation
Nephroblastoma, also known as Wilms tumor, is a type of kidney cancer that primarily affects children. It is characterized by the presence of a tumor in one or both kidneys. Horseshoe kidney is a congenital condition where the two kidneys are fused together at the lower end, forming a horseshoe shape. Research has shown that individuals with horseshoe kidney have an increased risk of developing nephroblastoma compared to those with normal kidney anatomy. The exact reason for this increased risk is not fully understood, but it is believed to be related to the abnormal development of the kidneys during fetal development.
40.
Diverticuli Bladder is acquired and due to injury or infection and the bladder contains pouches
Correct Answer
A. True
Explanation
The statement is true because diverticuli bladder is indeed acquired, usually as a result of injury or infection. In this condition, the bladder develops pouches or small sacs that bulge outwards. These pouches can cause various symptoms such as frequent urination, urinary tract infections, and difficulty emptying the bladder. Treatment options for diverticuli bladder depend on the severity of symptoms and may include medication or surgery.
41.
_______ _______ __________ is the most common malignant tumor of the bladder.It has thickening of the bladder wall usually as a polypoid mass, often in the area of the trigone
Correct Answer
Transitional Cell Carcinoma
Explanation
Transitional Cell Carcinoma is the most common malignant tumor of the bladder. It is characterized by thickening of the bladder wall, typically presenting as a polypoid mass, particularly in the trigone area. This type of bladder cancer arises from the transitional epithelial cells lining the bladder and is often associated with exposure to certain risk factors such as smoking, chemical exposure, and chronic bladder irritation. Prompt diagnosis and treatment are crucial for managing Transitional Cell Carcinoma effectively.