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Congenital Genitourinary Anomalies Lecture 15

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Congenital Genitourinary Anomalies Lecture 15

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Questions and Answers

What is the second most common kidney anomaly?

Ectopic ureter

Multicystic dysplastic kidney (MCDK) (correct)

Horseshoe kidney

Unilateral renal agenesis

How does the ultrasound appearance of multicystic dysplastic kidney (MCDK) differ from other kidney anomalies?

It shows thickened renal parenchyma

It shows cysts that do not connect to the renal pelvis (correct)

It shows normal kidney structure with scattered cysts

It shows a functioning kidney with cysts

What is the main difference between multicystic dysplastic kidney (MCDK) and polycystic kidney disease?

MCDK is always bilateral, while polycystic kidney disease can be unilateral

MCDK is nonfunctional due to loss of function over time, while polycystic kidney disease is functional (correct)

Absence of cysts in MCDK but presence in polycystic kidney disease

Presence of nephrons in MCDK but not in polycystic kidney disease

What is the characteristic feature of ureteropelvic junction obstruction (UPJO)?

Blockage at the junction of the ureter and renal pelvis Signup and view all the answers

What is the most common anomaly associated with vesicoureteral reflux (VUR)?

Posterior urethral valve (PUV) Signup and view all the answers

What is the main purpose of using DMSA in the context of kidney conditions?

To assess the function of the kidneys Signup and view all the answers

How does unilateral renal agenesis impact the remaining kidney?

Leads to hypertrophy and exhaustion of the remaining kidney Signup and view all the answers

What is the distinguishing feature of Multicystic Dysplastic Kidney (MCDK) in comparison to UPJO (Ureteropelvic Junction Obstruction) on ultrasound?

Absence or very little kidney function Signup and view all the answers

What is the management approach for Supernumerary Kidney when it is asymptomatic?

Monitoring without intervention until symptoms appear Signup and view all the answers

What is the most significant consequence of bilateral renal agenesis during fetal development?

Pulmonary hypoplasia due to lack of amniotic fluid Signup and view all the answers