Approach to cystic kidney disease Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 35-year-old woman presents to her primary care physician’s office for right flank pain, dysuria, and blood in the urine. The patient has a family history of kidney disease in multiple relatives. Her past medical history is significant for hypothyroidism, for which she takes levothyroxine. Temperature is 37.0 ºC (98.6 ºF), pulse is 72/min, respiratory rate is 12/min, and blood pressure is 152/96 mm Hg. On physical exam, there is mild suprapubic tenderness and mild tenderness at the bilateral flanks. In-office urinalysis is positive for hematuria and leukocyte esterase. Which of the following findings would most likely be seen on kidney ultrasound?

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Multiple medullary cysts

Normal-sized kidneys with sharply demarcated, smooth-walled cortical cysts

Small kidneys with multiple cortical and medullary cysts

Multiple medullary cysts and nephrocalcinosis

Enlarged kidneys with multiple cortical and medullary cysts