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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25-year-old man presents to the primary care clinic to establish care. He was recently seen in the emergency department for abdominal painwhich has since resolved. CT scan performed at that time showed bilateral kidney cysts. Last week, the patient moved heavy boxes and has had low back pain radiating to the flanks since then, which worsens with exercise. He was treated eight months ago for a urinary tract infection that resolved with antibiotics. Temperature is 37.0 ºC (98.6 ºF), pulse is 84/min, respiratory rate is 14/min, and blood pressure is 136/86 mm Hg. On physical examination, there is no costovertebral angle tenderness to percussion and kidneys are not palpableThe abdominal exam is within normal limitsThere is bilateral paraspinal muscle tenderness in the lumbar spine. The left first toe is warm, swollen, erythematous, and tender to palpation. Urinalysis shows no abnormalities. Which of the following indicates the need for genetic testing in this patient? 

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