sweetybokhari
Forum Elite
Topics: 118
Posts: 148
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A 55- year -old male smoker undergoes a physical examination and laboratory workup for a life insurance application.history and physical examination,including rectal examination,are normal.blood count is also normal,but urinalysis reveals the presence of blood in the urine(>20 RBC/HPF).cystoscopy is negative.abdominal ultrasound reveals a 5 cm solid mass in the upper pole of left kidney,confirmed by computerized tomography scan.which one of the following is the most appropriate management?
1)computarized tomography scan guided percutaneous biopsy
2) retrograde pyelogram
3) repeat computerized tomography scan in 6 months
4)intravenous pyelogram
5) surgical resection
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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4
___________________
The Key to Succeed is Patience.
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| doctormooot
Forum Newbie
Topics: 2
Posts: 6
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I think # 5 is the answer bec. 5 cm is large enough to go for surgery but the problem with answer 5 vs 4 .......that IV pyelogram may be part of pre op workup.... confused...?
hope know correct A. 
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| krsna
Forum Senior
Topics: 1
Posts: 211
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i think its 4
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| sarika
Forum Guru
Topics: 195
Posts: 1,200
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5
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| doctormooot
Forum Newbie
Topics: 2
Posts: 6
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dear Bokhari,
do U know the correct answer?
If yes, please post it
whar R U doing now ? preparing for exams or already in your residency
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| 92306
Forum Senior
Topics: 14
Posts: 126
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most appropriate management --5) surgical resection
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| sweetybokhari
Forum Elite
Topics: 118
Posts: 148
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sorry doctormoot,i donot have answer of this question.i am preparing for canadian exam and usmle step2.thanks
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