NBME only final answer plz&why

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NBME only final answer plz&why

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5 Posts

dr_jojo

03/22/07 - 02:31 PM

41. A 49-year-old woman is admitted to the hospital
because of renal
failure. She has had episodes of flank pain over the
past 20 years.
She has also had nocturia 2 to 3 times nightly for 10
years. Her blood
pressure is 160/100 mm Hg. Examination shows pale
mucous membranes. A
mass is palpated in the right flank. Which of the
following is the
most likely diagnosis?

A
) Horseshoe kidney

B
) Nephrolithiasis

C
) Papillary necrosis

D
) Polycystic kidney disease

E
) Renal cell carcinoma

robin082006
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03/22/07 - 02:35 PM

D--> Polycystic kidney disease

cannot cancer because of 20 year history

PCKD is usually bilateral but may be unilateral, hypertension, and renal failure

other choices do not make sense.

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nadiabarati

05/28/07 - 05:04 PM

Justice
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05/28/07 - 05:07 PM

D) Polycystic kidney disease

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prathapdoctor
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Topics: 12
Posts: 406

05/28/07 - 09:02 PM

Hypertension, Abdomenal Mass, Chronic Flank pain, hematuria , chronic nocturia always suggest polycystic kidney disease.

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