MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
An autopsy of a 59-year-old man revealed the coral-like stone filled all renal pelvis of a right kidney. The kidney was enlarged, hyperemic with the capsule, taken out hardly. The pelvis and calyxes cavities were dilated, filled by a turbid, greenish-yellowish viscous liquid. The mucosal layer was dim with some hemorrhages. A cut surface investigation showed motley pattern of the kidney’s tissue, with yellow spots in up to 1cm in diameter. What complication to nephrolithiasis has developed?
A
Chronic pyelonephritis with exacerbation
B
Tumour of kidney
C
Postinfectious glomerulonephritis
D
Primary amyloidosis
Explanation: 

Detailed explanation-1: -Calyces. The first part of the renal pelvis contains the calyces. These are small cup-shaped spaces that collect fluid before it moves into the bladder. This is also where extra fluid and waste become urine.

Detailed explanation-2: -The medulla consists of multiple pyramidal tissue masses, called the renal pyramids. In between the pyramids are spaces called renal columns through which the blood vessels pass. The tips of the pyramids, called renal papillae, point toward the renal pelvis.

There is 1 question to complete.