Renal agenesis

Short Quiz on Renal agenesis

Instruction

1. This Test has 3 Questions 
2. There is 1 Mark for each correct Answer

MCQ – 1

Defect in any of the following may result in renal agenesis except :

Nephrogenic bud

Uretericbud

Blastema of nephrogenic tissue

Blastema of nephrogenic tissue

Explanation :

D i.e. Failure of descent of nephrogenic tissue to lumber


MCQ – 2

Renal agenesis is associated with :

Hydramnios

Anencephaly

Tracheo-oesophageal fistula

Oligohydramnios

Explanation :

Ans. is D. i.e. Oligohydramnios

Fetal urine is the main contributor of Amniotic fluid beyond 20 weeks, therefore. In the case of Renal agen­esis –) decrease / no urine oligohydramnios.

Extra Edge :

  • The assessment of amniotic fluid is an integral part of antepartum fetal assessment.
  • Techniques used for measurement of Amniotic fluid – ultrasonographically :

Amniotic fluid index (AFI): is calculated by dividing the uterus into four quadrants and measuring the largest vertical pocket of liquor in each of the four quadrants. The sum of the four measurements is the AFI in cm. The range of 5 – 25 cm is considered normal. Less than 5 is considered significant oligohydramnios.

Single deepest pocket (SDP): is the depth of a single cord-free pocket of amniotic fluid. The normal range is 2 – 8 cm. Over 8 cm is considered polyhydramnios. Less than 2 cm is considered as oligohydramnios.


MCQ – 3

Unilateral renal agenesis is associated with –

Polycystic disease of pancreas

Hiatus Hernia

Single umbilical artery

Hypogonadism

Explanation :

Ans. is ‘c’ i.e., Single Umbilical Artery

Malformations associated with unilateral renal agenesis

  • Single umbilical artery                     o Controlateral vesicoureteric reflux
  • Absent ureter                                 o Absent Ipsilateral vas defrens

Bilateral renal agenesis

o It is incompatible with extrauterine life, death occurs shortly after birth from pulmonary hypoplasia. o It is also known as Potter syndrome.


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