Congenital Kidney Disorders · NCLEX Exam

A fetus is found on ultrasound to have massively enlarged echogenic kidneys and oligohydramnios. The most likely diagnosis is:

  1. ADPKD (autosomal dominant polycystic kidney disease)
  2. ARPKD (autosomal recessive polycystic kidney disease)
  3. Unilateral renal agenesis
  4. Horseshoe kidney
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Correct answer: ARPKD (autosomal recessive polycystic kidney disease)

ARPKD can present prenatally with enlarged echogenic kidneys and oligohydramnios.

Difficulty: Medium Question 6 of 20

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