Congenital Kidney Disorders · NCLEX Exam

What finding on ultrasound is most consistent with early ADPKD in an adult with a positive family history?

  1. Unilateral small kidney with cortical scarring and atrophy
  2. Bilateral numerous cysts with increased kidney volume
  3. Solitary simple cyst in each kidney, parenchyma normal
  4. Horseshoe configuration with fused lower renal poles
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Correct answer: Bilateral numerous cysts with increased kidney volume

Early ADPKD shows bilateral cysts and increased kidney size (total kidney volume) even before function declines.

Difficulty: Medium Question 15 of 20

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