#january2020mccqe1
A 3-year-old boy is seen because of the onset of nonspecific central abdominal pain of two days duration. On examination, he has a large firm mass just to the left of the midline in the upper abdomen. He is also noted to be hypertensive and, on urine testing, he has microscopic haematuria. On further careful examination the left side of his body is noted to be slightly larger than the right side. Which one of the following is the most likely cause for this mass?
(A) Neuroblastoma
(B) Splenomegaly
(C) Polycystic kidney disease
(D) Wilms tumour
(E) Left-sided hydronephrosis
A 3-year-old boy is seen because of the onset of nonspecific central abdominal pain of two days duration. On examination, he has a large firm mass just to the left of the midline in the upper abdomen. He is also noted to be hypertensive and, on urine testing, he has microscopic haematuria. On further careful examination the left side of his body is noted to be slightly larger than the right side. Which one of the following is the most likely cause for this mass?
(A) Neuroblastoma
(B) Splenomegaly
(C) Polycystic kidney disease
(D) Wilms tumour
(E) Left-sided hydronephrosis
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