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Autosomal dominant polycystic kidney disease — RACP Written MCQ

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ModerateNephrologyAutosomal dominant polycystic kidney diseaseRACP Written

A 36-year-old man has hypertension and recurrent flank pain. His father had kidney failure in his fifties. Ultrasound shows bilaterally enlarged kidneys with multiple cysts and liver cysts. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Autosomal dominant polycystic kidney disease

Bilateral enlarged cystic kidneys, liver cysts and autosomal dominant family history are characteristic of ADPKD.

Reference: Therapeutic Guidelines: Kidney and Urinary; Kidney Health Australia principles