Multiple choice

An 18 year old primigravida, complained of decreased fetal movements. She delivered a baby weighing 2000gms at 30 weeks of gestation. The APGAR scores of the baby were 4 and 5 at 1 and 5 minutes, respectively. The baby died in an hour. Post-mortem examination revealed multiple, peripheral, radially arranged cysts in the kidney. Most common associated finding in the baby would be

  1. holoprosencephaly

  2. hepatic cysts and hepatic fibrosis

  3. ureteral agenesis

  4. medullary sponge kidney

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B Correct answer
Explanation

Infantile polycystic kidney disease is autosomal recessive and characterized by bilateral enlarged kidneys with microcysts. The most common associated finding is congenital hepatic fibrosis with cysts, which is part of the same developmental spectrum affecting the renal tubules and bile ducts.

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