[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-30884":3,"doc-seo-30884":21},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"file_id":15,"file_url":16,"file_type":17,"file_size":18,"view_count":4,"is_deleted":4,"is_public":19,"is_downloadable":19,"audit_status":19,"update_tm":20},30884,687197207057,"Sage","https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0",7,"Healthcare","Pulmonary & Critical Care Block 5 - Step 1 UWORLD 2020","Clinical question material for Step 1-style learning focused on congenital anomalies of the kidney and urinary tract. A patient with fever, dysuria, and abdominal pain undergoes abdominal CT, showing a horseshoe kidney variant with kidneys joined at the lower poles. Explanations connect embryologic ascent of the metanephric kidneys to fetal growth and vascular anatomy, emphasizing how the inferior mesenteric artery (IMA) restricts proper ascent by acting as a barrier during development. Detailed distractor analysis contrasts alternative structures and explains why they would not prevent ascent, plus outlines associated risks including obstruction, infection, stones, and neoplasm.","cbCaiuUK6qROJ4L2","https://ap.wps.com/l/cbCaiuUK6qROJ4L2","pdf",18687023,1,1778362781,{"code":4,"msg":22,"data":23},"ok",{"site_id":24,"language":25,"slug":26,"title":13,"keywords":27,"description":14,"schema_data":28,"social_meta":62,"head_meta":64,"extra_data":66,"updated_unix":20},105,"en","pulmonary-critical-care-block-5-step-1-uworld-2020","",{"@graph":29,"@context":61},[30,47],{"@type":31,"itemListElement":32},"BreadcrumbList",[33,37,41,44],{"item":34,"name":35,"@type":36,"position":19},"https://docshare.wps.com","Home","ListItem",{"item":38,"name":39,"@type":36,"position":40},"https://docshare.wps.com/document/","Document",2,{"item":42,"name":12,"@type":36,"position":43},"https://docshare.wps.com/document/healthcare/",3,{"item":45,"name":13,"@type":36,"position":46},"https://docshare.wps.com/document/pulmonary-critical-care-block-5-step-1-uworld-2020/30884",4,{"url":45,"name":13,"@type":48,"author":49,"headline":13,"publisher":51,"fileFormat":54,"description":14,"dateModified":55,"datePublished":55,"encodingFormat":54,"isAccessibleForFree":56,"interactionStatistic":57},"DigitalDocument",{"name":9,"@type":50},"Person",{"url":34,"name":52,"@type":53},"DocShare","Organization","application/pdf","2026-05-09",true,{"@type":58,"interactionType":59,"userInteractionCount":4},"InteractionCounter",{"@type":60},"ViewAction","https://schema.org",{"og:url":45,"og:type":63,"og:title":13,"og:site_name":52,"og:description":14},"article",{"robots":65,"canonical":45},"index,follow",{"doc_id":7,"site_id":24}]