3 Radreview Urolog

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1

All the following procedures demonstrate renal function except

A IVP.

B descending urography.

C retrograde urography.

D infusion nephrotomography.

C retrograde urography.

2
card image

The number 1 in the radiograph in Figure A represents which of the following renal structures?

Figure A. Courtesy of Stamford Hospital, Department of Radiology.

A Vesicoureteral junction

B Renal pelvis

C Minor calyx

D Major calyx

B Renal pelvis

3

What should you do if you discover while taking patient history that the patient scheduled for an intravenous urogram (IVU) takes metformin hydrochloride daily?

1. Proceed with the examination if kidney function is normal.

2. Instruct the patient to withhold the metformin for 48 hours after the examination.

3. Reschedule the examination until the patient has been off metformin for 48 hours.

A 1 only

B 1 and 2 only

C 1 and 3 only

D 1, 2, and 3

C 1 and 3 only

4
card image

The radiograph shown in the figure below is an example of

From the American College of Radiology Learning File. Courtesy of the ACR.

A linear tomography.

B computed tomography (CT).

C grid cutoff.

D poor screen-film contact.

A linear tomography.

5

During an intravenous urogram (IVU), the RPO position is used to demonstrate the

  1. left kidney parallel to the IR
  2. right kidney parallel to the IR
  3. right kidney perpendicular to the IR

A 1 only

B 2 only

C 1 and 2 only

D 1 and 3 only

D 1 and 3 only

6
card image

Which of the following statements is (are) true regarding the position illustrated in Figure 2–19?

  1. The right (adjacent to the table) ureter is parallel to the IR.
  2. The left (elevated) kidney is parallel to the IR.
  3. The degree of obliquity should be about 30 degrees.

A 1 only

B 1 and 2 only

C 2 and 3 only

D 1, 2, and 3

D 1, 2, and 3

7

Routine excretory urography usually includes a postmicturition radiograph of the bladder. This is done to demonstrate

  1. tumor masses.
  2. residual urine.
  3. prostatic enlargement.

A 2 only

B 1 and 3 only

C 2 and 3 only

D 1, 2, and 3

D 1, 2, and 3

8
card image

Which of the following statements regarding the image in Figure 2–4 is correct?

Courtesy of Stamford Hospital, Department of Radiology.

A The left kidney is more parallel to the IR.

B The image was made in the left posterior oblique position.

C The left ureter is better visualized.

D The image was made postvoid.

A The left kidney is more parallel to the IR.

9

Which of the following positions is most likely to place the right kidney parallel to the IR?

A AP

B PA

C RPO

D LPO

D LPO

10

Which of the following radiologic procedures requires that a contrast medium be injected into the renal pelvis via a catheter placed within the ureter?

A Nephrotomography

B Retrograde urography

C Cystourethrography

D IVU

B Retrograde urography

11

During IV urography, the prone position generally is recommended to demonstrate

  1. the filling of the ureters
  2. the renal pelvis
  3. the superior calyces

A 1 only

B 1 and 2 only

C 1 and 3 only

D 1, 2, and 3

B 1 and 2 only

12

Which of the following examinations most likely would be performed to diagnose Wilm's tumor?

A BE

B Upper GI

C IVU

D Bone survey

C IVU

13

Which of the following radiologic examinations can demonstrate ureteral reflux?

A IV urogram

B Retrograde pyelogram

C Voiding cystourethrogram

D Nephrotomogram

C Voiding cystourethrogram

14

When the erect position is requested as part of an IVU, it is used to demonstrate

A the adrenal glands.

B the renal surfaces.

C kidney mobility.

D the bladder neck.

C kidney mobility

15
card image

Which of the following statements referring to Figure 7–11 is (are) correct?

  1. Image A was performed AP.
  2. Image B was performed AP.
  3. The AP image was obtained using ureteral compression.

Courtesy of Stamford Hospital, Department of Radiology.

A 1 only

B 2 only

C 1 and 3 only

D 2 and 3 only

B 2 only

16

The major difference between excretory and retrograde urography is that

A they each require a different type of contrast agent.

B intravenous studies require more images.

C retrograde studies do not demonstrate function.

D more contrast medium–induced adverse reactions occur in retrograde studies.

C retrograde studies do not demonstrate function.


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