Ch. 18 Urinary System Flashcards

1
Q

Define/explain the term antegrade.

A

Going with the natural flow of things.

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2
Q

What is the term for the “blushing” of the kidneys post contrast injection.

A

Nephrogram

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3
Q

Mr. Miller has a renal calculi of the right kidney. The radiologist has requested that a position be utilized to place the right kidney more parallel to the IR. What position should the patient be placed in to achieve this?

A

LPO

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4
Q

State 2 specific things that may demonstrate by a Post Void radiograph.

A
  1. Residual urine left in the bladder

2. Prolapsed bladder

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5
Q

During Mrs. Smith’s IVP, it has been difficult to demonstrate her distal ureters. What position may be requested in order to better demonstrate this anatomy?

A

Prone

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6
Q

Which condition would likely be demonstrated if present during a VCUG study?

A

Ureteral Reflux

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7
Q

Why is it beneficial to use compression for some IVP studies?

A

to retard the excretion of the kidneys

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8
Q

How many degrees should a patient be rotated when performing oblique kidney views?

A

30 degrees

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9
Q

Generally speaking, how does one determine the dosage of contrast to be given to a child for an IVP?

A

1cc of contrast per 1 pound of body weight.

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10
Q

Regarding tomography, the term focal plane or the level of the axis of rotation, may also be called the –1– level.

A

Fulcrum

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11
Q

Name the 1 type of basic blurring motion that is associated with tomography.

A

Unidirectional (linear)

Pluridirectional (complex)

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12
Q

Keeping the focal plane constant and changing/adjusting the table height is the definition of the –1– Principle of tomography.

A

Grossman

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13
Q

Describe the location of the UVJ.

A

The UVJ is where the ureters meet the bladder.

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14
Q

Describe the location of the UPJ?

A

The UPJ is where the ureters meet the kidneys.

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15
Q

Retrograde filling of the urinary system demonstrates –1–.

A

Anatomy

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16
Q

At which vertebral level is the superior pole of the kidneys usually found?

A

T-12

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17
Q

What is the name of the indention on the medial border of the kidneys?

A

Hilum

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18
Q

When using compression during an IVP, it should be placed a the level of the –1– and slightly medially for best results.

A

ASIS

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19
Q

Proper respiration for IVP studies is –1–. however, the most important thing to remember about respirations is –2–.

A
  1. Suspend on exhalation

2. keep the respiration contrast through the entire exam.

20
Q

Kidneys are able to move —- to —- inches during respiration.

A

1/2 to 1 and 1/2

21
Q

Which pole of the kidney lies more posterior?

A

Upper pole

22
Q

Name 2 of the 4 criteria needed for tomography.

A

Xray source and object

23
Q

With regard to exposure angle when performing tomography, the larger the exposure angle the –1– the cut of the anatomy.

A

thinner

24
Q

When performing oblique bladder images the patient should be rotated so the MCP is –1– degrees from the IR/table.

A

40-60 degrees

25
Q

Another term for urinating is –1–.

A

Micturition

26
Q

The medical term for a “dropped” kidney is –1–.

A

Nephroptosis

27
Q

The functioning unit of the kidneys is the –1–.

A

Nephrons

28
Q

The capillary network that aids the filtrate from the blood that will eventually become urine is the –1–.

A

Glomerulus

29
Q

Why is it important to know the values of a patient’s BUN and Creatinine prior to injection or contrast material?

A

Those levels are a direct indication of kidney function. IF you have a high BUN reading you are at an increased risk of throwing your patient into contrast induced renal failure.

30
Q

What is the function of the urethra?

A

To carry urine out of the body

31
Q

Define the following terms:

  1. Incontinence-
  2. Hematuria
  3. Pyuria-
  4. Prostatic Hypertrophy-
  5. Dysuria-
A
  1. The uncontrollable/involuntary emptying of the bladder.
  2. Blood in the urine.
  3. Pus in the urine.
  4. Enlarged prostate.
  5. Pain when urinating.
32
Q

Explain the basic procedure for determining the proper tomo cuts for an IVP study.

A

measure, cut in half, subtract 2, multiply by 10= middle cut.

33
Q

VCUG stands for –1–.

A

Voiding Cysto Urethrogram

34
Q

How do you center for a:

  1. Kidney-
  2. Bladder-
  3. KUB-
A
  1. Bisect xiphoid process (T10) and umblicus (L4)
  2. 2 inches below ASIS
  3. Center at Creast along MSP
35
Q

Regarding kidney tomograms, if three tomo cuts are performed at 70-80-90, which is the most anterior cut and explain how you can tell.

A

90 is the most anterior cut because you will see the body of the vertebrae.

36
Q

Sheilding is not necessary when performing an IVP study.

A

False

37
Q

A student may read the consent and explain an exam if a technologist is present.

A

True

38
Q

A voiding cystourethrography demonstrates the bladder, urethra, and their emptying function.

A

True

39
Q

The proper kV range for urinary studies should be the mid 60s.

A

True

40
Q

When performing an oblique bladder image, the –1– UVJ will be best demonstrated.

A

Side up

41
Q

A cystogram or voiding cystogram studies require that the patient be –1– in order for the contrast to be introduced into their body.

A

cathaterized

42
Q

Label the following radiograph.

A
  1. Minor Calacys
  2. Major Calycys
  3. Renal Pelvis
  4. Contrast filled ureters
  5. contrast in bladder
43
Q

What muscle of the bladder contracts and results in the emptying of the bladder.

A

Detruser

44
Q

What radiographic study is performed on patients who have had a cystectomy and need their urinary tract examined?

A

Loopogram

45
Q

Give and example of autotomography.

A

Ontelello Method

46
Q

Name the exam that will study the emptying functions of the ureters, bladder, and urethra.

A

voiding cystourethroureterography