Clinical: Scrotum, Thyroid, Misc. Flashcards
What should be avoided for at least 7 days before a renal biopsy
aspirin
When a patient presents with acute scrotal pain, the sonographer should always begin the scrotal ultrasound by
imaging the unaffected side
What correctly describes the preferred patient position for a renal biopsy
prone with a pillow under the abdomen to accentuate the normal curvature of the spine
A patient presents for a thyroid biopsy with a script that states “US guided biopsy, cold nodule”. The patient does nto have the report with them but they do have a copy of the nuclear medicine (NM) exam. What are you looking for on the NM exam to locate the nodule to be biopsied
white/light areas with absence of accumulation of the radioactive isotope
A 3cm hypoechoic mass is identified in the right testicle. The radiologist requests that you perform an abdominal US. What are you looking for
periaortic lymphadenopathy
What is demonstrated by the same color on an ultrasound image as on a CT image
calcifications
What are the advantages of fine needle capillary technique over a fine needle aspiration technique
FNC aspirates a smaller but more concentrated sample of cells than FNA
If a varicocele is identified on the left side
the left kidney should be evaluated for mass formation
Patients diagnosed with a multinodular goiter will also have
increased TSH, decreased T3 and T4
An area of plaque or thrombus in an artery will be demonstrated as _______ on angiography
an area of absence of contrast material
Patients with new onset of secondary hyperparathyroidism will demonstrate
low serum calcium and vitamin D levels with high PTH levels
When evaluating a suspected testicular varicocele, what patient position will better demonstrate the abnormality
standing
What is a contraindication for a renal biopsy
current warfarin use (blood thinner)
What will have no effect on serum levels of AFP
seminomatous tumor of the testicle
In patients with primary hyperparathyroidism, levels of parathyroid hormone will increase and
serum calcium levels will increase
A FNA biopsy of a thyroid nodule is not recommended for nodules
<10mm
What will cause elevated serum amylase
tumor of the submandibular gland and use of oral contraceptives
Prehn sign is used to differentiate what two abnormalities
testicular torsion and epididymo-orchitis
A patient is scheduled for a liver biopsy with the radiologist in the morning. What lab values will the doctor want to see before the procedure is performed
prothrombin time and INR
What correctly describes a way to tell the difference between a vasovagal response and anaphylaxis caused by contrast injection
pallor is a sign of vasovagal response, while erythema is a sign of anaphylaxis
What type of thyroid cancer is associated with elevated calcitonin levels
medullary
What commonly leads to acute scrotal pain
epididymitis
You are performing a parathyroid ultrasound and cannot locate a known adenoma. What would be most helpdul in locating the mass
ask the patient to swallow
When evaluating a patient with a complete thyroidectomy, what is the best way to differentiate level VI nodes from level III/IV nodes
turn the neck to a neutral position and document lymph node position relative to the carotid artery
