GU IMAGING Flashcards

1
Q

helps to assess constipation in pediatric patients

A

KUB

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2
Q

abdominopelvic xray

A

KUB

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3
Q

abdominopelvic xray with contrast

A

IVP

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4
Q

_________ has replaced traditional IVP

A

CT IVP

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5
Q

risk of IVP

A

allergic reaction to dye

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6
Q

IVP is used for

A
⦁	abdominal injury
⦁	bladder & kidney infections
⦁	hematuria
⦁	flank pain
⦁	tumors
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7
Q

renal US indications

A
⦁	can determine size of kidneys (hydronephrosis)
⦁	signs of injury to kidneys
⦁	abnormalities present at birth
⦁	presence of blockage or kidney stones
⦁	complications of a UTI
⦁	cysts or tumors
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8
Q

scrotal US uses

A

⦁ looks at size of testicles
⦁ to evaluate a mass or lump (cystic vs solid)
⦁ find a reason for pain
⦁ look at blood flow to testicles
⦁ look for location of undescended testis

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9
Q

how to image the prostate

A

TRUS = trans-rectal ultrasound

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10
Q

xray of the bladder with contrast

A

VCUG = voiding cystourethrogram

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11
Q

used to check for VUR after a UTI***

A

VCUG

  • others
    ⦁ Bladder obstruction
    ⦁ Abnormal urination with very high pressure within the bladder
    ⦁ Incomplete bladder emptying
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12
Q

to determine functionality of urethra

A

retrograde urethrogram

helps diagnose urethral pathology from trauma or urethral strictures (ex: presence of blood at meatus)

  • done for pre & post-op reconstruction of urethra
  • can help identify urethral diverticulum & fistulas
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13
Q

helps diagnose urethral pathology from trauma or urethral strictures

A

retrograde urethrogram

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14
Q

CT IVP

A
  • uses IV contrast dye
  • evaluates the collecting system, ureters and bladder
  • used for causes of hematuria
  • identifies renal tumors better than CT without contrast
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15
Q

question with UTI & little boy (think VUR)

A

VCUG

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16
Q
  • used mainly for prostate cancer
  • helps determine the extent of the spread of cancer
  • helps in planning radiotherapy for prostate cancer
A

MRI

17
Q

A 21-year-old man presents to the clinic with flank pain. An initial CT scan was done and showed right hydronephrosis that is consistent with Uretero-Pelvic Junction (UPJ) obstruction. You are worried about the function and excretion of the right kidney. What is your next diagnostic evaluation for this young man?

a. MAG3 Nuclear Scan
b. MRI
c. CT IVP
d. Renal Ultrasound
e. KUB

A

a. MAG3 Nuclear Scan

18
Q

A 52 year old male presents to your walk-in care clinic with progressively worsening flank pain, vomiting, abdominal pain and bloating. Which one of the following imaging tests would be the most appropriate in the initial evaluation of this patient?

a. IVP
b. Spiral CT scan with stone protocol
c. Renal ultrasound
d. KUB

A

d. KUB

19
Q

You have a 2 year old female that has been brought in by her mother 4-5 times over the last 6 months for urinary tract infections. The infections usually respond well to antibiotics. What further work-up does this patient need?

a. Voiding cystourethrogram (VCUG)
b. MRI
c. CT without contrast
d. IVP

A

a. Voiding cystourethrogram (VCUG)

20
Q

A 40-year-old male patient presents with complaints of acute abdominal flank pain with associated back pain. He states his urine as been pinkish over the past few days and he also indicates he has had to get up in the middle of the night to urinate for about 2 weeks. Blood pressure is 168/100. He states, “My dad had some kidney issues and ended up on dialysis.” Based on this presentation and your suspicions, what imaging study would be the best first choice?

a. Abdominal xray
b. IVP
c. Renal Ultrasound
d. MRI of the abdomen

A

c. Renal Ultrasound

21
Q

Which imaging study is considered the gold standard for diagnosing nephrolithiasis?

a. MRI
b. Ultrasound
c. Non-contrast CT scan
d. IVP
e. Contrast CT scan

A

c. Non-contrast CT scan

22
Q

What type of stone composition is not seen on KUB?

a. Cystine stone
b. Calcium stone
c. Struvite stone
d. Uric Acid stone

A

d. Uric Acid stone