Imaging

Question 1

CI of IVP?

Answer 1

Contrast risks - ARF, CKD, Multiple myeloma

Question 2

VCUG process?

Answer 2

Cath urethra
Add contrast - Fluroscopy - Eval
Remove cath
Eval voiding process

Question 3

Is CT w/ contrast needed for eval of stones/bld?

Answer 3

NO

Question 4

SOC for hydronephrosis?

Answer 4

U/S

Question 5

U/S sign of signicant irreversible DZ is?

Answer 5

<9cm size in adult

Question 6

VCUG - Voiding cystourethrogram is SOC for?

Answer 6

Urinary reflex eval (Any child w/ recurrent UTI before potty training)

Question 7

RUG findings of ABNL urethra indicates what

Answer 7

Do not use a cath - req suprapubic cath

Question 8

Kidney DZ indicators?

Answer 8

More dense than liver
Sml Size (Esp <7cm)
Cant distinguish Medulla from Cortex

Question 9

CTU SOC for?

Answer 9

Upper GU tract Eval (Combo IVP/ABD CT)

Question 10

Process of RUG?

Answer 10

Contrast inserted into urethra towards bladder

Question 11

U/S color doppler is good for?

Answer 11

BF eval
Prostate tumor vascularity
Acute testicular pain (torsion vs Epididymitis)

Question 12

MRI can easily diffrentiate what?

Answer 12

Cortex from medulla

Question 13

IVP can Dx?

Answer 13

Medullary sponge kidney
Papillary necrosis
Hydronephrosis

Question 14

Gold standard for Renal artery stenosis eval?

Answer 14

Renal Arteriogram

Question 15

SOC for bladder eval?

Answer 15

Cystogram w/ contrast - (400cc contrast)

AP/Oblique view for entire urethra

Question 16

SOC used for urethral trauma is?

Answer 16

Retrograde urethrogram (RUG) or high ride prostate

Question 17

What are studies used for staging neoplasms?

Answer 17

1. CT

2. MRI

Question 18

IVP stands for

Answer 18

IV pyelogram (AKA IV urogram)

Question 19

Size difference of <1.5 between kidneys w/ U/S may indicate?

Answer 19

Unilateral DZ

Question 20

Captopril scan is?

Answer 20

Renography nuclear med test for DX Renal vascular HTN

Question 21

Nuclear medicine gu tests?

Answer 21

Prostascint scan - Prostate eval/staging
Bone scan - METs eval - prostate/RCC
Renal Scan (renography) - Quan Renal Fx/BF/ID obstruct

Question 22

GU CT is useful for?

Answer 22

Further eval when U/S IVP is inconclusive

Question 23

CT angiogram can be used for?

Answer 23

Renovascular HTN due to RAS

Question 24

Study of prostate eval/Bx?

Answer 24

transrectal U/S

Question 25

What must be screened before using an IVP?

Answer 25

Scr (<2g/dL) before contrast - or else contrast NP

Question 26

MR angiography can be used for?

Answer 26

Dx RAS (SE - Gandolinium renal injury)