Urinary/renal

Question 1

May appear on a radiograph as a elevated bladder floor

Answer 1

benign prostatic hypertrophy

Question 2

failure of a kidney to ascend

Answer 2

ectopic kidney

Question 3

Fusion of the lower renal poles

Answer 3

horseshoe kidney

Question 4

inability to void

Answer 4

retention

Question 5

calcification of the renal pelvis

Answer 5

staghorn calculus

Question 6

excess of urea in the blood

Answer 6

uremia

Question 7

retrograde flow of urine from the bladder

Answer 7

urinary reflux

Question 8

excretion of a diminished amt of urine

Answer 8

obliguria

Question 9

If an IVU and a barium enema are scheduled the same day, which should be done first?

Answer 9

IVU

Question 10

Why should the pt void before a IVU procedure?

Answer 10

A full bladder could rupture, especially if compression is applied and urine in bladder dilutes contrast

Question 11

The evening before the IVU the pt must remain NPO a minimum of

Answer 11

8 hrs

Question 12

The normal level for BUN

Answer 12

8-25 mg/100ml

Question 13

Normal range for creatinine

Answer 13

0.6-1.5 mg/dl

Question 14

The most commonly used sites for venipuncture

Answer 14

median cubital, cephalic and basilic

Question 15

Where do you place turniquet for venipuncture?

Answer 15

3-4 inches above site

Question 16

Position of bevel & angle of needle for venipuncture

Answer 16

bevel up and 20-45 degree angle

Question 17

What should be documented after catheter placement

Answer 17

time of injection, type and amt of contrast, the site, your name

Question 18

Mild response to contrast

Answer 18

nausea, scattered hives, itching, metallic taste

Question 19

Moderate response to contrast

Answer 19

tachycardia, bronchospasm, angloedema, urticaria

Question 20

Severe response to contrast

Answer 20

loss of consciousness, laryngeal swelling, cardiac arrhythmia

Question 21

abdominal aneurysm and uteric stones are contraindications for uteric compression

Answer 21

True

Question 22

a nephrogram is a image taken immediately following injection of the contrast medium

Answer 22

true

Question 23

For a hypertensive IVU, images are taken 1,2, and 3 min post injection

Answer 23

True

Question 24

Needle size for introduction of contrast

Answer 24

18-22

Question 25

how many hours prior should patients stop taking metformin prior to IVU?

Answer 25

48

Question 26

steps of routine IVU procedure

Answer 26

1.scout, 2.inj contrast 3.three nephrotomograms 4. 5 min AP supine 5. 15 min AP supine 6. LPO and RPO 7. Postvoid AP erect

Question 27

Contrast delivery and anatomy demonstrated for General IVU

Answer 27

Intravenous bolus injection
kidney and study of entire urinary system

Question 28

Contrast delivery and anatomy demonstrated for Retrograde Urography

Answer 28

Retrograde injection through ureterl catheter
Pelvicalyceal system, ureter, bladder

Question 29

Contrast delivery and anatomy demonstrated for voiding cystourethro-graphy (VCU)

Answer 29

retrograde injection through urethral catheter
functional study of bladder/urethra

Question 30

Contrast delivery and anatomy demonstrated for retrograde urethrography (male)

Answer 30

retrograde injection through brodney clamp or special catheter
urethra only