Radiographic Positioning And Related Anatomy Ch. 16 Sect. D

Front 1

A. Why is the term IVP incorrect in describing a radiographic examination of the kidneys, ureters, and bladder following intravenous injection of contrast media?

B. What is the correct term and correct abbreviation for the exam described in question No. 1

Back 1

A. An IVP (intravenous pyelogram) is a study of the renal pelvis (hence pyelo-)

B. Intravenous urogram (IVU)

Front 2

Which specific aspect of the kidney is visualized during an IVU?

Back 2

The collecting system of the kidney

Front 3

Which one of the following conditions is a common pathologic indication for an IVU?

Back 3

C. Hematuria

Front 4

Which one of the following conditions is described as a rare tumor of the kidney?

Back 4

A. Pheochromocytoma

Front 5

Match each the following urinary pathologic terms to its correct definition:
A. Pneumouria
B. Urinary reflux
C. Uremia
D. Anuria
E. Polyuria
F. Micturition
G. Retention
H. Oliguria
I. Glucosuria
J. Urinary incontinence
K. Renal agenesis
L. Acute renal failure

Back 5

A. 5 Presence of gas in urine
B. 8 Backward return flow of urine
C. 3 Excess urea of creatinine in the blood
D. 10 Complete cessation of urinary secretion
E. 1 Passage of large volume of urine
F. 11 Act of Voiding
G. 12 Inability to void
H. 4 Diminished amount of urine being excreted
I. 2 Presence of glucose in urine
J. 7 Constant or frequent involuntary passage of urine
K. 9 Absense of a functioning kidney
L. 6 Indicated by presence of uremia, oliguria, or anuria

Front 6

Match each of the following descriptios to the correct pathologic indication:
A. Enlargement of the prostate gland
B. Fusion of the lower poles of the kidneys during the development of the fetus
C. Inflammation of the capillary loops of the glomeruli of the kidneys
D. Artificial openign between the urinary bladder and aspects of the large intestine
E. A large stone that grows and completely fills the renal pelvis
F. Increased blood pressure to the kidneys due to atherosclerosis
G. Normal kidney that fails to ascend into the abdomen but remains in the pelvis
H. Multiple cysts in one or both kidneys

Back 6

A. 7 Benign prostatic hyperplasia
B. 4 Horseshoe kidney
C. 8 Glomerulonephritis
D. 1 Vesicorectal fistula
E. 5 Staghorn calculus
F. 2 Renal hypertension
G. 3 Ectopic kidney
H. 6 Polycystic kidney disease

Front 7

Match each of the following radiographic appearances to the correct pathologic indication:
A. Rapid excretion of contrast media
B. Mucosal changes within bladder
C. Bilateral, small kidneys with blunted calyces
D. Irregular appearance of renal parenchyma or collecting system
E. Signs of abnormal fluid collections
F. Abnormal rotation of the kidney
G. Elevated or indented floor of bladder
H. Signs of obstruction of urinary system

Back 7

A. 5 Renal hypertension
B. 7 Cystitis
C. 8 Chronic Bright disease
D. 3 Renal cell carcinoma
E. 2 Vesicorectal fistula
F. 1 Malrotation
G. 4 BPH
H. 6 Renal Calculi

Front 8

A condition characterized by regions or areas of subcutaneous swelling due to allergic reaction to food or drugs is termed ________

Back 8

Angioedema

Front 9

Conraction of the muscles within the walls of the bronchi and bronchioles, producing a restction of air passing through them, is a condition called ______

Back 9

Bronchospasm

Front 10

Loss of consciousness due to reduced cerebral blood flow is termed ______.

Back 10

Syncope

Front 11

A trademark name for a diuretic drug is _______

Back 11

Lasix

Front 12

An eruption of wheals (hives) often due to hypersensitivity to food or drugs is a condition termed ________.

Back 12

Urticaria

Front 13

What type of renal calculi is often associated with chronic urinary tract infections?

Back 13

Staghorn calculi

Front 14

T/F: The patients should void before an IVU to prevent possible rupture of the bladder if compression is applied

Back 14

True

Front 15

What is the primary purpose of ureteric compression?

Back 15

To enhance filling of the pelvicalyceal system with contrast media

Front 16

List the six conditions that could contraindicate the use of ureteric compression:

Back 16

A. Possible ureteric stones
B. Abdominal mass
C. Abdominal aortic aneurysm
D. Recent abdominal surgery
E. Severe abdominal pain
F. Acute abdominal trauma

Front 17

When does the timing for a IVU exam start?

Back 17

At start of injection of contrast media

Front 18

List the basic five step imaging sequence for routine IVU:

Back 18

A. 1-minute nephrogram or nephrotomography
B. 5-minute full KUB
C. 10 to 15 minute full KUB
D. 20-minute posterior R and L oblique positions
E. Postvoid (prone PA or erect AP)

Front 19

What is the primary difference between a standard and a hypertensive IVU?

Back 19

A hypertensive IVU requires a shorter span of time between projections

Front 20

In which department are most retrograde urograms performed?

Back 20

Surgery (inpatient or outpatient facility)

Front 21

T/F: A retrograde urogram examines the anatomy and function of the pelvicalyceal system.

Back 21

False (nonfunctional exam)

Front 22

T/F: The Brodney clamp is used for male and female retrograde cystourethrograms

Back 22

False (Used for males only)

Front 23

Which of the following involves a direct introduction of the contrast media into the structure being studied?

Back 23

D. All of the above
Retrograde urogram
Retrograde cystogram
Retrograde urethrogram

Front 24

Which of the following alternative imaging modalities is not routinely being sued to diagnose renal calculi?

Back 24

C. MRI

Front 25

T/F: Urinary studies on pediatric patients should be scheduled early in the morning to minimize the risk for dehydration

Back 25

True

Front 26

T/F: Nuc Med is highly effective in demonstrating signs of vesicoureteral reflux

Back 26

True

Front 27

T/F: The number of retrograde urography procedures for urethral calculi has been reduced as a result of the increased use of CT

Back 27

True

Front 28

Who should the technologist contact if he or she has difficulty placing the needle into the vein of a pediatric patient during IVU?

Back 28

A phlebotomist or physician

Front 29

T/F: The patient does not require extensive bowel preparation before a CT scan for renal calculi

Back 29

True

Front 30

Which imaging modality is used to detect subtle tissue changes following a renal transplant?

Back 30

A. MRI