Question 1

Which structure is labeled 2?

Accepted Answer

A)   Renal pelvis
B)   Ureterovesical junction
C)   Ureteropelvic junction
D)   Pelvic brim A

Question 2

The rapid introduction of contrast agents into the vascular system is termed:

Accepted Answer

A)   rapid-fire injection.
B)   rapid-drip infusion.
C)   bolus injection.
D)   IV infusion. C

Question 3

Which of the following is considered as a contraindication for an IVU procedure?

Accepted Answer

A)   Hypertension
B)   Anuria
C)   Hematuria
D)   All of the above B

Question 4

A patient comes to radiology for an IVU.He has a clinical history of renal hypertension.How should the IVU procedure be altered for this patient?

Accepted Answer

A)   Keep ureteric compression inflated for all projections.
B)   Give the patient a diuretic agent before the procedure.
C)   Provide images every 30 minutes after the injection.
D)   Shorten the time between exposures.

Question 5

What is the most common exposure angle performed during nephrotomography?

Accepted Answer

A)   15°
B)   10°
C)   20°
D)   40°

Question 6

Select the correct pathologic indication for each statement or description.(Select each choice only once.)
-Normal kidney that fails to ascend into the abdomen,but rather,remains in the pelvis

Accepted Answer

A)  Horseshoe kidney
B)  Ectopic kidney
C)  Vesicocolonic fistula
D)  Staghorn kidney stone
E)  Urinary incontinenceF) BPH (benign prostatic hyperplasia)

Question 7

A patient comes to radiology for an IVU.His laboratory report indicates a creatinine level of 0.7 mg/dL.What should be the technologist's next step?

Accepted Answer

A)   Proceed with the study.
B)   Notify the radiologist of an elevated creatinine level.
C)   Notify the referring physician of an elevated creatinine level.
D)   Escort the patient to the ED right away.

Question 8

A medical emergency must be declared if the patient experiences a moderate contrast media reaction.

Accepted Answer

A) True 
 B)False

Question 9

Which of the following symptoms is considered a severe reaction to contrast media and is a life-threatening condition requiring life-saving measures?

Accepted Answer

A)   Tachycardia (rapid heartbeat) 
B)   Excessive urticaria (hives) 
C)   Extravasation at the injection site
D)   Cardiac arrhythmias

Question 10

The glomeruli,glomerular capsule,and proximal and distal convoluted tubules are located in the ____ of the kidney.

Accepted Answer

A)   medulla
B)   cortex
C)   collecting system
D)   fibrous capsule

Question 11

How is contrast media normally introduced during a retrograde cystogram?

Accepted Answer

A)   Intravenously
B)   With an injection through the urethra with a large syringe and catheter
C)   Gravity flow through a catheter
D)   Either B or C

Question 12

The left kidney is generally slightly lower,or more inferior,than the right.

Accepted Answer

A) True 
 B)False

Question 13

The average adult kidney measures ____ in length.

Accepted Answer

A)   2 to 3 inches (5 to 7 cm) 
B)   4 to 5 inches (10 to 13 cm) 
C)   6 to 8 inches (15 to 20 cm) 
D)   8 to 10 inches (20 to 25 cm)

Question 14

What is the correct course of action for the technologist when,during an injection of contrast media,a patient experiences a side effect of mild hot flashes and some metallic taste in his mouth?

Accepted Answer

A)   Call for a physician to complete the injection.
B)   Stop the injection of contrast media immediately.
C)   Stop the injection but continue the normal imaging sequence.
D)   Reassure the patient and continue the injection and imaging sequence, while carefully observing the patient for a possible more severe reaction to follow.

Question 15

A patient comes to radiology for an IVU.The clinical history states that the patient may have an enlarged prostate gland (benign prostatic hyperplasia).Which of the following positions best demonstrates this condition?

Accepted Answer

A)   AP erect, prevoiding and voiding
B)   PA prone, CR perpendicular
C)   AP supine with a 15° CR caudad angle
D)   30° RPO

Question 16

Which of the following symptoms is classified as a mild reaction?

Accepted Answer

A)   Itching
B)   Hypotension
C)   Extravasation
D)   Angioedema

Question 17

If both procedures are ordered on the same day,a barium enema must be performed before an IVU.

Accepted Answer

A) True 
 B)False

Question 18

Which of the following is true with nonionic type contrast media?

Accepted Answer

A)   Low osmolality
B)   The inability to dissociate into two separate ions
C)   Less chance of reaction
D)   All of the above

Question 19

What structure enables the kidneys to be visualized on plain abdominal radiographs?

Accepted Answer

A)   Adipose capsule
B)   Renal pyramids
C)   Major and minor calyces
D)   High volume of blood within the kidney

Question 20

What is the recommended treatment protocol for extravasation?

Accepted Answer

A)   Give the patient diphenhydramine (Benadryl) .
B)   Elevate the limb and apply cold compress.
C)   Increase IV fluids.
D)   Give the patient Lasix.

Exam 14: Urinary System and Venipuncture

Which structure is labeled 2?

The rapid introduction of contrast agents into the vascular system is termed:

Which of the following is considered as a contraindication for an IVU procedure?

A patient comes to radiology for an IVU.He has a clinical history of renal hypertension.How should the IVU procedure be altered for this patient?

What is the most common exposure angle performed during nephrotomography?

Select the correct pathologic indication for each statement or description.(Select each choice only once.) -Normal kidney that fails to ascend into the abdomen,but rather,remains in the pelvis

A patient comes to radiology for an IVU.His laboratory report indicates a creatinine level of 0.7 mg/dL.What should be the technologist's next step?

A medical emergency must be declared if the patient experiences a moderate contrast media reaction.

Which of the following symptoms is considered a severe reaction to contrast media and is a life-threatening condition requiring life-saving measures?

The glomeruli,glomerular capsule,and proximal and distal convoluted tubules are located in the ____ of the kidney.

How is contrast media normally introduced during a retrograde cystogram?

The left kidney is generally slightly lower,or more inferior,than the right.

The average adult kidney measures ____ in length.

What is the correct course of action for the technologist when,during an injection of contrast media,a patient experiences a side effect of mild hot flashes and some metallic taste in his mouth?

A patient comes to radiology for an IVU.The clinical history states that the patient may have an enlarged prostate gland (benign prostatic hyperplasia) .Which of the following positions best demonstrates this condition?

Which of the following symptoms is classified as a mild reaction?

If both procedures are ordered on the same day,a barium enema must be performed before an IVU.

Which of the following is true with nonionic type contrast media?

What structure enables the kidneys to be visualized on plain abdominal radiographs?

What is the recommended treatment protocol for extravasation?