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Worksheetsfohteeen
Total questions: 100
Worksheet time: 1hrs 15mins
which abdominal muscles run on each side of, and medial and posterior to, the kidneys?
Rectus abdominis
External obliques
right and left psoas major
erector spinae
the average adult kidney measures ______ in length.
2 to 3 inches ( 5 to 7 cm)
4 to 5 inches (10 to 12 cm)
6 to 8 inches ( 15 to 20 cm )
8 to 10 inches (20 to 25 cm)
what structure enables the kidneys to be visualized on plain abdmonial radiographs?
adipose capsule
renal pyramids
major and minor calyces
high volume or blood within the kidney
which of the following functions is not performed by the urinary system?
removing nitrogenous wastes
regulating water levels in tissues
regulating the acid-base and electrolyte balance
producing and releasing adrenaline
the term describing the total functioning portions of the kidney is the
renal collecting system
nephron
glomerular capsule
renal parenchyma
urine will travel from the major calyces to the :
renal pelvis
ureter
minor calyces
renal pyramids
The glomeruli, glomerular capsule, and proximal and distal convoluted tubules are located in the _____ of the kidney.
medulla
cortex
collecting system
fibrous capsule
the structural and functional unit of the kidney is:
bowman capsule
the calyx
the nephron
the glomerulus
which structure of the kidney is labeled 3?
minor calyx
major calyx
renal pelvis
renal pyramid
which structure and /or region of the kidney is labeled 1?
minor calyx
major calyx
renal sinus
medulla
which structure is labeled 2
renal pelvis
ureterovesical junction
ureteropelvic junction
pelvis brim
what structure is labeled 6?
renal pelvis
uretervesical junction
renal sinuses
trigone
one of the three constricted points along each ureter is the pelvic brim. The location of this constricted point is:
where the bladder meets the symphysis pubis
at the level of the ischial spine
where the iliac blood vessels cross over the ureters
where the distal ureters connect to the bladder
what is the total capacity of the average adult bladder?
350 to 500 mL
100 to 250 mL
500 to 750 mL
1000 to 1200 mL
which term describes the act of voiding under voluntary control?
urination
urinary release
incontinence
anuria
the numerous mucosal folds located within the urinary bladder are termed?
trigone
mucosa
rugae
vesical mucosa
which of the following compounds is a common cation (+) found in ionic contrast media?
diatrizoate
iodine
meglumine
benzoic acid
which component of an ionic contrast media increases in solubility?
cation
anion
benzoic acid
iodine
which of the following is true with nonionic-type contrast media?
low osmolality
the inability to dissociate into two separate ions
less chance of reaction
all of the above
which of the following occurs in many patients and is defined as an expected outcome to the introduction of iodinated contrast media?
moderate itching and sneezing
metallic taste in mouth and a temporary hot flash
mild condition of urticara (hives)
all of the above
the american college of radiology recommends that metformin ( a drug used for diabetes mellitus) be withheld for ___ hour(s) following a contrast media procedure.
1
8
24
48
The normal creatinine level (diagnostic indication of kidney function) for an adult is ____mg/dL
0.1 to 0.5
0.6 to 1.5
3 to 4.5
6 to 7.5
normal BUN (blood urea nitrogen) levels in adults should no exceed ______ mg per 100 mL
1.5
5
10
25
what is the primary purpose of the permedication procedure before an iodinated contrast media study?
reduces anxiety
permits greater contrast enhancement of kidneys during an intravenous urography (IVU)
reduces the severity of a possible contrast media reaction
decreases blood pressure
which one of the following drugs is often given before an IVU to reduce the risk of a contrast media reaction?
diazepam
benadryl and prednisone
fluoxetine
verapamil
which of the following symptoms is classified as "mild" during a systematic contrast media reaction?
itching
hypotension
extravasation
angieodema
if a patient experiences trachycardia (>100 heartbeats/min) following a systemic contrast media injection, he or she is experiencing a reaction.
mild
moderate
severe
vasovagal
if a patient experiences laryngeal swelling following a contrast media injection, he or she is experiencing a ____ level reation.
mild
moderate
severe
local
the drug lasix is classified as a :
contrast agent
cathartic
diuretic
salicylate
a brief loss of consciousness caused by reduced cerebral blood flow is termed
syncope
brachycardia
hypotension
angioedema
a region or area of subcutaneous swelling caused by allergic reaction to food or drugs is termed?
oliguria
micturition
synocope
angioedema
which of the following symptoms is considered a severe reaction to contrast media and is a life-threatening condition requiring life saving measures?
tachycardia (rapid heartbeat)
excessive urticaria (hives)
extravasation at the injection site
cardiac arrhythmias
which of the following conditions is considered to be higher risk ( a contraindication ) for a contrast media reaction?
hematuria
congestive heart failure
urinary tract infection
renal calculi
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?
call for a physician to complete the injection
stop the injection of contrast media immediately.
stop the injection but continue the normal imaging sequence.
reassure the patient and continue the injection and imaging sequence, while carefully observing the patient for a possible more severe reaction to follow.
which term describes the leakage of contrast media from a vein into the surrounding tissue of the arm?
extravasation
filtration
exudation
micturition
which level of contrast media reaction has occurred when the patient develops moderate urticaria?
normal side effect
mild reaction
moderate reaction
severe reaction
which of the following is considered as a contraindication for an IVU procedure?
hypertension
anuria
hematuria
all of the above
which of the following conditions is considered a moderate- level contrast media reaction requiring treatment?
nausea and vomiting
syncope
tachycardia
none of the above
what is the recommended treatment protocol for extravasation?
give the patient diphenhy dramine (benadryl)
elevate the limb and apply cold compress over injection site
increase IV fluids
give the patient lasix immediately
the rapid introduction of contrast agents into the vascular system is termed:
rapid-fire injection
rapid-drip infusion
bolus injection
IV infusion
in preparation for a venipuncture , a tourniquet should be applied_______ above or proximal to the site of injection.
1 to 2 inches ( 2.5 to 5 cm)
3 to 4 inches ( 7.5 to 10 cm)
6 to 7 inches ( 15 to 18 cm)
8 to 10 inches (20 to 25 cm)
the most common size needle sued for bolus injection of contrast agents for adult patients is _____ gauge.
23 to 25
14 to 16
18 to 22
28
which of the following veins is not normally used during venipunture?
median cubital
axillary
cephalic
basilic
patchy blunting of the calyces is a radiographic sign of:
polcystic kidney disease
renal hypertension
chronic pyelonephritis
ectopic kidney
ureteric compression is contraindicated for patients with history of:
hematuria
abdominal mass
hypertension
flank pain
how is contrast media normally introduced during a retrograde cystogram?
intravenously
with an injection through the urethra with a large syringe and catheter
gravity flow through catheter
Either B or C
what is the recommended position for a male retrograde urethrogram?
30 upright posterior oblique (RPO)
45 RPO
lateral
2 left anterior oblique ( LAO)
with automatic exposure control ( AEC), which ionization chamber(s) should be activated for an AP projection taken during an IVU?
left and right upper chambers
center chamber
left chamber
center and right upper chamber
which one of the following veins is NOT selected for venipuncture during IVU?
basilic
cephalic
axillary
median cubital
where is the central ray (CR) centered for a nephrotomogram of the kidneys?
at the xiphoid process
at the iliac crest
midway between the iliac crest and the xiphoid process
midway between the asis and the iliac crest
a nephrogram taken during an IVU demonstrates that the renal parenchyma is poorly visualized but the calyces are contrast enhanced. what is the most likely reason for this radiographic outcome?
the kV may have been too high
the contrast media was diluted
the patient has hpyertension
the exposure was not taken soon enough following the injection.
a radiograph of a left posterior oblique ( LPO) position taken during an IVU reveals that the right kidnet is foreshortened and superimposed over the spine. What must the technologist do to correct this error during the repeat exposure?
decrease rotation
increase rotation
increase CR angulation
place the patient in the RPO position to better demonstrate the right kidney,
a radiograph of an AP projection taken during a retrograde cystogram reveals that the floor of the bladder is superimposed over the symphysis pubis. what error led to this radiographic finding?
excessive CR angulation
rotation of the pelvis
insufficient CR angulation
excessive filling of the bladder with the contrast media
a patient comes to radiology for an IVU. during the procedure, the radiologist suspects nephroptosis. which of the following positions best demonstrate this condition?
erect
prone
supine with uretric compression
RPO and LPO
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?
AP erect, prevoiding and voiding
PA prone, CR perpendicular
AP supine with a 15 CR caudad angle
30 RPO
a patient comes to radiology, after surgery of the abdomen, for an IVU with an order for ureteric compression to enhance pelvicalyceal filling. what should the technologist do?
use mild ureteric compression only.
place the patient into a trendelenburg postion instead of compression
perform all projections erect
raise the foley bag above the tabletop to keep the contrast media in the kidneys longer
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?
keep ureteric compression inflated for all projections
give the patient a diuretic agent before the procedure
provide images every 30
1
a patient comes to radiology with a history of vesicourethral reflux. the patient states that she is highly sensitive to iodinated contrast media. Which of the following alternative procedures could be performed to demonstrate this condition?
radionuclide scan
sonography
CT
MRI ( magnetic resonance imaging)
a make patient comes to radiology for a voiding cystourethrogram. which of the following projections and/or positions would be performed for this procedure?
30 RPO
erect lateral
recumbent lateral
erect PA
a patient during an injection of contrast media, complains about pain at the injection site. the radiographer notices a moderate degree of swelling beneath the skin. the radiographer stops the injection and suspects that the needle has slipped out of the vein. what should the radiographer do after removing the needle to alleviate the patients discomfort?
give the patient diphenhydramine ( benadryl)
elevate the limb and place a cold compress over the injection site.
place ice over the injection site
flex and extend the elbow to increase absorption of contrast media into the soft tissue.
a patient comes to radiology for an IVU. his laboratory report indicates a creatinine level of 0.7 mg/dL. what should be the technologists next step?
proceed with the study.
notify the radiologist of an elevated creatinine level.
notify the referring physician of an elevated creatinine level.
escort the patient to the emergancy department (ED) right away.
a patient with a possible ureteric stone comes from the emergency department (ED) for an IVU. she has a blood urea nitrogen ( BUN) level of 50. which of the following imagining modalities is recommended for this patient?
IVU using ionic contrast media
sonography
CT
MRI
during an IVU, the patient develops severe urticaria. what should be the next action taken by the technologist?
call a code emergency
comfort the patient ; this is a common side effect
give the patient diphenhydramine ( benadryl)
get medical assistance
a patient experiences a hot flash after the injection of an iodinated contrast media. what should be the next action taken by the technologist?
call a code emergency
comfort the patient ; this is a common side effect
give the patient diphenhydramine ( benadryl)
get medical assistance
absence of a functioning kidney
anuria
polyuria
micturition
renal agenesis
excretion of diminished amounts of urine
micturtion
oliguria or hypouresis
anuria
polyuria
act of voiding
anuria
hematuria
polyuria
micturition
complete cessation of urinary secretion
anuria
polyuria
micturition
hematuria
passage of a large volume of urine
anuria
polyuria
renal agenesis
hematuria
blood in the urine
anuria
polyuria
hematuria
micturition
artificial opening between the urinary bladder and aspects of the large intestines
horseshoe kidney
ectopic kidney
vesicocolonia fistula
staghorn kidney stone
normal kidney that fails to ascend into the abdomen but remains in the pelvis
horseshoe kidney
ectopic kidney
staghorn kidney stone
BPH ( benign prostatic hyperplasia )
age-associated enlargement of the prostate gland
urinary incontinence
horseshoe kidney
staghorn kidney stones
BPH ( benign prostatic hyperplasia )
large stone that grows and completely fills the renal pelvis
urinary incontinence
horseshoe kidney
staghorn kidney stone
ectopic kidney
fusion of the kidneys during development of the fetus
horseshoe kidney
staghorn kidney stone
urinary incontinence
ectopic kidney
constant or frequent involuntary passage of urine
urinary continence
horseshoe kidney
vesticocolonic fistula
BPH ( benign prostatic hyperplasia )
the suprarenal glands are part of the endocrine system.
true
false
the left kidney is generally slightly lower or more inferior than the right.
true
false
ionic contrast agents use a parent compound of a carboxyl group ( benzoic acid)
true
false
nonionic contrast agents create a hypertonic condition in the blood plasma as compared with ionic agents
true
false
nonionic contrast agents may increase the severity of side effects as compared with ionic contrast agents.
true
false
nonionic contrast agents contain no positively charged cations.
true
false
a vasovagal contrast media reaction can be a life-threatening condition.
true
false
a medical emergency must be declared if the patient experiences a moderate contrast media reaction.
true
false
extravasation is classified as a local reaction
true
false
phlebitis is considered to be a systemic contrast media reaction
true
false
venipuncture procedures may be performed by a technologist only if a physician is present in the room or is an adjoining room.
true
false
patients ( or legal guardian) must sign an informed consent form before a venipuncutre proceedure.
true
false
the bevel of the needle must be facing downward during the actual puncture into a vein.
true
false
if available, the technologist should use a central line catheter to introduce contrast agents into the patient.
true
false
over-the-needle catheters are often used for drip infusion studies.
true
false
the technologist should leave a butterfly needle in the vein for the first part of the IVU following injections.
true
false
CT ( computed tomography) of the kidney for renal calculi does not require the use of intravenous contrast media.
true
false
ultrasound is an effective imagining modality in demonstrating cystitis.
true
false
if an IVU is performed on a female, the menstrual history must be obtained.
true
false
gernerally, female patients cannot be shielded during an IVU ( except for nephrotomography )
true
false
it is recommended to inject contrast media through a shunt when one is present in the patient.
true
false
if both procedures are ordered the same day, a barium enema must be performed before an IVU
true
false
all reactions, regardless of their severity, must be documented.
true
false
a true allergic reaction is also called an anaphylactic reaction
true
false
