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WorksheetsRAD 3101 Radiographic Procedures Ill Urinary System Positioning Worksheet #1
Total questions: 24
Worksheet time: 12mins
The patient should void before the urinary catheter is inserted.
True
False
The IVP is performed to demonstrate kidney function.
True
False
The RPG is performed to demonstrate kidney function.
True
False
If the patient experiences urticaria, following the injection of contrast, the radiologist will usually give the patient which of the following medications?
epinephrine
gastrographin
benadryl
lidocaine viscous
Which of the following positioning diagrams would best demonstrate kidney mobility?
The radiographic investigation of the renal drainage/collecting system is accomplished by various procedures classified under the general term
Urography
Cystography
Ureter
Urticaria
The radiographic demonstration of the renal pelves and calyces is termed
Urolithiasis
Cystography
Urography
Pyelography
The lower urinary tract consists of the
Urethra, kidney, liver
Urethra, lower ureters, and bladder
Kidney, bladder, diaphragm
Uterus, kidney, spleen
Cystography
Hives
Radiographic study of the bladder and urethra
radiographic study of the bladder
Calculi/stones in the kidneys / urinary tract
Urolithiasis
calculi/stones in the kidneys/urinary tract
Hives
Radiographic study of the bladder
Radiographic study of the bladder and ureters
Urticaria
radiographic study of the bladder & urethra
Hives
radiographic study of the bladder & ureters
calculi/stones in the kidneys/urinary tract
Cystourethrography
Hives
Vomiting
radiographic study of the bladder & urethra
radiographic study of the bladder & ureters
Cystoureterography
radiographic study of the bladder & ureters
Study of bladder
Pus in urine
Blood in urine
Briefly describe patient preparation for a scheduled IVP exam
Gatorade, prep, high residue, diet,No NPO, not dehydrated
Gatorade prep, low residue diet, NPO after midnight, dehydrated
Phosphosoda ptep, low residue diet, NPO after midnight, not dehydrated
Phosphosoda prep, high residue first, No NPO after midnight, dehydrated
Why is a carbonated beverage given to a child as preparation for a scheduled IVP exam?
To distend stomach with gas, which pushes down bow loops for better demo of kidneys and negative black background will better demo renal structures
To push up bowel loops for better demo of kidneys
to below of urine in the bladder
it shows good visualization of renal structures
What is the purpose of applying compression over the distal end of the ureters during an IVP? Where should the compression device be placed?
To retard/ slow down flow of opacified urine into bladder=better filled, renal structures. To ensure adequate filling of renal pelves/calyces. It should be placed over ASIS=4” below pubic symphsis
To retard/ slow down flow of opacified urine into bladder=better filled, renal structures. To ensure adequate filling of renal pelves/calyces. It should be placed over ASIS=2” below pubic symphsis
To retard/ slow down flow of opacified urine into bladder=better filled, renal structures. To ensure adequate filling of renal pelves/calyces. It should be placed over ASIS=4” above pubic symphysis
To retard/ slow down flow of opacified urine into bladder=better filled, renal structures. To ensure adequate filling of renal pelves/calyces. It should be placed over ASIS=2” above pubic symphysis
Why are ureteral compression devices not routinely used in present day imaging?
Due to lack of improvements in contrast/higher concentrations= more contrast used = good visualization
Due to improvements in contrast/lower concentrations= more contrast used = good visualization
Due to improvements in contrast/lower concentrations= less contrast used = good visualization
Due to improvements in contrast/higher concentrations= more contrast used = good visualization
The upright/ oblique projections are obtained to localize a tumor mass or differentiate Renal stones vs. gall stones
Upright
Oblique
In order to demonstrate the lower ends of the ureters, the patient should be placed in the Trendelenburg/Fowler’s
Trendelenburg
Fowler’s
The upper urinary tract consist of:
Renal calyces, renal pelvis, uterus and upper ureters
Renal calyces, renal pelvis, kidneys and lower ureters
Renal calyces, renal pelvis, uterus and lower ureters
Renal calyces, renal pelvis, kidneys and upper ureters
Why are retrograde urograms performed (what does it demonstrate)?
Kidneys
Anatomy
Ovaries
Shape
What two ways would an antegrade urogram study be performed?
Percutaneous Antegrade Urography Only- contrast injected directly into the kidney into the renal pelvis
Percutaneous Antegrade Urography- contrast injected directly into the kidney into the renal pelvis & Intravenous excretory- contrast is administered intravenously into a vein and contrast is absorbed into the kidney
During any urographic procedure, elimination of motion depends on what factors?
exposure time and securing the full cooperation of the patient
Kvp and securing the full cooperation of the patient
Exposure and securing the half cooperation of the patient
Kvp and securing the half cooperation of the patient
If a patient has intestinal gas patterns obscuring the kidneys, the AP/PA projection will best compress and disperse the gas laterally away from the kidneys for better visualization
AP
PA
