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Chapter 14 urinary system Flashcards | StudBud
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Chapter 14 urinary system
Chapter 14 urinary system
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1
Pt comes in after surgery of the abdomen for an IVU w/ an order for ureteric compression. What should the tech do?
Perform all projections erect
Place patient into Trendelenburg position instead
Hurry up and get it over with
Use mild ureteric compression only
2
Metformin (drug used for diabetes mellitus) should be withheld for ___ hour(s) following a contrast media procedure.
48
24
8
6
3
Fusion of the kidneys during development:
Ectopic kidney
Staghorn kidney stone
BPH
Horseshoe kidney
4
Term for the nonfunctional exam of the bladder after contrast is given through a urethral catheter?
Retrograde Urethrography
Retrograde Cystography
Retrograde Urography
Voiding Cystourethrography
5
Which of the following is defined as an expected outcome to the introduction of iodinated contrast?
Moderate itching and sneezing
Extravasation
Metallic taste in mouth and temporary hot flash
Mild urticaria
6
Ionic contrast agents use a parent compound of a carboxyl group (benzoic acid)
True
False
7
Contrast is normal introduced through gravity flow through a catheter during a retrograde cystogram.
True
False
8
Most common size needle for bolus injection of contrast agents for adults is ___ gauge.
10 to 12
12 to 22
22
18 to 22
9
The technologist should use a central line catheter to introduce contrast agents if possible.
False
True
10
Which of the following is considered to be higher risk for contrast reactions?
Hematuria
Congestive heart failure
Renal calculi
UTI
11
Which is considered a contraindication for an IVU?
Hypertension
Hematuria
None of the above
Anuria
12
Which of the following drugs is sometimes given before an IVU to reduce the risk of a reaction?
Fluoxetine
Benadryl
Diazepam
Benadryl and predinsone
13
A true allergic reaction is termed an anaphylactic reaction.
True
False
14
Extravasation is classified as a local reaction
True
False
15
#3?
Major calyx
Renal pelvis
Renal pyramid
Minor calyx
16
Which component of ionic contrast media increases its solubility?
Benzoic acid
Anion
Cation
Iodine
17
Nephroptosis, the abnormal positional change of the kidneys, is best demonstrated when the patient is:
RPO and LPO
Erect
Supine
Prone
18
If a patient experiences tachycardia following a contrast media injection, they are experiencing a:
Mild reaction
Moderate reaction
Severe reaction
19
Which term describes the leakage of contrast media from a vein into surrounding tissues?
Extravasation
Filtration
Exudation
Micturition
20
Afferent arterioles supply blood __ glomeruli; efferent arterioles take blood ___.
Away; to
To; away
21
What is the term that describes the total functioning portions of the kidney?
Nephron
Glomerular capsule
Renal parenchyma
Renal collecting system
22
Micturition is the act of voiding or urination.
True
False
23
Which constricture is where most kidney stones get hung up at?
Ureterovesical junction
Utereopelvic junction
Pelvic brim
24
The psoas muscles cause the kidneys to rotate backward within the retroperitoneal space.
False
True
25
What is the structural and functional unit of the kidney?
Bowman capsule
Nephron
Glomerulus
Calyx
26
#5?
Minor calyx
Major calyx
Cortex
Renal column
27
For venipuncture, the tourniquet should be applied __ above the site of injection.
6 to 7 inches
8 to 10 inches
3 to 4 inches
1 to 2 inches
28
Which of the following are functions of the urinary system?
Regulate acid-base balance
Regulate electrolyte levels of the blood
Remove nitrogenous wastes
Regulate water levels in the body
29
What is the total capacity of the adult bladder?
350-500 mL
500-750 mL
1000-1200 mL
100-250 mL
30
Subcutaneous swelling caused by allergic reaction to food or drugs:
Oliguria
Edema
Micturition
Angioedema
31
The hilum transmits the renal artery and vein, lymphatics, nerves and ureter.
True
False
32
When the rectum contains fecal matter, the bladder is _____.
Pushed upward and forward
More posterior
Pushed downward and forward
More anterior
33
D?
UVJ
Renal pelvis
Proximal ureter
UPJ
34
A vasovagal contrast media reaction can be life-threatening.
False
True
35
Nonionic contrast agents may increase the severity of side effects compared with ionic contrast agents.
True
False
36
Absence of a functioning kidney:
Hematuria
Renal agenesis
Polyuria
Anuria
37
Urine travels from the major calyces to the:
Minor calyces
Renal pyramids
Renal pelvis
Ureter
38
During an IVU, the patient develops severe urticaria. What should be done next?
Give the patient Benadryl
Call a code blue
Start screaming and running frantically
Get medical assistance
39
Term for when the entire dose of contrast is injected into the vascular system at once:
IV fusion
Bolus injection
Rapid-drip infusion
Drip infusion
40
Normal kidney that fails to ascend into the abdomen and remains in the pelvis is known as:
Fistula
Ectopic kidney
Stag horn kidney
Horseshoe kidney
41
The glomeruli, glomerular capsule, and proximal and distal convoluted tubules are found in the ___ of each kidney.
Medulla
Fibrous capsule
Cortex
Collecting system
42
Itching is classified as a mild reaction.
False
True
43
What part of the bladder do the ureters enter?
Inferior aspect
Lateral aspect
Posterior aspect
Posterolateral portion
44
The (adrenal) suprarenal glands are part of the endocrine system.
True
False
45
#7?
Fibrous capsule
Renal papilla
Renal column
Ureter
46
#2?
Pelvic brim
Minor calyx
Renal pelvis
Major calyx
47
Over the needle catheters are often used for drip infusion studies.
True
False
48
Excretion of diminished amounts of urine:
Polyuria
Oliguria or hypouresis
Hematuria
Micturition
49
What allows the kidneys to be visualized on plan abdominal radiographs?
Adipose capsule
Major and minor calcyes
Renal pyramids
High blood volume
50
What is the most common exposure angle performed during nephrotomography?
15 degrees
30 degrees
20 degrees
10 degrees
51
What is the recommended position for a male retrograde urethrogram?
20 degree RPO
45 degree RPO
30 degree RPO
Left lateral
52
With AEC’s, which ionization chambers should be activated for an AP projection during an IVU?
Left chamber
Center and right upper chamber
Center chamber
Left and right upper chambers
53
Patchy, blunting of the calyces is a radiographic sign of:
Polycystic kidney disease
Renal hypertension
Chronic pyelonephritis
Ectopic kidney
54
A?
Renal pelvis
Minor calyces
Major calyces
UPJ
55
Which abdominal muscles run on each side of, and medial & posterior to the kidneys?
Right and left psoas major muscles
Recuts abdominal
External obliques
56
Which of the following veins are commonly used during venipuncture?
Median cubital
Basilic
Axillary
Cephalic
57
If someone experiences laryngeal swelling following a contrast reaction, they are having a ____ reaction.
Mild
Severe
Moderate
58
Most of each ureter lies ____ to its kidney.
Anterior
Medial
Lateral
Posterior
59
Which level of severity is reaction of giant hives?
Moderate
Mild
Severe
Normal
60
Loss of consciousness caused by reduced cerebral blood flow is:
Syncope
Bradycardia
Hypotension
Angioedema
61
Another term for Glomerulonephritis is “Bright Disease”
False
True
62
#6?
Trigone
Renal pelvis
Renal sinuses
Ureterovesical junction
63
Which of the following is true of Nonionic type contrast media?
Inability to dissociate into two separate ions
Low osmolality
Less chance of reaction
Increased chance of reaction
64
Nonionic contrast agents contain no positively charged cations.
True
False
65
What angle should the bevel of the needle approach the vein?
10 to 20 degrees
40 to 45 degrees
20 to 45 degrees
20 to 40 degrees
66
Arterial blood is received by the kidneys directly from the abdominal aorta via:
Left renal vein
Left renal artery
Right renal vein
Right renal artery
67
Which of the following are considered local reactions?
Extravasation
Non-allergic
Phlebitis
Allergic
68
Hot flash happens after injection of iodinated contrast media. What should be done next?
Give the patient Benadryl
Give patient prednisone
Comfort the patient; this is a common side effect
Get medical assistance
69
Pt comes for an IVU with history of renal hypertension. How should the IVU be altered for the patient?
Give the patient a diuretic agent beforehand
Shorten time between exposures
Provide images every 30 minutes after injection
Ureteric compression for all projections
70
Which position would place the right kidney parallel to the IR?
40 degrees RPO
30 degree RPO
25 degrees LPO
30 degrees LPO
71
The average adult kidney measures ___ in length.
4-5 inches
8-10 inches
6-8 inches
2-3 inches
72
Normal BUN levels for an adult are ____ mg/100mL
8 to 25
5 to 20
10 to 20
8 to 20
73
Passage of large volume of urine and common symptom of diabetes:
Voiding
Anuria
Glucosuria
Polyuria
74
Normal creatinine levels for an adult is ___ mg/dL.
3 to 4
0.1 to 0.5
6 to 7.5
0.6 to 1.5
75
The left kidney is generally lower or more inferior than the right.
False
True
76
Infraperitoneal structures include:
Distal ureters
Bladder
Urethra
Kidneys
77
For most IVUs, veins within the _____ are ideal.
Cephalic area
Antecubital fossa
78
The protocol for extravasation is to elevate the limb and apply a cold compress.
False
True
79
Ureteric compression is contraindicated for patients with a history of:
Flank pain
Abdominal mass
Hematuria
Hypertension
80
Any disruption in physiological functions of body that may lead to contrast media reaction is chemotoxic theory.
True
False
81
The technologist should leave a butterfly needle in the vein for the first part of the IVU following injection
True
False
82
Term for the nonfunctional exam of the urinary system where contrast is given directly retrograde through a catheter?
Voiding Cystourethrography
Retrograde Urography
Retrograde Urethrography
Retrograde Cystography
83
Purpose for an IVU:
Assess function of kidneys
Nonfunctional test of urinary system
Visualize collecting portion of urinary system
Evaluate urinary system for pathologies
84
LPO is taken during a IVU revealing the right kidney is foreshortened & superimposed over the spine. What correction?
Increase rotation
Decrease rotation
Increase CR angle
Place patient in RPO position
85
Complete cessation of urinary secretion:
Renal agenesis
Oliguria
Anuria
Hematuria
86
The bevel of the needle must be facing upward during the actual puncture into the vein.
True
False
87
B?
Minor calyces
Renal pelvis
Proximal ureter
Major calyces
88
What are the three constricted points along each ureter?
Pelvic junction
Ureteropelvic junction
Ureterovesical junction
Pelvic brim
89
Artificial opening between the bladder and aspects of the large intestine is known as:
Stag horn kidney
BPH
Vesicocolonic fistula
Ectopic kidney
90
#1?
Renal sinus
Medulla
Minor calyx
Major calyx
91
Where is the CR centered for a nephrotomogram of the kidneys?
At the iliac crest
Midway between the iliac crest and the xiphoid process
At the ASIS
At the xiphoid process
92
What is the term for the mucosal folds within the urinary bladder?
Rugae
Vesical mucosa
Trigone
Mucosa
93
Female urethra is shorter, while the male urethra is longer.
True
False