Question 1

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.E) All of the above
F) A) and C)

Question 2

Which of the following veins is not normally used during venipuncture?

Accepted Answer

A)  Median cubital
B)  Axillary
C)  Cephalic
D)  BasilicE) A) and D)
F) A) and C)

Question 3

It is recommended to inject contrast media through a shunt when one is present in the patient.

Accepted Answer

A) True 
 B)False

Question 4

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?

Accepted Answer

A)  Use mild ureteric compression only.
B)  Place the patient into a Trendelenburg position instead of compression.
C)  Perform all projections erect.
D)  Raise the Foley bag above the tabletop to keep the contrast media in the kidneys longer.E) A) and B)
F) A) and C)

Question 5

Which structure is labeled 2?

Accepted Answer

A)  Renal pelvis
B)  Ureterovesical junction
C)  Ureteropelvic junction
D)  Pelvic brimE) A) and B)
F) C) and D)

Question 6

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° RPOE) A) and B)
F) A) and C)

Question 7

Patchy blunting of the calyces is a radiographic sign of:

Accepted Answer

A)  polycystic kidney disease.
B)  renal hypertension.
C)  chronic pyelonephritis.
D)  ectopic kidney.E) C) and D)
F) All of the above

Question 8

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.E) All of the above
F) None of the above

Question 9

Nonionic contrast agents create a hypertonic condition in the blood plasma as compared with ionic contrast agents.

Accepted Answer

A) True 
 B)False

Question 10

Select the correct pathologic term for each definition.(Use each selection only once.) 
-Excretion of diminished amounts of urine

Accepted Answer

A)  Anuria
B)  Oliguria or hypouresis
C)  Polyuria
D)  Hematuria
E)  Renal agenesisF) MicturitionG) A) and F)
H) A) and D)

Question 11

One of the three constricted points along each ureter is the pelvic brim.The location of this constricted point is:

Accepted Answer

A)  where the bladder meets the symphysis pubis.
B)  at the level of the ischial spines.
C)  where the iliac blood vessels cross over the ureters.
D)  where the distal ureters connect to the bladder.E) A) and D)
F) B) and C)

Question 12

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 12 cm) 
C)  6 to 8 inches (15 to 20 cm) 
D)  8 to 10 inches (20 to 25 cm) E) B) and D)
F) None of the above

Question 13

Which of the following conditions is considered to be higher risk (a contraindication)  for a contrast media reaction?

Accepted Answer

A)  Hematuria
B)  Congestive heart failure
C)  Urinary tract infection
D)  Renal calculiE) All of the above
F) C) and D)

Question 14

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 15

Ionic contrast agents use a parent compound of a carboxyl group (benzoic acid).

Accepted Answer

A) True 
 B)False

Question 16

Urine will travel from the major calyces to the:

Accepted Answer

A)  renal pelvis.
B)  ureter.
C)  minor calyces.
D)  renal pyramids.E) None of the above
F) B) and C)

Question 17

What is the primary purpose of the premedication procedure before an iodinated contrast media study?

Accepted Answer

A)  Reduces anxiety
B)  Permits greater contrast enhancement of kidneys during an intravenous urography (IVU) 
C)  Reduces the severity of a possible contrast media reaction
D)  Decreases blood pressureE) None of the above
F) B) and C)

Question 18

A male patient comes to radiology for a voiding cystourethrogram.Which of the following projections and/or positions would be performed for this procedure?

Accepted Answer

A)  30° RPO
B)  Erect lateral
C)  Recumbent lateral
D)  Erect PAE) A) and B)
F) None of the above

Question 19

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 arrhythmiasE) All of the above
F) B) and D)

Question 20

Select the correct pathologic indication for each statement or description.(Select each choice only once.) 
-Fusion of the kidneys during development of the fetus

Accepted Answer

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

Exam 14: Urinary System and Venipuncture

Which structure is labeled 2?

Correct AnswerverifiedShow Answer

The average adult kidney measures ____ in length.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Select the correct pathologic term for each definition.(Use each selection only once.) -Excretion of diminished amounts of urine

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

Which of the following veins is not normally used during venipuncture?

Correct AnswerverifiedShow Answer

Ionic contrast agents use a parent compound of a carboxyl group (benzoic acid).

Correct AnswerverifiedShow Answer

Select the correct pathologic indication for each statement or description.(Select each choice only once.) -Fusion of the kidneys during development of the fetus

Correct AnswerverifiedShow Answer

Nonionic contrast agents create a hypertonic condition in the blood plasma as compared with ionic contrast agents.

Correct AnswerverifiedShow Answer

What is the primary purpose of the premedication procedure before an iodinated contrast media study?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

Urine will travel from the major calyces to the:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

A male patient comes to radiology for a voiding cystourethrogram.Which of the following projections and/or positions would be performed for this procedure?

Correct AnswerverifiedShow Answer

One of the three constricted points along each ureter is the pelvic brim.The location of this constricted point is:

Correct AnswerverifiedShow Answer

It is recommended to inject contrast media through a shunt when one is present in the patient.

Correct AnswerverifiedShow Answer

Which of the following conditions is considered to be higher risk (a contraindication) for a contrast media reaction?

Correct AnswerverifiedShow Answer

Patchy blunting of the calyces is a radiographic sign of:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified