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Merrills Ch.18 Repro
Test Question
Question | Answer |
---|---|
• How much urine is excreted by the kidneys each day | 1-2 Liters per day |
• For which body habitus are eth kidneys highest | hypersthenic |
• How much will kidneys drop from upright to supine | 2" |
• What are the microscopic components of the kidneys | nephrons |
• The part identified in the figure below is the left kidney | know that pic |
• The area of the kidney in the figure below is the renal pelvis | I believe this pic is in the workbook |
• The cluster of blood capillaries in the capsule of the nephrons is the | glomerulus |
• What servers to filter the blood of the kidneys | glomerulus |
• Cup shaped recesses in the kidneys | calyces |
• Where do the ureters lie in relation to the peritoneum | behind the peritoneum |
• How much fluid can the adult bladder hold | 500 mL |
• Where do the ureters enter the bladder | posterior wall |
• How long is the urethra in females | 1.5 in |
• The technique of injecting contrast into a vein to take views of kidneys ureters and bladder is termed | IV urography |
• An x-ray of the urinary bladder is termed | Cystography |
• For which of the following areas is the retrograde technique used | bladder, urethra, and lower ureters (ALL) |
• The concentration of iodine in ionic contrast medium is | 50-70 % |
• Which is true regarding non ionic contrast | cost is higher and less likely to cause a reaction (ONLY) |
• Common reactions for contrast include | warmth and flushing (ONLY) |
• Significant reactions to contrast include | nausea, vomiting, edema of the mucous membrane (ALL) |
• Vast majority of all reactions to contrast occur within how many minutes after injection | 5 min |
• Prep of patient for IVU includes | light evening meal, a non gas laxative, NPO after midnight (ALL) |
• Exposure for IVU should be able to show | outline of kidneys, lower border of liver, lateral margin of psoas muscle (ALL) |
• Which must be available during IVU | radiologist and emergency cart (ONLY) |
• Where is compression applied during IVU | distal ureters |
• Compression should not be used during IVU is patient has | aneurism or colostomy (ONLY) (iodine allergy is ok) |
• Resp for IVU | expiration |
• contraindications to IVU include | anueria and renal failure (ONLY) (elderly is ok for IVU) |
• Within how many minutes does contrast appear in the pelvic calyceal system | 2-8 min |
• how many min after injection does the greatest concentration of contrast appear in the kidneys | 15-20 min |
• The series of radiographs for IVU are done between what times | 3-20 min |
• Where is the IR centered for all abdominal radiographs for the urinary system | iliac crests |
• CR angle for AP oblique urinary system | 0 degrees |
• Which is true regarding positioning of abdomen for lateral urinary system | midcoronal plane centered to grid |
• Which Decub is used for IVU to show uretopelvic junction | ventral decub |
• Which is true regarding retrograde urography | ureters must be catheterized, provides little physiological info, contrast injected directly into the pelivcocalyceal system (ALL) |
• Which technique is used to get contrast into urinary bladder for cystogram | retrograde technique |
• Which projections for cystogram | AP, AP oblique, and Lat (ALL) |
• Which size IR and which position is used for urinary bladder cystogram | 24 x 30 cm Lengthwise |
• Where is the IR centered for AP axial cystogram | 2 in above upper border of symphysis pubis |
• how much is the body rotated for the AP oblique urinary bladder during cystogram | 40-60 degrees |
• Which plan centered to grid fro lateral cystogram | midcoronal plane |
• What is the essential projection used for a cystourethrogram on a male patient | AP oblique |
• Where is the IR centered for the AP oblique projection during a male or female cystourethrogram | superior border of pubic symphysis |
• How much is body rotated for AP oblique projection during a male or female cystourethrogram | 35-40 degrees |
• How is the CR positioned to free the bladder neck from sup imp during a female cystourethrogram | 5 degrees caudad |
• Urinary system includes which | urethra and two kidneys (ONLY) (NOT SUPRRENAL GALNDS) |
• The 2 kidneys lie | behind the peritoneum |
• Mucosal folds in the urinary bladder | rugae |
• Abbreviation for excretory technique of urography | IVU |
• The radiographic exam of the urethra is called | Cystourethrography |
• The center of the compression device placed over the lower ureters during IVU is positioned where | level of the ASIS |
Which projection shows the mobility of kidneys during IVU | AP |
• Which position is helpful to show the lower ureters | Trendelenburg 15-20 degrees |
• Which projection places the right kidney perpendicular to the IR | AP oblique RPO |
• Which is considered an operative exam | retrograde urography |
• What is the CR angle for AP axial urinary bladder | 10-15 caudad |
• What is the CR angle for PA axial bladder | 10-15 degrees cephalad |
• RT may initiate venipuncture with permission of who | physician ONLY |
• Guidelines from which organizations guarantee RT rights to venipuncture | ASRT, certain agencies, and institution (ALL) |
• Before venipuncture the tech must check which | allergic reaction to iodine tincture, and adverse reaction to medication (ONLY) (age not necessary to know for venipuncture) |
• Which is true in regard to venipuncture needles | needles can only be used once (ONLY) |
• IV meds administered through which system | venous system |
• Vessels most often used for venipuncture are found where | anterior forearm and posterior hand ONLY (not ulnar wrist) |
• Antiseptic for skin before venipuncture should remain on skin for | 30 sec |
• Radius of cleaning for venipuncture | 2 in circle |
• What type of motion to clean skin for venipuncture | circular |
• Angle of needle to skin surface for venipuncture | 45 degrees |
• After needle enters skin the angle is reduced to how many degrees | 15 degrees |
• When blood or meds leak out it is called | extravasation |
• A severe reaction to contrast would be called | anaphylactic |
• A mild reaction to contrast would be | warmth |
• A moderate reaction to contrast would be | vomiting |
• Which would indicate contrast has infiltrated | swelling, and burning (ONLY) (not discoloration) |
• Most common cause of contrast leaking into vessel | needle displacement |
• Which therapies are applies if contrast infiltrates | apply ice if before 30 min, apply warmth if after 30 min |