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Current Affairs January 2024

What is the correct answer?

4

How does a full bladder appear on ultrasonography?

A. hyperechoic

B. hypoechoic

C. isoechoic

D. anechoic

Correct Answer :

D. anechoic


urine as well as clear fluids appear anechoic (black).

Related Questions

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4

Which condition does NOT show a false negative result for hydronephrosis on ultrasonic examination?

A. forniceal rupture

B. drained renal pelvis

C. high urine output

D. acute obstruction

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4

What is correct concerning sound waves?

A. The higher the frequency, the deeper tissue penetration

B. The higher the frequency, the better the axial resolution

C. low-frequency transducers are of 6 to 10 MHz

D. the deeper tissue penetration, the better axial resolution

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4

Using CT, which solid kidney mass is like a bulge of the renal contour characterized by normal corticomedullary patterns?

A. prominent columns of Bertin

B. xanthogranulomatous pyelonephritis

C. lymphoma

D. renal infarction

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4

What is the minimum estimate of GFR to take gadolinium-based contrast agents?

A. more than 30 mL/min/1.73 m2

B. more than 60 mL/min/1.73 m2

C. more than 90 mL/min/1.73 m2

D. none of the above

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4

What is (are) the indication(s) of renal artery embolization?

A. bleeding angiomyolipomas

B. an alternative to nephrectomy in severe uncontrolled hypertension among patients with end-stage renal disease

C. renal artery aneurysms or symptomatic AV malformations

D. all of the above

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4

Ultrasonic 3.5 MHz curved array probe is suitable to detect:

A. epididymal cysts

B. testicular tumors

C. renal stones

D. penile vasculature

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4

What is the emergency treatment of intravenous contrast allergy?

A. epinephrine

B. atropine

C. hydrocortisone

D. antihistamine

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4

On clinical examination, what accidental finding has NO connection to renal cancer?

A. unilateral hydrocele

B. bilateral varicocele

C. calcifications at the renal area on plain KUB film

D. painless hematuria

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4

Which condition tops the differential diagnoses list of CT picture of Xanthogranulomatous pyelonephritis?

A. renal tuberculosis

B. renal abscess

C. renal cell carcinoma

D. angiomyolipoma

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4

What is the hallmark finding on plain KUB of bladder exstrophy?

A. malunion of lumbar and/or sacral vertebral bodies

B. pelvic bone diastasis

C. sacral agenesis

D. fracture of anterior pubic rami

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4

Which of the following is NOT an indication of static cystography?

A. evaluating a probable bladder rupture

B. evaluating a probable colovesical or vesicovaginal fistulae

C. evaluating a probable intravesical pathology

D. evaluating a probable bladder diverticula

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4

Which statement is false regarding magnetic resonance urography (MRU)?

A. small non-obstructive calculi might be missed at MRU performed for the evaluation of hematuria

B. in pediatrics, performing a dynamic contrast-enhanced imaging helps in evaluating crossing vessels in the setting of UPJ obstruction

C. the success of static-fluid MR urography depends on the presence of fluid within the urinary system regardless of renal function

D. MRU at 3T, carries the risk of nephrogenic systemic fibrosis

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4

What is false concerning Tc-99m DMSA?

A. diseases affecting the proximal convoluted tubules inhibit DMSA uptake

B. it is ideal to assess UPJ obstruction in adults

C. gentamicin and cisplatin inhibit the DMSA uptake

D. it allows better assessment of differential renal function

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4

What is true concerning Tc-99m DTPA?

A. Its uptake by glomerular filtration is almost 100%

B. It helps evaluate cortical structure and morphology

C. It provides a static picture of kidneys when compared to MAG3

D. it binds to the sulfhydryl groups in proximal tubules resulting in much higher resolution pinhole SPECT imaging

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4

What is (are) the characteristic finding(s) of testicular torsion on color Doppler ultrasonography?

A. the classic blue dot sign

B. thick, short, edematous spermatic cord

C. absence of intratesticular blood flow

D. increased epididymal blood flow

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4

Which statement concerning phlebolith is false?

A. can be mistaken for a ureteral stone

B. is a small single, usually spiky, calcification within a vein

C. the amount of phleboliths increases with age

D. appears more often on the left than on the right side of the pelvis

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4

Which of the following is NOT an indication of retrograde pyelography?

A. evaluation of probable ureteral obstruction

B. in conjunction with ureteroscopy

C. evaluation of hematuria

D. evaluation of probable ureterovesical reflux

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4

What is the signal characteristic of renal stones on MRU?

A. high signal on T1-weighted images

B. high signal on T2-weighted images

C. low signal on T1-weighted images

D. none of the above

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4

What imaging modality is superior in detecting undescended testis in the abdomen?

A. MRI

B. CT

C. ultrasound

D. all are comparable

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4

Using CT scanning, which solid kidney mass is sharply demarcated with uniform enhancement and often has a central scar?

A. RCC

B. metastases

C. angiomyolipoma

D. oncocytoma

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4

By ultrasonography, when kidneys appear darker than the liver, they are:

A. hypoechoic

B. hyperechoic

C. anechoic

D. isoechoic

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4

Which of the following is an indication of VCUG?

A. repeated febrile UTI in children

B. evaluating a probable posterior urethral valve

C. a & b

D. none of the above

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4

Using CT scanning, which solid kidney mass is well-defined, heterogeneous tumor, located in the renal cortex and containing areas of fat density of -20 HU or less. No calcifications, but some areas of enhancement?

A. RCC

B. metastases

C. angiomyolipoma

D. oncocytoma

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4

What nuclear medicine study can diagnose interstitial nephritis?

A. DTPA

B. DMSA

C. gallium-67

D. MAG-3

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4

What is false on comparing Tc-99m DTPA to Tc-99m MAG3?

A. DTPA provides better quality images with renal insufficiency

B. by giving captopril, MAG3 plasma clearance declines in hypertensive patients with renal artery stenosis but rises in those who do not have the disease

C. DTPA provides an excellent measurement of GFR

D. in pediatrics, MAG3 provides better quality images than DTPA

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4

What is the improper usage of TRUS?

A. to evaluate ejaculatory duct obstruction in infertility case

B. to screen for prostate cancers

C. to take prostate biopsies

D. to place interstitial radiotherapy seeds

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4

Which structure can NOT be assessed by TRUS of the prostate?

A. ejaculatory duct

B. vas deferens

C. seminal vesicles

D. rectal wall

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4

Using ultrasonography, which testicular lesion is of low reflectivity with irregular borders, hypervascular rims but no internal vascularity to mention?

A. intratesticular hematoma

B. testicular abscess

C. orchitis

D. sex cord stromal tumors

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4

Which statement is false concerning plain KUB film?

A. reliable tool to exclude urinary calculi

B. calcifications at renal area might lead to the discovery of renal cancers

C. can detect soft tissues

D. fecoliths and phleboliths could be mistaken for calculi

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4

What should type II diabetic patients on metformin do when going for intravenous contrast urography to avoid biguanide lactic acidosis?

A. take urine acidifiers

B. withhold metformin the day before the study and restart 48 hrs. later

C. get premedicated by steroids and antihistamines

D. decrease metformin dose and turn to insulin