On sagittal plane of midline TRUS, which structure might NOT be visible?
peripheral zone of the prostate
ejaculatory duct
tip of the right seminal vesicle
tip of the left lateral lobe of the prostate
Correct Answer :
C. tip of the right seminal vesicle
in a midline sagittal view, the tip of the right seminal vesicle is not typically viewed on RTUS.
Related Questions
What is the hallmark finding on plain KUB of bladder exstrophy?
malunion of lumbar and/or sacral vertebral bodies
pelvic bone diastasis
sacral agenesis
fracture of anterior pubic rami
What is correct concerning sound waves?
The higher the frequency, the deeper tissue penetration
The higher the frequency, the better the axial resolution
low-frequency transducers are of 6 to 10 MHz
the deeper tissue penetration, the better axial resolution
What is the poorest method of measuring the amount of urine in the bladder of a 65 yrs. old man?
using bladder scanner
measuring the voided urine
using abdominal ultrasonography
performing urinary catheterization
Using ultrasonography, which testicular lesion is of low reflectivity with irregular borders, hypervascular rims but no internal vascularity to mention?
intratesticular hematoma
testicular abscess
orchitis
sex cord stromal tumors
Which statement is false concerning diuretic nuclear scintigraphy renogram?
an elimination T ½ < 10 minutes indicates obstructed system
the diuretic must be given at the maximum kidney activity
If ureteral stents are in place, the bladder catheter must be unclamped
99mTc-MAG3 is the agent of choice to study differential renal function and obstruction
Which statement is false regarding magnetic resonance urography (MRU)?
small non-obstructive calculi might be missed at MRU performed for the evaluation of hematuria
in pediatrics, performing a dynamic contrast-enhanced imaging helps in evaluating crossing vessels in the setting of UPJ obstruction
the success of static-fluid MR urography depends on the presence of fluid within the urinary system regardless of renal function
MRU at 3T, carries the risk of nephrogenic systemic fibrosis
Which condition does NOT show a false negative result for hydronephrosis on ultrasonic examination?
forniceal rupture
drained renal pelvis
high urine output
acute obstruction
Which ultrasound mode is able to depict motion direction and flow velocity?
grey-scale
simultaneous bilateral views
color Doppler
power Doppler
Which condition could present as a filling defect in the bladder on IVU study?
blood clot
fibro-epithelial polyp
sloughed renal papilla
all of the above
By ultrasonography, when kidneys appear darker than the liver, they are:
hypoechoic
hyperechoic
anechoic
isoechoic
What is (are) the indication(s) of renal artery embolization?
bleeding angiomyolipomas
an alternative to nephrectomy in severe uncontrolled hypertension among patients with end-stage renal disease
renal artery aneurysms or symptomatic AV malformations
all of the above
What is false concerning Tc-99m DMSA?
diseases affecting the proximal convoluted tubules inhibit DMSA uptake
it is ideal to assess UPJ obstruction in adults
gentamicin and cisplatin inhibit the DMSA uptake
it allows better assessment of differential renal function
Which of the following is false concerning retrograde urethrogram?
coning at the bulbar urethra is normal
segmental narrowing at bulbar urethra is normal
multiple round filling defects could be air bubbles
indicated in urethral trauma cases
What is the minimum estimate of GFR to take gadolinium-based contrast agents?
more than 30 mL/min/1.73 m2
more than 60 mL/min/1.73 m2
more than 90 mL/min/1.73 m2
none of the above
What is true concerning Tc-99m DTPA?
Its uptake by glomerular filtration is almost 100%
It helps evaluate cortical structure and morphology
It provides a static picture of kidneys when compared to MAG3
it binds to the sulfhydryl groups in proximal tubules resulting in much higher resolution pinhole SPECT imaging
In routine practice, when do urologists request plain skull X-ray?
advanced prostatic cancer
central diabetes insipidus
pituitary adenoma
a & c
Which of the following is NOT an indication of retrograde pyelography?
evaluation of probable ureteral obstruction
in conjunction with ureteroscopy
evaluation of hematuria
evaluation of probable ureterovesical reflux
Ultrasonic waves, in nature, are:
mechanical waves
radar waves
microwaves
radio waves
Using ultrasonography, which testicular lesion is cystic with heterogeneous echoes representing a mixture of mucinous and/or sebaceous material with or without hair follicles, cartilages, and bones?
non-seminomatous germ cell tumors
acute bleed on top of old hematoma
mature teratoma
sex cord stromal tumors
What is false on comparing Tc-99m DTPA to Tc-99m MAG3?
DTPA provides better quality images with renal insufficiency
by giving captopril, MAG3 plasma clearance declines in hypertensive patients with renal artery stenosis but rises in those who do not have the disease
DTPA provides an excellent measurement of GFR
in pediatrics, MAG3 provides better quality images than DTPA
What is the optimal time for viewing the renal parenchyma after injecting a contrast material during IVU study?
0 minute
5 minutes
10 minutes
renal parenchyma does not appear on IVU
Which statement is false concerning plain KUB film?
reliable tool to exclude urinary calculi
calcifications at renal area might lead to the discovery of renal cancers
can detect soft tissues
fecoliths and phleboliths could be mistaken for calculi
What nuclear medicine study can diagnose interstitial nephritis?
DTPA
DMSA
gallium-67
MAG-3
Which statement is true concerning renal ultrasonography?
end-stage renal failure kidneys look small and hypoechoic
it is more accurate on diagnosing cystic lesions than solid masses
it is able to detect tumors as small as 2 mm
cortical carbuncle might be mistaken for hydronephrosis
To which class of Bosniak system of renal cysts does an oval renal parenchymal cyst of uniform water density filling, with attenuation of ≤ 20 HU, thin, non-calcified wall, and no contrast enhancement; belong to?
class 1
class 2
class 3
class 4
What is false concerning ureteric jets?
obstruction of the upper urinary tract may increase renal pelvis pressure and delay or decrease pelvis peristaltic rates
measured by color Doppler flow mapping in transverse scans at the suprapubic region
patients with ureteral stents are the ideal
adequate hydration is necessary
Which statement concerning phlebolith is false?
can be mistaken for a ureteral stone
is a small single, usually spiky, calcification within a vein
the amount of phleboliths increases with age
appears more often on the left than on the right side of the pelvis
What is (are) the characteristic finding(s) of testicular torsion on color Doppler ultrasonography?
the classic blue dot sign
thick, short, edematous spermatic cord
absence of intratesticular blood flow
increased epididymal blood flow
What is the improper usage of TRUS?
to evaluate ejaculatory duct obstruction in infertility case
to screen for prostate cancers
to take prostate biopsies
to place interstitial radiotherapy seeds
How does a full bladder appear on ultrasonography?
hyperechoic
hypoechoic
isoechoic
anechoic