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
Correct Answer :
B. it is ideal to assess UPJ obstruction in adults
DMSA is an ideal agent for the assessment of renal cortex for scars and tumors.
Related Questions
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
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
How does a full bladder appear on ultrasonography?
hyperechoic
hypoechoic
isoechoic
anechoic
How does fluid appear on T2-weighted MR images?
dark
intermediate
bright
none of the above
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
Which of the following is NOT an indication of renal arteriography?
preparation for donor nephrectomy
advanced RCC in the right kidney
renal artery stenosis
oncocytoma in the left kidney
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
What should type II diabetic patients on metformin do when going for intravenous contrast urography to avoid biguanide lactic acidosis?
take urine acidifiers
withhold metformin the day before the study and restart 48 hrs. later
get premedicated by steroids and antihistamines
decrease metformin dose and turn to insulin
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
Which of the following is an indication of VCUG?
repeated febrile UTI in children
evaluating a probable posterior urethral valve
a & b
none of the above
In routine practice, when do urologists request plain skull X-ray?
advanced prostatic cancer
central diabetes insipidus
pituitary adenoma
a & c
What nuclear medicine study can diagnose interstitial nephritis?
DTPA
DMSA
gallium-67
MAG-3
Which radiological modality carries the highest radiation hazard?
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
Regarding acute renal infections, what is the least diagnostic radionuclide study for detecting an inflammatory focus?
hippuran I-131
technetium-99m
gallium-67
indium-111labelled WBC
On clinical examination, what accidental finding has NO connection to renal cancer?
unilateral hydrocele
bilateral varicocele
calcifications at the renal area on plain KUB film
painless hematuria
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 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
Using ultrasonography, which testicular lesion is described as a solid, round, homogeneous, low-reflectivity tumor mass, with no calcification?
seminoma
embryonal cell tumor
mixed germ cell tumor
epidermoid cyst
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 the emergency treatment of intravenous contrast allergy?
epinephrine
atropine
hydrocortisone
antihistamine
On staging left kidney RCC using enhanced CT, the radiologist must look for:
extension of the tumor to the diaphragm
extension of the tumor to the right atrium
the density of calcifications
the amount and bilaterality of cysts formation
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
Which of the following is NOT an indication of static cystography?
evaluating a probable bladder rupture
evaluating a probable colovesical or vesicovaginal fistulae
evaluating a probable intravesical pathology
evaluating a probable bladder diverticula
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
Which condition does NOT show a false positive result for hydronephrosis on ultrasonic examination?
hydrocalicosis
extrarenal pelvis
parapelvic cyst
class 2 Bosniak renal cyst
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
Which condition tops the differential diagnoses list of CT picture of Xanthogranulomatous pyelonephritis?
renal tuberculosis
renal abscess
renal cell carcinoma
angiomyolipoma
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
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