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
Correct Answer :
B. segmental narrowing at bulbar urethra is normal
ring or segmental narrowing at bulbar urethra is a sign of urethral stricture.
Related Questions
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?
RCC
metastases
angiomyolipoma
oncocytoma
What nuclear medicine study can diagnose interstitial nephritis?
DTPA
DMSA
gallium-67
MAG-3
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 condition does NOT show a false negative result for hydronephrosis on ultrasonic examination?
forniceal rupture
drained renal pelvis
high urine output
acute 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
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
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 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
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 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
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 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
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
Which radiological modality carries the highest radiation hazard?
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
How does fluid appear on T2-weighted MR images?
dark
intermediate
bright
none of the above
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 ultrasound mode is able to depict motion direction and flow velocity?
grey-scale
simultaneous bilateral views
color Doppler
power Doppler
In routine practice, when do urologists request plain skull X-ray?
advanced prostatic cancer
central diabetes insipidus
pituitary adenoma
a & c
Which condition tops the differential diagnoses list of CT picture of Xanthogranulomatous pyelonephritis?
renal tuberculosis
renal abscess
renal cell carcinoma
angiomyolipoma
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
How does a full bladder appear on ultrasonography?
hyperechoic
hypoechoic
isoechoic
anechoic
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
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 statement is false concerning complications of left renal artery embolization?
embolizing the non-target artery might occur
severe pain at the renal area could occur
complications depend on the embolic agent
reactive left pulmonary edema
Ultrasonic waves, in nature, are:
mechanical waves
radar waves
microwaves
radio waves
What matter does correspond to zero Hounsfield units?
air
water
fat
bone
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
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 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
Which condition does NOT show a false positive result for hydronephrosis on ultrasonic examination?
hydrocalicosis
extrarenal pelvis
parapelvic cyst
class 2 Bosniak renal cyst