Which radiological modality carries the highest radiation hazard?
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
Correct Answer :
C. X-ray fluoroscopy
fluoroscopy dose of radiation is 10 rad/min, while IVU is 3 rad. Nuclear medicine ranges from 0.2 to 4.2 rad.
Related Questions
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 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
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 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
Which condition tops the differential diagnoses list of CT picture of Xanthogranulomatous pyelonephritis?
renal tuberculosis
renal abscess
renal cell carcinoma
angiomyolipoma
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 the emergency treatment of intravenous contrast allergy?
epinephrine
atropine
hydrocortisone
antihistamine
How does fluid appear on T2-weighted MR images?
dark
intermediate
bright
none of the above
Using CT, which solid kidney mass is like a bulge of the renal contour characterized by normal corticomedullary patterns?
prominent columns of Bertin
xanthogranulomatous pyelonephritis
lymphoma
renal infarction
Which radiological modality carries the highest radiation hazard?
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
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
Using CT scanning, which solid kidney mass is sharply demarcated with uniform enhancement and often has a central scar?
RCC
metastases
angiomyolipoma
oncocytoma
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
In routine practice, when do urologists request plain skull X-ray?
advanced prostatic cancer
central diabetes insipidus
pituitary adenoma
a & c
What is the signal characteristic of renal stones on MRU?
high signal on T1-weighted images
high signal on T2-weighted images
low signal on T1-weighted images
none of the above
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
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 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
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
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
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
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 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 nuclear medicine study can diagnose interstitial nephritis?
DTPA
DMSA
gallium-67
MAG-3
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
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
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
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 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