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Current Affairs January 2024

What is the correct answer?

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

Correct Answer :

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


phleboliths are small local, usually multiple and round calcifications.

Related Questions

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4

Which ultrasound mode is able to depict motion direction and flow velocity?

A. grey-scale

B. simultaneous bilateral views

C. color Doppler

D. power Doppler

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4

In routine practice, when do urologists request plain skull X-ray?

A. advanced prostatic cancer

B. central diabetes insipidus

C. pituitary adenoma

D. a & c

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4

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?

A. non-seminomatous germ cell tumors

B. acute bleed on top of old hematoma

C. mature teratoma

D. sex cord stromal tumors

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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

Which condition could present as a filling defect in the bladder on IVU study?

A. blood clot

B. fibro-epithelial polyp

C. sloughed renal papilla

D. all of the above

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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 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

Which radiological modality carries the highest radiation hazard?

A. nuclear medicine

B. ultrasonography

C. X-ray fluoroscopy

D. intravenous urography

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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

How does fluid appear on T2-weighted MR images?

A. dark

B. intermediate

C. bright

D. none 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 false concerning ureteric jets?

A. obstruction of the upper urinary tract may increase renal pelvis pressure and delay or decrease pelvis peristaltic rates

B. measured by color Doppler flow mapping in transverse scans at the suprapubic region

C. patients with ureteral stents are the ideal

D. adequate hydration is necessary

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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

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 statement is false concerning complications of left renal artery embolization?

A. embolizing the non-target artery might occur

B. severe pain at the renal area could occur

C. complications depend on the embolic agent

D. reactive left pulmonary edema

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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

On sagittal plane of midline TRUS, which structure might NOT be visible?

A. peripheral zone of the prostate

B. ejaculatory duct

C. tip of the right seminal vesicle

D. tip of the left lateral lobe of the prostate

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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

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

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4

Which statement is false concerning diuretic nuclear scintigraphy renogram?

A. an elimination T ½ < 10 minutes indicates obstructed system

B. the diuretic must be given at the maximum kidney activity

C. If ureteral stents are in place, the bladder catheter must be unclamped

D. 99mTc-MAG3 is the agent of choice to study differential renal function and obstruction

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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

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 the poorest method of measuring the amount of urine in the bladder of a 65 yrs. old man?

A. using bladder scanner

B. measuring the voided urine

C. using abdominal ultrasonography

D. performing urinary catheterization

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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 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

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

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

Which of the following is NOT an indication of renal arteriography?

A. preparation for donor nephrectomy

B. advanced RCC in the right kidney

C. renal artery stenosis

D. oncocytoma in the left kidney

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4

Which of the following is false concerning retrograde urethrogram?

A. coning at the bulbar urethra is normal

B. segmental narrowing at bulbar urethra is normal

C. multiple round filling defects could be air bubbles

D. indicated in urethral trauma cases

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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