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
Correct Answer :
D. MRU at 3T, carries the risk of nephrogenic systemic fibrosis
gadolinium administration has been linked to nephrogenic systemic fibrosis, but not MRU at 3T.
Related Questions
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
Ultrasonic 3.5 MHz curved array probe is suitable to detect:
epididymal cysts
testicular tumors
renal stones
penile vasculature
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 radiological modality carries the highest radiation hazard?
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
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
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 matter does correspond to zero Hounsfield units?
air
water
fat
bone
By ultrasonography, when kidneys appear darker than the liver, they are:
hypoechoic
hyperechoic
anechoic
isoechoic
Which condition does NOT show a false negative result for hydronephrosis on ultrasonic examination?
forniceal rupture
drained renal pelvis
high urine output
acute obstruction
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
How does fluid appear on T2-weighted MR images?
dark
intermediate
bright
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
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 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 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
What imaging modality is superior in detecting undescended testis in the abdomen?
MRI
CT
ultrasound
all are comparable
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 ultrasound mode is able to depict motion direction and flow velocity?
grey-scale
simultaneous bilateral views
color Doppler
power Doppler
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 condition does NOT show a false positive result for hydronephrosis on ultrasonic examination?
hydrocalicosis
extrarenal pelvis
parapelvic cyst
class 2 Bosniak renal cyst
In routine practice, when do urologists request plain skull X-ray?
advanced prostatic cancer
central diabetes insipidus
pituitary adenoma
a & c
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 emergency treatment of intravenous contrast allergy?
epinephrine
atropine
hydrocortisone
antihistamine
Ultrasonic waves, in nature, are:
mechanical waves
radar waves
microwaves
radio waves
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
Which structure can NOT be assessed by TRUS of the prostate?
ejaculatory duct
vas deferens
seminal vesicles
rectal wall
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 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
How does a full bladder appear on ultrasonography?
hyperechoic
hypoechoic
isoechoic
anechoic
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