Ch.18 Urinary System

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Ch.18 Urinary System

The Urinary System is a group of organs charged with filtering out excess fluid and other substances from the bloodstream in the form of urine. The system also helps control the amount of salts in the body. The organs in the system each have their own functions that help in the main function. Take up the quiz below and get to see how well you understand the urinary system. All the best!


Questions and Answers
  • 1. 
    How many kidneys are in the urinary system
    • A. 

      1

    • B. 

      2

    • C. 

      4

  • 2. 
    what is the function of urinary system
    • A. 

      Regulate nitrogen

    • B. 

      Production of urine;elimination

    • C. 

      Regulate water

    • D. 

      Reservoir for urine

  • 3. 
    what is the function of the bladder
    • A. 

      Remove nitrogen

    • B. 

      Production of urine;elimination

    • C. 

      Regulate water

    • D. 

      Reservoir for urine

  • 4. 
    what is the function of the kidneys
    • A. 

      Regulate nitrogen

    • B. 

      Regulate water

    • C. 

      Reservoir for urine

    • D. 

      Regulate elctrolyte levels

  • 5. 
    how much can the bladder be filled?
    • A. 

      200 mL

    • B. 

      250 mL

    • C. 

      450 mL

    • D. 

      500 mL

  • 6. 
    radiograph of renal pelves/calyces (IVP)
    • A. 

      Renal plasty

    • B. 

      Pyelography

    • C. 

      Urography

    • D. 

      Fluoro ivp

  • 7. 
    general term for IVU
    • A. 

      Pyelography

    • B. 

      Urography

    • C. 

      Intravenous

    • D. 

      IVP

  • 8. 
    Which renal structure filters the blood?
    • A. 

      Glomerulus

    • B. 

      Major calyx

    • C. 

      Efferent arteriole

    • D. 

      Afferent arteriole

  • 9. 
    Which urinary excretory duct conveys urine from the bladder to outside the body
    • A. 

      Ureter

    • B. 

      Urethra

    • C. 

      Efferent arteriole

    • D. 

      Afferent arteriole

  • 10. 
    Which body organ filters blood and produces urine AS a by-product of waste material?
    • A. 

      LIVER

    • B. 

      Spleen

    • C. 

      Kidney

    • D. 

      Pancreas

  • 11. 
    At which vertebral level is the"superior border of the kidlneys usually found
    • A. 

      T10

    • B. 

      T12

    • C. 

      L2

    • D. 

      L4

  • 12. 
    What is the name of the opening on the medial border of a kidney
    • A. 

      Pole

    • B. 

      Base

    • C. 

      Apex

    • D. 

      Hilium

  • 13. 
    -;:.wch of the following is an excretory examination used to demonstrate the upper urinary tract?
    • A. 

      Cystourethrography

    • B. 

      Retrograde urography

    • C. 

      Intravenous urography

    • D. 

      Retrograde cystography

  • 14. 
    -;:.'hich examination has the ability to produce a radi- "'graphic image demonstrating renal cortical tissue well saturated with contrast medium?
    • A. 

      Cystourethrography

    • B. 

      Retrograde urography

    • C. 

      Intravenous urography

    • D. 

      Retrograde cystography

  • 15. 
    Which projection best demonstrates the mobility of the kidneys?
    • A. 

      AP projection with the patient supine

    • B. 

      AP projection with the patient upright

    • C. 

      Lateral projection with the patient lateral recumbent

    • D. 

      Lateral projection with the patient in dorsal decubitus position

  • 16. 
    In intravenous urography, what is the purpose of applying compression pads over the distal ends of both ureters?
    • A. 

      To demonstrate ureteral reflux

    • B. 

      To demonstrate the mobility of the kidneys

    • C. 

      To retard the flow of opacified urine into the bladder

    • D. 

      To retard the flow of opacified urine from the bladder

  • 17. 
    Which of the following is not a reason for obtaining a scout radiograph with the patient recumbent for excretory urography
    • A. 

      To evaluate exposure factors

    • B. 

      To demonstrate urinary calculi

    • C. 

      To determine the location of the kidneys

    • D. 

      To demonstrate the mobility of the kidneys

  • 18. 
    For excretory urography,what should an adult patient do just before getting on the examination table
    • A. 

      Empty the bladder

    • B. 

      Remove all jewelry.

    • C. 

      Drink 12 ounces of cold water.

    • D. 

      Drink 12 ounces of carbonated beverage

  • 19. 
    What is the purposeof obtaining an AP projection radiograph of the kidneys 30 seconds after the bolus injection of a contrast medium in excretory urography?
    • A. 

      To demonstrate ureteral reflux

    • B. 

      To demonstrate opacified renal cortex

    • C. 

      To demonstrate opacified renal arteries

    • D. 

      To demonstrate the mobility of the kidneys

  • 20. 
    What is the purpose of tilting the patient and table 15 to 20 degrees toward the Trendelenburg position for the AP projection during excretory urography?
    • A. 

      To demonstrate distal ureters

    • B. 

      To demonstrate opacified renal cortex

    • C. 

      To demonstrate the base of the bladder

    • D. 

      To demonstrate the mobility of the kidneys

  • 21. 
    How many degrees should the patient be rotated for AP oblique projections, posterior oblique positions, during excretory urography?
    • A. 

      15

    • B. 

      30

    • C. 

      45

    • D. 

      30-45

  • 22. 
    For intravenous urography of a child, what should the patient be given when the scout radiograph shows an excessive amount of intestinal gas overlying the kidneys
    • A. 

      A laxative

    • B. 

      A cleansing enema

    • C. 

      12 ounces of iced water

    • D. 

      12 ounces of carbonated beverag

  • 23. 
    Which examination requires that the patient be placed on a special urographic-radiographic examination table?
    • A. 

      Cystourethrography

    • B. 

      Retrograde urography

    • C. 

      Intravenous urography

    • D. 

      Retrograde cystography

  • 24. 
    Which renal structures are not demonstrated during retrograde urographic examinations?
    • A. 

      Ureters

    • B. 

      Nephrons

    • C. 

      Minor calyces

    • D. 

      Major calyces

  • 25. 
    What is the purpose of tilting the table 10 to 15 degrees toward the Trendelenburg position for retrograde urography
    • A. 

      To demonstrate the ureters

    • B. 

      To demonstrate the mobility of the kidneys

    • C. 

      To produce a nephrogram effect in the kidneys

    • D. 

      To prevent contrast medium from escaping the kidneys

  • 26. 
    What is the purpose of raising the head of the table 35 to 40 degrees for retrograde urography
    • A. 

      To demonstrate the ureters

    • B. 

      To position the patient for catheterization

    • C. 

      To produce a nephrogram effect in the kidneys

    • D. 

      To prevent contrast medium from escaping the kidneys

  • 27. 
    Which condition would most likely be demonstrated during voiding cystography
    • A. 

      Renal cyst

    • B. 

      Renal calculi

    • C. 

      Ureteral reflux

    • D. 

      Hydronephrosis

  • 28. 
    For the AP axial projection of the bladder, how many degrees and in which direction should the central ra~ be directed?
    • A. 

      15 degrees caudal

    • B. 

      15 degrees cephalic

    • C. 

      25 degrees caudal

    • D. 

      25 degrees cephalic

  • 29. 
    For retrograde cystography, which projection should be performed to demonstrate the anterior and posterior walls of the bladder?
    • A. 

      Upright AP projection

    • B. 

      Recumbent AP projection

    • C. 

      Direct lateral projection

    • D. 

      AP projection, lateral decubitus position

  • 30. 
    For cystourethrography with an adult male patient, to which level of the patient should the IR be centered
    • A. 

      T12 vertebra

    • B. 

      L3 vertebra

    • C. 

      L5 vertebra

    • D. 

      Pubic symphysis

  • 31. 
    For cystourethrography with an adult male patient. which of the following should be used to obtain a radiograph while the patient is urinating
    • A. 

      Recumbent PAprojection

    • B. 

      Dorsal decubitus position

    • C. 

      Lateral decubitus position

    • D. 

      Recumbent AP oblique projection

  • 32. 
    Which 2 terms refer to the exretory urogram exam?
    • A. 

      Cystourethrography and retrograde urography

    • B. 

      Cystourethrography and intravaneous pyelography

    • C. 

      Intravaneous urography & retrograde urography

    • D. 

      Intravaneous urography & intravaneous pyelography

  • 33. 
    What identifies the typical contrast media currently used in excretory urography.
    • A. 

      Ionic & nonionic

    • B. 

      Iodinated

    • C. 

      Injectable

    • D. 

      All of the above

  • 34. 
    How soon after the injection of a contrast medium are symptoms of reaction most likely to occur?
    • A. 

      Within 5 min

    • B. 

      Btwn 5-10

    • C. 

      More than 10

  • 35. 
    • A. 

      To dem the bladd

    • B. 

      To id the loc of kidney

    • C. 

      To dem presence of calculi

    • D. 

      to dem the contour of kid

    • E. 

      To ck the rad exposure factors

    • F. 

      To dem mobility of kidneys

    • G. 

      To exam for radiopaque artifacts

    • H. 

      To det how well the pt's GI tract was cleansed

  • 36. 
    HOW LONG AFTER COMPLETETION OF THE  CONTRAST MEDIUM INJECTION DOES THE CONTRAST AGENT USUALLY BEGIN TO APPEAR IN THE RENAL PELVIS
    • A. 

      30 SEC TO 1 MIN

    • B. 

      2-8 MIN

    • C. 

      10-14 MIN

    • D. 

      15-20 MIN

  • 37. 
    A POSTVOIDING RAD IS USUALLY THE LAST RAD. TAKEN TO DEM WHICH STRUCTURE ?
    • A. 

      URETERS

    • B. 

      BLADDER

    • C. 

      KIDNEYS

  • 38. 
    THE AP proj may be obtained with the pt either supine or upright
    • A. 

      True

    • B. 

      False

  • 39. 
    Scout rad. are most often obtained w/ the pt supine
    • A. 

      True

    • B. 

      False

  • 40. 
    To which the level of the pt should the CR enter 4 the AP axial for bladder
    • A. 

      The IC

    • B. 

      2" above the upper border of pubic symphysis

    • C. 

      2" below the upper border of the Pubic symphysis

  • 41. 
    How should the CR be directed to best dem. the prostrate?
    • A. 

      Caudally

    • B. 

      Cephalically

    • C. 

      Perp.

  • 42. 
    How many degrees the should the pt be rotated 4 obl 4 retro cyst?
    • A. 

      10-15

    • B. 

      20-30

    • C. 

      40-60

  • 43. 
    With reference to the pubic bones where should the bladder neck be seen in AP obl retro cyst?
    • A. 

      Above

    • B. 

      Below

    • C. 

      To left

    • D. 

      To righty

  • 44. 
    Where should the IR be for LATERAL cystogram?
    • A. 

      At the IC

    • B. 

      At the PS

    • C. 

      2 above the IC

    • D. 

      2 above PS