Obstructive Uropathy

31 Questions

Settings
Please wait...
Abdomen Quizzes & Trivia

Abdomen quiz


Questions and Answers
  • 1. 
    ___________________ represents dilatation of the pelvic-calyceal collecting system due to an obstruction of outflow of urine from either congenital, intrinsic, or extrinsic causes.
  • 2. 
    The obstruction of hydronephrosis causes impairment of _______ flow. When this is obstructed, urine ___________ continues, and the _________ become distended. The "back up" hydro occurs _________ to the obstruction.
  • 3. 
    Obstruction at the UPJ will dilate only the _______ and _______.
  • 4. 
    It is vital to detect hydronephrosis early. because if left untreated, the obstruction may lead to renal failure.
    • A. 

      True

    • B. 

      False

  • 5. 
    In a complete obstruction, __________ damage occurs after ___ (#) weeks.
  • 6. 
    In an incomplete obstruction, ________ damage occurs after 3 _______.
  • 7. 
    Check all that apply to the etiology of hydronephrosis:
    • A. 

      Oliguria

    • B. 

      Reflux

    • C. 

      Polyuria

    • D. 

      Over hydration

    • E. 

      Post renal failure

    • F. 

      Post obstruction atrophy

    • G. 

      Intrinsic obstruction

    • H. 

      Infection

    • I. 

      Extrinsic obstruction

  • 8. 
    What are the 2 classifications of hydronephrosis:
  • 9. 
    Intrinsic causes involves the _______ and _______, while extrinsic causes involves the ________ and beyond.
  • 10. 
    With chronic hydronephrosis, you will see an increase in what two lab values?
  • 11. 
    With acute stages of hydronephrosis, the lab normals are elevated.
    • A. 

      True

    • B. 

      False

  • 12. 
    Which of the following are intrinsic causes of hydronephrosis:
    • A. 

      Nephrolithiasis

    • B. 

      Fibroids

    • C. 

      Ureterocele

    • D. 

      Pyelonephrosis

    • E. 

      Tumor

    • F. 

      Trauma

    • G. 

      Stricture

    • H. 

      Tb

    • I. 

      Pregnancy

  • 13. 
    Check the following extrinsic causes:
    • A. 

      BPH

    • B. 

      Fibroids

    • C. 

      TCC

    • D. 

      Lymphadenopathy

    • E. 

      Trauma

    • F. 

      Pregnancy

    • G. 

      Stricture

    • H. 

      Ovarian/adnexal neoplasms

    • I. 

      Bladder outlet obstruction

  • 14. 
    Congenital causes of hydronephrosis:
    • A. 

      Urethral strictures

    • B. 

      Posterior urethral valves

    • C. 

      UPJ obstruction

    • D. 

      Ectopic ureterocele

  • 15. 
    Posterior urethral valves occurs between the urethral _______ and the _______________ of the prostate.
  • 16. 
    UPJ obstruction is commonly associated with a __________ anomaly such as ______.  This results in _______ of the kidney with normal non-dilated ureter.
  • 17. 
    Ectopic ureterocele is usually caused by a ________ kidney.
  • 18. 
    What are the 3 false positives that mimic hydro? (alphabetical)
  • 19. 
    False negatives accounts for less than __ (#) % of the cases and is usually due to performing the exam before the ____________ has occurred-->  intermittent obstruction from a _______.
  • 20. 
    Hydronephrosis produces separation of the normal ______ echogenicity by an ________ urine collection. It may occur unilateral or ________, with a variable pattern of _________.
  • 21. 
    In order to assess the stage of hydro, you have to evaluate the thickness of the ______.
  • 22. 
    Grade ____ (#) of hydro is not associated with cortical thinning.
  • 23. 
    Grade 1 of hydro is _____ and is described as a slight _________ with minimal separation of the _____ echoes.
  • 24. 
    Grade 2 also known as __________ hydro, is described as an anechoic separation of the entire central _______ with continuous, anechoic ________ represented by a ______ or __________ pattern.
  • 25. 
    Severe hydro or grade ___ (#),  is ________ separation of the central ______ and ______, ____________ thinning, and a single blown out ellipsoid _________ collection.
  • 26. 
    What are the 3 complications of hydro? (alphabetical)
  • 27. 
    _____________ is pus within the collecting system due to _______ and urine _____.  It is the presence of _________ material in a dilated often obstructed renal collecting system.
  • 28. 
    Symptoms of pyonephrosis are _____, chills and _____ pain.
  • 29. 
    Check all that apply to the sono appearance of pyonephrosis
    • A. 

      Dirty shadowing

    • B. 

      Not mild hydro

    • C. 

      Sludge may change with patient positioning

    • D. 

      Visible tissue and debris

  • 30. 
    Ultrasound finding of echogenic debris within a dilated renal collecting system are highly specific and should be considered diagnostic for ___________.
  • 31. 
    Treatment of pyonephrosis involves percutaneous or _________ drainage. Even in long standing cases, renal _______ can be recovered.