Treatment Outcomes For Lithotripsy & Laser Procedures

10 Questions | Total Attempts: 84

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Treatment Quizzes & Trivia

Treatment Outcomes


Questions and Answers
  • 1. 
    The most common site for kidney stones are:
    • A. 

      Upper pole calyces

    • B. 

      Middle calyces

    • C. 

      Lower pole and pelvis

  • 2. 
    The technologist should examine the chart, the x-ray and/or ask the patient about all except:
    • A. 

      Whether they have blood borne disease such as HIV

    • B. 

      Having taken asprin, NSAIDs or blood thinners within the last 10 days

    • C. 

      Which side the stone is on and compare with an x-ray or fluoroscopy

    • D. 

      Is there evidence of urinary infection with fever

  • 3. 
    The purpose of strapping is:
    • A. 

      To immobilize the patient

    • B. 

      To compress the patient against the coupling membrane of the shockwave generator

    • C. 

      To allow the patient to move freely on the table which is why they should be applied loosely

  • 4. 
    If treating bilateral kidney stones, it is suggested to stent one side
    • A. 

      To prevent renal shut down in case of bilateral ureteral obstruction from stone fragments

    • B. 

      To provide a marker for identification of the kidney stone

    • C. 

      To help locate the kidney

  • 5. 
    Tight compression of the patient with straps against the shock head may cause:
    • A. 

      GI symptoms from compression of the gut

    • B. 

      Skin burns

    • C. 

      Arthritic pain

    • D. 

      All of the above

    • E. 

      None of the above

  • 6. 
    Cardiac defibrillators and pacemakers require the lithotech's attention. Which of the following are true?
    • A. 

      Patients with pacemakers implanted in the chest can usually be treated without problems.

    • B. 

      Patients with defibrillators or pacemakers implanted in the abdomen should not receive lithotripsy

    • C. 

      A cardiology consultant should be available to reprogram the pacemaker if its internal programming is altered by the shock waves

    • D. 

      All of the statements are true

    • E. 

      One of the statements, a, b, or c is false

  • 7. 
    At the completion of the case it is the tech's responsibility in all but one of the following:
    • A. 

      To transport the patient to the recovery room

    • B. 

      To complete all paperwork and data entry includig stone measurements

    • C. 

      To record any adverse events, or irregulatities that took place in connection with the procedure

  • 8. 
    Lithotripsy of a kidney stoen should terminate when:
    • A. 

      The targeted stone is pulverized

    • B. 

      3000 shocks have been administered

    • C. 

      Both A&B

  • 9. 
    Risk of post op bleeding following Renal stone lithotripsy is increased in all the following except one:
    • A. 

      The patient has taken low dose asprin for cardiovascular support up to the day of lithotripsy

    • B. 

      The patient has taken Advil for arthritis 5 days prior to the lithotripsy

    • C. 

      Lithotrispy is started at maximum power because the patient is under anesthesia

    • D. 

      The patient is obese and hard to target the stone

  • 10. 
    Patients with a known infected stone or staghorn calculus:
    • A. 

      Should have a urine culture on the chart

    • B. 

      Should be covered with an qppropriate antibiotic

    • C. 

      Should not have a fever at the time of Lithotripsy

    • D. 

      None of the above are relevant

    • E. 

      All of the above