Hysterosalpingography Imaging Protocol
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Questions and Answers

What is the purpose of performing antegrade pyelography typically?

  • To assess for obstruction following placement of a nephrostomy catheter (correct)
  • To evaluate blood clot formation in the urinary system
  • To introduce contrast medium into the ureters
  • As an isolated procedure to evaluate the urinary system

When is the best time to perform postnephrostomy studies?

  • After 1 week to ensure complete drainage
  • Immediately after the nephrostomy procedure
  • After 1-2 days to allow the patient to recover (correct)
  • After 6 hours to monitor for early complications

Which of the following is NOT a potential complication of percutaneous nephrolithotomy?

  • Perforation of the collecting system
  • Hemorrhage
  • Septicemia
  • Allergic reaction to the contrast medium (correct)

What is the purpose of the aftercare following a percutaneous nephrolithotomy procedure?

<p>To monitor for complications and allow the patient to recover (A)</p> Signup and view all the answers

Which of the following is a contraindication for performing percutaneous nephrolithotomy?

<p>Uncontrolled bleeding diathesis (A)</p> Signup and view all the answers

Which of the following is NOT a potential complication of hysterosalpingography?

<p>Cardiac arrhythmia (B)</p> Signup and view all the answers

What is the significance of intravasation of contrast medium into the venous system during hysterosalpingography?

<p>It is of little significance when water-soluble contrast medium is used. (C)</p> Signup and view all the answers

Which of the following factors may precipitate intravasation of contrast medium during hysterosalpingography?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a recommended patient preparation step prior to percutaneous antegrade pyelography and nephrostomy?

<p>Fasting for 4 hours (B)</p> Signup and view all the answers

Which of the following is NOT listed as an indication for percutaneous antegrade pyelography and nephrostomy?

<p>Renal colic (A)</p> Signup and view all the answers

What is the recommended volume of contrast medium for hysterosalpingography?

<p>5 mL (D)</p> Signup and view all the answers

When should the injection be terminated during hysterosalpingography?

<p>When the patient complains of pain or fullness in the loin (C)</p> Signup and view all the answers

What postprocedure observations are recommended after hysterosalpingography?

<p>Observing for fever and rigors (A)</p> Signup and view all the answers

What is a potential complication of using too much contrast medium during hysterosalpingography?

<p>Renal failure (D)</p> Signup and view all the answers

Which is a contraindication for percutaneous renal cyst puncture and biopsy as mentioned in the text?

<p>Bleeding diathesis (D)</p> Signup and view all the answers

What is the purpose of prewarming the contrast medium to body temperature before injection?

<p>To avoid tubal spasm and reduce pain (D)</p> Signup and view all the answers

Which of the following is NOT a recommended aftercare instruction for a patient after hysterosalpingography?

<p>The patient should be advised to avoid sexual intercourse for 1 week (B)</p> Signup and view all the answers

Which of the following is a potential complication of the hysterosalpingography technique?

<p>Uterine or tubal distension proximal to a block or spasm (C)</p> Signup and view all the answers

What is the primary reason for keeping the radiation dose as low as possible during hysterosalpingography?

<p>To reduce the risk of cancer in the patient (C)</p> Signup and view all the answers

Which of the following is a potential complication related to the contrast medium used in hysterosalpingography?

<p>Allergic phenomena, especially if the contrast medium is forced into the circulation (D)</p> Signup and view all the answers

Which of the following is NOT a potential complication related to the contrast medium used during hysterosalpingography?

<p>Formation of emboli due to the contrast medium (A)</p> Signup and view all the answers

Which of the following statements regarding post-procedure care after hysterosalpingography is INCORRECT?

<p>The patient should be advised to avoid strenuous physical activity for at least 4 weeks. (B)</p> Signup and view all the answers

Which of the following is NOT a potential complication related to the technique of hysterosalpingography?

<p>Permanent infertility due to damage to the fallopian tubes (D)</p> Signup and view all the answers

Which of the following statements regarding intravasation of contrast medium during hysterosalpingography is CORRECT?

<p>It is of little significance when water-soluble contrast medium is used. (C)</p> Signup and view all the answers

Which of the following factors may increase the risk of infection after hysterosalpingography?

<p>Previous history of pelvic inflammatory disease (B)</p> Signup and view all the answers

Which of the following is NOT a contraindication for retrograde pyeloureterography and hysterosalpingography?

<p>Severe cardiac disease (C)</p> Signup and view all the answers

What is the recommended volume of contrast medium to be used for small lesions during hysterosalpingography?

<p>10 mL (D)</p> Signup and view all the answers

Which of the following is NOT a potential complication of the retrograde pyeloureterography and hysterosalpingography technique?

<p>Allergic reaction to the contrast medium (B)</p> Signup and view all the answers

What is the recommended patient preparation for retrograde pyeloureterography and hysterosalpingography?

<p>As for surgery (D)</p> Signup and view all the answers

Which of the following is the recommended technique for performing retrograde pyeloureterography in the x-ray department?

<p>Aspirate urine and inject contrast medium under fluoroscopic control (B)</p> Signup and view all the answers

What is the recommended duration for leaving a large bore soft nonlocking straight nephrostomy tube in place following the procedure?

<p>24 hours (B)</p> Signup and view all the answers

Which professional usually determines patient care after a nephrostomy procedure?

<p>Anaesthetist or Urologist (A)</p> Signup and view all the answers

What is one of the immediate complications mentioned in the text regarding nephrostomy procedures?

<p>Inadvertent access to renal vein and IVC (D)</p> Signup and view all the answers

When might a patient need transfusion following a nephrostomy procedure according to the text?

<p>Less than 3% of cases (B)</p> Signup and view all the answers

What is a potential delayed complication of a nephrostomy procedure?

<p>Pseudoaneurysm of an intrarenal artery (D)</p> Signup and view all the answers

In which situation would renal arteriography typically be indicated prior to angioplasty or stent placement?

<p>For renal artery stenosis (C)</p> Signup and view all the answers

What is commonly used to replace diagnostic arteriography for assessing living related renal transplant donors?

<p>MR or CT angiography (MRA or CTA) (C)</p> Signup and view all the answers

'Embolization of vascular renal tumor prior to surgery' is an indication for what procedure according to the text?

<p>'Renal arteriography' (D)</p> Signup and view all the answers

'Contrast medium Flush aortic Selective renal artery injection' is part of the equipment used for which procedure mentioned in the text?

<p>'Renal arteriography' (C)</p> Signup and view all the answers

'Haematuria particularly following trauma, including biopsy' may precede what according to the text?

<p>'Embolization' (B)</p> Signup and view all the answers

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