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Urinary System

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Urinary System Which structure creates a 20 degree angle between the upper and lower poles of the kidneys? Correct Answer: Psoas How much rotation is required from supine to place the kidneys parallel to the IR? Correct Answer: 30 degrees What two landmarks can be palpated to locate the kidneys? Correct Answer: xiphoid and iliac What term describes an abnormal drop of the kidneys when the patient is placed erect? Correct Answer: nephroptosis Three functions of the urinary system? Correct Answer: 1. remove nitrogenous waste 2. Regulate water level 3. Regulate acid-base balance A buildup of nitrogenous waste in the blood is called? Correct Answer: Uremia Longitudinal fissure found along the central medial border of the kidney is called the... Correct Answer: Hilum Outer portion of the kidney is called? Correct Answer: Cortex Term that describes the total functioning portion of the kidney is? Correct Answer: Renal parenchyma microscopic functional and structural unit of the kidney is the? Correct Answer: Nephron Which structure of the medulla is made up of a collection of tubules that drain into the minor calyx? Correct Answer: pyramids The glomerular capsule and proximal and distal convoluted tubules are located in the cortex of the kidney Correct Answer: true The afferent arterioles carry blood to the glomeruli Correct Answer: true What two processes move urine through the ureters to the bladder? Correct Answer: peristalsis and gravity The bladder is more anterior than the proximal ureters, kidneys and suprarenal glands Correct Answer: true The junction between the distal uerters and bladder Correct Answer: uretervesical junction Name of the small gland found just inferior to the male bladder? Correct Answer: prostate Name of the inner, posterior region of the bladder formed by the two ureters entering and the urethra exiting? Correct Answer: Trigone capacity of ave. adult bladder? Correct Answer: 350-500ml Which of the following is the most posterior? Ovaries, urethra vagina and kidneys? Correct Answer: Kidneys IV contrast media can be administered two ways. Correct Answer: Bolus injection or Drip infusion An informed consent form must be signed before venipuncture is performed on a pediatric patient. T or F Correct Answer: True. By the patient or legal guardian For most IVs, veins in the -------- are recommended for venipuncture. Correct Answer: Antecubital fossa The most common size needle for a bolus injection on adults is? Correct Answer: 18-22 gauge The two most common types of needles used for a bolus injection of contrast media are? Correct Answer: Butterfly and over-the-needle catheter Which direction should the bevel of the needle face during puncture? Correct Answer: upward If extravasation occurs during puncture the tech should... Correct Answer: needle should be withdrawn and pressure applied. If unsuccessful during the initial puncture Correct Answer: A new needle should be used for 2nd attempt Who is responsible for documenting all aspects of the venipuncture procedure in a patients chart? Correct Answer: The tech common anion found in ionic contrast media? Correct Answer: Diatrizoate or iothalamate Any disruption in the physiological functions of the body that may lead to a contrast media reaction is the basis for the Correct Answer: Chemotoxic theory Normal creatine level for an adult Correct Answer: .6 to 1.5 mg/dl Normal BUN levels for an adult Correct Answer: 8 to 25 mg/100ml Metformin hydrochloride is a drug taken for Correct Answer: management of diabetes Metformin should be withheld for-------hrs following a contrast procedure and resumed only if kidney function is again determined to be in normal limits Correct Answer: 48 hours What type of reaction is a true allergic response to iodinated contrast media? Correct Answer: anaphylactic reaction

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Urinary System
Which structure creates a 20 degree angle between the upper and lower poles of the kidneys? Correct
Answer: Psoas

How much rotation is required from supine to place the kidneys parallel to the IR? Correct Answer: 30
degrees

What two landmarks can be palpated to locate the kidneys? Correct Answer: xiphoid and iliac

What term describes an abnormal drop of the kidneys when the patient is placed erect? Correct Answer:
nephroptosis

Three functions of the urinary system? Correct Answer: 1. remove nitrogenous waste 2. Regulate water
level 3. Regulate acid-base balance

A buildup of nitrogenous waste in the blood is called? Correct Answer: Uremia

Longitudinal fissure found along the central medial border of the kidney is called the... Correct Answer:
Hilum

Outer portion of the kidney is called? Correct Answer: Cortex

Term that describes the total functioning portion of the kidney is? Correct Answer: Renal parenchyma

microscopic functional and structural unit of the kidney is the? Correct Answer: Nephron

Which structure of the medulla is made up of a collection of tubules that drain into the minor calyx?
Correct Answer: pyramids

The glomerular capsule and proximal and distal convoluted tubules are located in the cortex of the
kidney Correct Answer: true

The afferent arterioles carry blood to the glomeruli Correct Answer: true

What two processes move urine through the ureters to the bladder? Correct Answer: peristalsis and
gravity

The bladder is more anterior than the proximal ureters, kidneys and suprarenal glands Correct Answer:
true

The junction between the distal uerters and bladder Correct Answer: uretervesical junction

Name of the small gland found just inferior to the male bladder? Correct Answer: prostate

, Name of the inner, posterior region of the bladder formed by the two ureters entering and the urethra
exiting? Correct Answer: Trigone

capacity of ave. adult bladder? Correct Answer: 350-500ml

Which of the following is the most posterior? Ovaries, urethra vagina and kidneys? Correct Answer:
Kidneys

IV contrast media can be administered two ways. Correct Answer: Bolus injection or Drip infusion

An informed consent form must be signed before venipuncture is performed on a pediatric patient. T or
F Correct Answer: True. By the patient or legal guardian

For most IVs, veins in the -------- are recommended for venipuncture. Correct Answer: Antecubital fossa

The most common size needle for a bolus injection on adults is? Correct Answer: 18-22 gauge

The two most common types of needles used for a bolus injection of contrast media are? Correct
Answer: Butterfly and over-the-needle catheter

Which direction should the bevel of the needle face during puncture? Correct Answer: upward

If extravasation occurs during puncture the tech should... Correct Answer: needle should be withdrawn
and pressure applied.

If unsuccessful during the initial puncture Correct Answer: A new needle should be used for 2nd
attempt

Who is responsible for documenting all aspects of the venipuncture procedure in a patients chart?
Correct Answer: The tech

common anion found in ionic contrast media? Correct Answer: Diatrizoate or iothalamate

Any disruption in the physiological functions of the body that may lead to a contrast media reaction is
the basis for the Correct Answer: Chemotoxic theory

Normal creatine level for an adult Correct Answer: .6 to 1.5 mg/dl

Normal BUN levels for an adult Correct Answer: 8 to 25 mg/100ml

Metformin hydrochloride is a drug taken for Correct Answer: management of diabetes

Metformin should be withheld for-------hrs following a contrast procedure and resumed only if kidney
function is again determined to be in normal limits Correct Answer: 48 hours

What type of reaction is a true allergic response to iodinated contrast media? Correct Answer:
anaphylactic reaction

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