Clinical: Scrotum, Thyroid, Misc.

Question 1

What should be avoided for at least 7 days before a renal biopsy

Answer 1

aspirin

Question 2

When a patient presents with acute scrotal pain, the sonographer should always begin the scrotal ultrasound by

Answer 2

imaging the unaffected side

Question 3

What correctly describes the preferred patient position for a renal biopsy

Answer 3

prone with a pillow under the abdomen to accentuate the normal curvature of the spine

Question 4

A patient presents for a thyroid biopsy with a script that states “US guided biopsy, cold nodule”. The patient does nto have the report with them but they do have a copy of the nuclear medicine (NM) exam. What are you looking for on the NM exam to locate the nodule to be biopsied

Answer 4

white/light areas with absence of accumulation of the radioactive isotope

Question 5

A 3cm hypoechoic mass is identified in the right testicle. The radiologist requests that you perform an abdominal US. What are you looking for

Answer 5

periaortic lymphadenopathy

Question 6

What is demonstrated by the same color on an ultrasound image as on a CT image

Answer 6

calcifications

Question 7

What are the advantages of fine needle capillary technique over a fine needle aspiration technique

Answer 7

FNC aspirates a smaller but more concentrated sample of cells than FNA

Question 8

If a varicocele is identified on the left side

Answer 8

the left kidney should be evaluated for mass formation

Question 9

Patients diagnosed with a multinodular goiter will also have

Answer 9

increased TSH, decreased T3 and T4

Question 10

An area of plaque or thrombus in an artery will be demonstrated as _______ on angiography

Answer 10

an area of absence of contrast material

Question 11

Patients with new onset of secondary hyperparathyroidism will demonstrate

Answer 11

low serum calcium and vitamin D levels with high PTH levels

Question 12

When evaluating a suspected testicular varicocele, what patient position will better demonstrate the abnormality

Answer 12

standing

Question 13

What is a contraindication for a renal biopsy

Answer 13

current warfarin use (blood thinner)

Question 14

What will have no effect on serum levels of AFP

Answer 14

seminomatous tumor of the testicle

Question 15

In patients with primary hyperparathyroidism, levels of parathyroid hormone will increase and

Answer 15

serum calcium levels will increase

Question 16

A FNA biopsy of a thyroid nodule is not recommended for nodules

Answer 16

<10mm

Question 17

What will cause elevated serum amylase

Answer 17

tumor of the submandibular gland and use of oral contraceptives

Question 18

Prehn sign is used to differentiate what two abnormalities

Answer 18

testicular torsion and epididymo-orchitis

Question 19

A patient is scheduled for a liver biopsy with the radiologist in the morning. What lab values will the doctor want to see before the procedure is performed

Answer 19

prothrombin time and INR

Question 20

What correctly describes a way to tell the difference between a vasovagal response and anaphylaxis caused by contrast injection

Answer 20

pallor is a sign of vasovagal response, while erythema is a sign of anaphylaxis

Question 21

What type of thyroid cancer is associated with elevated calcitonin levels

Answer 21

medullary

Question 22

What commonly leads to acute scrotal pain

Answer 22

epididymitis

Question 23

You are performing a parathyroid ultrasound and cannot locate a known adenoma. What would be most helpdul in locating the mass

Answer 23

ask the patient to swallow

Question 24

When evaluating a patient with a complete thyroidectomy, what is the best way to differentiate level VI nodes from level III/IV nodes

Answer 24

turn the neck to a neutral position and document lymph node position relative to the carotid artery

Question 25

A patient has a history of thyroid cancer and bilateral thyroidectomy 3 years ago. What lab values should be reviewed before starting the annual post-surgical neck ultrasound

Answer 25

serum levels of thyroglobulin

Question 26

What is related to renal failure and vitamin D deficiency

Answer 26

secondary hyperparathyroidism