Devita, Hellman, and Rosenberg's Cancer

LWBK1006-15 LWW-Govindan-Review December 7, 2011 19:5

Chapter 15•Advances in Diagnostics and Intervention 163

Question 15.9. Regarding percutaneous nephrostomy, which is NOT true?

A. Treatment of pyonephrosis

B. Useful for diverting urine proximally from a genitourinary fistula

C. Requires preprocedural antibiotics

D. Requires CT guidance to access the kidneys

Question 15.10. Regarding biliary procedures, which is NOT true?

A. High strictures are usually treated by interventional radiology, and

low strictures are usually treated by gastroenterology.

B. The right biliary system is more likely to have isolated dilated seg-

ments from a central mass.

C. Biliary dilatation is the major indication for intervention.

D. Pruritus can be cured by draining just one segment.

E. Cholangitis may require multiple catheters to cure sepsis.

Question 15.11. Regarding percutaneous transhepatic biliary drainage, which is NOT

true?

A. Preprocedural antibiotics are required.

B. Drainage is usually via a two-staged procedure: external drainage

then internal drainage.

C. High biliary outputs warrant nutritional replenishment.

D. Contrast is usually used.

E. Liver function usually takes weeks to return to normal.

Question 15.12. Regarding percutaneous cholecystostomy, which is NOT true?

A. May be a diagnostic tool in unexplained sepsis.

B. May be a therapeutic tool in acute cholecystitis.

C. A transhepatic approach is preferred.

D. Distension of the gallbladder during cholecystography is avoided in

the acute setting.

E. It usually avoids a future cholecystectomy.

Question 15.13. Regarding malignant pleural effusions, which is TRUE?

A. Surgical pleurodesis offers a higher success rate in their management

than chemical pleurodesis.

B. Usually transudates from tumor obstruction

C. Usually asymptomatic

D. Thoracentesis is the definitive treatment.

E. Large-bore tubes are better than small-bore catheters in their man-

agement.