HSG

What are the risks of an HSG? How likely is it that these risks will occur?

Abdominal pain, cramping, bleeding, pelvic infection, allergic reaction to the contrast, injury to the uterus. According to the HSG video, risk of infection is less than 1/100. A sterile catheter is used so infection is not likely, but an antibiotic may be prescribed to mitigate these risks.

Hysterosalpingograms should be scheduled five days before the onset of menstruation.

False

During a hysterosalpingogram, contrast media spilling into the peritoneum signifies patent fallopian tubes.

True

Which of the four segments of the uterine tube communicates with the uterine cavity? a) Interstitial b) Isthmus c) Ampulla d) Infundibulum

a) Interstitial

A woman calls an imaging department to schedule an HSG. She tells the scheduler that the first day of her last menstrual cycle was January 18th. According to what was discussed in lecture, when should the scheduler try to schedule this patient's appointment? a) January 27th b) January 22nd c) January 26th d) January 30th

a) January 27th

Which of the following terms is used to describe the "degree of openness" of the uterine tube? a) Patency b) Atresia c) Stenosis d) Gauge

a) Patency

The preferred contrast medium for hysterosalpingography is: a) positive, nonionic, water soluble. b) thin barium sulfate. c) positive, ionic, oil based. d) negative carbon dioxide gas.

a) positive, nonionic, water soluble.

What post-films might be requested following an HSG? 1. AP 2. LPO/RPO 3. Lateral a) 1 only b) 1 and 2 only c) 1 and 3 only d) 1, 2 and 3

b) 1 and 2 only

Which of the four divisions of the uterus is the largest? a) Fundus b) Corpus (body) c) Isthmus d) Cervix

b) Corpus (body)

Which of the following is NOT a valid radiographic criterion for hysterosalpingography? a) Cannula or balloon catheter should be seen within the cervix. b) Ovaries should be opacified and well demonstrated. c) Contrast medium should be seen within the peritoneum. d) The pelvic ring should be centered within the collimation field.

b) Ovaries should be opacified and well demonstrated

The purpose of the hysterosalpingography is to demonstrate the: a) interior of the cervix, uterus, fallopian tubes, and ovaries. b) uterine cavity and the fallopian tubes. c) degree of openness of the cornu between the uterus and fallopian tubes. d) interior of the uterus for neoplasms or other abnormalities.

b) uterine cavity and the follopian tubes.

Which of the following is (are) contraindication(s) to hysterosalpingography? 1. Pregnancy 2. Active uterine bleeding 3. Intrauterine pathology a) 1 only b) 3 only c) 1 and 2 only d) 1, 2 and 3

c) 1 and 2 only

Which of the following instructions should be given to a patient after an HSG? 1. Cramping and light spotting are common. 2. The patient may use a tampon or pad to deal with contrast leakage. 3. If heavy bleeding or fever occur, contact physician. a) 1 and 2 only b) 2 and 3 only c) 1 and 3 only d) 1, 2 and 3

c) 1 and 3 only

The uterine (fallopian) tubes are approximately ____ cm in length. a) 3 to 4 b) 6 to 8 c) 10 to 12 d) 15 to 18

c) 10 to 12

On what day of a woman's menstrual cycle is an HSG generally performed? a) Day 1 b) Day 5 c) Day 10 d) Day 14

c) Day 10

Which of the following is not included in the four divisions of the uterus? a) Fundus b) Isthmus c) Endometrium d) Cervix

c) Endometrium

Which part of the uterine tube opens into the peritoneal cavity? a) Isthmus b) Interstitial c) Infundibulum d) None of the above

c) Infundibulum

In what position should the patient be in for the first portion of a hysterosalpingogram exam? a) Trendelenburg position b) Supine c) Lithotomy position d) Sims' position

c) Lithotomy position

Imaging for a hysterosalpingography includes centering of the CR and image receptor (IR) to: a) 4 inches (10 cm) superior to the symphysis pubis. b) the symphysis pubis. c) the level of the ASIS. d) 2 inches (5 cm) superior to the symphysis pubis.

d) 2 inches (5 cm) superior to the symphysis pubis.

What post-film is least likely to be requested following an HSG? a) LPO b) RPO c) AP d) Lateral

d) Lateral

Which of the following supplies will NOT be required as part of an HSG? a) Betadine b) Conray c) Speculum d) Lidocaine

d) Lidocaine