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Chapter 018

Chapter 18 of 'Radiologic Science for Technologists' focuses on quality control in radiologic practices, emphasizing the importance of quality assurance programs that monitor personnel and quality control programs for equipment. It outlines various quality control tests, their schedules, and regulatory requirements, including federal mandates on exposure limits. The chapter also discusses the significance of proper maintenance and monitoring to ensure quality patient care and compliance with accreditation standards.
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0% found this document useful (0 votes)
50 views7 pages

Chapter 018

Chapter 18 of 'Radiologic Science for Technologists' focuses on quality control in radiologic practices, emphasizing the importance of quality assurance programs that monitor personnel and quality control programs for equipment. It outlines various quality control tests, their schedules, and regulatory requirements, including federal mandates on exposure limits. The chapter also discusses the significance of proper maintenance and monitoring to ensure quality patient care and compliance with accreditation standards.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd

Bushong: Radiologic Science for Technologists, 9th Edition

Chapter 18: Quality Control

Test Bank

MULTIPLE CHOICE

1. A quality assurance program monitors _____.


a. films
b. imaging equipment
c. people
d. processors
ANS: C
A quality assurance program monitors people.

DIF: Moderate REF: page 305


OBJ: Define quality assurance and quality control.

2. A quality control program is for _____.


a. film processors
b. CT scanners
c. x-ray tubes
d. all of the above
ANS: D
A quality control program is for all instrumentation and equipment.

DIF: Moderate REF: page 305


OBJ: Define quality assurance and quality control

3. The determination of how consistently radiologists’ image interpretations match patients’


ultimate diagnoses is called _____.
a. exposure linearity
b. outcome analysis
c. reproducibility
d. uniformity
ANS: B
The determination of how consistently radiologists’ image interpretations match patients’
ultimate diagnoses is called outcome analysis.

DIF: Moderate REF: page 305


OBJ: Define quality assurance and quality control.

Copyright © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 18-2

4. A QC program should include _____, routine performance monitoring, and maintenance.


a. acceptance testing
b. outcome analysis
c. calibration
d. personnel monitoring
ANS: A
A QC program should include acceptance testing, routine performance monitoring, and
maintenance.

DIF: Moderate REF: page 306 OBJ: Name the three steps of quality control.

5. The first step of the QA recommended by the Joint Commission on Accreditation of


Healthcare Organizations (JCAHO) is to _____.
a. collect and organize data
b. take action to improve care
c. assign responsibility
d. assess and document actions
ANS: C
A quality assurance program monitors people.

DIF: Moderate REF: page 305


OBJ: List the ten-step quality assurance model used in hospitals.

6. Medical facilities have quality control programs in place in order to _____.


a. have JAHCO approval and accreditation
b. ensure quality patient care
c. receive payment from insurance carriers
d. all of the above
ANS: D
Medical facilities have quality control programs in place in order to have JAHCO approval,
ensure quality patient care, and receive payment from insurance carriers.

DIF: Moderate REF: page 306


OBJ: Define quality assurance and quality control.

7. Acceptance testing should never be done by a _____.


a. medical physicist
b. manufacturer’s representative
c. QC technologist
d. radiologic engineer
ANS: B
Acceptance testing should never be done by a manufacturer’s representative.
DIF: Moderate REF: page 305 OBJ: Name the three steps of quality control.

Copyright © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 18-3

8. Most quality control testing on radiographic equipment is done _____.


a. annually
b. semiannually
c. monthly
d. weekly
ANS: A
Most quality control testing on radiographic equipment is done annually.

DIF: Moderate REF: page 305


OBJ: Describe the quality control tests and schedule for radiographic systems.

9. All general purpose radiographic units must have a minimum of _____ mm Al filtration.
a. 1.5
b. 2.0
c. 2.5
d. 3.0
ANS: C
All general purpose radiographic units must have a minimum of 2.5 mm Al filtration.

DIF: Moderate REF: page 306


OBJ: Describe the quality control tests and schedule for radiographic systems.

10. Filtration is measured with _____ measurements.


a. caliper
b. photometer
c. slit camera
d. half-value layer
ANS: D
Filtration is measured with half-value layer measurements.

DIF: Moderate REF: page 307


OBJ: Describe the quality control tests and schedule for radiographic systems.

11. The collimator must be accurately aligned to within ±_____% of the SID.
a. 2
b. 5
c. 10
d. 12
ANS: A
The collimator must be accurately aligned to within ±2% of the SID.

DIF: Moderate REF: page 307


OBJ: Describe the quality control tests and schedule for radiographic systems.

Copyright © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 18-4

12. Focal spot size is measured with a _____.


a. pinhole camera
b. star pattern
c. slit camera
d. all of the above
ANS: D
Focal spot size is measured with a slit camera, star pattern, or pinhole camera.

DIF: Moderate REF: page 308


OBJ: Describe the quality control tests and schedule for radiographic systems.

13. It is acceptable to perform a _____ test instead of measuring the focal spot size.
a. line pair
b. exposure linearity
c. half-value layer
d. wire mesh pattern
ANS: A
It is acceptable to use a line pair test instead of measuring the focal spot size.

DIF: Difficult REF: page 308


OBJ: Describe the quality control tests and schedule for radiographic systems.

14. The measured kVp should be within ±_____% of the kVp indicated on the console.
a. 5
b. 10
c. 15
d. 20
ANS: B
The measured kVp should be within ±10% of the kVp indicated on the console.

DIF: Moderate REF: page 308


OBJ: Describe the quality control tests and schedule for radiographic systems.

15. Comparing the mR output at 50 mA @ 0.2 sec, 100 mA @ 0.1 sec, and 200 mA @ 0.05 sec
is part of a test for _____.
a. reciprocity
b. reproducibility
c. linearity
d. uniformity
ANS: C
Comparing the mR output at 50 mA @ 0.2 sec, 100 mA @ 0.1 sec, and 200 mA @ 0.05 sec
is part of a test for linearity.

DIF: Difficult REF: page 309

Copyright © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 18-5

OBJ: Describe the quality control tests and schedule for radiographic systems.

16. What is the testing device used to measure cassette screen-film contact?
a. dosimeter
b. wire-mesh
c. sensitometer
d. star pattern
ANS: B
A wire-mesh pattern test is used to measure screen-film contact in cassettes.

DIF: Moderate REF: page 310


OBJ: Describe the quality control tests and schedule for radiographic systems.

17. When a light in a viewbox is out, _____.


a. that light bulb must be replaced
b. all bulbs in the viewbox must be replaced
c. all the bulbs must be matched to adjacent viewboxes
d. all of the above
ANS: D
When a light in a viewbox is out, all bulbs in the viewbox must be replaced and matched to
adjacent viewboxes.

DIF: Moderate REF: page 311


OBJ: Describe the quality control tests and schedule for radiographic systems.

18. Federal law mandates that entrance skin exposure (ESE) shall not exceed _____R/min during
normal fluoroscopy.
a. 1
b. 5
c. 10
d. 20
ANS: C
Federal law mandates that exit skin exposure shall not exceed 10R/min during normal
fluoroscopy.

DIF: Moderate REF: page 311


OBJ: Describe the quality control tests and schedule for radiographic systems.

Copyright © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 18-6

19. Unlimited ESE is permitted by federal law during _____ procedures.


a. cineradiography
b. routine
c. interventional
d. C-arm
ANS: C
Unlimited ESE is permitted by federal law during cineradiography procedures.

DIF: Moderate REF: page 311


OBJ: Explain the quality control process for conventional tomography and computed
tomography.

20. Quality control testing for computerized tomography must be performed on _____ basis.
a. a daily and weekly
b. a monthly
c. an annual
d. all of the above
ANS: D
Quality control for computerized tomography must be performed on a daily, weekly,
monthly, and annual basis.

DIF: Moderate REF: page 313


OBJ: Explain the quality control process for conventional tomography and computed
tomography.

21. _____ is used to test for noise and uniformity on CT imaging systems.
a. An AAPM five-pin insert
b. A water bath
c. A wire
d. A step wedge
ANS: B
A water bath is used to test for noise and uniformity on CT imaging systems.

DIF: Moderate REF: page 311


OBJ: Discuss the quality control tests and schedule for fluoroscopy.

22. The patient dose limit for CT examinations is _____.


a. not specified
b. 1 R per slice
c. 10 R per exam
d. 100 R per exam
ANS: A
The patient dose limit for CT examinations is not specified.
DIF: Moderate REF: page 313

Copyright © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Test Bank 18-7

OBJ: Discuss the quality control tests and schedule for fluoroscopy.

23. Processor crossover racks should be cleaned on a _____ basis.


a. daily
b. weekly
c. biweekly
d. monthly
ANS: A
Processor crossover racks should be cleaned on a daily basis.

DIF: Moderate REF: page 313 OBJ: Discuss processor quality control.

24. Processors should be monitored every day for _____.


a. sensitometric measurements
b. water and chemical temperatures
c. replenishment tank levels
d. all of the above
ANS: D
Processors should be monitored every day for sensitometric measurements, water and
chemical temperatures, and replenishment tank levels.

DIF: Moderate REF: page 314 OBJ: Discuss processor quality control.

25. Following a good processor QC program reduces the need for _____ maintenance.
a. daily
b. unscheduled
c. scheduled
d. preventive
ANS: B
Following a good processor QC program reduces the need for unscheduled maintenance.

DIF: Moderate REF: page 314 OBJ: Discuss processor quality control.

Copyright © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

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