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Fluoro Test 080913

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13 views

Fluoro Test 080913

Uploaded by

Yikwang Tan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Fluoroscopy safety test questions.

Select the one best response below

1. All of the following statements regarding stochastic effects of radiation exposure


are true except:

a. probability of effect increases with dose


b. can lead to genomic instability
c. requires a threshold dose
d. are associated with genetic mutations
e. may promote cancer induction

2. Pregnant radiation workers are legally required to disclose their pregnancy to the
Radiation Safety Office(r).

a. true
b. false

3. As distinct from a single collar badge, using two dosimeters , i.e., “double
badging” (one collar and one body badge) of fluoroscopy personnel permits the
following:

a. more accurate measurement of “under apron” deep dose


b. an estimate of lens dose
c. measurement of both photons and beta dose
d. accurate readings despite how the badges are worn
e. an extremity dose estimate

6. At 10 inches from the patient during a fluoroscopy, the exposure rate is


40 mR/hr. If you move to a distance of 20 inches, the new exposure rate is:

a. 10 mR/hr
b. 15 mR/hr
c. 20 mR/hr
d. 30 mR/hr

Revised, 7 AUG 2013


e. 80 mR/hr

7. Protective lead (Pb) barriers include aprons and thyroid collars. Massachusetts
regulations and BWH Radiology Policy require that they be worn. An appropriate lead
equivalent thickness for these aprons is:

a. 0.05 mm
b. 0.10 mm
c. 0.50 mm
d. 2.00 mm

8. The following statements regarding ALARA notifications are true except:

a. ALARA = As Low As Reasonably Achievable


b. ALARA notices reflect a calculated radiation dose well under the MPD
c. ALARA notices are punitive and disciplinary in nature
d. ALARA notices are discussed at Radiation Safety Committee
e. ALARA notices are used as a tool to decrease staff dose.

9. How much fluoroscopy time will be required to reach a cumulative skin dose of 5 Gy
if the skin dose rate = 100 mGy/min?

a) 5 min
b) 30 min
c) 50 min
d) 100 min

10. If you hear a continuously sounding alarm only when fluoroscopy is being used, you
might assume:

a) the x-ray tube is too close to the patient


b) the high-dose-rate “boost” fluoro mode is on
c) the device must be malfunctioning
d) the x-ray tube C-arm is maximally angled

11.

Revised, 7 AUG 2013


13. The primary purpose of x-ray tube filtration is

a. to increase heat load on the x-ray tube


b. to decrease heat load on the x-ray tube
c. to reduce skin dose to the patient
d. to improve image resolution
e. to improve image contrast

14. In general, the rationale for keeping the fluoroscopy image intensifier/detector as
close to the patient as possible is to

a. reduce patient dose


b. reduce personnel dose
c. increase image magnification
d. both a. and b.
e. none of the above

15. Changing the fluoroscopy image intensifier/detector FOV from non-magnification to


magnification mode generally

a. increases patient dose while reducing region of visible anatomy


b. decreases patient dose while reducing region of visible anatomy
c. increases patient dose while increasing region of visible anatomy
d. leaves patient dose and region of visible anatomy unchanged

16. The FDA regulatory limit of entrance exposure rate (EER) for normal mode
fluoroscopy to establish compliance is .

a. 100 R/min
b. 10 R/min.
c. 1 R/min.
d. 500 mGy/min.
e. 0.5 mGy/min.

17. Which of the following is true regarding interventional procedures (i.e., PTCA, RF
ablation, etc.) performed using fluoroscopy

a. entrance skin doses never reach 1000 mGy


b. entrance skin doses can exceed 5000 mGy
c. increasing fluoroscopy time has no effect on skin dose
d. entrance skin doses typically exceed 10 Gy

Revised, 7 AUG 2013


e. entrance skin dose is not an important quantity for risk assessment during these
procedures

18. In general, with all other technical exam factors constant, increasing fluoroscopy
exposure rate .

a. decreases image quality


b. has no effect on image quality
c. improves image quality
d. reduces fluoroscopy time
d. reduces scatter radiation

19. In general, fluoroscopy exposure rate increases for a large patient compared to a small
patient because .

a. increased penetration of x-ray beam is required


b. decreased penetration of x-ray beam is required
c. an increase in scatter radiation is required
d. more x-ray photons are removed by filtration
e. x-ray beam collimation is usually increased

20. Using pulsed fluoroscopy compared to normal mode fluoroscopy results in .

a. a decrease in fluoroscopy exposure rate


b. increased scatter radiation
c. potential decrease in patient dose by 30-50%.
d. both a. and b.
e. both a. and c.

22. Pregnant patients should

a. never undergo fluoroscopy examinations.


b. always undergo fluoroscopy examinations
c. undergo fluoroscopy exams only when there is an absolute medical necessity

Revised, 7 AUG 2013


24. Congenital anomalies may arise from high dose in utero exposures which take place
during which gestational period?

a. 0-10 days
b. 2-6 weeks
c. 8-15 weeks
d. last trimester

25. Skin is considered as radiosensitive a tissue as the gonads.

a. true
b. false

Revised, 7 AUG 2013

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