part 2

Question 1

If you have two films of a patient that demonstrate a kissing artifact, why do you suspect it could be necessary to retake the flims?

a) because the films will have too much radiographic density
b) because the area of contact will appear dull
c) because the contact areas will discolor with time
d) because kissing artifacts can be mistaken for pathologies

Answer 1

d) because kissing artifacts can be mistaken for pathologies

Question 2

If your developer smells like ammonia, what does it usually mean?

a) its too strong
b) its oxidized
c) its too weak
d) it has fixer in it

Answer 2

b) its oxidized

Question 3

Where would you place wire mesh for a wire mesh test?

a) on the collimator
b) on the cassette
c) in the cassette
d) under the cassette

Answer 3

b) on the cassette

Question 4

Which of the following is NOT one of the criteria for holding a patient?

a) never use pregnant female to hold patient
b) the holder should wear protective apron and gloves
c) only employees should hold patient
d) the holder should be over 18 yeas old

Answer 4

c) only employees should hold patient

Question 5

What is the occupational annual dose limit for whole body exposure?

a) .5 rem
b) 5 rem
c) 15 rem
d) 50 rem

Answer 5

b) 5 rem

Question 6

Lets say you have just installed an automatic processor in your dark room. Since it is a big processor you actually want it to be out of your small dark room. Which part of the processor must be in the dark room?

a) the first set of squeegee rollers
b) the temperature control
c) the electrical system
d) the transport rollers
e) the feed tray

Answer 6

e) the feed tray

Question 7

One-sixteenth inch lead is equivalent to how many inches of concrete?

a) two
b) three
c) four
d) five

Answer 7

c) four

Question 8

How will dirt on the intensifying screen appear on the exposed film?

a) white branching streaks
b) black branching streaks
c) white specks
d) black specks

Answer 8

c) white specks

Question 9

Which of the following would lead to the least exposure of a patient to ionizing radiation?

a) a grid
b) an extremity cassette
c) a dual screen system
d) an underpart filter

Answer 9

c) a dual screen system

Question 10

Which of the following effects will too fast of a film-screen combination have on the radiograph?

a) it will have a very short scale of contrast
b) it will require greater patient exposure
c) it will show a lack of penetration
d) it will demonstrate graininess

Answer 10

d) it will demonstrate graininess

Question 11

Which speed is preferred in general spinal radiography with a rare earth system?

a) 100
b) 200
c) 400
d) 800

Answer 11

c) 400

Question 12

Having a thicker phosphor layer in your screens will have which effect?

a) produce a lighter image
b) produce a clearer image
c) make the screen slower
d) make the screen faster

Answer 12

d) make the screen faster

Question 13

Your x-ray service person has told you that he has just completed a “wire mesh” test. In order to say something intelligent you have to think back to what that test is for. So tell me! What does it test anyway?

a) light leaks in the cassette
b) the speed accuracy of the screens
c) if the film and screens are spectrally matched
d) if there is good contact between the screens and film

Answer 13

d) if there is good contact between the screens and film

Question 14

Why should bad films that you have taken be destroyed?

a) they are protected by the statute of limitation law
b) they can be recycled by the film company
c) they contain poisonous material
d) they can be sold for silver

Answer 14

d) they can be sold for silver

Question 15

When using the four basic densities of x-ray interpretation, which of the following sit he second least dense?

a) air
b) metal
c) water
d) oil

Answer 15

d) oil

```
***1-air
2-oil
3-water
4-metal
least to most dense
~~~

Question 16

In inches what is the lead equivalent thickness and required for a ceiling of a single story building?

a) none
b) 1/32 inches
c) 1/16 inches
d) 1/8 inches

Answer 16

a) none

Question 17

You have decided to associate in Hygiene, Colorado with Dr. Richard D. Bruiser. Mr. Regie D. Crusher-Lasouski, Dr. Bruiser’s cousin, is the first patient Richard will let you take care of. The clinic’s policy is to take a full spine series on all patients but when looking at D. Crusher’s big belly (sometimes referred to as Milwaukee goiter) you realize that the full spine is not the way to go so you decide on sectionals. Considering the size of the Regie’s abdomen which of the following are you going to use to get a good film?

a) an under part filter
b) an air gap technique
c) a non-screen cassette
d) a high kV low mAs technique
e) a dual screen cassette with a grid

Answer 17

e) a dual screen cassette with a grid

Question 18

Black streaks randomly placed on the film is usually due to what?

a) light streak
b) static electricity
c) bending in the film
d) cracks on the screen
e) too high of a kV setting

Answer 18

b) static electricity

Question 19

Which type of film is preferred in a chiropractic office?

a) single emulsion
b) double emulsion
c) direct exposure
d) par speed exposure

Answer 19

b) double emulsion

Question 20

Which of the following advantage does a single screen cassette have?

a) increased image detail
b) increased speed
c) decreased exposure
d) decreased image latitude

Answer 20

a) increased image detail

Question 21

An arbitrary number of 100 speed screens is referred to as_____.

a) par
b) fast
c) high
d) rare earth

Answer 21

a) par

Question 22

“Rare earth” screens have which effect?

a) allows more patient motion due to increased time
b) less radiation dose to the patient
c) eliminates the need for gonad shielding
d) higher x-ray exposure to the patient

Answer 22

b) less radiation dose to the patient

Question 23

Which of the following would produce the most grain (noise) on a film?

a) using no screens
b) using par speed screens
c) using detail screens
d) using fast screen speeds

Answer 23

d) using fast screen speeds

Question 24

Which intensifying screen would give better detail?

a) larger crystals
b) thicker phosphor layer
c) a reflective layer
d) a single screen system

Answer 24

d) a single screen system

Question 25

Which color light is preferred from the intensifying screen crystals today?

a) blue
b) green
c) violet
d) blue-green

Answer 25

d) blue-green

Question 26

A 100 speed rare earth dual screen system are often used for which of the following?

a) chest
b) wrist
c) cervical spine
d) lumbo-sacral spot

Answer 26

b) wrist

Question 27

What would oxidized developer look like?

a) clear
b) yellow
c) orange
d) brown

Answer 27

d) brown

Question 28

Which of the following is true about manual processing?

a) fixing is twice as long as developing
b) washing is twice as long as developing
c) rinsing is twice as long as fixing
d) developing is twice as long as fixing

Answer 28

a) fixing is twice as long as developing

Question 29

With processing equipment, which tank contains an acidic solution?

a) developer tank
b) master tank
c) fixing tank
d) rinse tank
e) wash tank

Answer 29

c) fixing tank

Question 30

Which of the following has been the established DL for occupational exposure for the extremities?

a) 5 rads/yr
b) 15 rads/yr
c) 50 rads/yr
d) 500 rads/yr

Answer 30

c) 50 rads/yr

Question 31

How long is a doctor required to keep the records of radiation exposure on a worker in his/her office?

a) 1 year
b) 7 years
c) during current employment
d) for the lifetime of the individual

Answer 31

d) for the lifetime of the individual

Question 32

Which of the following is true about holding a patient for x-ray procedures?

a) the doctor should hold the patient
b) the holder should wear a lead apron
c) an employee should hold the patient
d) the holder can be under 18 years old
e) a pregnant patient could hold the child

Answer 32

b) the holder should wear a lead apron

Question 33

Lets say you have just associated with Dr. Bobby “the brain” Heenen in Prairie du Chien, Wisconsin who has handed you his new flash on ID printer that he just bought from his old friend Gorilla Monson. He tells you to “go put this thing where it belongs”. Where would be the best location for the printer?

a) on top of the processor
b) in “the brain’s” private office
c) next to the silver reclaimer
d) the work bench in the darkroom

Answer 33

d) the work bench in the darkroom

Question 34

Dr. Bobby, as he prefers to be called, has just employed an old former client of his “Wicked” Nick Bockwinkle to do the monthly maintenance of his automatic processor. Among other things which of the following would you expect “Wicked Nick” to do on a monthly basis?

a) remove the receiving bin
b) wipe off the densitometer
c) manually replenish the developer
d) check the sensitometer for accuracy
e) pull out all of the transport racks and clean with a brush

Answer 34

e) pull out all of the transport racks and clean with a brush

Question 35

Unprocessed rare earth film has usually what color?

a) orange
b) red
c) green
d) purple

Answer 35

d) purple

Question 36

How should unexposed x-ray film be stored?

a) with the box flat
b) with the box on end
c) in a warm room
d) in a moist environment

Answer 36

b) with the box on end

Question 37

Which of the following is the recommended intensifying screen for use in a chiropractic office?

a) calcium tungsten
b) direct exposure
c) single screen
d) rare earth

Answer 37

d) rare earth

Question 38

Which of the following contain silver halide crystals?

a) film emulsion
b) intensifying screen phosphor layer
c) film base
d) intensifying screen reflective layer

Answer 38

a) film emulsion

Question 39

Determine which of the following problems could occur if your intensifying screen is warped?

a) scratched on the film from roughened crystals
b) film pressure marks from increased contact
c) a blurry area from bad contact
d) light leak from a bent cassette back

Answer 39

c) a blurry area from bad contact

Question 40

Which part of an automatic processor is responsible for removing excess fluid as the film exits a tank?

a) transport rollers
b) master rollers
c) squeegee rollers
d) splashguards
e) circulating system

Answer 40

c) squeegee rollers

Question 41

Small white specks on the processed film usually indicate which of the following?

a) static electricity
b) dirty intensifying screen
c) warped screens or bent cassette
d) bending or crimping the film

Answer 41

b) dirty intensifying screen

Question 42

How would your processed film appear if your developer temperature was above normal and it was developed at the normal time?

a) it would have a green tint
b) it would be too light
c) it would be too dark
d) it would have brown stains

Answer 42

c) it would be too dark

Question 43

What is usually considered the optimal developing time for manual processing?

a) 2 minutes
b) 4 minutes
c) 5 minutes
d) 10 minutes

Answer 43

c) 5 minutes

Question 44

Which color safelight filter is needed for most rare earth screens?

a) green
b) blue
c) orange
d) red

Answer 44

d) red

Question 45

Of the following where would an oil density normally be found on an x-ray?

a) outlining some muscles and organs
b) within the lumen of a blood vessel
c) in the medullary canal
d) in the colon

Answer 45

a) outlining some muscles and organs

Question 46

The contrast of natural metal density and water density explains why we often see which of the following?

a) the spleen
b) ear cartilage
c) an obstructed bowel
d) an arteriosclerotic aorta
e) the large intestine with fecal material

Answer 46

d) an arteriosclerotic aorta

Question 47

If you saw the support back or hinges on a film that you took in Rad 3 lab in 6th tri what would you suspect the most common reason would be?

a) the cassette is old
b) you had too much kV
c) the grid malfunctioned
d) you put the cassette in backwards
e) you didn’t push the cassette tray all the way in

Answer 47

d) you put the cassette in backwards

Question 48

Which United States governmental agency mandates the removal of silver from a processing fluid before disposal?

a) FDA
b) EPA
c) OSHA
d) NCRP
e) USDA

Answer 48

b) EPA

Question 49

Picture this! You have purchased retired Dr. C. Googenhiem’s practice in Peculiar, Missouri. You decide to reactivate some inactive patients so you pull their old x-rays before calling them. The x-rays appear to be yellowish-brown which you determine is due to a loss of archival quality. What do you think Dr. Googenhiem did incorrectly?

a) rare earth film was used
b) the drying cycle was too short
c) the films were not washed long enough
d) an orange safelight filter was used with rare earth film
e) calcium tungstate intensifying screens were used

Answer 49

c) the films were not washed long enough

Question 50

Picture this! You have opened a new practice in Peculiar, Missouri and in comes Frazier Terwillager, a 17 year old high school student who is searching for a summer job. He wants to know if you will hire him to take x-rays for you. He is excited by the prospect but then you remember that some federal regulation may come into play. Having looked it up you tell him in order to do the radiographing he will have to do what?

a) graduate from high school first
b) take two years of liberal arts
c) x-ray all the family pets to get practice
d) wait until next summer when he is 18
e) successfully x-ray all of your body parts

Answer 50

d) wait until next summer when he is 18