Practice Exam 2 Flashcards
Europium-activated barium fluorohalide is associated with
PSP storage plates
For which of the following can a radiographer be found liable for a negligent tort?
- Radiographer images the wrong forearm.
- Patient is injured while being positioned on the x-ray table.
- Radiographer fails to question patient about possible pregnancy before performing x-ray examination.
1, 2, and 3
The image intensifier’s input phosphor differs from the output phosphor in that the input phosphor
is much larger than the output phosphor
As the CR laser scanner/reader recognizes the phosphostimulated luminescence (PSL) released by the PSP storage plate, it constructs a graphic representation of pixel value distribution called a
histogram
An accurately positioned oblique projection of the first through fourth lumbar vertebrae will demonstrate the classic “Scotty dog.” What bony structure does the Scotty dog’s neck represent?
Pars interarticularis
How is source-to-image distance (SID) related to exposure rate and radiographic density?
As SID increases, exposure rate decreases and radiographic density decreases.
What information must be included on an x-ray image for it to be considered as legitimate legal evidence?
- Name of facility where examination performed
- Examination date
- Date of birth
1 and 2 only
The principal late effects of ionizing radiation on humans include
- local tissue damage
- genetic effects
- malignant disease
2 and 3 only
Which of the following procedures requires that contrast medium be injected into the ureters?
(A) Cystogram
(B) Urethrogram
(C) Retrograde pyelogram
(D) Cystourethrogram
(C) Retrograde pyelogram
The roentgen is the unit of
ionization in air
Which of the following combinations would pose the least hazard to a particular anode?
(A) 0.6-mm focal spot, 75 kVp, 30 mAs
(B) 0.6-mm focal spot, 85 kVp, 15 mAs
(C) 1.2-mm focal spot, 75 kVp, 30 mAs
(D) 1.2-mm focal spot, 85 kVp, 15 mAs
(D) 1.2-mm focal spot, 85 kVp, 15 mAs
The CR should be directed to the center of the part of greatest interest to avoid
rotation distortion
Federal regulations regarding infection control in the workplace, as amended by the Occupational Safety and Health Administration (OSHA), make which of the following requirements?
- Hepatitis B immunizations must be made available to all hospital employees.
- Puncture-proof containers must be provided for all used needles.
- Follow-up care must be provided to any staff accidentally exposed to blood splash/needle stick.
2 and 3 only
Imperfect expansion of the lungs, often accompanied by dyspnea, is called
atelectasis
Which of the following radiologic examinations requires preparation consisting of a low-residue diet, cathartics, and enemas?
(A) Upper GI series
(B) Small bowel series
(C) Barium enema (BE)
(D) Intravenous (IV) cystogram
(C) Barium enema (BE)
The exposure timer settings on three-phase radiographic equipment must be tested annually and must be accurate to within
+/– 5%
Which of the following is (are) feature(s) of fluoroscopic equipment that are designed especially to eliminate unnecessary radiation to patient and personnel?
- Protective curtain
- Filtration
- Collimation
1, 2 and 3
Which of the following will best demonstrate the lumbosacral junction in the AP position?
(A) CR perpendicular to L3
(B) CR perpendicular to L5–S1
(C) CR caudad 30–35 degrees
(D) CR cephalad 30–35 degrees
(D) CR cephalad 30–35 degrees
Which of the following projections require(s) that the shoulder be placed in external rotation?
- AP humerus
- Lateral forearm
- Lateral humerus
1 only
During endoscopic retrograde cholangiopancreatography (ERCP) examination, contrast medium is injected into the
common bile duct
Which of the following is (are) well demonstrated in the oblique position of the cervical vertebrae?
- Intervertebral foramina
- Disk spaces
- Apophyseal joints
1 only
Which of the following is most likely to produce a high-quality image?
(A) Small image matrix
(B) High signal-to-noise ratio (SNR)
(C) Large pixel size
(D) Low resolution
(B) High signal-to-noise ratio (SNR)
A decrease from 90 to 77 kVp will result in a decrease in which of the following?
- Wavelength
- Scale of grays
- Optical density
2 and 3 only
Terms that refer to size distortion include
- magnification
- attenuation
- elongation
1 only
Advantages of high-frequency generators include
- small size
- decreased patient dose
- nearly constant potential
1, 2, and 3
Biologic material is most sensitive to radiation exposure under which of the following conditions?
(A) Anoxic
(B) Hypoxic
(C) Oxygenated
(D) Deoxygenated
(C) Oxygenated
Which of the following is the preferred scheduling sequence?
(A) Lower GI series, abdomen ultrasound, upper GI series
(B) Abdomen ultrasound, lower GI series, upper GI series
(C) Abdomen ultrasound, upper GI series, lower GI series
(D) Upper GI series, lower GI series, abdomen ultrasound
(B) Abdomen ultrasound, lower GI series, upper GI series
The RAO position is used to project the sternum to the left of the thoracic vertebrae in order to take advantage of
heart shadow
How would the introduction of a 6-in. OID affect image contrast?
Contrast would be increased.
The AP axial projection of the chest for pulmonary apices
- requires 15 to 20 degrees of cephalad angulation
- projects the apices above the clavicles
- should demonstrate the medial ends of the clavicles equidistant from the vertebral column
1 and 3 only
Rapid onset of severe respiratory or cardiovascular symptoms after ingestion or injection of a drug, vaccine, contrast agent, or food or after an insect bite best describes
anaphylaxis
Electronic imaging terms used to indicate the intensity of radiation reaching the IR include
- exposure index
- sensitivity (S) number
- field of view (FOV)
1 and 2 only
The patient usually is required to drink barium sulfate suspension in order to demonstrate which of the following structures?
- Descending duodenum
- Ilium
- Splenic flexure
1 only
What lies immediately under the phosphor layer of a PSP storage plate?
Reflective layer
Which of the following positions would best demonstrate the lumbar intervertebral joints and foramina?
(A) LPO
(B) RPO
(C) Lateral
(D) PA
(C) Lateral
The National Council on Radiation Protection and Measurements (NCRP) has recommended what total equivalent dose limit to the embryo/fetus?
5.0 mSv
Fluids and medications are administered to patients intravenously for which of the following reasons?
- To promote rapid response
- To administer parenteral nutrition
- To achieve a local effect
1 and 2 only
Which of the following is (are) tested as part of a QC program?
- Beam alignment
- Reproducibility
- Linearity
1, 2, and 3
The line-focus principle refers to the fact that
the actual focal spot is larger than the effective focal spot
Which of the following effects does an antibiotic have on the body?
(A) Decreases pain
(B) Helps delay clotting
(C) Increases urine output
(D) Combats bacterial growth
(D) Combats bacterial growth
The roentgen, as a unit of measurement, expresses
exposure in air
Which of the following can affect histogram appearance?
- Centering accuracy
- Positioning accuracy
- Processing algorithm accuracy
1, 2, and 3
Bone densitometry is often performed to
- measure degree of bone (de)mineralization
- evaluate results of osteoporosis treatment/therapy 3. evaluate condition of soft tissue adjacent to bone
1 and 2 only
Indirect modes of disease transmission include
- airborne
- fomite
- vector
1, 2, and 3
If a patient received 0.9 rad during a 3-minute fluoroscopic examination, what was the dose rate?
300 mrad/min
An increase from 78 to 92 kVp will result in a decrease in which of the following?
- Wavelength
- Beam intensity
- Scale of grays
1 only
The total number of x-ray photons produced at the target is contingent on the
- tube current
- target material
- square of the kilovoltage
1, 2, and 3
Major effect(s) of irradiation of macromolecules include(s)
- point lesions
- cross-linking
- main-chain scission
1, 2, and 3
All of the following cells/tissue are correctly described as somatic except
(A) muscle
(B) bone
(C) spermatozoa
(D) neuron
(C) spermatozoa
An animal host of an infectious organism that transmits the infection via a bite or sting is a
vector
If the exposure rate at 2.0 m from a source of radiation is 18 mR/min, what will be the exposure rate at 5 m from the source?
2.8 mR/min
Which of the following will increase patient dose during fluoroscopy?
- Decreasing the SSD
- Using 2.5 mm Al filtration
- Restricting tabletop intensity to less than 10 R/min
1 only
An axial projection of the clavicle is often helpful in demonstrating a fracture that is not visualized using a perpendicular CR. When examining the clavicle in the PA position, how is the CR directed for the axial projection?
Caudad
An exposure was made using 600 mA, 0.04-s exposure, and 85 kVp. Each of the following changes will serve to decrease the radiographic density by onehalf except change to
18 mAs
All the following are rules of good body mechanics except
(A) keep back straight, avoid twisting
(B) keep the load close to the body
(C) push, do not pull, the load
(D) keep a narrow base of support
(D) keep a narrow base of support
Which of the following is (are) accurate positioning or evaluation criteria for an AP projection of the normal knee?
- Femorotibial interspaces equal bilaterally.
- Patella superimposed on distal tibia.
- CR enters ½ in. distal to base of patella.
1 and 2 only
The source-to-table distance in fixed/stationary fluoroscopy must
be at least 15 in.
Which of the following artifacts is occasionally associated with the use of grids in digital imaging?
(A) Incomplete erasure
(B) Aliasing
(C) Image fading
(D) Vignetting
(B) Aliasing
Images useful in demonstrating postspinal fusion degree of motion include
- AP flexion and extension
- lateral flexion and extension
- AP right and left bending
2 and 3 only
A blowout fracture usually occurs in which aspect of the orbital wall?
Inferior
The condition in which pulmonary alveoli lose their elasticity and become permanently inflated, causing the patient to consciously exhale, is
emphysema
Tungsten alloy is the usual choice of target material for radiographic equipment because it
- has a high atomic number
- has a high melting point
- can readily dissipate heat
1, 2, and 3
The portion of a hypodermic needle that attaches to the syringe is termed its
hub
X-ray tube life may be extended by
- using low-milliampere-seconds/high-kilovoltage exposure factors
- avoiding lengthy anode rotation
- avoiding exposures to a cold anode
1, 2 and 3
Gonadal shielding should be provided for male patients in which of the following examinations?
- Femur
- Abdomen
- Pelvis
1, 2, and 3
An automatic exposure control (AEC) device can operate on which of the following principles?
- A photomultiplier tube charged by a fluorescent screen
- A parallel-plate ionization chamber charged by x-ray photons
- Motion of magnetic fields inducing current in a conductor
1 and 2 only
Which of the following pathologic conditions require(s) a decrease in exposure factors?
- Pneumothorax
- Emphysema
- Multiple myeloma
1, 2, and 3
Which interaction between x-ray photons and matter involves partial transfer of the incident photon energy to the involved atom?
Compton scattering
It is essential to question female patients of childbearing age regarding the
- date of their last menstrual period
- possibility of their being pregnant
- number of x-ray examinations they have had in the past 12 months
1 and 2 only
Geometric unsharpness is influenced by which of the following?
- Distance from object to image
- Distance from source to object
- Distance from source to image
1, 2 and 3