Practice Test 1 Flashcards
The drug acetaminophen is classified as a(n)
antipyretic
A graphic diagram of signal values representing various densities within the part being imaged is called a
Histogram
Which of the following is (are) characteristic(s) of anemia?
- Decreased number of circulating red blood cells
- Decreased hemoglobin
- Hematuria
1 and 2 only
A positive contrast agent
- absorbs x-ray photons
- results in a dark area on the radiograph
- is composed of elements having low atomic number
1 only
It is recommended that a thermoluminescent dosimeter (TLD) or film badge be worn
outside the lead apron at collar level
Because the medial femoral condyle is further from the IR, it is magnified and will obscure the femorotibial joint space, as seen in the figure. If the CR is angled about ___________, the medial femoral condyle will be projected superiorly and superimposed on the lateral femoral condyle, thus opening the joint space.
5 degrees cephalad
Which of the following types of adult tissue is (are) comparatively insensitive to effects of ionizing radiation?
- Epithelial tissue
- Nerve tissue
- Muscle tissue
2 and 3 only
Which of the following exposures would most likely deliver the greatest dose to the thyroid?
(A) AP skull
(B) PA skull
(C) PA esophagus
(D) PA chest
(A) AP skull
The carpal scaphoid can be demonstrated in which of the following projection(s) of the wrist?
- PA oblique
- PA with radial flexion
- PA with elbow elevated 20 degrees
1 only
A patient who has been recumbent for some time and gets up quickly may suffer from light-headedness or feel faint. This is referred to as
Orthostatic hypotension
Dorsal decubitus projections of the chest are used to evaluate small amounts of
- fluid in the posterior chest
- air in the posterior chest
- fluid in the anterior chest
1 only
Which of the following is (are) evaluation criteria for a PA chest radiograph of the heart and lungs?
- Ten posterior ribs should be seen above the diaphragm.
- The medial ends of the clavicles should be equidistant from the vertebral column.
- The scapulae should be seen through the upper lung fields.
1 and 2 only
The housing surrounding an x-ray tube functions to
- retain heat within the glass envelope
- protect from electric shock
- keep leakage radiation to a minimum
2 and 3 only
When interviewing a patient, what is it that the health care professional can observe?
Objective signs
The effective energy of an x-ray beam is increased by increasing the
- added filtration
- kilovoltage
- milliamperage
1 and 2 only
Drugs that may be used to prolong blood clotting time include
- heparin
- diphenhydramine (Benadryl)
- lidocaine
1 only
Is used to treat ventricular arrhythmias
Lidocaine
Characteristics of a patient with pulmonary emphysema include
- shoulder girdle elevation
- increased AP diameter of the chest
- hyperventilation
1 and 2 only
Which among the following components is (are) part of the gantry of a CT imaging system?
- X-ray tube
- Detector array
- Control panel
1 and 2 only
Which of the following is (are) included in whole-body dose equivalents?
- Gonads
- Lens
- Extremities
1 and 2 only
Fluoroscopic skin dose is greater than radiographic skin dose because the x-ray source is much closer to the patient. The generally accepted rule is that the skin receives ____________.
2 rad/min/mA.
To radiograph an infant for suspected free air within the abdominal cavity, which of the following projections of the abdomen will demonstrate the
condition with the least patient exposure?
(A) PA erect with grid
(B) Right lateral decubitus with grid
(C) Right lateral decubitus without grid
(D) Recumbent AP without grid
(C) Right lateral decubitus without grid
Which of the following is an AP oblique projection (lateral rotation) of the elbow demonstrates?
- Radial head free of superimposition
- Capitulum of the humerus
- Olecranon process within the olecranon fossa
1 and 2 only
Which of the following x-ray circuit devices operate(s) on the principle of mutual induction?
- High-voltage transformer
- Filament transformer
- Autotransformer
1 and 2 only
Pathologic or abnormal conditions that would require an increase in exposure factors include all of the following except
(A) atelectasis
(B) pneumoperitoneum
(C) Paget disease
(D) congestive heart failure
(B) pneumoperitoneum
The risk of inoculation with HIV is considered high for which of the following entry sites?
- Broken skin
- Perinatal exposure
- Accidental needle stick
1 and 2 only
Which of the following medication routes refers to the term parenteral?
- Subcutaneous
- Intramuscular
- Oral
1 and 2 only
The RAO position can be used successfully to demonstrate the
- PA oblique sternum
- barium-filled pylorus and duodenum
- left anterior ribs
1, 2 and 3
The AP axial projection of the pulmonary apices requires the CR to be directed
15 degrees cephalad
Which of the following is an acceptable approximate entrance skin exposure (ESE) for a PA chest radiograph?
(A) 6 mR
(B) 20 mR
(C) 38 mR
(D) 0.6 R
(B) 20 mR
Typical patient demographic and examination information include(s)
- type of examination
- accession number
- date and time of examination
1, 2, and 3
Differences between body habitus types are likely to affect all the following except
(A) the size and shape of an organ
(B) the position of an organ
(C) the position of the diaphragm
(D) the degree of bone porosity
(D) the degree of bone porosity
The fact that x-ray intensity across the primary beam can vary as much as 45% describes the
anode heel effect
Another name for Hirschsprung’s disease, the most common cause of lower GI obstruction in neonates, is
congenital megacolon
Which of the following terms/units is used to express the resolution of a diagnostic image?
(A) Line pairs per millimeter (lp/mm)
(B) Speed
(C) Latitude
(D) Kiloelectronvolts (keV)
(A) Line pairs per millimeter (lp/mm)
The advantages of high-frequency generators over earlier types of generators include
- smaller size
- nearly constant potential
- lower patient dose
1, 2, and 3
A radiograph exposed using a 12:1 ratio grid may exhibit a loss of density at its lateral edges because the
SID was too great
In what order should the following examinations be scheduled?
- Upper GI
- Intravenous pyelogram (IVP)
- Barium enema (BE)
2, 3 and 1
The best projection to demonstrate the articular surfaces of the femoropatellar articulation is the
tangential (“sunrise”) projection
Which of the following is (are) valid evaluation criteria for a lateral projection of the forearm?
- The radius and the ulna should be superimposed distally.
- The coronoid process and the radial head should be partially superimposed.
- The humeral epicondyles should be superimposed.
1, 2 and 3
In amorphous selenium flat-panel detectors, the term amorphous refers to a
crystalline material lacking typical crystalline structure
The National Council on Radiation Protection and Measurements (NCRP) recommends an annual occupational effective (stochastic) dose equivalent limit of
50 mSv (5 rem)
All the following procedures demonstrate renal function except
(A) IVP
(B) descending urography
(C) retrograde urography
(D) infusion nephrotomography
(C) retrograde urography
To eject a K-shell electron from a tungsten atom, the incoming electron must have an energy of at least
70 keV
The sternoclavicular joints will be best demonstrated in which of the following positions?
(A) Apical lordotic
(B) Anterior oblique
(C) Lateral
(D) Weight-bearing
(B) Anterior oblique
The output phosphor can be coupled with the Vidicon TV camera or chargecoupled device (CCD) via
- fiber optics
- an image distributor or lens
- closed-circuit TV
1 and 2 only
The most frequent site of hospital-acquired infection is the
urinary tract
Which of the following statements is (are) true regarding the control dosimeter that accompanies each shipment of personal radiation monitors?
- It should be stored away from all radiation sources. 2. It should be stored in the main work area.
- It should be used to replace an employee’s lost monitor.
1 only
Continuous rotation of the CT x-ray tube and detector array, with simultaneous movement of the CT couch, has been accomplished through implementation of
slip rings
The late effects of radiation are considered to
- have no threshold dose
- be directly related to dose
- occur within hours of exposure
1 and 2 only
A satisfactory radiograph was made without a grid using a 72-in. SID and 8 mAs. If the distance is changed to 40 in. and an 12:1 ratio grid is added, what should be the new milliampere-seconds value?
12 mAs
* mAs1 = D1(2) \_\_\_\_\_ \_\_\_\_ mAs2 D2(2)
Which of the following involve(s) intentional misconduct?
- Invasion of privacy
- False imprisonment
- Patient sustaining injury from a fall while left unattended
1 and 2 only
The brightness level of the fluoroscopic image depends on
- milliamperage
- kilovoltage
- patient thickness
1, 2 and 3
Which of the following contribute to the radiographic contrast present in a film/screen radiograph?
- Tissue density
- Pathology
- Muscle development
1, 2 and 3
In 1906, Bergonié and Tribondeau theorized that undifferentiated cells are highly radiosensitive. Which of the following is (are) characteristic(s) of
undifferentiated cells?
- Young cells
- Highly mitotic cells
- Precursor cells
1, 2 and 3
The submentovertical (SMV) oblique axial projection of the zygomatic arches requires that the skull be rotated
15 degrees toward the affected side
The effect that differential absorption has on radiographic contrast of a high subject-contrast part can be minimized by
- using a compensating filter
- using high-kilovoltage exposure factors
- increased collimation
1 and 2 only
Has the appearance of somewhat wavy linear lines and can occur in computed radiography when using stationary grids. If the grid’s lead strip pattern (i.e., frequency) matches the scanning (sampling) pattern of the scanner/reader, the resulting interference will result in this artifact.
aliasing artifact or Moiré effect
Which of the following is most likely to occur as a result of using a 30-in. SID with a 14 × 17 in. IR to radiograph a fairly homogeneous structure?
(A) Production of quantum mottle
(B) Density variation between opposite ends of the IR (C) Production of scatter radiation fog
(D) Excessively short-scale contrast
(B) Density variation between opposite ends of the IR
Which of the following is (are) correct regarding care of protective leaded apparel?
- Lead aprons should be fluoroscoped yearly to check for cracks.
- Lead gloves should be fluoroscoped yearly to check for cracks.
- Lead aprons should be hung on appropriate racks when not in use.
1, 2 and 3
The primary function of filtration is to reduce
patient skin dose
Which of the following is (are) considered long-term somatic effect(s) of exposure to ionizing radiation?
- Life-span shortening
- Carcinogenesis
- Cataractogenesis
1, 2 and 3
Advantages of digital radiography (DR) over computed radiography (CR) include
- DR is less expensive
- DR has immediate readout
- Cassettes are not needed for DR
2 and 3 only
The collimator light and actual irradiated area must be accurate to within
2% of the SID
All the following statements regarding the bony thorax are true except
(A) the first seven pairs of ribs are referred to as vertebrosternal, or true, ribs
(B) the only articulation between the thorax and the upper extremity is the stern-oclavicular joint
(C) the gladiolus is the upper part of the sternum and is quadrilateral in shape
(D) the anterior ends of the ribs are about 4 in. below the level of the vertebral ends
(C) the gladiolus is the upper part of the sternum and is quadrilateral in shape
Several types of exposure timers may be found on x-ray equipment. Which of the following types of timers is the most accurate?
(A) Synchronous
(B) Impulse
(C) Electronic
(D) Transformer
(C) Electronic
The two types of cells in the body are
somatic and genetic
The lesser tubercle of the humerus will be visualized in profile in the
AP shoulder internal rotation radiograph
Which one of the following is (are) used to control the production of scattered radiation?
- Collimators
- Optimal kV
- Use of grids
1 and 2 only