Radiation Protection and Legal Aspects Flashcards

1
Q

What does radiation protection mean?

A

Related to protection of people (radiation workers, members of the public, and patients undergoing radiation diagnosis and therapy) against the harmful effects of ionizing radiation

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2
Q

True or False: Radon is found naturally in the ground?

A

TRUE

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3
Q

What are the guiding principles in relation to radiation protection?

A
  • Justification
  • Optimization
  • Dose limitation
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4
Q

What does ALARA stands for?

A

As Low As Reasonably Achievable

“the radiation dose to the patient should be kept as low as possible”

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5
Q

What factors affect exposure time?

A
  • patient age
  • area to be evaluated
  • imaging receptor
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6
Q

What does collimation limit?

A

the amount of radiation, both primary and scattered to which the patient is exposed

It limits the x-ray beam to the area of interest, reducing radiation exposure to surrounding tissues and improving image quality by reducing scatter radiation.

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7
Q

What does secondary space radiation entail?

A

affects living beings on Earth, interaction of primary radiation with the atmosphere, increases with the altitude, and it is 11% of background exposure

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8
Q

What is primary space radiation composed of?

A

Subatomic particles that are in a large quantity blocked by the terrestrial electromagnetic shield.

Can be especially harmful to astronauts.

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9
Q

What is the most radioactive food that contains internal radionuclides?

A

Brazil nuts are the most radioactive everyday food.

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10
Q

Which form of medical imaging contributes the highest percentage to the average radiation dose a person is exposed to, at 47%?

A

Computed tomography (CT)

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11
Q

Patient protection guiding principles: Justification

A

Benefit of the diagnostic exposure exceeds the risk of harm

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12
Q

Patient protection guiding principles: Optimization

A

Dentists should use all possible means to reduce unnecessary exposure to their patients, staff and themselves

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13
Q

Patient protection guiding principles: Dose limitation

A

The individual effective dose shall not exceed the limits recommended by the International Commission on Radiation Protection (ICRP)

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14
Q

What is the limit for human exposure to ionizing radiation to the general public?

A

1 mSv in 1 year

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15
Q

What is the dose limit for human exposure to ionizing radiation occupationally per year?

A

20 mSv per year, on average, over a period of 5 years, with a maximum of 50 mSv per year

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16
Q

What is the dose limitation to ionizing radiation for patients?

A

There is no defined dose limit; however much exposure allows correct treatment is recommended.

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17
Q

Make up about 9% of background exposure

A

Internal radionuclides

18
Q

Makes up about 7% of background exposure

A

Terrestrial radiation

19
Q

The main concern of oral and maxillofacial radiography is the _______________

A

unlikely chance of radiation-induced cancer

20
Q

For a given x-ray beam, the intensity is inversely proportional to the _______________

A

square of the distance of the source

21
Q

The optimal operating potential of intraoral dental x-ray units is between _______________

A

60 and 70 kVp

22
Q

Recommended source to skin distance?

A

A 30cm source to skin is recommended but 20cm is acceptable.

23
Q

What is the operator’s optimal position if they cannot leave the room?

A

If unable to leave the room, the optimal position would be at 45 to 90 degrees relative to the exit path of the primary beam and a distance of 6 feet from the patient.

24
Q

Would you want a long or short PID to lower the irradiated area?

A

A long PID, to reduce the amount of divergent photon.

25
What is Hormesis?
a phenomenon in which low doses of a substance or stressor have beneficial effects, while higher doses have harmful or toxic effects.
26
T/F: You should NEVER hold the receptor in position.
TRUE
27
What is the most widely accepted hypothesis regarding low dose radiation and the one that is used for developing radiation protection measures?
LNT (Linear no-threshold) hypothesis
28
T/F: In Kentucky, we do not have to cover the body with a lead apron due to recently published studies.
FALSE. Due to KAR regulations, Kentucky doctors must still cover their patients with a lead apron DESPITE the recently published studies.
29
What guiding principle in relation to radiation protection does A.L.A.R.A. fall under?
Optimization
30
At what radiation level does cancer risk start to increase linearly?
100 mSv
31
What are the four types of background radiation?
* Radon: ~73% * Space radiation: ~11% * Internal radionuclides: ~9% * Terrestrial radiation: ~7%
32
The longer the distance between the source to the skin the .... divergent the photons will be and the .... the irradiated area.
1. the less 2. the lower
33
What protective measure document must you follow in Kentucky? (is a regulation, not recommendation)
Kentucky Administrative Regulations (KAR)
34
Should collimation be a circle or rectangle?
Rectangular -not mandatory (KY only has limit of 7cm as the maximum diameter) -round is easier to use thought -Rectangular can reduce the effective dose by as much as 80%
35
What are receptor holding devices?
* Help align the receptor precisely. * Minimizes the number of repeats you need to take (retakes).
36
What does the Linear No-Threshold (LNT) hypothesis suggest?
The LNT hypothesis suggests that there is a linear relationship between radiation dose and cancer risk even at low doses, with no safe dose below which there is no added cancer risk.
37
What are the two main sources of radiation exposure?
* Natural background radiation * Medical + other radiation (artificial)
38
What do ALARA and ALADA stand for in radiation protection?
ALARA: As Low As Reasonably Achievable ALADA: As Low As Diagnostically Acceptable
39
The operating potentials of intraoral dental x-ray units shall not be <____ kVp and should not be >____ kVp (NCRP 177)
60; 80
40
What type of barrier provides the most economical, effective, and convenient means of protection of the public & nonoperator office staff from the primary x ray beam?
Mixed barriers, such as walls.
41
What is the inverse square law?
For a given beam, the intensity is inversely proportional to the square of the distance from the source.
42
What is an individual dosimeter?
It is a type of personnel protection that records the exposure by the operator. It offers better control of what standards are being followed.