Radiology Basics Quiz

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Questions and Answers

Which factor does NOT contribute to x-ray film base-plus fog?

  • Lead shielding (correct)
  • Background radiation
  • Base tint
  • Chemical fog

Which of the following is an example of a primary radiation barrier?

  • Radiographic room walls (correct)
  • Window glass
  • Lead aprons
  • Radiographic room floor (correct)

What term describes the gradual decrease in exposure rate as an x-ray beam passes through matter?

  • Scattering
  • Attenuation (correct)
  • Penetration
  • Reflection

Which cell type exhibits the highest radiosensitivity in the body?

<p>Lymphocytes (C)</p> Signup and view all the answers

What is a parallel plate ionization chamber primarily classified as?

<p>Automatic exposure control (AEC) (B)</p> Signup and view all the answers

Which medical condition necessitates an increase in x-ray photon energy for effective imaging?

<p>Ascites (A)</p> Signup and view all the answers

Which of the following does NOT act as a secondary radiation effect?

<p>Vicarious radiation (C)</p> Signup and view all the answers

Which combination of factors can help extend the life of an X-ray tube?

<p>Minimizing exposures to a cold anode (C)</p> Signup and view all the answers

Which interaction between X-ray photons and matter involves partial transfer of photon energy to an atom?

<p>Compton scattering (B)</p> Signup and view all the answers

Which of these wall materials would not typically be used as a primary radiation barrier?

<p>Gypsum board (A)</p> Signup and view all the answers

Which cell type is least radiosensitive during fetal life?

<p>Nerve cells (B)</p> Signup and view all the answers

Which factors influence geometric unsharpness?

<p>All of the above (D)</p> Signup and view all the answers

To minimize heat generation in X-ray tubes, which technique should be preferred?

<p>High mAs with low kV (B)</p> Signup and view all the answers

What occurs to the anode surface when large exposures are made to a cold anode?

<p>It can lead to cracking of the anode (C)</p> Signup and view all the answers

Which statement about the relationship between object-image distance (OID) and magnification is accurate?

<p>OID is directly proportional to magnification (A)</p> Signup and view all the answers

What is the expected effect of increasing the focal-object distance (FOID) on magnification?

<p>Decreases magnification (A)</p> Signup and view all the answers

Where is focal-spot blur greatest in an x-ray beam?

<p>Toward the cathode end of the x-ray beam (C)</p> Signup and view all the answers

What is the primary source of occupational exposure for a radiographer?

<p>Compton scatter (B)</p> Signup and view all the answers

What is the positive electrode in an x-ray tube known as?

<p>Anode (D)</p> Signup and view all the answers

Which material is used for the focal track of the anode in an x-ray tube?

<p>Tungsten (A)</p> Signup and view all the answers

What causes the focal-spot blur in x-ray imaging?

<p>Photons emerging from a large focal spot (B)</p> Signup and view all the answers

As the source-to-image distance (SID) is increased, what happens to focal-spot blur?

<p>It decreases progressively (C)</p> Signup and view all the answers

Which component of the x-ray tube directs electrons toward the anode’s focal track?

<p>The focusing cup (A)</p> Signup and view all the answers

What type of x-ray tube contains a positive electrode and a negative electrode?

<p>Diode tube (A)</p> Signup and view all the answers

What position is used during an IVU to show the right kidney perpendicular to the image receptor?

<p>RPO position (C)</p> Signup and view all the answers

Which syndrome is characterized by median nerve impingement that leads to pain in the wrist and hand?

<p>Carpal tunnel syndrome (B)</p> Signup and view all the answers

What type of image is displayed on the computer monitor during an X-ray examination?

<p>Analog image (B)</p> Signup and view all the answers

Which process refers to ionizing radiation passing through tissue and depositing energy through ionization?

<p>Linear energy transfer (D)</p> Signup and view all the answers

Which interaction between X-ray photons and matter is most responsible for patient radiation dose?

<p>Photoelectric effect (B)</p> Signup and view all the answers

What causes crescent-shaped black marks on a chemically processed X-ray film?

<p>Bending the film during processing (D)</p> Signup and view all the answers

What is the most superior structure of the scapula?

<p>Acromion process (C)</p> Signup and view all the answers

What type of radiation interaction is primarily responsible for secondary radiation in medical imaging?

<p>Compton scattering (B)</p> Signup and view all the answers

What is the minimum total amount of aluminum filtration required in equipment operated above 70 kVp?

<p>2.5 mm (A)</p> Signup and view all the answers

Which radiologic examination is likely to result in the greatest entrance skin exposure (ESE)?

<p>Abdomen (A)</p> Signup and view all the answers

The principle stating that combinations of milliamperage and exposure time yielding the same milliampere-seconds value produce identical receptor exposures is known as what?

<p>Reciprocity law (D)</p> Signup and view all the answers

To reduce the object-to-image distance (OID) for a PA projection of the wrist, which action is most effective?

<p>Flex the metacarpophalangeal joints. (A)</p> Signup and view all the answers

How often are radiographic equipment collimators required to be evaluated?

<p>Semiannually (A)</p> Signup and view all the answers

What type of filtration includes the glass envelope and oil coolant in x-ray tubes?

<p>Inherent filtration (D)</p> Signup and view all the answers

Which of the following contributes to a higher skin dose when using x-ray equipment?

<p>Low aluminum filtration (A)</p> Signup and view all the answers

What is the function of added aluminum filtration in x-ray equipment?

<p>Reduce patient exposure to low-energy photons (B)</p> Signup and view all the answers

Flashcards

What is an Ionization Chamber?

A device that measures the amount of x-ray radiation that passes through a patient during an x-ray procedure. It's typically used to control the exposure time in automated x-ray systems.

What is the Compton Scattering interaction?

A process where a high-energy photon strikes an atom, transferring some of its energy and causing an electron to be ejected from the atom.

What is the Photoelectric Effect?

A process where a photon interacts with an atom, expending all its energy to eject an electron from the inner shell of the atom.

What is Object-to-Image Distance (OID)?

Distance between the object being x-rayed and the imaging receptor.

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What is Focal-Spot Blur?

The reduction in sharpness of an x-ray image due to the size of the x-ray source (focal spot) and the distance between the source and the object.

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What is the Minimum Filtration Requirement for X-ray Equipment?

The minimum amount of filtration required for x-ray beams operating above 70 kVp to reduce the amount of low-energy photons that are harmful to patients.

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What is Entrance Skin Exposure (ESE)?

A measure of the radiation exposure to the skin at the entrance point of an x-ray beam.

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What is the Reciprocity Law?

The relationship between the milliamperage (mA) and exposure time (seconds) in x-ray imaging, stating that different combinations of mA and time can produce the same exposure to the image receptor.

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What is Linear Energy Transfer (LET)?

The amount of energy deposited by ionizing radiation per unit length of track in a material, particularly in tissue interactions.

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What is a Primary Radiation Barrier?

A physical barrier designed to absorb primary radiation emanating from the x-ray tube, preventing it from reaching unintended areas.

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What is the Acromion Process of the Scapula?

The most superior structure of the scapula, seen when looking at it from the side.

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Study Notes

Ionization Chamber and AEC

  • A parallel plate ionization chamber serves as an Automatic Exposure Control (AEC) device, receiving charge from x-ray photons.

Extending X-ray Tube Life

  • X-ray tube life can be prolonged by minimizing heat production using low milliampere-seconds (mAs) with higher kilovoltage (kV).
  • Avoid lengthy anode rotations and ensure warm-up of the anode to prevent cracking and enhance longevity.

X-ray Photon Interactions

  • Compton scattering involves partial transfer of photon energy to the atom.
  • The photoelectric effect is most significant in contributing to patient dose during x-ray procedures.

Geometric Unsharpness

  • Influenced by object-to-image distance, source-to-object distance, and source-to-image distance, all contributing to magnification effects.

Filtration Requirements

  • A minimum of 2.5 mm aluminum filtration is mandatory for equipment operating above 70 kVp to enhance safety by removing low-energy photons.

ESE Measurement

  • The abdomen radiological examination typically delivers the highest Entrance Skin Exposure (ESE).

Reciprocity Law

  • States that combinations of milliampere and exposure time maintaining a specific mAs produce equivalent receptor exposures.

OID Reduction Techniques

  • Flexing the metacarpophalangeal joints during a PA wrist projection reduces Object-to-Image Distance (OID).

Collimator Evaluation Frequency

  • Radiographic equipment collimators should be evaluated semiannually to ensure safety and accuracy.

Carpal Tunnel Syndrome

  • This condition is characterized by median nerve impingement, resulting in pain and discomfort in the wrist and hand.

Analog vs. Digital Images

  • The x-ray image on a computer monitor is classified as an analog image, which is converted to digital data by the ADC.

Energy Transfer in Ionizing Radiation

  • Linear Energy Transfer (LET) describes the energy deposited by ionizing radiation as it interacts with tissues.

Film Processing Issues

  • Crescent-shaped black marks on x-ray films often stem from improper handling, such as acute bending.

Scapula Anatomy

  • The acromion process is the most superior structure of the scapula when viewed laterally.

Radiation Barrier Examples

  • Primary radiation barriers include radiographic room walls and floors, but not lead aprons.

Radiobiology Insights

  • Muscle and nerve cells exhibit low radiosensitivity, with lymphocytes being the most radiosensitive.

Factors Affecting X-ray Photon Energy

  • Conditions like ascites necessitate increased x-ray energy or penetration due to the higher density of body tissues.

Focal-Spot Blur

  • The greatest focal-spot blur occurs at the cathode end of the x-ray beam due to its larger projected focal spot.

Occupational Exposure

  • The primary source of occupational exposure for radiographers is Compton scatter resulting from interactions with matter during imaging.

X-ray Tube Anatomy

  • The anode serves as the positive electrode in the x-ray tube; it is primarily made of thoriated tungsten for heat management during operation.

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