Radiation Safety for Fluoroscopy – Exam to Document Knowledge - Pass Grade 75% Exam Questions Name: Date: 1. The radiation intensity striking a physician one meter from a patient is about _____ of the intensity striking the patient? 1/1000 1/100 1/10 2. Lead aprons used during fluoroscopy typically attenuate ____% of the incident radiation beam. 50 75 95 3. Early transient erythmia will become apparent at ____, peaks at ____, and fades in ____ after reaching the threshold radiation 5 minutes, 30 minutes, and several hours 6 hours, 24 hours, and several hours several hours, 24 hours, and several days several hours, 12 hours, and 1 month 4. The threshold radiation dose for early transient skin erythema is about: 100 rem 200 rem 300 rem 5. Utilizing “Last image hold” on a fluoroscopic unit will result in: Lower patient dose due to lower beam-on time No change in dose Higher dose due to more radiation required to produce this static image 6. Using the collimators to reduce the x-ray beam will _____ the patient’s risk of injury and _____ the image contrast. reduce, not change improve, reduce improve, increase reduce, improve 7. A medical physicist will re-measure typical dose rates for each fluoroscopy unit: every 6 months every year every five years 8. Magnifying the viewed area on the patient by decreasing the image intensifier field size will ______ the patient skin dose: markedly decrease not change markedly increase 9. On a large patient, the optional “high level” fluoroscopic button will increase dose rate by a factor of ____ over normal mode fluoroscopic levels 2-4 5-10 20-30 10. For a given total amount of skin radiation, small children are _____ to harmful skin effects than adults. less sensitive equally sensitive more sensitive 11. The determination of radiation induced skin injury is the total amount of dose received by all skin _____. on the patient on one limb at one skin location 12. The threshold dose for permanent depilation is about: 200 rem 400 rem 700 rem Original Release 3.2009: Reviewed & Revised 1.1.2015; Expiration Date 12.31.2017 All members of the CME Committee and anyone else in a position to control the content of this activity have no relevant financial relationships to disclose. Page 1 of 2 Radiation Safety for Fluoroscopy – Exam to Document Knowledge - Pass Grade 75% Exam Questions 13. Positioning the image intensifier closer to the patient’s skin will _______________ patient skin dose. markedly lower not change markedly raise 14. Nationwide, the most common operator error for c-arm units that unnecessarily increases maximum patient dose is: opening collimator wider than necessary selecting higher tube current during normal mode fluoroscopy placing x-ray tube too close to skin 15. The skin dose to a small child will generally be ______ the dose to an adult for the same procedure and duration. less than the same as greater than 16. Varying the x-ray beam entry point over the skin will _____________. increase the risk of injury by irradiating more skin reduce risk because any single skin area receives less radiation 17. Results from radiation monitors (PMD’S) worn outside the lead apron are posted in departments where all personnel should review their monthly radiation dose. The maximum allowed absorbed equivalent dose is __________. 5000 rem/year 5000 rem/quarter 5 rem/month 18. Slanting the x-ray beam through the patient at an oblique angle will __________ patient radiation dose. somewhat decrease not affect markedly raise 19. There is a true marked difference in skin sensitivity to radiation between the sexes. True False 20. All x-ray units can be adjusted to give lower radiation levels in exchange for: nosier images lower resolution of vessels containing contrast media prolonging the length of the procedure Original Release 3.2009: Reviewed & Revised 1.1.2015; Expiration Date 12.31.2017 All members of the CME Committee and anyone else in a position to control the content of this activity have no relevant financial relationships to disclose. Page 2 of 2