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Computed and Digital Radiography

Total questions: 80

Worksheet time: 1hrs 1mins

Name
Class
Date
1.

What year was Digital subtraction angiography (DSA) discovered?

a)

1980

b)

1987

c)

1967

d)

1977

2.

1980 is the year where

a)

Charge-coupled device (CCD) slot-scan

direct radiography (DR) is discovered

b)

Use of Amorphous selenium–based image plates

c)

Computed radiography (CR), storage

phosphors is discovered

d)

Dynamic flat-panel detector fluoroscopy–

digital subtraction angiography

3.

Amorphous selenium–based image plates was used during this year

a)

1977

b)

1987

c)

1980

d)

1995

4.

1990 is the birth of

a)

Charge-coupled device (CCD) slot-scan

direct radiography (DR)

b)

Amorphous selenium–based image plates

c)

Selenium drum DR

d)

Dynamic flat-panel detector fluoroscopy–

digital subtraction angiography

5.

In 1994, a drum Direct Radiology (DR) emerged for imaging with ___________ as its main component

a)

Calcium

b)

silicon–cesium iodide

c)

Gadolinium

d)

Selenium

6.

Amorphous silicon–cesium iodide (scintillator)

flat-panel detector was developed in _______________

a)

1995

b)

1985

c)

1994

d)

1997

7.

Use of Gadolinium-based (scintillator) portable

flat-panel detector has emerged during this year

a)

1997

b)

2001

c)

1995

d)

1995

8.

Gadolinium-based (scintillator) flat-panel

detector was used in _______

a)

1995

b)

1990

c)

1997

d)

1994

9.

In 1995, what is the component of the flat panel detector used?

a)

Selenium and Calcium

b)

Gadolinium and Amorphous silicon–cesium iodide (scintillator)

c)

Selenium and Gadolinium

d)

Amorphous silicon–cesium iodide (scintillator) and Selenium

10.

Photostimulable phosphor (PSP) imaging is better known as

a)

Conventional radiography

b)

Computed Radiography (CR)

c)

Direct Digital Radiography

d)

Indirect Digital Radiography

11.

CR system consists of the following except

a)

Photomultiplier tube (PMT), ADC (analoge to digital converter)

b)

Image reader/digitizer/scanner

c)

Image plate (photostimulable phosphor) PSP

d)

X ray or gamma ray source

e)

HIS

12.

The fundamental innovations in the development of CR was by ___________ who conceived the storage of an X ray image in a phosphor screen.

a)

Fuji

b)

Kodak

c)

Agfa

d)

Panasonic

13.

The fundamental innovations in the development of CR was by a Carestream staff ( ___________ in ______) who conceived the storage of an X ray image in a

phosphor screen.

a)

Muckey in 1985

b)

Luckey in 1985

c)

Muckey in 1975

d)

Luckey in 1975

14.

Storage of an X ray image in a

phosphor screen was later used as a significant technical steps and conceptualization of the

application of CR by _______________

a)

Agfa

b)

Carestream

c)

Kodak

d)

Fuji

15.

The main developer of CR in the eighties

a)

Agfa

b)

Fuji

c)

Carestream

d)

Kodak

16.

Kotera et al where the the main developer of CR in _________

a)

1970

b)

1980

c)

1990

d)

20th century

17.

The CR plate or IR has a thin layer of phosphor grains called

a)

Barium Fluorohalide Phosphor

b)

Photostimulable Phosphor (PSP)

c)

Polyester Support Phosphor

d)

Photomultiplier Tube (PMT)

18.

A latent image is created in the form of “stored energy”. Latent image is

a)

visible image

b)

invisible image

c)

manifest image

d)

high quality image

19.

Stimulation with a scanning laser beam releases

a)

protons

b)

electrons

c)

stored energy

d)

neutrons

20.

Typical wavelength of the stimulating laser is

a)

633 mm

b)

623 nm

c)

623 mm

d)

633 nm

21.

Typical wavelength of the emitted light is

a)

390 mm

b)

390 nm

c)

340 nm

d)

340 mm

22.

The emitted light intensity is _______________ to

the original incident X-ray intensity

a)

inversely proportional

b)

directly proportional

c)

no effect

d)

greater

23.

The light is collected by a light guide and transmitted to a highly sensitive analog device known as

a)

Photomultiplier Tube (PMT)

b)

Analog-to-Digital converter (ADC).

c)

focused laser beam

d)

Photostimulable Phosphor (PSP)

24.

During which the trapped electrons absorb the laser energy and they emit _________ light with intensity proportional to the amount of radiation received during the exposure as they return to their ground state.

a)

red

b)

blue

c)

orange

d)

green

25.

Then a specialized machine known as a scanner/digitizer is then used to read out the latent image from the plate by stimulating it with a very finely focused __________

beam.

a)

laser

b)

xray

c)

phosphor

d)

intensifying screen

26.

Before exposing the cassette, the patient

demographic and exam data is stored on the

microchip attached on cassette thru the

a)

Digitizer

b)

Processing Server

c)

Patient ID Station

d)

Laser Camera

27.

2 or more CR casettes can be accommodated for processing using

a)

single loader scanner

b)

multi loader scanner

c)

single patient ID workstation

d)

multi patient ID workstation

28.

In the digitizer, this ____________ light energy is

converted to _______________ which are

then digitized to produce digital images

a)

red - electrons

b)

blue - electrons

c)

blue - electrical signals

d)

red - electrical signals

29.

After exposure and scanning, the phosphor

plate is "erased" by exposing to a ____________ light

exposure within the digitizer

a)

red

b)

blue

c)

orange

d)

bright

30.

Imaging Plates are known to last more

than ___________ Exposure Cycles

a)

5,000

b)

50,000

c)

500,000

d)

1 million

31.

Does CR require X-ray machine replacement?

a)

No but requires software update of the X-ray equipment

b)

It depends on the system

c)

YES, CR does not support existing X-ray equipment

d)

No, CR uses the existing X-ray equipment

32.

Which of the following statement is a FACT?

a)

One CR system can support one x-ray

room

b)

Two CR system can support multiple x-ray

rooms

c)

One CR system can support multiple x-ray

rooms

d)

Two CR system can only support one x-ray

rooms

33.

Which is the correct CR workflow?

a)

Exposure ---> IR ---> Patient ID ---> Digitizer ---> Network

b)

Patient ID ---> IR ---> Exposure ---> Digitizer ---> Network

c)

IR ---> Exposure ---> Patient ID ---> Digitizer ---> Network

d)

Digitizer ---> Network ---> IR ---> Exposure ---> Patient ID

34.

All of the following statement is an advantage of CR except:

a)

Faster image receptor, so lower patient dose is possible.

b)

Post-processing ,manipulation & storage of images.

c)

Repeat examinations are reduced due to wide exposure latitude.

d)

Dose-creep : since , exposure latitude is wide , high exposure technique is

used which increases the patient dose

which is called dose-creep.

e)

Ability to produce consistent high quality images.

35.

What materials does Photostimulable luminescence use?

a)

Barium Fluro cyanide with europium

b)

Barium Fluro halide with euphorium (BaFBr; Eu or BaFI:Eu)

c)

Barium Fluro halide with europium (BaFBr; Eu or BaFI:Eu)

d)

Barium Sulfate with europium (BaS; Eu or BaS:Eu)

36.

Film-screen combination is an image receptor (IR) for

a)

Computed Radiography

b)

Direct Digital Radiography

c)

Traditional Radiography

d)

Indirect Digital Radiography

37.

Darkroom : Conventional Radiography

______________________ : Digital Radiography

a)

Automatic Processor

b)

Digitizer

c)

Digital Imager

d)

Scanner

38.

When using a Screen-Film combination, output is evaluated through a

a)

Processing Server

b)

Patient ID

c)

Negatoscope

d)

Computer with viewing/ analysis software

39.

All of the following are archived using a PACS (Picture archiving and communication system) except:

a)

Direct Digital Radiography

b)

Indirect Digital Radiography

c)

Computed Radiography

d)

Conventional Radiography

40.

For one to access an image in CR or DR, one must have a

a)

user account in HIS

b)

user account in RIS

c)

user account in PACS

d)

super power

41.

Which of the following system has a higher likelihood of getting lost during archiving:

a)

Indirect Digital Radiography

b)

Conventional Radiography

c)

CR

d)

Direct Digital Radiography

42.

To avoid artifacts in films, it must be stored in the right

a)

Temperature

b)

Humidity

c)

Filing System

d)

All except Filing System

43.

Which requires an entire new system during migration, update or change in facility?

a)

Conventional Radiography

b)

Digital Radiography

c)

CR

d)

Traditional Radiography

44.

Which is the cost-efficient system over time?

a)

Conventional Radiography

b)

Indirect Digital Radiography

c)

CR

d)

Direct Digital Radiography

45.

Which is the following system is not penetrated thru hacking?

a)

Computed Radiography

b)

Indirect Digital Radiography

c)

Conventional Radiography

d)

Direct Digital Radiography

46.

Which is the following system has the longest processing time?

a)

Computed Radiography

b)

Indirect Digital Radiography

c)

Conventional Radiography

d)

Direct Digital Radiography

47.

Which Image Receptor (IR) cannot be re-used?

a)

Computed Radiography

b)

Conventional Radiography

c)

Direct DR

d)

Indirect DR

48.

Which is the following system is prone to artifacts?

a)

Computed Radiography

b)

Indirect Digital Radiography

c)

Conventional Radiography

d)

Direct Digital Radiography

49.

Which can be processed manually or thru automatic processor?

a)

Conventional Radiography

b)

Digital Radiography

c)

Computed Radiography

d)

Traditional Radiography

50.

Which requires a bigger facility?

a)

Indirect DR

b)

Direct DR

c)

CR

d)

Traditional Radiography

51.

In PSP or CR cassette, this thin layer of transparent film that

protects the phosphor.

a)

Polyester Support Layer

b)

Protective Layer

c)

Backing Layer

d)

Light reflective Layer

52.

In PSP or CR cassette, this is a closely dispersed

of fine-grained, Photostimulable europium-activated, barium Fluor halide crystals, that store the latent image until released when re-stimulated during processing.

a)

Polyester Support Layer

b)

Protective Layer

c)

Barium Fluor halide Phosphor Layer

d)

Light reflective Layer

53.

In PSP or CR cassette, this layer increases the intensity of

light being emitted from the crystals by reflecting it back

toward the reader, instead of it being absorbed.

a)

Polyester Support Layer

b)

Protective Layer

c)

Barium Fluor halide Phosphor Layer

d)

Light reflective Layer

54.

In PSP or CR cassette, this light absorbing layer is made up

of conductive needle-like crystals that absorb any unreflected light as well as any electrostatic charges.

a)

Polyester Support Layer

b)

Backing Layer

c)

Conductive Layer

d)

Light reflective Layer

55.

In PSP or CR cassette, this layer is made from a polyester material, this layer gives structural rigidity and a base for the coating of all of the other layers. Polyester is used because of its excellent stabilities well as its durability and flexibility

a)

Polyester Support Layer

b)

Backing Layer

c)

Conductive Layer

d)

Light reflective Layer

56.

In PSP or CR cassette, this layer is made of carbon particle layer that prevents the light from leaking from the rear of the imaging

plate

a)

Polyester Support Layer

b)

Backing Layer

c)

Conductive Layer

d)

Light Shielding Layer

57.

In PSP or CR cassette, this is a protective layer made from a soft polymer that prevents scratching when the plates are stacked during the manufacturing process.

a)

Polyester Support Layer

b)

Backing Layer

c)

Conductive Layer

d)

Light Shielding Layer

58.

In a CR System, when the X-ray is absorbed by the material, absorbed energy excites the europium atoms, causing ionization of Eu atom.

a)

True

b)

False

59.

In a CR system, specialized cassettes should be read out up to _____________ hours after exposure due to the thermal motion the trapped electrons will slowly be liberated

from the traps.

a)

4

b)

6

c)

8

d)

10

60.

In a CR system, a ____________________ useful for light detection of very weak signals, is a photo emissive device in which the absorption of a photon results in the emission of

an electron.

a)

Laser Light

b)

A photomultiplier tube (PMT)

c)

Farbzentren center

d)

Photodiode

61.

In a CR system, Frosting happens if the residual latent image remained so it should be removed by flooding with intense white light.

a)

True

b)

False

62.

CR technology can be considered as the digital replacement of conventional X-ray film.

a)

True

b)

False

63.

In a CR and DR system, repeat examinations are reduced due to wide exposure latitude.

a)

True

b)

False

64.

With the use of specializeed cassette, a CR system there has an increased savings than DR system.

a)

True

b)

False

65.

Since, exposure latitude is wide in a CR system, high exposure technique is used which increases the patient dose which is called dose-creep.

a)

True

b)

False

66.

The following are limitations of conventional radiography except:

a)

One has to choose between good contrast and good latitude

b)

Image cannot be adjusted once taken

c)

Decreased time to acquire images thereby increasing patient throughput in medical diagnosis.

d)

Require space for dark room and film/chemicals storage..

67.

The following are limitations of conventional radiography except:

a)

Films cannot tolerate a wide range in radiation exposure (OD - log E curve)

b)

Global data exchange via a local network and/or the Internet

c)

Films cannot tolerate a wide range in radiation exposure (OD - log E curve)

d)

Require space for dark room and film/chemicals storage..

68.

In computed radiography, the imaging plates are inserted in a radiographic table’s cassette holder and are exposed to X-rays or ____________

a)

Radioactive source

b)

Gamma Rays

c)

Magnetic Field

d)

Ultraviolet rays

69.

The energy of the incoming radiation is stored in a special phosphor layer, electrons in the phosphor plate are excited into a higher energy state, forming a ____________ image.

a)

Manifest

b)

Latent

c)

Visible

d)

Compressed

70.

During which the trapped electrons absorb the laser energy and they emit blue light with intensity proportional to the amount of radiation received during the exposure as they return to their ground state. This happens in a _____________

a)

Direct Digital Radiography

b)

Indirect Digital Radiography

c)

CR

d)

Conventional Radiography

71.

CR system consists of the following except:

a)

Image reader/digitizer/scanner

b)

Photomultiplier tube (PMT), ADC (analoge to digital converter)

c)

Image plate (photostimulable phosphor) PSP

d)

Film

e)

X ray or gamma ray source

72.

Image reader/digitizer/scanner can be Single-plate readers or Multiple-plate readers

a)

True

b)

False

73.

Imaging plates can typically be used up to ______________ times or more depending on the application.

a)

100

b)

10,000

c)

1,000

d)

1,000,000

74.

In a CR system, the digital image is then produced in __________ seconds and downloaded to an image-processing

system, usually a computer workstation, for display and manipulation.

a)

30-90

b)

30-120

c)

60-120

d)

60-150

75.

The CR plates are usually 2 mm thick and are coated with Europium activated fluorohalide compounds in crystalline formation embedded in organic

binding material.

a)

True

b)

False

76.

The purpose of patient ID station

a)

stores image

b)

display image

c)

stores patient demographic and exam data

d)

sends images

77.

The function of digitizer

a)

stores patient data

b)

produces digitized image

c)

bright light is produced and converted to electrical signal

d)

blue light is produced and converted to electrical signal

78.

Film-screen imaging is erasable?

a)

Yes

b)

No

79.

PSP imaging is erasable?

a)

Yes

b)

No

80.

Detector DR imaging is erasable?

a)

Yes

b)

No