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WorksheetsRadiobiology Review
Total questions: 144
Worksheet time: 1hrs 12mins
What is efficacy?
Degree to which a study reveals absence or presence of disease
Degree to which radiation safety is implement during a study
Degree to which a diagnosis is accurately made
Degree to which hand hygiene is followed
BERT stands for:
Background Equivalent Radiation Time
Background Equal Radiation Theory
Background Equivalent Risk Theory
Sesame Street Character
It is important to modify technical factors for exams on children. Risk is approx. ___ higher for children than adults.
5X
2x
10x
3x
What are the 3 cardinal rules of radiation protection?
Time
Technical Factors
Distance
Shielding
Which type of radiation has a lower frequency?
Non-ionizing radiation
Ionizing radiation
Alpha Particles are most dangerous:
Internally
Externally
Essentially all effects of low-LET radiation impacts a living cell result from:
Direct action
Indirect action
Alpha and Beta Rays
Microwaves
What is the largest contributor to background radiation?
Radon
Gadolinium
Granite
Stars
What is the largest source of exposure to man-made ionizing radiation?
Airport security scanners
Medical radiation
Nuclear power plants
Suntan Beds
Select all that are true for an ION
Positive charge
Negative charge
Has gained or lost electrons
No charge
Which is NOT true of a Radical?
Often will not cause significant damage
Breaks chemical bonds
Highly reactive
Has an unpaired electron
Cancer and genetic effects are examples of ______ effects.
Stochastic
Non-stochastic
Deterministic
Probabilistic
"Linear non-threshold curve" implies that the biologic response to ionizing radiation is ____the dose.
Inversely proportional to
Directly proportional to
Inversely proportional to the square of
Directly proportional to the square of
Which of the following tissues contain cells that do not divide?
Adult Epithelial
Adult Muscle tissue
Adult Nervous tissue
Adult Lymphocytes
Which of the following devices contains an aluminum oxide detector?
Film badge
OSL dosimeter
Pocket dosimeter
TLD
Some consequences of ionization in human cells include:
Creation of unstable atoms
Production of free electrons
Creation of reactive free radicals capable of producing substances poisonous to the cell
For a lead apron, ____lead equivalent is the most widely used and recommended in diagnostic imaging.
0.25mm
0.5mm
1.0mm
1.5mm
For a thyroid shield, ____lead equivalent is recommended in diagnostic imaging.
0.25mm
0.5mm
1.0mm
0.35mm
Protective gloves must be ______ lead equivalent.
0.25mm
0.35mm
0.5mm
1.0mm
Three different filters are incorporated into the detector packet of the OSL dosimeter. These filters are made of:
Aluminum
Copper
Tungsten
Tin
Protective eyeglasses with optically clear lenses should contain a minimal lead equivalent protection of:
0.15mm
0.25mm
0.35mm
0.50mm
Select all that minimize dose:
Pulsed Fluoroscopy
Short patient to image intensifier distance
Short technologist to source distance
Magnification mode
Increasing kVp only
To minimize dose to a pregnant patient, what is the first step:
Collimation
Shielding
Increasing technical factors
Ensuring the bucky is alined with the tube
Reduction in dose can be achieved by:
Use of LIH
Technologist standing on Image Intensifier side
Use of Image Intensifier
Placing Tube above patient for fluoro procedures
Factors that influence extend of injury form ionizing radiation are:
Amount of body area exposed
Cell sensitivity to radiation
Age and sex
Presence of oxygen
Target Theory is essentially the idea that the cell dies if inactivation of the master molecule occurs as a result of exposure to ionizing radiation.
True
False
Examples of late biologic damage are:
Cataracts
Leukemia
Nausea/vomiting
Cerebrovascular Syndrome
As radiation dose increases, severity of early effects:
Increases
Decreases
Remains constant
Which of the following are classified as early somatic effects of ionizing radiation?
Erythema, cataract formation, cancer
Nausea, epilation, intestinal disorders
Male and female sterility, embryologic defects, cancer
Blood disorders, fever, genetic effects
If a threshold relationship exists between a radiation dose and a biologic response, even the smallest dose of ionizing radiation will have some biologic effect on a living organism.
True
False
Which of the following takes into account the potential variation in biological harm that is produced by different kinds of radiation?
Absorbed Dose
Exposure
Equivalent Dose
Effective Dose
Radiation-induced cataracts do not possess a threshold dose
True
False
Which of the following radiation quantities accounts for some biologic tissues being more sensitive to radiation than other tissues?
Absorbed Dose
Exposure
Equivalent Dose
Effective Dose
Cancer and genetic effects are examples of stochastic effects that have a threshold
True
False
According to the law of B and T, the most pronounced radiation effects occur in cells having the:
Least reproductive activity, shortest mitotic phases, and most maturity
Greatest reproductive activity, shortest mitotic phases, and most maturity
Greatest reproductive activity, longest mitotic phases, and least maturity
Least reproductive activity, shortest mitotic phases, and least maturity
Radiation from the primary beam poses the greatest occupational hazard in diagnostic radiology.
False
True
According to SC35 the effective dose limit of occupational exposure during the remainder of a pregnancy is:
4mSv
20mSv
10mSv
5mSv
For pediatric patients, a 25% decrease in peak kilovoltage is required, depending on part thickness.
True
False
Scheduling radiographers to assigned areas in a rotational pattern uses time as a means of radiation protection.
True
False
Which of the following radiation sources is the control booth barrier NOT intended to intercept?
Leakage Radiation
Secondary Radiation
Primary Radiation
Scatter Radiation
Gonadal shielding should be used to protect the reproductive organs from exposure to the useful beam:
When the reproductive organs are in or within approximately 5 cm of a properly collimated x-ray beam
Unless shielding will compromise the diagnostic value of the exam
When the radiographer chooses to substitute gonadal shielding for adequate collimation of the x-ray beam
Pediatric patients require special consideration and appropriate radiation protection procedures because they are more vulnerable to:
Late somatic and genetic effects
Early somatic effects and genetic effects
Genetic effects
Early somatic effects
A technologist should provide a personal opinion regarding medical treatment or diagnosis to a patient
True
False
What is the greatest contributor to background radiation dose?
There are firm dose limits for the amount of radiation patients may receive for each imaging procedure
True
False
How is the risk of damaging healthy biologic tissue during an x-ray exam minimized?
Use protective devices when possible
Follow established safety procedures
Use a kVp above 60 only
Education on safe operation of equipment
What stage of acute radiation syndrome occurs when outward symptoms disappear?
Latent stage
Prodromal stage
Manifest illness
All of these stages have symptoms
True or False: Gonadal shielding is the primary method of shielding your patient from unnecessary dose
True
False
A req for an abdomen has been requested by the emergency doctor on a 5-year-old child. The technologist goes onto PACS and notices that a abdomen x-ray for the same reasoning was done 1 hour prior in a different town, what should the technologist do?
Go on break so that technologist doesn't need to deal with it
Call the doctor and ask for clarification
Refuse to do the x-ray
Do the x-ray
At what minimal distance sould the radiographer stand to get the least amount of exposure during mobile radiography?
10 meters
2 meters
1 meter
3 meters
What is the estimated lethal dose for humans?
1-2 Gy
3-4 Gy
2-3 Gy
0.5-1 Gy
An x-ray exposure of 200 mR is recorded at a distance of 36 inches. If the technical factors remain the same and a distance of 72 inches is used, what will the new exposure be? Use inverse square law formula: I1/I2 = (D2)2/(D1)2
400 mR
100 mR
50 mR
800 mR
All of the following are methods that can be used to reduce repeat x-rays EXCEPT:
Selection of appropriate technical factors
Correct patient positioning
Not addressing patient artifacts
Use of immobilization devices
True or False: Oxygenated cells receive less damage from low LET radiation.
True
False
All of the following are syndromes of acute radiation syndrome EXCEPT:
Hematopoietic syndrome
Cerebrovascular syndrome
Gastrointestinal syndrome
Osseous syndrome
True or False: If restraint by a person is necessary for an examination, the radiographer should hold the patient
True
False
If a technologist initially set a technique of 80 kVp and 20 mAs but wanted to decrease the patient exposure, while maintaining image density, what would be the new kVp and mAs?
90 kVp and 15 mAs
80 kVp and 10 mAs
92 kVp and 10 mAs
92 kVp and 20 mAs
Which of the following are effects upon the body that was irradiated?
Genetic effects
Lethal dose
Systemic effects
Somatic effects
What is the major type of late somatic effects?
Carcinogenesis
Embryologic effects
Cataractogenesis
All of the above
A patient presents with minor complaints and insists something must be done. The physician orders an x-ray as a placebo. The problem with this is:
The exam is without specific efficacy
The images will not be diagnostic
The technologist should have refused performing the exam
Radiation can come in 2 forms: subatomic particles and electromagnetic waves
True
False
How is non-ionizing radiation different from ionizing radiation?
Has greater kinetic energy, disrupting more electrons
Lacks the kinetic energy to eject electrons from an atom
One is particulate and one is electromagnetic radiation
Non-ionizing causes more biologic damage
What are the 3 categories of natural radiation?
What is the purpose of B.E.R.T?
Absorption of radiation causes more damage to an organic molecule in the absence of oxygen
True
False
When ___ cells are irradiated, the damage appears in the irradiated individual.
Somatic
Reproductive
Germ
Epithelial
_____ action is more likely to occur after exposure to high-LET radiation.
Direct
Indirect
Multidirectional
No
Alpha particles are an example of ___ radiation.
High-LET
Low-LET
Non-ionizing
Electromagnetic
____ radiation causes few ionizations over a long distance.
Low-LET
High-LET
What are the primary 2 substances that produce biologic damage directly after radiation interacts with water?
Hydrogen radical
Bleach
Hydrogen peroxide
Hydroperoxyl radical
Select all that are true about nucleic acids.
Comprise 1% of the cell
Consist of 2 types: DNA & RNA
Comprise 10% of the cell
Consists of 3 types: Lipids, proteins, carbohydrates
What type of chromosome damage appears in the image?
Broken end re-arrangement without visible damage
Deletion
Restitution
Mutation
Following irradiating, the following occurs. Which type of DNA damage is present in the image?
Mutation
Covalent Cross-link
Single strand break
Deletion
Describe the Target Theory.
Normally, humans have ___pairs of chromosomes in each somatic cell.
46
23
33
21
What are considered the 'basic units of heredity'?
Centromere
Chromosomes
Atoms
Genes
DNA stands for:
Deoxyribbon antibodies
Duplicated ribonucleic acid
Deoxyribonucleic acid
Detection neutral anaylysis
Select purine nitrogenous bases.
Adenine
Guanine
Cytosine
Thymine
Students follow the same dose limits as which group?
Members of public
Radiation workers
No dose limit
Pregnant radiation workers
The annual whole body dose limit for radiation workers is:
20mSv
40mSv
10mSv
4mSv
Radiation workers who are likely to risk receiving ___% or more of the annual occupational EfD limit of 20mSv in any single year are required to be issued a dosimeter
25%
10%
1%
5%
Biologic tissue is less sensitive to radiation when it is exposed under oxygenated conditions
True
False
RBE stands for:
Real Biological Effect
Relative Biological Effectiveness
Random Biologic Effect
Relative Beam Energy
This type of dosimeter uses lithium fluoride crystals as the detecting material
TLD
OSLD
Pocket Ionization Chamber
Cutie Pie
This type of personnel dosimeter is read by a laser light and can undergo re-analysis to confirm radiation exposure received
TLD
OSLD
Pocket Ionization Chamber
GM Survey Meter
What does the shoulder portion of the cell survival curve for low-LET radiation exposure indicate?
When ___ cells are irradiated, the damage appears in the irradiated individual.
Somatic
Reproductive
Germ
Epithelial
Hematopoietic Syndrome occurs when dose to ionizing radiation falls between what range?
Whole body dose of 1-10Gy
Whole body dose of 5-10 Gy
Whole body dose of 2-6Gy
Whole body dose of 10+ Gy
Which is the most sensitive vital organ system?
Cerebrovascular
Gastrointestinal
Hematopoietic
Musculoskeletal
A high pitch, such as a pitch of >1, results in higher patient dose.
True
False
Select all that are symptoms of early tissue reactions
Nausea
Epilation
Erythema
Cataracts
Early tissue reactions occur within ____of exposure.
Minutes, hours, days, or weeks
Weeks, months or years
Months or years
Minutes or hours
As dose increases, severity of early somatic effects _____.
Decreases
Has no effect
Increases
A dose of 0.5-1Gy will have which effect on lymphocytes?
Cell count will drop to 0 within a few days
No effect, lymphocytes are radioinsensitive
Cell count will increase initially, then drastically decrease
Cell count will decline by 50%
The window of maximum sensitivity of nerve cells in an embryo-fetus is:
35-40 weeks
8-15 weeks
4-8 weeks
15-20 weeks
A dose of ___Gy may cause temporary sterility in males and females
0.5Gy
2Gy
4Gy
>1Gy
Epithelial cells are considered radiosensitive....T or F
True
False
What is the threshold for Gastrointestinal Syndrome?
10Gy
2Gy
4Gy
6Gy
What dose is required in order for Cerebrovascular Syndrome to occur?
60 Gy
50Gy
40Gy
10Gy
Death occurs within a few hours to 2-3 days after exposure with Gastrointestinal Syndrome (T or F)
True
False
A period of calm where symptoms are not visible is known as the ____response stage of ARS
Manifest Ilness
Latent
Prodromal
Transitional
What impact does filtration have on patient dose?
Removes photons leaving the patient and decreases IR exposure
Removes scatter radiation but increases dose
Removes high energy photons that increase dose
Removes low energy photons that increase dose
Which syndrome of ARS do the following symptoms indicate? Shock, lethargy, seizure, ataxia, agitation, and cranial vault edema.
Hematopoietic
Respiratory
Cerebrovascular
Gastrointestinal
Individuals usually die within 3-10 days after exposure in this particular syndrome.
Gastrointestinal
Cerebrovascular
Hematopoietic
Bone Marrow
The threshold dose for hematopoietic syndrome is 2Gy
True
False
LD 50/60 indicates lethal dose_____.
of 50mGy for 60% of population
for 50% of population within 6 months
within 50 days for 60% of population
for 50% of population within 60 days
Oxygenated cells repair themselves more efficiently than hypoxic cells
True
False
What types of effects are presumed to follow the non- threshold linear quadratic dose response curve?
Leukemia
Breast Cancer
Cataracts
Most types of cancer
10% of radiation induced damage is irreparable
True
False
What is the first step in the protection of reproductive organs?
Increase SID
Colimitation
Technical factors
Lead shielding
Periodic blood counts are still used to monitor occupational dose received by radiation workers
True
False
ARS is what type of effect?
Early stochastic
Early somatic
Late non-stochastic
Late stochastic
Late effects are the greatest concern when regarding what type of radiation?
Low-Level
High-Level
Non-ionizing
All ionizing
Select all that are types of late non-stochastic/tissue reactions
Cancer
Birth defects
Cataracts
Nausea, vomiting
What types of effects are presumed to follow the non-linear threshold dose response curve?
Hematologic depression
Skin Erythema
Cataracts
Genetic damage
Most types of cancer
Stochastic means that biological effect increases in severity as the dose increases
True
False
A common radiation related injury of radium watch-dial painters was:
Cancers to face, neck & bone
Breast cancer
Leukemia
Liver and spleen cancer
How long after irradiation does it take for late effects to show?
Months or years
Years
Weeks or months
10-15 years
What effect does an increase of kVp by 15% have on the exposure?
Half
Triple
Double
1.5x
Which formula should be used to calculate the change in mAs required whenever SID needs to be changed, if you do not want an associated decrease in density?
Inverse Square Law
Exposure Maintenance Formula
kVp Maintenance Formula
ESE Formula
What effect does an increase in filtration have on patient dose?
Higher
Lower
True or False: Computer processing can produce acceptable images even when the image is infact significantly overexposed
True
False
If the source-to-object distance increases, what effect will this have on patient dose?
Increased dose
Decreased dose
Increasing kVp will have what effect on patient dose?
Increase
Decrease
Negligible
Select all that are true about the Inverse Square Law is correct?
I2I1=D12D22
Intensity of radiation is inversely proportional to the square of the distance from the source
Intensity of radiation is directly proportional to the square of the distance from the source
I2I1=D22D12
Where does leakage radiation emerge from?
The patient
Tube housing
X-ray tube collimator
The crust of the earth
Where is a primary protective barrier located?
Parallel to the line of travel of the x-ray beam
Perpendicular to the deflected line of travel of the xray beam
Perpendicular to the line of travel of the x-ray beam
What are the walls that are not in the direct line of travel of the primary beam classified as?
Secondary barriers
Primary barriers
Tertiary barriers
Occupational barriers
What thickness of lead is required for secondary barriers?
1/16"
1/32"
1/4"
1.5"
X-rays should scatter a minimum of how many times before reaching the area behind the control panel?
4
3
2
1
What is the first step that should be taken to protect a patient from unnecessary dose?
Lead shielding
Appropriate technical factors
Correct collimation
Reduce number of images
1mm lead contact shield reduces male gonadal exposure by how much?
50-60%
90-95%
50%
70-75%
What landmark should be used when placing a male contact shield?
2.5" medial to ASIS
Greater trochanter (for Pubic Symphysis)
Lesser Tubercle (for Pubic Symphysis)
1" medial to ASIS
What is the proper lead equivalency for lead gloves?
0.5mm
0.45mm
0.35mm
0.25mm
If death occurs following exposure to radiation, the cause is usually:
Dehydration of cells
Infection & internal hemorrhage
Depletion of Leukocytes
Anemia, electrolyte imbalance and shock
.
What distance should the radiographer stand from the patient and x-ray tube during an exposure?
1 meters
2 meters
3 meters
6 meters
It is permissible for the radiographer to stand in the useful beam only when restraining a patient.
True
False
What type of radiation poses the greatest occupational hazard in radiology?
Primary beam
Scatter
Absorbed
Select the benefit of a repeat analysis program.
Causes an increase in patient exposures
Helps minimize patient exposure by improving performance
Creates overly high standards
Increases awareness of need for optimal images
What is the ideal number of lead shields that should be assigned to a portable?
3
2
1
None needed
What is the lead equivalent required for the protective lead curtain on a fluoroscopic unit?
1 mm
.25mm
.5mm
.35mm
What arrangement of a portable fluoro unit (C-arm) results in lowest dose to patient and personnel?
Tube under table
Tube over table
What is the correct definition of pitch?
Distance table travels in one 360 degree gantry rotation
Amount of gantry rotation per inch of table movement
Amount of dose used per gantry rotation
On average, children require what change to technical factors during an x-ray exam?
25% decrease mAs
15% increase mAs
25% decrease in kVP
15% decrease in kVp
