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Worksheets

RAD 230 - Week 3

Total questions: 120

Worksheet time: 1hrs 8mins

Name
Class
Date
1.

Grays, or milligrays, in air are the measurement for x-ray _________ .

a)

quantity and intensity

b)

exposure and quantity

c)

intensity and exposure

d)

quantity, exposure, and intensity

2.

Standard x-ray machines produce about _____ µGya/mAs at 70 kVp measured at 100 cm SID.

a)

20

b)

50

c)

100

d)

200

3.

X-ray intensity increases in direct proportion to increases in __________.

a)

mAs

b)

kVp

c)

distance

d)

filtration

4.

Quantity refers to:

a)

kVp

b)

mAs

c)

HVL

d)

Shades of gray

5.

If the distance from the source to the image (SID) is reduced by half, how is the x-ray

intensity at the image affected?

a)

It is increased 4 times.

b)

It is doubled.

c)

It is reduced by 1/2.

d)

It is reduced by 1/4.

6.

If filter thickness is _______, then x-ray intensity is ______.

a)

reduced; reduced

b)

increased; reduced

c)

reduced; increased

d)

increased; reduced and reduced; increased

7.

A 10% increase in kVp has _______ effect on x-ray intensity than/as a 10% increase in mAs.

a)

the same

b)

much greater

c)

less

d)

much less

8.

If the quantity of electrons hitting the target is doubled, the x-ray intensity is _________.

a)

reduced by half

b)

just slightly increased

c)

increased by a factor of two

d)

increased by a factor of four

9.

If a technologist changes the technique from 70 kVp @ 200 mAs to 70 kVp @ 400 mAs, the

x-ray intensity will _______.

a)

double

b)

remain the same

c)

decrease by half

d)

increase by 1/4

10.

If the intensity of a 70 kVp exposure at 20 mAs is 1.0 mGya, what would it be at 5 mAs?

a)

0.25 mGya

b)

0.5 mGya

c)

2.0 mGya

d)

4.0 mGya

11.

If an exposure is 0.5 mGya at an SID of 40 inches, what would the exposure be at an SID of 60 inches?

a)

0.222 mGya

b)

0.333 mGya

c)

0.75 mGya

d)

1.125 mGya

12.

X-ray intensity is proportional to _______.

a)

distance

b)

kVp

c)

kVp2

d)

filtration

13.

The penetrability of an x-ray beam is called x-ray _________.

a)

quantity

b)

quality

c)

intensity

d)

energy

14.

An x-ray beam that could pass through dense tissue would have high _________.

a)

penetrability

b)

quality and quantity

c)

quantity

d)

penetrability and quality

15.

A low-quality beam would also have low _______.

a)

penetrability

b)

quantity

c)

mAs

d)

intensity

16.

Beam energy is affected by _________.

a)

mAs and distance

b)

kVp and mAs

c)

kVp and filtration

d)

filtration and mAs

17.

The half-value layer (HVL) of an x-ray beam is a measurement of beam _________.

a)

intensity

b)

energy

c)

quantity

d)

exposure

18.

Image contrast is affected by ________.

a)

beam quality

b)

kVp

c)

mAs and kVp

d)

beam quality and kVp

19.

The two primary forms of x-ray interaction in the diagnostic range are _____________ .

a)

Compton scattering and photoelectric absorption

b)

Compton scattering and pair production

c)

photoelectric absorption and coherent scattering

d)

coherent scattering and Thompson scattering

20.

An incident x-ray interacts with an atom without ionization during ______________ .

a)

photoelectric absorption

b)

Compton scattering

c)

coherent scattering

d)

pair production

21.

An outer-shell electron is ejected and the atom is ionized during _________.

a)

photoelectric interactions

b)

Compton interactions

c)

coherent scattering

d)

pair production

22.

Which x-ray interaction involves the ejection of the K-shell electron?

a)

Coherent scattering

b)

Compton interaction

c)

Pair production

d)

Photoelectric absorption

23.

The scattered x-ray from a Compton interaction usually retains _________ of the energy of the

incident photon.

a)

none

b)

little

c)

most

d)

all

24.

Compton scatter is directed at ________ angle from the incident beam.

a)

a 180ο

b)

a 90ο

c)

a 0ο

d)

any

25.

As kVp ________, the probability of photoelectric absorption ________.

a)

increases; remains the same

b)

increases; decreases

c)

decreases; decreases

d)

decreases; remains the same

26.

In __________, there is complete absorption of the incident x-ray photon.

a)

photoelectric interaction

b)

Compton interaction

c)

pair production

d)

coherent scatter

27.

_______________ occurs only at the very high energies used in radiation therapy and in nuclear

medicine P.E.T. imaging.

a)

Coherent scatter

b)

Compton scatter

c)

Photoelectric absorption

d)

Pair production

28.

Only at energies above 10 MeV can _________ take place.

a)

photodisintegration

b)

pair production

c)

Compton scatter

d)

photoelectric absorption

29.

When the mass density of the absorber is _________ , it results in ________ Compton

scatter.

a)

decreased; increased

b)

increased; increased

c)

increased; decreased

d)

decreased; decreased

30.

K-shell binding energy increases with increasing _________.

a)

mass density

b)

kVp

c)

atomic number

d)

mAs

31.

Which has the greatest mass density?

a)

Fat

b)

Soft tissue

c)

Bone

d)

Air

32.

Differential absorption in diagnostic imaging is primarily caused by _________.

a)

photoelectric absorption

b)

Compton scatter

c)

pair production

d)

All of the above

33.

Because of differential absorption, about _____% of the incident beam from the x-ray tube

contributes to the finished image.

a)

0.5

b)

1.0

c)

50

d)

95

34.

Differential absorption is dependent on all of the following, except _____________.

a)

kVp of the exposure

b)

atomic number of the absorber

c)

mass density of the absorber

d)

mAs of the exposure

35.

Attenuation is caused by __________.

a)

absorption

b)

scattering

c)

transmission

d)

absorption and scattering

36.

Barium is a good contrast agent because of its ___________.

a)

low atomic number

b)

high atomic number

c)

light color

d)

low density

37.

The use of contrast agents increases the amount of ___________.

a)

differential absorption

b)

Compton scatter

c)

photoelectric absorption

d)

differential absorption, Compton scatter and photoelectric absorption

38.

A negative contrast agent is _____.

a)

air

b)

iodine

c)

barium

d)

water

39.

Modern day computers use ________ to store information.

a)

transistors

b)

vacuum tubes

c)

silicon chips

d)

electric wires

40.

Computer hardware, categorized by its operation, includes all of the following, except __________.

a)

input processing

b)

memory

c)

storage

d)

computer programs

41.

The _______________ controls data transfer between the main memory and the input and

output hardware.

a)

flat panel display

b)

central processing unit

c)

disk drive

d)

RAM chip

42.

A CD, DVD, hard drive, flash drive, or cloud-based is used to __________.

a)

archive files

b)

process data

c)

convert data

d)

perform calculations

43.

The _______ represents zero or one.

a)

byte

b)

bit

c)

gigabyte

d)

terabyte

44.

Radio waves, light, and x-rays are all examples of ___________ energy.

a)

nuclear

b)

thermal

c)

electrical

d)

electromagnetic

45.

In the included animation, what is the x-ray interaction shown?

a)

Coherent

b)

Compton

c)

Photoelectric

d)

Pair production

46.

In the included animation, what is the x-ray interaction shown?

a)

Coherent

b)

Compton

c)

Photoelectric

d)

Pair production

47.

In the included animation, what is the x-ray interaction shown? (It's a slow animation, so be sure to watch it all!)

a)

Coherent scatter

b)

Compton scatter

c)

Photoelectric absorption

d)

Photodisintegration

48.

In the included animation, what is the x-ray interaction shown?

a)

Coherent

b)

Classical

c)

Compton

d)

Pair production

49.

What does the attached animation show?

a)

Characteristic x-ray production

b)

Bremsstrahlung x-ray production

c)

Compton scatter

d)

Coherent scatter

50.

What interactions of x-rays with matter cause ionization?

a)

Photoelectric

b)

Coherent

c)

Compton

d)

Transmission

51.

What interaction of x-ray with matter contributes the most to occupational radiation exposure?

a)

Coherent

b)

Photoelectric

c)

Compton

d)

Pair production

52.

Which x-ray interaction with matter occurs with x-ray energies below 10 keV?

a)

Compton

b)

Classical

c)

Photoelectric

d)

Photodisintegration

53.

A 70 keV x-ray ionizes an atom of barium by ejecting an O-shell electron with 12 keV of kinetic energy. If the O-shell electron has a binding energy of 0.04 keV, what is the energy of the scattered x-ray?

a)

82 keV

b)

58 keV

c)

81 keV

d)

70 keV

54.

Ionizing radiation is capable of removing _______ from atoms as it passes through the matter.

a)

neutrons

b)

protons

c)

electrons

d)

ions

55.

The biggest source of man-made ionizing radiation exposure to the public is ___________.

a)

atomic fallout

b)

diagnostic x-rays

c)

smoke detectors

d)

nuclear power plants

56.

What does ALARA mean?

a)

All Level Alert Radiation Accident

b)

As Low As Reasonably Achievable

c)

Always Leave A Restricted Area

d)

As Low As Regulations Allow

57.

FIltration is used to __________.

a)

absorb low-energy x-rays

b)

remove high-energy x-rays

c)

restrict the useful beam to the body part imaged

d)

fabricate gonadal shields

58.

Aluminum has an atomic number of 13. How many protons does it have?

a)

13

b)

26

c)

27

d)

None of the above

59.

If the wavelength of a beam of electromagnetic radiation increases by a factor of 2, then its frequency must ________.

a)

double

b)

increase four times

c)

decrease by half

d)

remain constant

60.

The reduction of radiation intensity due to scattering and absorption is called __________.

a)

reflection

b)

refraction

c)

attenuation

d)

dispersion

61.

The energy of a photon is directly proportional to its __________.

a)

amplitude

b)

frequency

c)

velocity

d)

wavelength

62.

Photons tend to interact with matter _________ their wavelength.

a)

equal in size to

b)

large in size than

c)

smaller in size than

d)

unequal in size to

63.

Photons with the highest frequencies have the _______________.

a)

highest velocity

b)

lowest energy

c)

longest wavelength

d)

shortest wavelength

64.

The three main parts of the x-ray imaging system are the _______, _______, and ____________.

a)

protective barrier

b)

operating console

c)

high voltage generator

d)

crane assembly

e)

x-ray tube

65.

The autotransformer has ______ winding(s).

a)

one

b)

two

c)

three

d)

four

66.

Thermionic emission at the filament determines the __________ across the x-ray tube during an exposure.

a)

kilovoltage

b)

milliamperage

c)

resistance

d)

magnetism

67.

A step-down transformer is located in the ________ circuit.

a)

tube

b)

timing

c)

filament

d)

rectifier

68.

If an exposure is made at 48 inches SID with 6 mAs, what mAs should be used to maintain IR exposure if the distance is increased to 72 inches to reduce magnification?

a)

12 mAs

b)

13.5 mAs

c)

3 mAs

d)

20 mAs

69.

Because of the line focus principal, the effective focal spot size decreases with decreasing _____________.

a)

target angle

b)

rotor speed

c)

window thickness

d)

space charge

70.

What is the formula for heat units for a 3Φ, 6p x-ray machine?

a)

kVp x mA x seconds

b)

1.35 x kVp x mA x seconds

c)

1.41 x kVp x mA x seconds

d)

1.66 x kVp x mA x seconds

71.

kVp can also be referred to as:

a)

quantity

b)

quality

c)

energy

d)

exposure

e)

penetrability

72.

mAs/mA can also be referred to with:

a)

energy

b)

intensity

c)

penetrability

d)

quantity

e)

exposure

73.

The x-ray beam changes as it travels through the patient by a process called:

a)

Filtration

b)

Attenuation

c)

Electrification

d)

Annihilation

74.

The intensity of radiation is inversely proportional to the square of the distance between the source of radiation and the person receiving it. This describes the:

a)

Square Law

b)

Reciprocity Law

c)

Inverse Square Law

d)

Octet Law

75.

Choose all of the following statements that are accurate pertaining to the role of kVp in radiographic image production (choose 3):

a)

As kVp is increased, penetrating ability of the x-rays increases

b)

As kVp is increased, more x-rays exit the patient to strike the image receptor

c)

As kVp is decreased, wavelength decreases

d)

As kVp increases, receptor exposure increases

e)

As kVp decreases, receptor exposure remains constant because mAs controls receptor exposure

76.

If SID is doubled, what may be said about receptor exposure?

a)

Receptor exposure doubles

b)

Receptor exposure is reduced by one half

c)

Receptor exposure is reduced by new mAs2

d)

Receptor exposure is reduced to one fourth

77.

If SID is reduced by one half, what must be done to mAs to maintain a constant receptor exposure?

a)

Reduce mAs to one fourth its original value

b)

Reduce mAs to one half its original value

c)

Increase mAs by four times its original value

d)

Increase mAs by two times its original value

78.

The use of filtration:

a)

Greatly reduces receptor exposure because of the absorption of short-wavelength x-rays

b)

Greatly reduces radiographic receptor exposure because of the absorption of high-energy x-rays

c)

Increases radiographic receptor exposure by removing long-wavelength x-rays

d)

Has little effect on receptor exposure because x-rays removed from beam are not image-producing rays

79.

Higher kVp increases the energy of the x-ray beam and will increase beam attenuation

a)

True

b)

False

80.

______ is a process whereby some of the x-ray beam will be absorbed as well as pass through the anatomic part.

a)

Transmission

b)

Differential absorption

c)

Beam Attenuation

d)

Scatter

81.

mAs directly control:

a)

The energy of the x-ray emission spectrum

b)

The quality and quantity of x-rays produced at the cathode

c)

The quality and quantity of x-rays produced at the anode

d)

The quantity of x-rays produced at the anode

82.

The x-ray emission spectrum consists of:

a)

Brems and characteristic x-rays

b)

Discrete spectrum (produced by brems rays) and continuous spectrum (produced by characteristic rays)

c)

Discrete spectrum (produced by characteristic rays) and continuous spectrum (produced by brems rays)

d)

X-rays and electrons, both part of the electromagnetic spectrum

83.

Which of the following are the two most common x-ray interactions in imaging?

a)

Photoelectric absorption

b)

Coherent scattering

c)

Compton scattering

d)

Pair production

e)

Photodisintegration

84.

What happens when you double mAs?

a)

number of projectile electrons striking the anode target doubles, therefore x-ray beam photon quantity doubles

b)

number of projectile electrons striking the anode target increases geometrically, therefore x-ray beam photon quantity increases geometrically

c)

number of projectile electrons striking the anode target is unaffected, therefore x-ray beam photon quantity is unchanged

d)

the average energy of the x-ray beam increases by a factor of 2

85.

True or false: Bremsstrahlung is one of the five basic interactions with matter.

a)

True

b)

False

86.

With Compton scattering, what happens to the scattered x-ray photon?

a)

the photon has higher energy

b)

the photon has higher frequency

c)

the photon has a longer wavelength

d)

the photon has lower velocity

e)

the photon has less mass

87.

Which contributes the most to image fog?

a)

Classical scattering

b)

Coherent scattering

c)

Compton scattering

d)

photoelectric effect

88.

During IP erasure, the IP is:

a)

scanned with a helium neon laser beam

b)

flooded with bright red light

c)

flooded with bright white light

d)

stimulated such that the electrons in the PSP emulsion move to a metastable state

89.

Film screen conventional radiography is ___________, CR (PSP) technology is ___________.

a)

digital; analog

b)

lower patient dose; higher patient dose

c)

low technique; high technique

d)

analog; digital

90.

The europium activator with barium fluorohalide in the PSP enables:

a)

lower technical factors

b)

greater stimulable light emission

c)

improved detail

d)

greater x-ray signal absorption

91.

True or false: The transistor is the most important development in the era of modern computing.

a)

True

b)

False

92.

True or false: A computer’s CPU consists of a control unit and an arithmetic/logic unit (ALU).

a)

True

b)

False

93.

kVp controls

a)

quantity

b)

filtration

c)

quality

d)

mAs

94.

True or false: Fat has a higher atomic number than bone.

a)

True

b)

False

95.

What is created as a result of a photoelectric interaction?

a)

A scattered x-ray photon

b)

A photoelectron

c)

Nothing - the photon is transmitted

d)

A positron and a negatron

96.

Laser beam diameter in CR readers is principally influential on:

a)

contrast resolution

b)

spatial resolution

c)

phosphor layer thickness

d)

fast scan speed

97.

What stimulates the phosphors in CR/PSP?

a)

bright white light

b)

x-rays

c)

laser light

d)

thermionic emission

98.

When kVp is increase, x-ray photon quantity:

a)

is increased by a factor of 2

b)

increases in direct proportion to kVp

c)

increases in proportion to kVp2

d)

is unaffected

99.

Which of the following will increase x-ray quantity?

a)

added filtration

b)

lowering mA

c)

increasing kVp

d)

cutting exposure time in half

100.

According to the 15/50% rule, a 15% increase in _______ should be accompanied by a 50% reduction in ______ to maintain the same receptor exposure.

a)

mAs; kVp

b)

kVp; mAs

c)

SID; kVp

d)

SID; mAs

101.

True or false: An aluminum filter decreases the intensity of all energies of the x-ray beam.

a)

True

b)

False

102.

Skin dose can be reduced primarily by:

a)

increasing SID

b)

increasing kVp

c)

decreasing mAs

d)

beam filter

103.

Beam hardening occurs as a result of:

a)

increasing kVP

b)

increasing mAs

c)

increasing filtration

d)

increasing SID

104.

The four principal characteristics of medical images are:

a)

spatial resolution

b)

noise

c)

contrast resolution

d)

contrast media

e)

artifacts

105.

A scanner takes an ____________photograph and turns it into a ____________ image.

a)

digital; analog

b)

algorithmic; analog

c)

analog; digital

d)

temporary; physical

106.

True or false: A stored program has instructions stored in the computer's memory.

a)

True

b)

False

107.

True or false: Radiographic images are processed by computer using batch processing.

a)

True

b)

False

108.

At an x-ray photon energy of _____, pair production can occur.

a)

1.02 keV

b)

10.2 MeV

c)

1.02 MeV

d)

102 MeV

e)

1.02 keV

109.

_____________is an interaction between high-energy x-rays and the nucleus. The x-ray is absorbed by the nucleus, and a nuclear fragment is emitted.

a)

Pair production

b)

Photodisintegration

c)

Compton scattering

d)

photoelectric absorption

110.

True or false: Radiolucent matter easily stops x-ray transmission.

a)

True

b)

False

111.

Increasing kVp increases:

a)

photoelectric absorption

b)

coherent scatter

c)

Compton scatter

d)

patient exposure

112.

As a beam passes through an absorber, the intensity is reduced due to:

a)

scatter

b)

absorption

c)

attenuation

d)

transmission

113.

True or false: In high kVp techniques for chest x-ray imaging, contrast is most dependent on patient body habitus/mass density.

a)

True

b)

False

114.

True or false: Barium is more highly visible in radiographic imaging examinations than iodine based contrast media due to differences in contrast media concentration.

a)

True

b)

False

115.

What technical factor would be best to image soft tissue because it promotes photoelectric effect in soft tissue?

a)

high kVp

b)

low kVp

c)

high mAs

d)

low mAs

116.

True or false: Air contrast studies of the large bowel take advantage of differences in mass density for optimal imaging.

a)

True

b)

False

117.

Approximately 25% of PSP latent image signal is lost after _____ hours.

a)

4

b)

6

c)

8

d)

12

118.

Added filtration + inherent filtration =

a)

complete filtration

b)

adequate filtration

c)

total filtration

d)

necessary filtration

119.

Inherent filtration in an x-ray tube is approximately:

a)

1 mm Al

b)

2 mm Al

c)

1.5 mm Al

d)

0.5 mm Al

120.

How much total filtration is required in an x-ray imaging system?

a)

0.5 mm Al

b)

1 mm Al

c)

2 mm Al

d)

2.5 mm Al