wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

X-Ray Production Review – Multiple Choice Questions

Total questions: 61

Worksheet time: 36mins

Name
Class
Date
1.

What percentage of electron interactions in the x-ray tube actually produce x-rays?

a)

1%

b)

5%

c)

25%

d)

50%

2.

What happens to most of the kinetic energy of filament electrons during x-ray production?

a)

It is converted into characteristic photons

b)

It is converted into heat

c)

It escapes the anode as scatter radiation

d)

It is absorbed by the focusing cup

3.

Which component helps dissipate the heat generated in the x-ray tube?

a)

Filament

b)

Rotating anode and oil bath

c)

Collimator blades

d)

Target window

4.

What event must occur for characteristic radiation to be produced?

a)

Outer-shell excitation

b)

Inner-shell ionization

c)

Bremsstrahlung deflection

d)

Heat generation

5.

Why are K-shell interactions in tungsten most important for diagnostic imaging?

a)

They produce the highest energy photons

b)

They produce the most photons

c)

They have the lowest binding energy

d)

They occur outside the focal track

6.

The energy of a characteristic photon is equal to:

a)

The kinetic energy of the incoming electron

b)

The speed of the deflected electron

c)

The difference between the binding energies of the involved shells

d)

The atomic number of the target material

7.

The term Bremsstrahlung means:

a)

Scattered beam

b)

Braking radiation

c)

Secondary emission

d)

Magnetic interaction

8.

The energy of a Bremsstrahlung photon depends primarily on:

a)

The binding energy of the K-shell

b)

The atomic number of tungsten only

c)

The distance the electron passes from the nucleus

d)

The number of outer-shell vacancies

9.

Which of the following best compares Bremsstrahlung and characteristic radiation?

a)

Bremsstrahlung = discrete spectrum; characteristic = continuous spectrum

b)

Bremsstrahlung = continuous spectrum; characteristic = discrete spectrum

c)

Both are continuous

d)

Both are discrete

10.

Beam quantity is defined as:

a)

The energy of x-ray photons

b)

The number of photons in the beam

c)

The wavelength of the beam

d)

The thickness of the patient

11.

Beam quality refers to:

a)

Photon number

b)

Penetrating ability or energy

c)

Filtration thickness

d)

Focal spot size

12.

Increasing filtration will:

a)

Increase both beam quality and quantity

b)

Decrease both beam quality and quantity

c)

Increase quality but decrease quantity

d)

Decrease quality but increase quantity

13.

According to the 15% rule, increasing kVp by 15% has the same effect as:

a)

Doubling mAs

b)

Halving mAs

c)

Doubling SID

d)

Halving filtration

14.

What happens to beam intensity when the SID is doubled?

a)

It doubles

b)

It is cut in half

c)

It becomes one-fourth as intense

d)

It quadruples

15.

Total filtration equals:

a)

Added + scatter

b)

Inherent + added

c)

Primary + remnant

d)

Tungsten + molybdenum

16.

The purpose of compensating filters (e.g., wedge filters) is to:

a)

Increase contrast by reducing scatter

b)

Equalize exposure across body parts of varying thickness

c)

Reduce patient dose by lowering mAs

d)

Soften the beam

17.

The half-value layer (HVL) is defined as:

a)

The beam intensity level that doubles patient exposure

b)

The thickness needed to reduce beam intensity by 50%

c)

The number of photons reaching the detector

d)

The filtration limit set by the manufacturer

18.

The x-ray beam before striking the patient is called the:

a)

Primary beam

b)

Remnant beam

c)

Exit beam

d)

Scattered beam

19.

The x-ray beam that exits the patient and exposes the image receptor is the:

a)

Primary beam

b)

Remnant beam

c)

Attenuated beam

d)

Refracted beam

20.

On an emission spectrum graph, the x-axis represents ______ and the y-axis represents ______.

a)

Photon energy; photon quantity

b)

Photon quantity; photon energy

c)

Beam intensity; wavelength

d)

Beam hardness; beam quality

21.

What percentage of interactions in the x-ray tube result in the production of x-rays?

a)

1%

b)

10%

22.

The majority of the kinetic energy from incident electrons is converted into:

a)

X-rays

b)

Heat

c)

Secondary radiation

d)

Binding energy

23.

Which design feature helps manage the large amounts of heat produced in the anode?

a)

Stationary target

b)

Rotating anode and oil cooling system

c)

Lead housing

d)

Filament coil

24.

Excessive heat during exposures can cause:

a)

Scatter radiation

b)

Pitting or cracking of the anode surface

c)

Increased beam intensity

d)

Faster exposure times

25.

Characteristic radiation occurs when:

a)

A. A filament electron passes near the nucleus

b)

B. An outer-shell electron is excited

c)

C. An inner-shell electron is ejected

d)

D. The filament overheats

26.

The resulting photon energy from a characteristic interaction equals:

a)

The sum of the two binding energies

b)

The difference between the two binding energies

c)

The kinetic energy of the incoming electron

d)

The distance from the nucleus

27.

The K-shell characteristic x-rays in tungsten are most useful because:

a)

They have low energy and high contrast

b)

They have high energy and fall within the diagnostic range

c)

They are easily filtered out by aluminum

d)

They are produced by Bremsstrahlung interactions

28.

The “characteristic cascade” refers to:

a)

The continuous photon emission from decelerating electrons

b)

The chain of electron transitions filling inner-shell vacancies

c)

The alternating changes in photon frequency

d)

The motion of electrons in the filament

29.

If a tungsten atom has a K-shell binding energy of 69 keV and an L-shell energy of 12 keV, the characteristic photon energy produced would be:

a)

81 keV

b)

57 keV

c)

12 keV

d)

69 keV

30.

“Bremsstrahlung” means:

a)

Breaking or braking radiation

b)

Characteristic energy emission

c)

Diffuse scatter

d)

Magnetic attraction

31.

Bremsstrahlung radiation is produced when:

a)

An electron collides with an inner-shell electron

b)

An electron passes near the nucleus and slows down

c)

A photon is absorbed by the anode

d)

Filtration removes low-energy photons

32.

The closer an electron passes to the nucleus during Bremsstrahlung production:

a)

The lower the photon energy

b)

The higher the photon energy

33.

Which type of radiation accounts for the majority of the x-ray beam in diagnostic imaging?

a)

Bremsstrahlung

b)

Characteristic

c)

Photoelectric

d)

Compton

34.

Which best describes the difference between Bremsstrahlung and characteristic radiation?

a)

Bremsstrahlung = discrete spectrum; characteristic = continuous

b)

Bremsstrahlung = continuous spectrum; characteristic = discrete

c)

Both are discrete

d)

Both are continuous

35.

Beam quantity refers to:

a)

Photon energy

b)

The number of photons produced

c)

Filtration thickness

d)

Focal spot size

36.

Beam quality describes:

a)

Photon number

b)

Beam energy or penetrating power

c)

Scatter reduction

d)

Target efficiency

37.

The primary factor controlling beam quantity is:

a)

kVp

b)

mAs

c)

Filtration

d)

SID

38.

The primary factor controlling beam quality is:

a)

Filtration

b)

mA

c)

kVp

d)

Exposure time

39.

Increasing kVp affects the beam by:

a)

Increasing quantity and quality

b)

Increasing quantity but decreasing quality

c)

Increasing quality but decreasing quantity

d)

Decreasing both

40.

Increasing filtration will:

a)

Increase beam quantity

b)

Decrease beam quality

c)

Decrease quantity but increase quality

d)

Decrease both

41.

The 15% rule states that increasing kVp by 15% will:

a)

Halve beam intensity

b)

Double beam intensity (same as doubling mAs)

c)

Reduce scatter

d)

Increase HVL

42.

If you double the SID, the intensity of the beam will:

a)

Double

b)

Quadruple

c)

Become one-fourth as intense

d)

Remain the same

43.

According to the inverse square law, intensity is:

4 lines
44.

Halving the distance between the tube and the image receptor will:

a)

Double the exposure

b)

Increase intensity fourfold

c)

Reduce beam intensity to one-fourth

d)

No change

45.

Inherent filtration occurs:

a)

Within the glass envelope, oil, and window of the tube

b)

After x-rays leave the tube

c)

At the collimator blades only

d)

Within compensating filters

46.

Added filtration consists of:

a)

The anode and housing

b)

Aluminum sheets added by the manufacturer or radiographer

c)

Scatter grids

d)

The patient's tissues

47.

Total filtration equals:

a)

Inherent + added

b)

Added + scatter

c)

Inherent + scatter

d)

Primary + remnant

48.

The purpose of filtration is to:

a)

Reduce patient dose by removing low-energy photons

b)

Increase the number of photons produced

c)

Soften the beam for imaging thicker parts

d)

Create characteristic radiation

49.

Increasing filtration results in which combination?

a)

↑ Quantity, ↓ Quality

b)

↓ Quantity, ↑ Quality

c)

↓ Quantity, ↓ Quality

d)

↑ Quantity, ↑ Quality

50.

Compensating filters, such as a wedge filter, are used to:

a)

Create a uniform image by compensating for body part thickness

b)

Increase contrast

c)

Reduce scatter radiation

d)

Protect the tube from heat

51.

The half-value layer (HVL) is the:

a)

Amount of filtration required to remove scatter

b)

Thickness of material that reduces beam intensity by 50%

c)

Number of photons reaching the IR

d)

Width of the emission spectrum

52.

A higher HVL value indicates:

a)

A softer beam with lower energy

b)

A harder beam with greater penetrating power

c)

Greater patient dose

d)

Lower kVp

53.

Typical diagnostic x-ray beams have HVLs of approximately:

a)

1–2 mm Al

b)

3–5 mm Al

c)

6–10 mm Al

d)

0.5–1 mm Al

54.

The x-ray beam that exits the tube before reaching the patient is the:

a)

Remnant beam

b)

Primary beam

c)

Exit beam

d)

Attenuated beam

55.

The beam that passes through the patient and exposes the image receptor is the:

a)

Remnant beam

b)

Primary beam

c)

Scatter beam

d)

Backscatter

56.

The portion of the primary beam that interacts with matter and changes direction is:

a)

Attenuated radiation

b)

Secondary or scatter radiation

c)

Bremsstrahlung

d)

Characteristic

57.

The x-axis on an x-ray emission spectrum represents:

a)

Photon quantity

b)

Photon energy

c)

Tube current

d)

Exposure time

58.

The y-axis on an emission spectrum represents:

a)

Photon quantity

b)

Photon energy

c)

Beam hardness

d)

Penetration depth

59.

Characteristic radiation on the emission spectrum appears as:

4 lines
60.

What is the correct answer?

a)

(Not shown)

b)

A series of discrete spikes or bars

c)

Random fluctuations

d)

A flat line

61.

Increasing kVp shifts the emission spectrum: What is the correct answer?

a)

Downward and to the left

b)

Upward and to the right (higher energy and quantity)

c)

Upward only

d)

To the left only