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WorksheetsRAD 255 Ch. 37 - Fluoroscopy & Digital Fluoroscopy
Total questions: 63
Worksheet time: 1hrs 3mins
Fluoroscopy differs from radiography primarily because it:
Uses higher kVp
Produces continuous images
Uses film
Eliminates scatter
Conventional fluoroscopy typically operates at:
High mA, short exposure time
Low mA, long exposure time
High mA, long exposure time
Pulsed exposure only
Image Intensifier Components: The photocathode emits electrons in proportion to:
Tube current
Incident light intensity
Patient thickness
kVp
Image Intensifier Components: The output phosphor is typically made of:
Cesium iodide
Zinc cadmium sulfide
Calcium tungstate
Selenium
Image Intensifier Components: Minification gain results from:
Reduced electron speed
Concentration of electrons onto a smaller output phosphor
Increased exposure time
Increased kVp
Brightness Gain: Brightness gain is defined as:
Minification gain × flux gain
Flux gain ÷ minification gain
Output brightness ÷ input brightness
Input brightness ÷ output brightness
Brightness Gain: Increasing image intensifier input diameter will:
Increase brightness
Increase resolution
Decrease minification gain
Decrease patient dose
Automatic Brightness Control (ABC): ABC primarily adjusts:
kVp only
mA only
kVp and/or mA
Exposure time
Automatic Brightness Control (ABC): When patient thickness increases, ABC will typically:
Reduce mA
Reduce kVp
Increase exposure factors
Shut off the beam
Digital Fluoroscopy: Digital fluoroscopy differs from conventional fluoroscopy because it:
Uses film
Uses digital detectors
Eliminates scatter
Uses higher mA
Digital Fluoroscopy: Flat-panel detectors typically use:
Cesium iodide and TFTs
Calcium tungstate
Film emulsion
Rare-earth screens
Pulsed Fluoroscopy: A pulse rate of 7.5 pulses/sec compared to 30 pulses/sec will:
Increase dose
Decrease dose
Not affect dose
Increase brightness
Pulsed Fluoroscopy: Lower pulse rates generally result in:
Increased motion blur
Increased spatial resolution
Increased contrast
Increased kVp
Last Image Hold (LIH): Last image hold:
Continues x-ray exposure
Stores the final fluoroscopic image
Increases patient dose
Improves contrast resolution
Dose & Exposure Rate: Federal regulations limit standard fluoroscopic exposure rate to:
2.5 R/min
5 R/min
10 R/min
20 R/min
High-level control fluoroscopy allows exposure rates up to:
5 R/min
10 R/min
20 R/min
50 R/min
Math & Formula-Based Questions: Exposure rate is calculated as:
Dose ÷ time
Time ÷ dose
kVp × mA
SID² ÷ mA
Math & Formula-Based Questions: If a fluoroscopic exposure is 3 R over 6 minutes, exposure rate equals:
0.25 R/min
0.5 R/min
1 R/min
2 R/min
Math & Formula-Based Questions: If exposure rate doubles, patient dose will:
Decrease
Remain constant
Double
Be eliminated
Math & Formula-Based Questions: Doubling fluoroscopy time while keeping exposure rate constant will:
Halve dose
Double dose
Eliminate dose
Reduce brightness
Magnification Mode: Magnification mode reduces:
Input phosphor size
Output phosphor size
kVp
mA
Magnification Mode: Reduced minification gain causes ABC to:
Reduce exposure
Increase exposure
Turn off beam
Reduce SID
Spatial & Contrast Resolution: Digital fluoroscopy improves contrast resolution through:
Film processing
Image averaging
Increased SID
Reduced filtration
Spatial & Contrast Resolution: Increasing kVp will generally:
Increase contrast
Decrease contrast
Not affect contrast
Eliminate scatter
Scatter & Grids: Fluoroscopy grids are used to:
Increase dose
Reduce scatter
Increase brightness
Removing the grid will:
Increase patient dose
Decrease patient dose
Increase scatter absorption
Increase contrast
Temporal resolution refers to:
Image sharpness
Motion visualization
Contrast resolution
Spatial resolution
Higher frame rates improve:
Spatial resolution
Contrast resolution
Temporal resolution
Noise
Reducing frame rate will:
Increase dose
Reduce dose
Increase blur reduction
Increase brightness
Using last image hold instead of continuous fluoro will:
Increase dose
Reduce dose
Increase scatter
Increase blur
Increasing filtration will:
Increase skin dose
Reduce patient dose
Reduce beam energy
Increase mA
Exposure rate depends most on:
Time
kVp and mA
SID only
Image matrix
Dose rate is commonly measured at:
Tabletop
Image receptor
Patient entrance skin
Control panel
Digital subtraction fluoroscopy is best for:
Bone imaging
Vascular studies
GI imaging
Chest imaging
Under-table tube design:
Increases operator exposure
Reduces operator exposure
Eliminates scatter
Increases magnification
Higher kVp fluoroscopy generally results in:
Higher contrast
Lower contrast
Increased noise
Reduced penetration
The most radiosensitive tissue during fluoro is:
Bone
Skin
Muscle
Fat
ABC failure could result in:
Underexposure only
Overexposure only
Excessive patient dose
No image
Digital fluoroscopy allows post-processing to:
Reduce patient dose after exposure
Adjust contrast and brightness
Eliminate noise completely
Increase spatial resolution beyond detector limits
Digital fluoroscopy image quality depends on:
Film processing
Detector efficiency
Developer temperature
Screen speed
Proper collimation improves:
Dose and contrast
Dose only
Contrast only
Resolution only
Reducing fluoroscopy time by 25% will:
Increase dose
Reduce dose by 25%
Reduce dose by 50%
Not affect dose
Brightness gain decreases when:
Input phosphor size decreases
Output phosphor size decreases
kVp increases
mA increases
Flat-panel detectors improve fluoroscopy by:
Increasing distortion
Eliminating ABC
Improving image uniformity
Increasing patient dose
The single most effective dose-reduction strategy in fluoroscopy is:
Increasing kVp
Using magnification
Minimizing beam-on time
Increasing mA
Using the relationship TBG=Minification Gain×Flux Gain , a fluoroscopic system has a flux gain of 60 and a minification gain of 120 . What is the total brightness gain?
180
7,200
2,000
60
Using the relationship TBG=Minification Gain×Flux Gain , a system has a minification gain of 150 and a total brightness gain of 9,000 . What is the flux gain?
60
15
9
1,350
If flux gain doubles while minification gain remains constant, total brightness gain will:
Stay the same
Be cut in half
Double
Increase fourfold
An image intensifier has an input diameter of 40 cm and an output diameter of 4 cm. Minification gain equals:
100
10
1,000
1,600
If the input phosphor is reduced from 30 cm to 15 cm (output unchanged), minification gain will:
Increase
Decrease
Stay the same
Double
What happens to minification gain when the output phosphor size increases?
Increases
Decreases
Doubles
Is unaffected
Which configuration produces the greatest minification gain?
Small input phosphor, large output phosphor
Large input phosphor, large output phosphor
Large input phosphor, small output phosphor
Equal input and output phosphor sizes
Flux gain is primarily produced by:
Reduced SID
Electron acceleration
Minification
Increased mA
If flux gain increases from 40 to 80, total brightness gain will:
Be halved
Double
Stay the same
Increase fourfold
Increasing the voltage applied to the image intensifier will cause flux gain to:
Decrease
Stay the same
Increase
Drop to zero
Which factor most directly controls flux gain?
Input phosphor diameter
Output phosphor diameter
Electron acceleration potential
SID
Typical fluoroscopic flux gain values range from approximately:
1–5
5–10
10–20
25–50
Flux gain mainly compensates for reduced image brightness caused by:
Lower spatial resolution
Reduced x-ray intensity
Increased distortion
Increased magnification
Increasing object-to-image distance (OID) will cause magnification to:
Increase
Decrease
Stay the same
Eliminate blur
Minification gain is 100 and flux gain is 40. What is total brightness gain?
4,000
140
60
2,500
If total brightness gain is 6,000 and minification gain is 120, flux gain equals:
72
50
5,000
600
If minification gain doubles while flux gain remains constant, total brightness gain will:
Be halved
Double
Quadruple
Stay the same
Which formula is correct?
TBG = MG + FG
MG = FG ÷ TBG
TBG = MG × FG
FG = MG × SID
