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Med rad sciences
Final
60
Medical
Undergraduate 1
05/08/2012

Additional Medical Flashcards

 


 

Cards

Term

Quality Control techhniques are concerned directly with:

 

a) equipment testing and maintenance

b) management concepts

c) film quality

d) organizational features of the department

Definition
a) equipment testing and maintenance
Term

Which of the following is concerned with the administration aspects of a QA Program?

 

a)Quality Control techniques

b) quality Assurance

c) Tolerance limits

d)the FDA

Definition
b) quality assurance
Term

The concept which indicates that everyone in a organization is responsible for the quality of the product is:

a) QC

b) QA

c) TQM

d) CQI

Definition
c) TQM- Total Quality Management ... Deming coined the term...
Term
What does CQI stand for and what does it mean?
Definition
Continuous Quality Improvement.. is the notion that QA/QC should be ongoing.
Term

What is the ultimate goal of a Quality Assurance program?

 

a) the ensure safety

b) to ensure accurate and timely diagnosis and treatment at a minimum dose to patient

c) to ensure images are without flaws

d) To ensure staff do not surf the net while on shift

Definition
b) to ensure accurate and timely diagnosis and treatment at a minimum dose to patient
Term
Name three radiographic variables affecting image quality.
Definition
Resolution, noise, and speed.
Term

In general the responsibility for quality control rests upon:

a) all technologists

b) the medical physicist

c) the biomedical engineering technologist

d) all of the above

Definition
d) all of the above
Term

Components of a radiographic imaging department which require QC monitoring are:

a) cassettes and grids

b) processors and view boxes

c) the x-ray unit itself

d) all of the above

Definition
d) all of the above
Term

The acceptance critiria or tolerance limit in a QC program are based on:

 

a) objective data

b) subjective data

c) the results of research studies

d) all are correct

Definition
d) all are correct
Term

The benefits of a QA program include all of the following except:

 

a) cost control to patient and hospital

b) dose savings to patient and personnel

c)maintenance and improvement of image quality standards

d) ensure that technologists are doing the best possible radiography

Definition
d) ensure that technologists are doing the best possible radiography
Term

Warm-up procedure must be repeated:

 

a) after three hours.

b) if the equipment is left idle for an extended period of time.

c)first thing in the morning only.

Definition
b) if the equipment is left idle for an extended period of time.
Term

Poor screen contact will create images with:

 

a) poor contrast

b) increased image unsharpness

c) out 4 sides of collimation

d) small white dots

Definition
b) increased image unsharpness
Term

Poor film-screen contact can be due to :

 

a) air trapped between the screen and film

b) foreign material on the screen

c) damaged cassettes and latches

d) all of the above

Definition
d) all of the above
Term
Who is responsible for daily inspection and erasure of cassettes?
Definition
The Technologist
Term
Who is responsible for quality control tests involving radiation measurements and non-invasive adjustments?
Definition
The physicist
Term

PACS is a computer system that: (pick all that apply)

 

a) captures medical images from imaging modalities.

b) Stores medical images.

c) displays medical images.

d) Communicates medical images.

Definition
a,b,c & d
Term

Which of the following represents the point of entry of images to a PACS?

 

a) Interface

b) PACS Controller

c) Imaging Modality

d) Hospital information system

Definition
c) imaging modality
Term

Image data sets are described in terms of:

(choose all that apply)

 

a) Matrix size

b) spatial resolution.

c) bit depth

d) number of slices.

Definition
a,b,c & d
Term

The transfer and sharing of information among several computers is a function carried out by:

 

a) storage devices.

b) display work stations.

c) servers and routers.

d) LANS and WANS

Definition
d) LANS and WANS
Term
What is LAN?
Definition
Local Area network- refers to computers that are connected by a short distance such as in a radiographic department, within a building or a building beside.
Term
What is WAN?
Definition
Wide Area Network- connects computers that are separated by a large distance - another province city or neighbourhood .. the internet is a example of a WAN.
Term
What is RIS?
Definition
Radiology Information System-
Term
What is Pacs ?
Definition
PACS refers to a computer system, that is used to capture, store, distribute, and then display medical images. For diagnostic imaging applications, PACS technology can be utilized to achieve near filmless operation.
Term
What is HIS ?
Definition
Hospital information system -used to collect, store, process, retrieve and communicate patient care and administrative information for all hospital- affiliated activities and to satisfy the functional requirements of all authorized users.
Term
What are some functions performed by RIS?
Definition
patient registration. film archiving, exam scheduling, patient tracking, report generation, administration and billing documentation, inventory control, department statistics, communication standards
Term
What is DICOM ?
Definition
DICOM is a data standard that deals with the exchange of images in the radiology department.
Term

The rate at which data is transferred over a computer network is referred to as the:

 

a)bandwidth.

b) node.

c) bus rate.

d) transmission control protocol.

Definition
a) bandwidth
Term

Which of the following is a communication protocol used in a PACS environment?

 

a) TCP/IP

b)DICOM

c) HL-7

d) all are correct

Definition
b)DICOM
Term

Two characteristics of a digital image that place great demands on storage requirements and transmission speed are:

 

a) matrix size and bit depth.

b) matrix size and the shape of the pixel.

c) length and width of the pixels.

d) rows and columns of the matrix.

Definition
a) matrix size and bit depth.
Term

what is Raid?

 

1) A system of magnetic or optical disks that can act as a large disk drive.

2) An automated library system or "jukebox"

3)Redundant Array of Inexpensive disks

4)Redundant Array of Independant Disks

 

a)3 only

b)4 only

c)1,2,and 3

d)1,2,and 4

Definition
d)Redundant Array of Independant Disks -A system of magnetic or optical disks that can act as a large disk drive and an automated library system or "jukebox"
Term

Which type of PACS display workstation must be used for primary diagnosis?

 

a) high-resolution workstation

b) medium-resolution workstation.

c) desk top workstation.

d) hardcopy workstation for image printing

Definition
a) high-resolution workstation
Term

The following are considered information systems except:

 

a) PACS

b) image acquisition

c) RIS/HIS

d) voice-recoqnition system

Definition
b) image acquisition
Term

Which of the following information systems support the medical and administrative activities of the imaging department in a hospital?

 

a) PACS

b) HIS

c) RIS

d) image acquisition modalities

Definition
c) RIS
Term

Integrating the Healthcare Enterprise (IHE) deals with efforts to: (choose as many as apply)

a) foster communications between information systems and PACS vendors to integrate the use of standards such as DICOM and HI-7.

b) enhance access to clinical patient information and to facilitate integrity of this information.

c) eliminate data redundancy between information systems and PACS.

d) increase the pace of healthcare enterprise integration.

Definition
a,b,c,and d
Term
which type of storage devise has limited storage capacity?
a) magnetic disks
b) magnetic tapes
c) optical disks
d) RAM
Definition
d) RAM
Term
Why is a film-contact test important?
a) To ensure correct diagnosis
b) To save hospital money
c) For hospital accreditation
d) To provide additional work for the QC technologist
Definition
a) to ensure correct diagnosis
Term
Which of the following is used to check film-screen contact?

a) Densitometer
b) Sensitometer
c) A fine wire mesh screen
d) 8 pennies
Definition
c) A fine wire mesh screen
Term
Poor film-screen contact will create:


a) poor contrast resolution
b) increased image unsharpness
c) noise
d) too much subject contrast
Definition
b) increased image unsharpness
Term
The acceptance criteria for film-screen contact test is all of the following except:

a)the film must be viewed from about a 3 inch distance

b) small areas of poor contrast along the edges may have to be accepted

c) large central ares of poor contact indicate the need for corrective action

d) small ares of poor contact in the upper-right hand corner of the film may have to be accepted
Definition
a) the film must be viewed from about a 3 inch distance
Term
The primary purpose of the collimatation is to:

a) improve image quality

b) protect the patient from radiation

c) to protect the technologist

d) to increase the mean energy of the beam
Definition
b) protect the patient from radiation
Term
The acceptance criteria for the collimator test include all of the following except:

a) +/- 2% of the SID

b) +/- 2 cm (1 penny)for an 100 cm SID

c) proper alignment is evident when 1/2 a penny is included in or excluded from the collimated field

d) proper alignment is evident when 2 pennies are included in or excluded from the X-ray beam
Definition
d) proper alignment is evident when 2 pennies are included in or excluded from the X-ray beam
Term
In the Uniformity QC test on a CR imaging plate, what is the criteria for acceptance

a) no residual image
b) uniform image w/o artifacts

c) clear evidence of the anode effect

d) Uniforn expose w/o artifacts, but may visualize anode heel effect
Definition
d) Uniforn expose w/o artifacts, but may visualize anode heel effect
Term
What is being tested in the Dark Noise QC test for CR systems?

a) The noise at various beam intensities

b) the noise present in the system

c) the noise from scatter from a phantom

d) photon noise
Definition
b) the noise present in the system
Term
The spatial accuracy test for CR systems is done with what tool?

a) stepwedge

b) sensitometer

c) wire mesh-screen

d) lead apron
Definition
c) wire mesh-screen
Term
What is the qualitative criteria for acceptance when doing a Erasure Thoroughness test for CR?

a) Absence of aliasing after exposure is erased

b) Absence Grid pattern distortion

c) Absence of ghost image of stepwedge from the first exposure in the re-exposed image.

d) absence of a ghost image of the most recent exam on CR plate after it has been processed and re-exposed
Definition
c) Absence of ghost image of stepwedge from the first exposure in the re-exposed image.
Term
Should the use of cassettes be rotated?
Definition
Yes
Term
How often should all cassettes be put through erasure?
a) weekly

b) daily


c) 48 hrs to 1 week

d) when ever a plate is suspected of being exposed to scatter or direct radiation

e) a) and d)

f)c) and d)
Definition
f)c) and d)

c) 48 hrs to 1 week

d) when ever a plate is suspected of being exposed to scatter or direct radiation
Term
Cassettes should be stored on edge and away from direct sunlight or direct or indirect radiation


TRUE/FALSE
Definition
TRUE
Term
Cassettes should be cleaned with distilled water only.

TRUE /FALSE
Definition
FALSE

ONLY Approved IP cleaner
Term
What is the purpose of a Repeat-Reject film analysis?

a) Decrease patient exposures

b) Improve department efficiency

c) Reduce costs of films

d) Check the efficiency of the technologists

1) a only

B) a and b

C) a,b and c

D) a,b,c and d
Definition
C) a,b and c
Term
Which of the following refers to a film that has been labeled "useless" and to be discarded?

a) repeat film

b) Reject film

c) Bad film

d) Terrible film

1) a only
2) a and b
3) a,b and c
4) all are correct
Definition
2) a and b
Term
A Retake film refers to:

a) repeat film

b) Reject film

c) Bad film

d) Terrible film
Definition
a) repeat film
Term
When conducting a Repeat Film Analysis, films are categorized according to several reasons for repeating. Which of the following are used to categorize repeat films? (pick all that apply)

a) Artifacts

b)Overexposure and underexposure

c) Blurring due to motion of the patient

d) Poor positioning

e) all of the above
Definition
e) all of the above
Term
What is the tolerance limit for the overall reject rate?

a) 20%

b) <10%

c) 10%

d) <20%
Definition
b) <10%
Term
Lead drapes affixed to the image intensifier, should have ______ mm lead equivalence at 100 kV and must be placed between the _______ and _________in the room.

a) .5, tube, the patient

b) 0.25, patient, any personnel

c) 0.50, tube, any personnel

d) 0.50, the patient, any personnel
Definition
b) 0.25, patient, any personnel
Term
In an under table radioscopic system, the shielding covering the cassette holder entrance should provide equivalent protection of at least ______ mm of lead at 100 kV.

a) 0.25

b) 0.35

c) 0.50
Definition
c) 0.50
Term
What is used to measure MAKR?
Definition
An Ionization Chamber
Term
What is MAKR?

a) Maximun Air Kilovolts Readings

b) Maximum Air Kerma Rate

c) Maximum Air Kerma Rate, and is the new acronym to replace MER

d) Maximum Entrance Rate in french
Definition
c) Maximum Air Kerma Rate, and is the new acronym to replace MER
Term
Name three elements upon which Radiology personnel practices would have an effect on a QA program.
Definition
Information Quality
Clinical efficiency
Patient dose
Term
benifits of a QA program:

a) reduction in chemicals used (film)

b) reduction of wear and tear on equipment.

c) better patient flow

d) Less misdiagnosis

e) better patient care/ reduced long term medical care.

f) all the above
Definition
f) all the above
Note SC-35 names only a,b and c
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