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Registry Prep
ARRT registry prep questions
78
Medical
Professional
12/05/2006

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Term
Define attenuation
Definition
The reduction of the intensity of the X-ray beam as it transverses matter
Term
Which interactions are important in radiology?
Definition
Photoelectric absorption and Compton scattering
Term
Which interaction is primarily responsible for image formation?
Definition
Photoelectric absorption
Term
What 3 end products does the photoelectric effect always yield?
Definition
Characteristic radiation, a negative ion and a positive ion.
Term
How does kVp affect photoelectric absorption?
Definition
As kVp increases photoelectric absorption decreases.
Term
Which interaction occurs with inner shell electrons of an atom?
Definition
Photoelectric absorption
Term
Which interaction does not produce a scatter photon?
Definition
Photoelectric absorption
Term
What are the effects of Compton scattering?
Definition
Film fog, accounts for most of the occupational exposure to the radiographer.
Term
How does an increase in kVp affect compton scattering?
Definition
as kVp increases, the effect of compton scattering increases.
Term
What actually happens during compton scattering?
Definition
the incident photon interacts with an outer shell electron, ejecting it from orbit.
Term
what happens during coherent scattering?
Definition
a low-energy photon interacts with a target atom.
Term
what type of radiation is formed as a result of an inner shell electron being ejected from an atom?
Definition
Charateristic
Term
what is the ALARA concept?
Definition
As Low As Reasonably Achievable
Term
what device is used to measure radiation exposure?
Definition
Ionization chamber
Term
What is the traditional unit of exposure?
Definition
Roentgen
Term
define absorbed dose
Definition
amount of energy transferred from ionizing radiation to an object.
Term
What is the traditional unit of absorbed dose?
Definition
rad
Term
what is the SI unit of absorbed dose?
Definition
gray
Term
what is the traditional unit of dose equivalent?
Definition
sievert
Term
Which unit of measurement measures the biological effectiveness of radiation?
Definition
rem, sievert
Term
to what does the acronym LET refer?
Definition
linear energy transfer
Term
Define linerar energy transfer (LET)
Definition
average energy depositer per unit path length of an object by ionizing radiation.
Term
which of the radiation units measure the effective dose for all types of ionizing radiation?
Definition
rem, sievert
Term
how many rad equal 1 gray?
Definition
100 rad=1 gray
Term
how many rem equal 1 sievert?
Definition
100 rem = 1 sievert
Term
Define genetically significant dose (GSD)
Definition
the average annual gonadal dose to members of the population who are of childbearing age
Term
Define dose limit
Definition
the upper level of ionizing radiation that will result in a negligible risk of bodily injury or genetic damage
Term
what are some characteristics of stochastic effects?
Definition
They are late effects and do not have a threshold; they are "all or nothing" effects

(Cancer, leukemia, and genetic effects)
Term
define the term nonstochastic (deterministic) effects
Definition
biologic effects of ionizing radiation the exhibit a threshold; the severity of the biologic damage increases as dose increases.
(erythmea, blood changes, epilation, cataracts)
Term
what is the occupational annual effective dose limit?
Definition
5 rem (50 mSv)
Term
what is the recommended cumulative dose limit for radiation workers by age?
Definition
1 rem age (10 mSv age)
Term
what is the monthly dose limit for exposures to the embryo/fetus?
Definition
0.05 rem (0.5 mSv)
Term
what is the total dose limit to the embryo/fetus for the entire pregnancy?
Definition
0.5 rem or 500 mR (5 mSv)
Term
where should a personnel dosimeter be worn during routine radiographic procedures?
Definition
at the level of the waist or chest (for fluoroscopy it should be worn at collar ouside the apron)
Term
define mitochondria
Definition
bean shaped structures containing enzymes that produce energy for cells
Term
which phase of mitosis is the most sensitive to radiation?
Definition
metaphase (high metabolic activity)
Term
define relative biological effectiveness (RBE)
Definition
the ability of a particular type of radiation to produce a response
Term
what is the relationship between LET and RBE?
Definition
direct- as LET increases RBE increases.
Term
which effect of ionizing radiation is most harmful to the human body?
Definition
indirect effect of ionizing radiation (because water constitutes approximately 80% of the body's total weight)
Term
Define target theory
Definition
the theory that the cell will die if inactivation of the master molecule occurs as a result of exposure to ionizing radiation.
Term
what is the law of Bergonie and Tribondeau?
Definition
the radiosensitivity of cells is directly proportional to their reproductive activity and inversly proportional to their degree of differentiation.
Term
define the term linear in the dose-response relationship
Definition
the response is directly proportional to the dose (if the dose is doubled, the response is doubled)
Term
describe the term nonlinear in the dose response relationship
Definition
the biologic effect is not directly proportional to the dose, but has a more complicated relationship to dose
Term
describe the term nonthreshold in the dose response relationsip
Definition
any dose, regardless of its size, is expected to produce a response.
Term
describe the term threshold in the dose response relationship
Definition
for a small but measureable dose there is no effect.
Term
what effects could a linear nonthreshold curve represent
Definition
leukemia, cancer, and genetic effects
Term
if the radiation effects occur within minutes or days after exposure, how are they classified?
Definition
early effects of radiation.
(acute radiation syndrome (nausea,vomiting, diarrhea, etc), local skin damage, hematologic depression, epilation, chromosome aberration, gonadal dysfunction
Term
if radiation effects are not observered for months or years, how are they classified?
Definition
delayed or late effects of radiation

(cataracts, lifespan shortening, leukemia, cancer)
Term
what is acute radiation syndrome (ARS)?
Definition
radiation sickness that is caused by a large dose of radiation to the whole body delivered in a short period of time.
Term
what are the three syndromes that fall under acute radiation syndrome (ARS)?
Definition
hematologic, gastrointestinal, and cerebrovascular
Term
how does age affect radiosensitivity of biologic tissue?
Definition
the very young and the very old are more sensitive
Term
what is the most radiosensitive system in the body?
Definition
hematopoietic
Term
what is off focus or stem radiation?
Definition
radiation emitted from parts of the tube other than the focal spot.
Term
radiation to light field congruence for PBL must be accurate to within what percentage of the SID
Definition
2%
Term
how much total filtration is required for fixed x-ray units operatin at 50-70 kVp?
Definition
1.5 mm Al eq
Term
how much total filtration is required for fixed x-ray units operating above 70 kVp?
Definition
2.5 mm Al eq
Term
what is the disadvantage of rare earth screens?
Definition
quantum mottle
Term
what is the purpose of the air gap technique?
Definition
reduces the amount of scatter reaching the film
Term
what minimum SSD should be used in radiography?
Definition
12 inches
Term
how many inches should the source to tabletop distance be for fixed fluoroscopy units?
Definition
15 inches
Term
what is the minimal source to tabletop distance for mobile fluoroscopes?
Definition
12 inches
Term
what are the cardinal rules of radiation protection?
Definition
minimize time of exposure, maximize distance, and use shielding.
Term
what is the minimum lead equivalent for protective lead gloves
Definition
minimum of 0.25 mm lead equivalent
Term
what is the minimum lead equivalency required for protective aprons worn in fluoroscopy?
Definition
pr 0.5 mm Pb (lead)
Term
what is the minimum lead equivalency required for the protective curtain on the fluoro machine?
Definition
pr 0.25 mm
Term
according to the inverse square law (ISL), if the distance is doubled, how will the intensity of the beam be affected?
Definition
the intensity of the beam will be decreased by 1/4.
Term
according to the inverse square law (ISL), if the distance is halved, how will the intensity of the beam be affected?
Definition
the intensity of the beam will be increased by 4.
Term
what length should the cord leading to the exposure switch be on a mobile radiographic unit?
Definition
6 feet or 72 inches
Term
what are some effective ways to reduce patient exposure?
Definition
use high kVp techniques, maintain processor QC, usse long SID, avoid retakes, use collimation, shield.
Term
what is the advantage of a film badge over other types of personnel dosimeters?
Definition
the processed film constitutes a permanent, legal record of exposure.
Term
what type of energy is referred to as energy in motion?
Definition
kinetic energy
Term
which type of energy is referred to as stored energy?
Definition
potential energy
Term
which electrically charged particle contains the most relative mass?
Definition
neutron
Term
in which orbital shell do electrons possess the most binding energy?
Definition
K shell.

binding energy increases as the distance between the shell and the nucleus decreases.
Term
how is an ion formed?
Definition
an electron is bombarded and ejected from a stable atom.
Term
list the two types of ionizing radiation and 2 examples of each
Definition
Electromagnetic radiation-x-rays and gamma rays

Particulate radiation- Alpha and Beta particles.
Term
state the formula for ohm's law
Definition
V=IxR (voltage = amperage x resistance)
Term
how many alternations per second occur with 60-HZ alternating current?
Definition
120
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