CRIS TEST ACTUAL 2025/2026 QUESTIONS AND 100% CORRECT ANSWERS

CRIS TEST ACTUAL 2025/2026
QUESTIONS AND 100% CORRECT
ANSWERS


CRIS Certification Practice Exam
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Domain 1: Clinical Informatics & Workflow (20%)
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1. In a modern Radiology Department, the primary purpose of integrating a "rules eng
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ine" into the Clinical Information System (CIS) is to:
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a) Automate patient scheduling and registration.
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b) Provide decision support for appropriate imaging criteria and alerts (e.g., redundant exams
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).
c) Generate billing codes automatically based on the final report.
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d) Enable remote access to images for referring physicians.
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Correct Answer: b mn mn




2. When a CT scanner sends images to the PACS, the HL7 interface primarily handles t
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he _______ while DICOM handles the _______.
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a) Image compression; scheduling information.
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b) Patient demographics and order data; image pixel data and metadata.
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c) Structured reports; raw projection data.
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d) Worklist population; billing information.
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Correct Answer: b mn mn




3. A radiologist notices that a critical finding is not being flagged in the EMR for the r
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eferring physician. Which workflow step is most likely the point of failure?
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a) Image acquisition.
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b) DICOM Q/R (Query/Retrieve) process.
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c) HL7 ADT (Admit, Discharge, Transfer) message.
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d) The report reconciliation and auto-flagging interface.
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Correct Answer: d mn mn

,4. In the context of the COVID-
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19 pandemic or future health crises, a CRIS must ensure the system can handle a surg
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e in demand for "virtual reading rooms." This primarily tests the resilience of the:
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a) Storage Area Network (SAN).
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b) VPN and Remote Desktop Gateway infrastructure.
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c) Dictation system's speech recognition engine.
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d) HL7 interface engine.
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Correct Answer: b mn mn




5. The process of using a patient's prior imaging studies to auto-
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populate a current comparison report is an example of:
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a) Natural Language Processing (NLP).
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b) IHE (Integrating the Healthcare Enterprise) BPPC (Basic Patient Privacy Consents).
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c) Automated index linking via the Master Patient Index (MPI).
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d) DICOM Structured Reporting (SR).
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Correct Answer: a mn mn




Domain 2: System Acquisition, Integration & Implementation (20%)
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6. During the "RFP" (Request for Proposal) phase for a new PACS, which is the MOST
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critical technical requirement to evaluate regarding system interoperability?
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a) The vendor's corporate financial stability.
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b) The ability to scale storage to 10 Petabytes.
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c) Conformance to IHE (Integrating the Healthcare Enterprise) profiles.
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d) The color of the user interface skin.
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Correct Answer: c mn mn




7. A "Go-
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Live" strategy that involves replacing the entire old system with the new system overn
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ight is known as a:
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a) Phased rollout.
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b) Pilot implementation.
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c) Big Bang implementation.
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d) Parallel adoption.
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Correct Answer: c mn mn

,8. In an HL7 ADT message, the "PV1" segment is crucial for the radiology workflow b
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ecause it contains:
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a) The patient's insurance details.
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b) The patient's clinical history.
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c) The patient's location (e.g., Emergency Room, Inpatient Bed).
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d) The referring physician's DEA number.
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Correct Answer: c mn mn




9. When migrating legacy imaging data to a new vendor-
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neutral archive (VNA), the most complex and labor-intensive task is typically:
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a) The physical shipment of tapes.
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b) The creation of new storage volumes.
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c) Reconciling and mapping prior DICOM UIDs and study descriptions.
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d) Setting up the new SSL certificates.
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Correct Answer: c mn mn




10. Which methodology is best suited for managing a PACS upgrade project with chan
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ging requirements and rapid feedback cycles?
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a) Waterfall.
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b) Agile (Scrum/Kanban).
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c) Six Sigma (DMAIC).
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d) PRINCE2.
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Correct Answer: b mn mn




Domain 3: System Security, HIPAA & Compliance (20%)
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11. A radiologist leaves a workstation logged in and walks away. A visitor looks at a p
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atient's images. According to HIPAA, this is a violation of:
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a) The Minimum Necessary standard.
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b) The Security Rule's Technical Safeguards (specifically, automatic logoff).
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c) The Privacy Rule's Administrative Requirements.
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d) The HITECH Act meaningful use requirements.
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Correct Answer: b mn mn

, 12. To ensure data integrity for images stored in the cloud, a CRIS should implement
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which security control?
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a) WPA3 encryption for wireless transfers.
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b) Geographically redundant storage.
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c) Hashing (e.g., SHA-256) to verify files have not been altered.
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d) Two-factor authentication for the cloud portal.
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Correct Answer: c mn mn




13. In response to a data breach involving 600 patient records, HIPAA requires that th
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e HHS Secretary and affected individuals be notified:
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a) Within 5 days.
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b) Within 30 days.
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c) Within 60 days.
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d) As soon as possible, but no later than 60 days after discovery.
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Correct Answer: d mn mn




14. An "Access Control List" (ACL) in a PACS is used primarily to:
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a) Prioritize images for the radiologist reading queue.
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b) Define who can view, edit, or delete specific patient data.
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c) Manage the prefetching of priors.
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d) Monitor network bandwidth usage.
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Correct Answer: b mn mn




15. The process of rendering patient identifiers unreadable to prevent unauthorized ac
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cess, but still allowing for reversibility, is known as:
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a) Anonymization.
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b) Pseudonymization.
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c) Encryption.
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d) Hashing.
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Correct Answer: c mn mn




Domain 4: Imaging Informatics & Digital Systems (20%)
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16. The DICOM standard defines three main service classes. Which one is used when a
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modality sends images to a PACS?
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