RADIATION PROTECTION IN MEDICALRADIOGRAPHY 9TH EDITION
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By Mary Alice Statkiewicz Sherer
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, TABLE OF CONTENT j jjj
Chapter1. Introduction to Radiation Protection
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Chapter 2. Radiation: Types,Sources, and Doses Received
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Chapter 3. Interaction of X-Radiation with Matter
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Chapter4. Radiation Quantitiesand Units Chapter
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5. Radiation Monitoring
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Chapter 6. Overviewof Cell Biology
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Chapter7. Molecularand CellularRadiation Biology
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Chapter 8. Early Tissue Reactions and Their Effects on Organ Systems
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Chapter9. Stochastic Effectsand Late Tissue Reactionsof Radiation in Organ
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Systems
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Chapter10. Dose Limitsfor Exposureto Ionizing Radiation
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Chapter 11. Equipment Design for Radiation Protection
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Chapter12. ManagementofPatientRadiation Dose During Diagnostic X-Ray
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Procedures
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Chapter13. Radiation Safetyin ComputedT omographyand Mammography
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Chapter 14. Managementof Imaging PersonnelRadiation Dose During
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Diagnostic X-Ray Procedures
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Chapter15. Radioisotopesand Radiation Protection
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Chapter 01: Introduction to Radiation Protection j j j jjj j j j jj j j j j
Sherer: Radiation Protection in Medical Radiography,j j j j j j jjj jjj j j j j j j 9th j j j Edition
MULTIPLE j j j CHOICE
1. Consequences of ionization in human cells include jjj j jjj j jjj jjj
1. creation ofunstable atoms. jjj j jjj
2. production of free electrons. jjj j jjj
3. creation ofhighly reactive free molecules (called free radicals) capable
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ofproducing substances poisonous to the cell.
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4. creation of new biologic molecules detrimental to the living cell.
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5. injury to the cell that may manifest itself as abnormal function or loss of function.
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6. production of low-energy x-ray photons. jjj jjj jjj jjj
a. 1, 2, 3, and 4 only j jjj jjj jjj jjj
b. 2, 3, 4, and 5 only j jjj jjj jjj jjj
c. 3, 4, 5, and 6 only j jjj jjj jjj jjj
d. All the options jjj jjj
ANS: j j j D
,2. Which ofthe following is a form ofradiation that is capable of creating electrically
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charged particles by removing orbital electrons from the atom of normal matter
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through which it passes?
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a. Ionizing radiation j j j
b. Nonionizing radiation jjj
c. Subatomic radiation jjj
d. Ultrasonic radiation jjj
ANS: j j j A
3. Regarding exposure toionizing radiation, patients who are educated to understand the
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medical benefit of an imaging procedure are more likely to
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a. assume asmall chance of biologic damage but not suppress any radiation jjj j jjj jjj j j j j jjj j jjj jjj j
phobia they may have.
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b. cancel their scheduled procedure because they are not w illing to assume a
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small chance of biologic damage.
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c. suppress anyradiation phobia butnot risk a small chance ofpossible jjj j jjj jjj j j jjj j jjj jjj j
biologic damage.
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d. suppress anyradiation phobia and be w illing to assume a small chance jjj j jjj jjj j j jjj j jjj j jjj
ofpossible biologic damage.
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ANS: j j j D
4. The millisievert (mSv) is equal to
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a. 1/10 of a sievert. jjj jjj jjj
b. 1/100 of a sievert. jjj jjj jjj
c. 1/1000 of a sievert. jjj jjj jjj
d. 1/10,000 of a sievert. jjj jjj jjj
ANS: j j j C
5. The advantages of the BERT method are
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1. BERT doesnot imply radiation risk; it is simply ameans for comparison.
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2. BERT emphasizes that radiation is an innate partof the environment.
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3. BERT provides ananswerthat is easyfor the patient to comprehend.
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a. 1 and 2 only j jjj jjj
b. 1 and 3 only j jjj jjj
c. 2 and 3 only j jjj jjj
d. All the options jjj jjj
ANS: D jjj
6. Ifa patient asksa radiographer a question about how much radiation he orshe will
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receive from a specific x-ray procedure, the radiographer can
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a. respond byusing anestimation basedonthe comparison ofradiation received jjj j jjj j j j j j j jjj jjj j j j j
from the x-ray to natural background radiation received.
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b. avoid the patient’s question by changing the subject. jjj j jjj jjj j jjj j
c. tell the patient that it is unethical to discuss such concerns.
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d. refuse toanswer the question and recommend that he or she speakw ith the
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referring physician.
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ANS: A jjj
7. Why should the selection of technical exposure factors for allmedical imaging
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procedures always follow ALARA?
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a. Sothat referring physicians ordering imaging procedures donot have to
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accept responsibility for patient radiation safety.
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b. Sothat radiographers and radiologists do not have to accept responsibility for
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, patient radiation safety. jjj j j j
c. Because radiation-induced cancer doesnot appearto have afixed threshold, that jjj j j j j jjj j jjj j jjj jjj j j j j j j j
is, adose level below which a person would have no chance of developing this
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disease. jjj
d. Because radiation-induced cancer does have adoselevel atw hich individuals jjj j jjj j j jjj j j jjj j jjj
would have a chance of developing this disease.
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ANS: C jjj
8. The cardinal principles ofradiation protection include which of the following?
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a. Time
b. Distance
c. Shielding
d. All the options jjj jjj
ANS: D jjj
9. Ina hospital setting, which ofthe following professionals is expressly charged by the
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hospital administration with being directly responsible for the execution, enforcement,
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and maintenance of the ALARA program?
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a. Assistant administrator ofthe facility jjj j j j j jjj
b. Chief of staff jjj j
c. Radiation Safety Officer jjj jjj
d. Student radiologic technologist jjj j j j
ANS: C jjj
10. Why isa question concerning the amount of radiation apatient will receive during
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a specific x-ray procedure difficult to answer?
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1. Because the received doseis specified in anumber of different units of measure. jjj jjj jjj j jjj j j j jjj j jjj j j j j jjj j
2. Because the scientific units for radiation dose arenormally not comprehensible by jjj jjj j j j jjj jjj jjj j j jjj jjj j j j
a patient.
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3. Because the patient should not receive any information about radiation dose. jjj jjj jjj jjj j jjj j jjj j jjj
a. 1 and 2 only j jjj jjj
b. 1 and 3 only j jjj jjj
c. 2 and 3 only j jjj jjj
d. All the options jjj jjj
ANS: A jjj
11. X-rays are a form of w hich of the following kinds of radiation?
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a. Environmental
b. Ionizing
c. Internal
d. Nonionizing
ANS: B jjj
12. What unit is used to measure radiation exposure in the metric International System of Units?
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a. Coulomb perkilogram jjj j
b. Milligray
c. Millisievert
d. Sievert
ANS: A jjj
13. What organization w as founded in 2007 that continues their p ursuit to raise awareness of the
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need for dose reduction protocols by promoting pediatric-specified scan protocols to be used
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for both radiology and non-radiology users of CT?
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a. U.S. Food and Drug Administration j j jjj jjj