Complete Solutions
A 30-year-old male was exposed to a large amount of radiation
in an accident last week; he experienced general malaise,
diarrhea, nausea, and vomiting 2 days after the initial exposure,
but now feels fine and reports the symptoms have subsided. The
patient's presentation is mimicking which stage of acute
radiation syndrome (ARS)?
a. Prodromal.
b. Latent.
c. Recovery.
d. Manifest. Correct Answers b
A 41-year-old male is having a radiographic procedures
performed. The patient asks the radiographer, '"What kind of
radiation protection policy do you have in place for your
patients?" How should the radiographer respond?
a. Radiology equipment doesn't really produce radiation.
b. We use the "as low as reasonably achievable" (ALARA)
philosophy.
c. We use film badges to determine the amount of radiation that
is reasonable for our patients.
d. We use protective aprons to block radiation, so we don't have
a policy in place. Correct Answers b
A 49-year-old female was referred for mammography, but she is
very apprehensive after reading about the risk of ionizing
radiation. How should the radiographer handle this situation?
,a. Reassure her that the benefit of the procedure outweighs the
potential consequences.
b. Tell her breast cancer is detrimental to one's health and the
procedure is imperative.
c. Inform her that shielding will block any bad radiation.
d. Advise her there is no such thing as "ionizing radiation" and
continue with the procedure. Correct Answers a
A 9-year-old has just fallen off the monkey bars. She has
obvious deformity to her mid forearm. How should the
radiographer care for her when taking x-rays?
a. Remove any immobilization devices.
b. Support the joints above and below the deformity.
c. Nothing, let her move her own arm.
d. Move the arm any way needed. Correct Answers b
A breathing technique is planned for a right anterior oblique
(RAO) sternum radiograph. The intended exposure is 50
milliampere-seconds (mAs) at 75 kilovolts peak (kVp) at 100
centimeter source to image receptor distance (SID). Which
milliampere (mA) station is preferred, assuming the
radiographer ensures exposure occurs during the act of
inspiration?
a. 100.
b. 10.
c. 50.
d. 25. Correct Answers c
,A finished radiograph has marked quantum mottle. Positioning,
collimation, and identification markers are correct. Which action
should the radiographer take?
a. Approve the image and send it to Picture Archiving and
Communication System (PACS).
b. Repeat the image with an appropriate increase in technical
factors.
c. Alter the image window width and level to improve the visual
appeal, then approve.
d. Reprocess the image under a different algorithm to improve
visual appearance. Correct Answers b
A patient arrives in the emergency department on a backboard
with suspicion for cervical spine injury. Prior to radiographs
being taken, the physician notes that the patient's anterior neck
muscles are rigidly contracted. In light of this information,
which should be done first?
a. Obtain a cross-table lateral projection.
b. Cancel the radiographs and order an MRI.
c. Cancel the radiographs and order a CT.
d. Obtain an open-mouth projection of C1 and C2. Correct
Answers a
A patient becomes unresponsive after receiving an injection of
iodinated contrast media. The patient's blood pressure is 80/50.
What has likely occurred?
a. Seizure.
b. Anaphylactic shock.
, c. Syncopal episode.
d. Insulin shock. Correct Answers b
A patient is having a lengthy procedure done in the medical
imaging department. The patient seemed to be anxious at the
beginning of the procedure and starts wheezing. What should the
radiographer do next?
a. Call for medical assistance.
b. Initiate oxygen therapy.
c. Ask the patient if they have a history of asthma.
d. Allow the patient to use an inhaler. Correct Answers c
A patient is scheduled for a voiding cystourethrogram (VCUG).
The radiographer explains the procedure in these terms: "This
tubing will be connected to your catheter. It's very important that
the bladder gets very full, so please let us know when you feel
the urge to urinate." For which patient is this explanation most
appropriate?
a. 6-year-old child.
b. 24-year-old woman.
c. 6-month-old baby.
d. 2-year-old child. Correct Answers b
A patient is scheduled for an interventional radiological
procedure that requires general anesthesia. Who is the most
appropriate person to obtain informed consent for the procedure
in this situation?
a. Radiographer.