RADIATION PROTECTION IN MEDICALRADIOGRAPHY 9TH EDITION
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ByMaryAlice Statkiewicz Sherer
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, TABLEOF CONTENT q p
Chapter1.Introduction toRadiation Protection
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Chapter2.Radiation:Types,Sources,andDosesReceived
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Chapter 3. Interaction of X-Radiation with Matter Chapter4.
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Radiation QuantitiesandUnits Chapter
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5. Radiation Monitoring q p
Chapter6. Overviewof CellBiology
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Chapter7. Molecularand CellularRadiation Biology
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Chapter 8. EarlyTissue Reactions andTheir Effects on Organ Systems Chapter9.
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Stochastic EffectsandLate TissueReactionsof RadiationinOrgan Systems
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Chapter10.DoseLimitsforExposuret o IonizingRadiation p
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qp Chapter 11. Equipment Design for Radiation Protection
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Chapter12.ManagementofPatientRadiation DoseDuringDiagnostic X-Ray Procedures
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Chapter13. Radiation Safetyin ComputedTomographyand Mammography Chapter
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qp 14. Managementof Imaging PersonnelRadiation Dose During DiagnosticX-Ray
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Procedures
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Chapter15. Radioisotopesand Radiation Protection qp qp q p
Chapter 01: Introduction to Radiation Protection q p q p
Sherer: Radiation Protection in Medical Radiography, q p q p q p 9th Edition
MULTIPLE CHOICE
1. Consequences ofionization inhuman cells include q p qp q p q p
1. creation of unstable atoms. qp jj q p
2. production offree electrons. q p q p
3. creation ofhighly reactive free molecules (calledfreeradicals) capable
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of producing substances poisonous to the cell.
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4. creationofnewbiologic molecules detrimental totheliving cell.
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5. injury tothe cellthat may manifest itself asabnormal function orlossoffunction.
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6. production oflow-energy x-ray photons. q p qp q p qp
a. 1,2, 3, and 4 only q p qp q p qp
b. 2,3, 4, and 5 only q p qp q p qp
c. 3,4, 5, and 6 only q p qp q p qp
d. Allthe options qp qp
ANS: D
,2. Whichofthe following isaformofradiation that iscapableofcreating electrically
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charged particles byremoving orbital electrons from the atomofnormal
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matter through
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a. Ionizing radiation q p
b. Nonionizing radiation q p
c. Subatomic radiation q p
d. Ultrasonic radiation q p
ANS: A
3. Regarding exposure toionizing radiation, patients whoareeducatedtounderstand q p q p q p q p q p qp qp qp
q the medical benefit
p of animaging procedure are more likely to
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a. assume asmall chance ofbiologic damage butnot suppress q p q p qp q p q p qp
anyradiation phobia they may have. qp qp qp qp qp
b. canceltheir scheduled procedure because theyarenotwilling toassume a qp q p q p qp qp qp qp q p qp q p
small chance of biologic damage.
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c. suppressanyradiation phobia but not riskasmall chanceofpossible qp q p q p jjj qp qp q p qp
biologic damage. qp qp
d. suppressanyradiation phobia andbewilling toassume asmall qp q p q p q p qp q p qp
chance ofpossible biologic damage. q p qp j qp q p
ANS: D
4. The millisievert (mSv) isequal to qp q p q p q p q p
a. 1/10of asievert. qp q p qp
b. 1/100of asievert. qp q p qp
c. 1/1000of asievert. qp q p qp
d. 1/10,000of asievert. qp q p qp
ANS: C
5. Theadvantages ofthe BERT method are
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1. BERT doesnot imply radiation risk;itissimply ameans forcomparison. qp qp q p q p q p qp qp qp q p
2. BERTemphasizes that radiation isaninnate partoftheenvironment. qp q p q p qp j qp
3. BERTprovides ananswerthat iseasyfor thepatient tocomprehend. qp q p q p qp qp qp q p
a. 1and 2only q p qp
b. 1and 3only q p qp
c. 2and 3only q p qp
d. Allthe options qp qp
ANS: D q p
6. Ifapatient asksaradiographer q p qp q p aquestion abouthowmuch q p qp q p radiation heorshe q p qp
will receive from aspecific
q p qp qp qp x-ray procedure, the qp qp
radiographer
q can
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a. respond byusing an estimation based o n the comparison ofradiation qp q p jj jj jj q p q p
received from the x-ray tonatural q background radiation
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received.
b. avoid thepatient’s question bychanging thesubject. q p q p q p q p q p qp
c. tellthe patient that it is unethical to discuss suchconcerns. qp q p q p q p qp qp q p q p qp q p qp
d. refuse toanswer thequestion andrecommend that heorshespeakw iththe q p q p q p qp qp j qp
referring physician. qp
ANS: A q p
7. Whyshould the selection oftechnical exposure factors forallmedical q p qp q p qp q p qp q p qp
imaging procedures always follow
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a. So thatreferring physicians ordering imaging procedures donothave
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to acceptresponsibility for patient radiation safety.
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b. Sothat radiographers andradiologists donot have toacceptresponsibility
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, patient radiation q p q p safety.
c. Because radiation- i nduced cancer doesnot appearto have afixed threshold, that qp jj q p qp qp qp qp q p q p
is, adoselevel below which aperson would have no chance of developing this
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disease. qp
d. Because radiation- i nduced cancerdoeshave adoselevel at w hich individuals qp jj qp qp qp jj qp
would have achance ofdeveloping this disease.
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ANS: C q p
8. Thecardinal principles qp q p q p ofr adiation protection include which ofthefollowing?
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a. Time
b. Distance
c. Shielding
d. Allthe options qp qp
ANS: D q p
9. In a hospital setting, which of the following professionals isexpressly charged bythe
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hospital administration with being directly responsible for the execution,
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q enforcement, and maintenance ofthe ALARA program?
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a. Assistant administrator ofthe facility q p j qp
b. Chiefofstaff qp qp
c. Radiation Safety Officer q p qp
d. Student q p radiologic q p technologist
ANS: C q p
10. Why isa question concerning theamount ofradiation apatient will receive
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during aspecific x-ray procedure difficult
q p to answer? qp qp qp q p qp
1. Becausethereceived doseis specified ina number ofdifferent units ofmeasure. qp qp q p qp q p q p qp jjj q p q p q p
2. Because the scientific units for radiation dosearenormally not comprehensible by qp qp q p q p qp q p q p qp
apatient. qp
3. Becausethe patient should notreceive anyinformation aboutradiation dose. qp qp q p q p qp q p q p qp q p
a. 1and 2only q p qp
b. 1and 3only q p qp
c. 2and 3only q p qp
d. Allthe options qp qp
ANS: A q p
11. X-raysareaform ofwhich qp q p q p ofthe following kinds qp q p q p ofradiation?
a. Environmental
b. Ionizing
c. Internal
d. Nonionizing
ANS: B q p
12. Whatunit is used tomeasure qp q p qp qp qp q p radiation exposure in themetric International System ofUnits? q p q p q p qp q p qp
a. Coulomb perkilogram q p
b. Milligray
c. Millisievert
d. Sievert
ANS: A q p
13. Whatorganizationwas founded in 2007 thatcontinues theirpursuit to raise awareness of the need
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for dose reductionprotocols bypromotingpediatric-specified scanprotocols to be used for
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bothradiology and non-radiology users ofCT?
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a. U.S.Foodand Drug Administration qp qp q p