RADIATION PROTECTION IN MEDICALRADIOGRAPHY 9TH EDITION
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By Mary Alice Statkiewicz Sherer
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, TABLE OF CONTENT w w
Chapter 1. Introduction to Radiation Protection
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Chapter 2. Radiation: Types, Sources, and Doses Received Chap
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ter 3. Interaction of X-Radiation with Matter
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Chapter 4. Radiation Quantities and Units Chapt
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er 5. Radiation Monitoring
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Chapter 6. Overview of Cell Biology
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Chapter 7. Molecular and Cellular Radiation Biology
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Chapter 8. Early Tissue Reactions and Their Effects on Organ Systems Chapt
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er 9. Stochastic Effects and Late Tissue Reactions of Radiation in Organ Syste
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ms
Chapter 10. Dose Limits for Exposure to Ionizing Radiation Chap
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ter 11. Equipment Design for Radiation Protection
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Chapter 12. Management of Patient Radiation Dose During Diagnostic X-
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Ray Procedures
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Chapter 13. Radiation Safety in Computed Tomography and Mammography Ch
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apter 14. Management of Imaging Personnel Radiation Dose During Diagnosti
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c X-Ray Procedures
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Chapter 15. Radioisotopes and Radiation Protection
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Chapterw 01:wIntroductionw towRadiationw Protection
Sherer:w Radiationw ProtectionwinwMedicalw Radiography,w 9thw Edition
MULTIPLEw CHOICE
1. Consequencesw ofwionizationw inwhumanw cellsw include
1. creationwofwunstablew atoms.
2. productionw ofwfreew electrons.
3. creationwofwhighlyw reactivew freewmoleculesw (calledwfreewradicals)wcapablewofwproducin
gwsubstancesw poisonousw towthewcell.
4. creationwofwnewwbiologicw moleculesw detrimentalw towthewlivingw cell.
5. injuryw towthewcellwthatwmaywmanifestw itselfw aswabnormalw functionw orwlosswofwfunction.
6. productionw ofwlow-energyw x-raywphotons.
a. 1,w2,w3,wandw 4wonly
b. 2,w3,w4,wandw 5wonly
c. 3,w4,w5,wandw 6wonly
d. Allwthewoptions
ANS:w D
,2. Whichwofwthewfollowingw iswawformwofwradiationw thatwiswcapablewofwcreatingw electricallyw charg
edwparticlesw bywremovingw orbitalwelectronsw fromwthewatomwofwnormalw matterwthroughw whic
hw itwpasses?
a. Ionizingw radiation
b. Nonionizingw radiation
c. Subatomicw radiation
d. Ultrasonicw radiation
ANS:w A
3. Regardingwexposurewtowionizingw radiation,w patientsw whowareweducatedwtowunderstandw thewmedic
alwbenefitw ofwanwimagingw procedurewarewmorewlikelyw to
a. assumewawsmallw chancewofwbiologicw damagew butwnotwsuppresswanywradiationw phobi
awtheywmaywhave.
b. cancelwtheirwscheduledw procedurewbecausewtheywarewnotwwillingw towassumew awsma
llwchancewofwbiologicw damage.
c. suppresswanywradiationw phobiawbutwnotwriskwawsmallw chancewofwpossiblew biolog
icwdamage.
d. suppresswanywradiationw phobiawandwbewwillingw towassumew awsmallw chancew ofwpossib
lewbiologicw damage.
ANS:w D
4. Thewmillisievertw (mSv)w iswequalwto
a. 1/10wofwawsievert.
b. 1/100wofwawsievert.
c. 1/1000wofw awsievert.
d. 1/10,000wofwawsievert.
ANS:w C
5. Thewadvantagesw ofwthewBERTwmethodw are
1. BERTwdoeswnotwimplyw radiationw risk;witwiswsimplyw awmeansw forwcomparison.
2. BERTwemphasizesw thatwradiationw iswanwinnatew partwofwthewenvironment.
3. BERTwprovideswanwanswerwthatwisweasywforwthewpatientw towcomprehend.
a. 1wandw2wonly
b. 1wandw3wonly
c. 2wandw3wonly
d. Allwthewoptions
ANS:wD
6. Ifwawpatientwaskswawradiographerw awquestionw aboutwhowwmuchw radiationw heworwshewwillw recei
vewfromwawspecificw x-raywprocedure,wthew radiographerw can
a. respondwbywusingw anwestimationw basedwonwthewcomparisonw ofwradiationw receivedw fro
mwthewx-raywtownaturalw backgroundw radiationw received.
b. avoidw thewpatient’sw questionw bywchangingw thewsubject.
c. tellwthewpatientw thatwitwiswunethicalw towdiscussw suchwconcerns.
d. refusewtowanswerwthewquestionwandwrecommendw thatwheworwshewspeakwwithwt
hewreferringw physician.
ANS:wA
7. Whywshouldw thewselectionw ofwtechnicalw exposurewfactorsw forwallwmedicalw imagingw procedur
eswalwaysw followw ALARA?
a. Sowthatwreferringw physiciansw orderingw imagingw proceduresw downotwhavewtowacce
ptwresponsibilityw forwpatientw radiationw safety.
b. Sowthatwradiographersw andwradiologistsw downotwhavew towacceptwresponsibilityw for
, patientw radiationw safety.
c. Becausewradiation-
inducedw cancerwdoeswnotwappearwtowhavewawfixedw threshold,w thatwis,wawdosewlevelw bel
w
owwwhichw awpersonwwouldw havewnowchancewofwdevelopingw thiswdisease.
d. Becausewradiation-
winducedw cancerwdoeswhavew awdosewlevelw atwwhichw individualswwouldw havew awc
hancew ofwdevelopingw thisw disease.
ANS:wC
8. Thewcardinalw principlesw ofwradiationw protectionw includew whichw ofwthewfollowing?
a. Time
b. Distance
c. Shielding
d. Allwthewoptions
ANS:wD
9. Inwawhospitalw setting,w whichwofwthewfollowingw professionalsw iswexpresslyw chargedw bywthewhospit
alwadministrationw withwbeingwdirectlywresponsiblew forwthewexecution,w enforcement,w andwmain
tenancew ofwthew ALARAwprogram?
a. Assistantw administratorw ofwthewfacility
b. Chiefwofwstaff
c. Radiationw SafetywOfficer
d. Studentw radiologicw technologist
ANS:wC
10. Whywiswawquestionw concerningw thewamountw ofwradiationw awpatientw willw receivewduringw awspecif
icwx-raywprocedurew difficultw towanswer?
1. Becausewthewreceivedw dosewiswspecifiedw inwawnumberw ofwdifferentw unitsw ofwmeasure.
2. Becausewthewscientificw unitsw forwradiationw dosewarewnormallyw notwcomprehensiblew bywawpatient
.
3. Becausewthewpatientw shouldw notwreceivew anywinformationw aboutwradiationw dose.
a. 1wandw2wonly
b. 1wandw3wonly
c. 2wandw3wonly
d. Allwthewoptions
ANS:wA
11. X-rayswarewawformwofwwhichw ofwthewfollowingw kindsw ofwradiation?
a. Environmental
b. Ionizing
c. Internal
d. Nonionizing
ANS:wB
12. Whatwunitw iswusedwtowmeasurew radiationw exposurewinwthewmetricw Internationalw SystemwofwUnits?
a. Coulombw perwkilogram
b. Milligray
c. Millisievert
d. Sievert
ANS:wA
13. Whatworganizationwwaswfoundedwinw2007wthatwcontinueswtheirwpursuitwtowraisewawarenesswofwth
ewneedwforwdosewreductionwprotocolswbywpromotingwpediatric-
specifiedwscanwprotocolswtowbewusedwforwbothwradiologyw andwnon-radiologyw userswofwCT?