2017 AAPM Annual Meeting
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Session Title: Best Practices in Pediatric Imaging
Question 1: When designing a neonatal x-ray technique chart, the physicist should:
Reference:ACR-SPR Practice Parameter for the Performance and Interpretation of Skeletal Surveys in Children, pp 4 – 6, 2016
Choice A:Use the same kVp as the corresponding children’s technique for the same unit.
Choice B:Use the lowest kVp available on your x-ray unit for the tiniest babies.
Choice C:Balance the need for contrast with dose.
Choice D:Use Google.
Question 2: Ultrasound is a safe and cost-effective tool that can supplement or replace some exams of these types:
Reference:Diagnostic Imaging of Infants and Children, Robert Wells, MD, pp 1380 – 1382, 2013; Neonatal Head and Spine Ultrasonography, Andrea Poretti, Thierry A.G.M. Huisman, editors, p v, 2016
Choice A:CT.
Choice B:MRI.
Choice C:Nuclear medicine.
Choice D:X-Ray.
Choice E:All of the above.
Question 3: As a part of on-going quality control, the physicist should support the staff in:
Reference:ACR-SPR Practice Parameter for General Radiography, pp 3 - 5, 2013; ACR-AAPM Practice Parameter for Diagnostic Reference Levels and Achievable Doses in Medical X-Ray Imaging, p 4; ACR-AAPM-SIIM Practice Parameter for Digital Radiography, p 8
Choice A:Conferring with radiologists regarding image quality and image artifacts.
Choice B:Supporting administration’s efforts to appropriately train all technologists.
Choice C:Providing relevant educational materials when requested and offering educational materials when relevant.
Choice D:Developing or modifying technique charts as requested.
Choice E:Supporting the QC committee’s efforts to track dose indices and/or DRLs and/or techniques.
Choice F:All of the above.
Question 4: Which of the following isotopes may be used for both diagnostic and therapeutic purposes:
Reference:Cherry SR, Sorenson JA, Phelps ME, “Physic in Nuclear Medicine”, Elsevier Saunders, Philadelphia, 4th Edition, 2012, p 59-61
Choice A:I-125
Choice B:I-123
Choice C:F-18 FDG
Choice D:I-131
Choice E:Tc99m
Question 5: Radioactive Iodine 131 is now more commonly administered in capsule form instead of liquid form for which of the following reasons:
Reference:Edward B. Silberstein, et al., Society of Nuclear Medicine Procedure Guideline for Therapy of Thyroid Disease with Iodine-131(Sodium Iodide), 2012.
Choice A:To avoid radioactive shipping expenses.
Choice B:To increase the drug’s effectiveness.
Choice C:To satisfy state regulations.
Choice D:To reduce radioactive material license fees.
Choice E:To reduce inhalation of radioactive vapor by staff.
Question 6: In order to reduce the chance of a radioactive spill, which of the following actions is recommended when treating children with radioactive iodine capsules:
Reference:Gary L. Francis, et al., Management Guidelines for Children with Thyroid Nodules and Differentiated Thyroid Cancer, THYROID, Volume 25, Number 7, 2015
Choice A:Prior assessment of pill-swallowing compliance.
Choice B:Administration of a placebo.
Choice C:Use of environmental and personal protection equipment.
Choice D:Establishment of hot, warm and cold zones.
Choice E:All of the above.
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