2018 AAPM Annual Meeting
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Session Title: CT Intensive IV: Regulatory Requirements
Question 1: For purpose of meeting annual Joint Commission standards, the next required annual action is one year from the date of the last event plus or minus _____ days.
Reference:Hospital/Ambulatory Care Accreditation Manual, July 1, 2018, Environment of Care Chapter, Other Issues for Consideration 2.: Annually- One year from the date of the last event, plus or minus 30 days. Synonymous with every 12 months, once a year, every year.
Choice A:Fourteen.
Choice B:Thirty.
Choice C:Sixty.
Choice D:Seven.
Question 2: The current medical staff privileging process as described in the Hospital Medical Staff chapter is adequate to ensure the competency of staff utilizing fluoroscopy.
Reference:HAP Accreditation Manual, July 1, 2018, Human Resource Chapter, HR.01.01.01 EP
Choice A:True.
Choice B:False.
Question 3: Which of the following can facilitate benchmarking one’s CT doses against external benchmarks:
Reference:HAP/AHC Standards, Performance Improvement Standard PI 02.01.01 EP 6; https://www.acr.org/Practice-Management-Quality-Informatics/Registries/Dose-Index-Registry
Choice A:Participating in the ACR (American College of Radiology ) DIR (Dose index registry).
Choice B:Enabling the Dosecheck alert value feature.
Choice C:Enabling the DoseCheck notification value feature.
Choice D:Participating in a Joint Commission Radiology Imaging services Audit.
Question 4: The purpose of an ACR Validation Site Survey is to assist a site following repeated failures in the accreditation process.
Reference:ACR Accreditation Toolkit for Validation Site Surveys https://www.acraccreditation.org/-/media/ACRAccreditation/Documents/Site-Survey-Toolkit/Tool-Kit-for-Practice-Sites.pdf?la=en
Choice A:True.
Choice B:False.
Question 5: All of the following are major failures in the ACR CT accreditation program except:
Reference:CT Accreditation Program Testing Instructions - https://www.acraccreditation.org/-/media/ACRAccreditation/Documents/CT/CT-Accreditation-Testing-Instructions.pdf?la=en
Choice A:Incorrect anatomic coverage.
Choice B:Uniformity (any difference of more than 7 HU).
Choice C:kV used is different than what is recorded in the phantom data form.
Choice D:Exceeding ACR CTDI reference levels.
Choice E:Incorrect dosimetry phantom used .
Question 6: XR-29 compliance is checked during an ACR site audit because:
Reference:ACR Accreditation Toolkit for Validation Site Surveys https://www.acraccreditation.org/-/media/ACRAccreditation/Documents/Site-Survey-Toolkit/Tool-Kit-for-Practice-Sites.pdf?la=en
Choice A:It is a requirement for ACR CT accreditation.
Choice B:It is recommended by the 2017 ACR CT QC Manual.
Choice C:It is required by federal regulations that the ACR verify compliance.
Choice D:It is required by insurance companies that the ACR verify compliance.
Question 7: How many states currently license (not register) medical physicists?
Reference:AAPM Government Affairs, State Registration and Licensure, https://www.aapm.org/government_affairs/licensure/, Updated Feb 2014, Accessed 18 April 2018.
Choice A:2
Choice B:4
Choice C:13
Choice D:16
Question 8: About what percent of states have licensing laws covering the practice of radiologic technologists who operate CT scanners?
Reference:State Licensing, American Registry of Radiologic Technologists (ARRT), https://www.arrt.org/about-the-profession/state-licensing Individual State Licensure Information, American Registry of Radiologic Technologists (ARRT), https://www.asrt.org/main/standards-regulations/state-legislative-affairs/individual-state-licensure-info
Choice A:15%
Choice B:25%
Choice C:50%
Choice D:75%
Question 9: Which of the following best describes the on-site survey methods used by The Joint Commission?
Reference:https://www.jointcommission.org/facts_about_the_tracer_methodology/
Choice A:Interviewing.
Choice B:Observation.
Choice C:Record review.
Choice D:Tracer.
Question 10: ACR CT on-site surveys require which of the following documents?
Reference:https://www.acraccreditation.org/-/media/ACRAccreditation/Documents/Site-Survey-Toolkit/Tool-Kit-for-Practice-Sites.pdf?la=en
Choice A:Form FDA 2579 report of assembly.
Choice B:ISO certification.
Choice C:State registration.
Choice D:XR 29 certificate of compliance.
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