| Question 1: In 2019, failure to satisfy the MIPS portion of MACRA can cause a fee penalty of how much? |
| Reference: | MIPS Participation Option for 2017. “https://qpp.acr.org/MIPS” Accessed 7/22/2018.
|
| Choice A: | 0% |
| Choice B: | 4% |
| Choice C: | 10% |
| Choice D: | 50% |
| Question 2: What organization currently offers a CT registry that satisfies the MACRA MIPS metric 362 Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry? |
| Reference: | MIPA Qualified Clinical Data Registry “https://www.acr.org/Practice-Management-Quality-Informatics/Registries/Qualified-Clinical-Data-Registry” Accessed 4/17/2018. |
| Choice A: | ACR |
| Choice B: | CMS |
| Choice C: | AAPM |
| Choice D: | ISMRM |
| Question 3: The Joint Commission requires use of dose monitoring software to track CT dose metrics. |
| Reference: | The Joint Commission. Diagnostic Imaging Requirements. Issued August 10, 2015. |
| Choice A: | True. |
| Choice B: | False. |
| Question 4: According to XR-29, what is the key to monitoring and tracking patient doses? |
| Reference: | National Electronics Manufacturers Association. NEMA XR 29-2013
Standard Attributes on CT Equipment Related to Dose Optimization and Management. 2013.
|
| Choice A: | Dose Check Feature |
| Choice B: | Radiation Dose Structured Report |
| Choice C: | Automatic Exposure Control |
| Choice D: | Reference Adult and Pediatric Protocols |
| Question 5: According to the AAPM, estimated organ and effective dose values must only be used with the direction and involvement of whom? |
| Reference: | American Association of Physicists in Medicine. AAPM medical physics practice guideline 6.a.: Performance characteristics of radiation dose index monitoring systems. 2017. |
| Choice A: | Qualified Medical Physicist |
| Choice B: | Chief Diagnostic Radiologist |
| Choice C: | Lead CT Technologist |
| Choice D: | All of the above |
| Question 6: What is the purpose of national dose reference values in CT? |
| Reference: | J. Gray et al. Reference Values for Diagnostic Radiology: Application and Impact. Radiology 235:354–358 (2005). |
| Choice A: | Dose reference values allow comparison of radiation doses from individual CT scanners with doses from similar equipment assessed in national surveys. |
| Choice B: | Dose levels of CT imaging protocols should be set according to dose reference values, regardless of the CT scanner features. |
| Question 7: Should a facility review incidents where the radiation dose index fell below the expected dose index range identified in imaging protocols? |
| Reference: | D. Larson et al. Toward Large-Scale Process Control to Enable Consistent CT Radiation Dose Optimization. AJR 204:959–966 (2015). |
| Choice A: | Yes, because this incident could be an indication of a non-diagnostic CT examination due to poor image quality. |
| Choice B: | No, because it is not required by the joint commission. |
| Question 8: What is the key to successful CT dose optimization? |
| Reference: | D. Larson et al. Toward Large-Scale Process Control to Enable Consistent CT Radiation Dose Optimization. AJR 204:959–966 (2015). |
| Choice A: | Minimizing average dose. |
| Choice B: | Minimizing variation in dose. |
| Choice C: | None of the above. |
| Question 9: How does knowledge of patient size impact the quality and effectiveness of a dose monitoring program? |
| Reference: | O. Christianson et al. Automated size-specific CT dose monitoring program: Assessing variability in CT dose. Med. Phys. 39:7131-7139 (2012) |
| Choice A: | A high CTDIvol value should always be treated as an outlier. |
| Choice B: | A low CTDIvol value never constitutes a dose outlier. |
| Choice C: | A high CTDIvol value might indicate that a large patient was scanned. |
| Question 10: What are potential benefits of auditing and sharing best practices across institutions? |
| Reference: | J. Demb et al: Optimizing Radiation Doses for Computed Tomography Across Institutions: Dose Auditing and Best Practices. JAMA Intern Med. 177:810-817 (2017). doi:10.1001 |
| Choice A: | Optimization of radiation dose. |
| Choice B: | Reduction of radiation dose. |
| Choice C: | Reduced variation of radiation dose. |
| Choice D: | Improved image quality. |
| Choice E: | All of the above. |
