2019 AAPM Annual Meeting
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Session Title: ISMRM-AAPM Joint Symposia: MR Safety Operations
Question 1: What role does the MRSO play in safety decisions?
Reference:Kanal et. al. ACR Guidance Document on MR Safe Practices: 2013. Journal of Magnetic Resonance Imaging 37:501–530 (2013)
Choice A:The final decision to scan the patient
Choice B:Does research, explains the conditions of a devices and provides help if needed in scanning difficult implanted devices
Choice C:Maintains the safety policies only and does not have a role in scanning devices
Choice D:Primarily scans the devices but someone else does the research and identifies scanning conditions
Choice E:All of the above
Question 2: What members should participate in the safety committee?
Reference:Kanal et. al. ACR Guidance Document on MR Safe Practices: 2013. Journal of Magnetic Resonance Imaging 37:501–530 (2013)
Choice A:MRSO
Choice B:MRMD
Choice C:MRSE
Choice D:Department leaders who have safety roles
Choice E:All of the above
Question 3: What type of training and support should a MRSO have in a Radiology Department?
Reference:Kanal et. al. ACR Guidance Document on MR Safe Practices: 2013. Journal of Magnetic Resonance Imaging 37:501–530 (2013); Joint Commission Diagnostic Imaging Standards (2015)
Choice A:Extra and ongoing courses in advanced MR safety principles
Choice B:Dedicated time to research and understand individual implanted device conditions
Choice C:Back-up from physics department (when available) and MR medical director when issues arise
Choice D:No special training, their professional training should suffice
Choice E:A, B & C
Question 4: With respect to MR zoning restrictions, in which zone are the non-MR personnel screened?
Reference:Kanal et. al. ACR Guidance Document on MR Safe Practices: 2013. Journal of Magnetic Resonance Imaging 37:501–530 (2013)
Choice A:Zone 1
Choice B:Zone 2
Choice C:Zone 3
Choice D:Zone 4
Choice E:All of the above
Question 5: What is the most common reported injury in MRI?
Reference:Joint Commission Sentinel Event Alert #38 (2008)
Choice A:Hearing loss
Choice B:Headache
Choice C:Burn
Choice D:Implant displacement or damage
Choice E:All of the above
Question 6: MR safety classifications of implants include all of the following except:
Reference:Kanal et. al. ACR Guidance Document on MR Safe Practices: 2013. Journal of Magnetic Resonance Imaging 37:501–530 (2013)
Choice A:MR Safe
Choice B:MR Unsafe
Choice C:MR Unconditional
Choice D:MR Conditional
Question 7: Gadolinium based contrast agents are considered what FDA class of drug during pregnancy?
Reference:FDA.gov
Choice A:Class A - studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy
Choice B:Class B - Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women
Choice C:Class C - Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in human
Choice D:Class D - There is positive evidence of human fetal risk based on adverse reaction data
Choice E:All of the above
Question 8: Magnetic Resonance Medical Director is responsible for:
Reference:“Recommended responsibilities for management of MR safety”, Calamente F, et al, JMRI 2016.
Choice A:Safety of all patients undergoing MR examination
Choice B:Establishing policy for MR site access
Choice C:Evaluating reported adverse events
Choice D:All of the above
Choice E:None of the above
Question 9: An MR Safety Expert is expected to have the following availability at an MR facility:
Reference:Calamante et al, Recommended responsibilities for management of MR safety. JMRI 2016; 44(5): 1067-1069
Choice A:Available on an as-needed basis
Choice B:Available at all times during which the MR facility is accessible
Choice C:Directly supervises MR Safety Officer(s) (physically present within facility) while scanning patients with implanted devices
Choice D:Immediately supervises MR Safety Officer(s) (physically present at MR scanner) while scanning patients with implanted devices
Choice E:All of the above
Question 10: An MR Safety Expert is NOT qualified to:
Reference:Reference: Calamante et al, Recommended responsibilities for management of MR safety. JMRI 2016; 44(5): 1067-1069
Choice A:Advise on the safe use of MR equipment
Choice B:Perform risk/benefit analysis for patient care
Choice C:Recommend MR Quality Assurance programs
Choice D:Modify MR protocols to improve diagnostic image quality
Choice E:All of the above
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