| Question 1: Procedures should be classified as a potentially-high radiation dose procedure if more than ______ of cases of that procedure type result in a cumulative air kerma exceeding 3 Gy. |
| Reference: | NCRP Report No. 168: radiation dose management for fluoroscopically-guided interventional procedures (2010) |
| Choice A: | 1 % |
| Choice B: | 5 % |
| Choice C: | 10 % |
| Choice D: | 20 % |
| Question 2: For fluoroscopically-guided interventional procedures, patients receiving a reference point air kerma of greater than _________ should have follow-up procedures including discussion of possible deterministic effects and possible follow-up. |
| Reference: | Stecker et al., Guidelines for patient radiation dose management, J Vasc Interv Radiol. (2009)
NCRP Report No. 168: radiation dose management for fluoroscopically-guided interventional procedures (2010) |
| Choice A: | 1 Gy |
| Choice B: | 3 Gy |
| Choice C: | 5 Gy |
| Choice D: | 15 Gy |
| Question 3: NCRP 168 recommends what notification scheme regarding cumulative air kerma for the proceduralist? |
| Reference: | NCRP Report No. 168: radiation dose management for fluoroscopically-guided interventional procedures (2010) |
| Choice A: | First notification: 3 Gy, subsequent notification: every 1 Gy |
| Choice B: | First notification: 2 Gy, subsequent notification: every 0.5 Gy |
| Choice C: | First notification: 5 Gy, subsequent notification: every 15 minutes |
| Choice D: | First notification: 1 Gy, subsequent notification: every 1 Gy |
| Question 4: What does the cumulative air kerma displayed at the fluoroscopist’s working position on FGI equipment represent? |
| Reference: | 21CFR1020.32, U.S. Code of Federal Regulations |
| Choice A: | The patient’s peak skin dose accumulated over the past 6-12 months |
| Choice B: | The air kerma to a defined reference location |
| Choice C: | The collimation utilized during a fluoroscopic procedure |
| Choice D: | Only the air kerma resulting from fluoroscopic mode of operation |
| Question 5: What is the earliest tissue reaction observable from high-dose FGI procedures? |
| Reference: | Balter et al., Fluoroscopically-guided interventional procedures: a review of radiation effects on patient’s skin and hair, Radiology (2010) |
| Choice A: | Erythema |
| Choice B: | Epilation |
| Choice C: | Dermal atrophy |
| Choice D: | Dermal induration |
| Question 6: A fluoroscopic sentinel event is defined as a peak skin dose of _________ to the same skin region from fluoroscopic procedures within a 6-12 month period. |
| Reference: | The Joint Commission. Sentinel Event – Radiation Overdose. |
| Choice A: | 3 Gy |
| Choice B: | 5 Gy |
| Choice C: | 10 Gy |
| Choice D: | 15 Gy |
| Question 7: A patient’s previous radiation exposure history, including radiation therapy, _______ taken into account when planning a fluoroscopically-guided interventional procedure in the same anatomic region as radiation-damaged skin may be more susceptible to future injury. |
| Reference: | NCRP Report No. 168: radiation dose management for fluoroscopically-guided interventional procedures (2010) |
| Choice A: | Should be |
| Choice B: | Should not be |
| Question 8: NCRP recommends that, regardless of peak skin dose, a sentinel event ________ be considered to have occurred for an observed skin effect if all performed fluoroscopic procedures were deemed to have been performed within practice parameters by a quality assurance/peer-review committee. |
| Reference: | NCRP Statement 11: Outline of Administrative Policies for Quality Assurance and Peer Review of Tissue Reactions Associated with Fluoroscopically-Guided Interventions (2014) |
| Choice A: | Shall |
| Choice B: | Shall not |
| Question 9: Accurate estimation of peak skin doses during fluoroscopically-guided interventional procedures is difficult due to uncertainties in which of these parameters? |
| Reference: | Miller et al., Quality Improvement Guidelines for Recording Patient Radiation Dose in the Medical Record, J Vasc Interv Radiol. (2012) |
| Choice A: | Backscatter factor |
| Choice B: | Beam orientation and beam motion |
| Choice C: | Cumulative air kerma meter reading |
| Choice D: | All of the above |
| Question 10: In contrast with the 6-12 month fluoroscopic sentinel event policy of the Joint Commission, the Society of Interventional Radiology (SIR) recommends longitudinal dose tracking on fluoroscopic procedures of the same anatomic region within what time period? |
| Reference: | Stecker et al., Guidelines for patient radiation dose management, J Vasc Interv Radiol. (2009) |
| Choice A: | 30 days |
| Choice B: | 60 days |
| Choice C: | 90 days |
| Choice D: | 120 days |
