| Question 1: ACR Council ensures that medical physics representation is always: |
| Reference: | ACR Bylaws
https://www.acr.org/-/media/ACR/Files/Governance/Bylaws.pdf |
| Choice A: | Less than 1% of the Council |
| Choice B: | More than 10% of the Council |
| Choice C: | Proportional to medical physics membership |
| Choice D: | Proportional to radiation oncology membership |
| Question 2: An ACR Practice Parameter or Technical Standard is a(n) |
| Reference: | ACR website > Clinical Resources > Practice Parameters > Get an overview of the process
https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards/Overview |
| Choice A: | Educational tool |
| Choice B: | Suggested State Regulation |
| Choice C: | Report written by ACR staff |
| Choice D: | Legal standard for litigation |
| Question 3: The new ACR Manual on MR Safety indicates an additional requirement regarding access control to Zone 4. This is: |
| Reference: | ACR Manual on MR Safety, Version 1.0, 2020, ACR Committee on MR Safety
https://www.acr.org/Clinical-Resources/Radiology-Safety/MR-Safety |
| Choice A: | During the times that the door to the MR system room must remain open, a "caution" barrier is recommended at the entry to Zone 4. |
| Choice B: | Security Guards carrying firearms are prohibited from entering Zone 4. |
| Choice C: | The entrance to Zone 4 should have an audible alarm indicating entry. |
| Choice D: | The entrance to Zone 4 must be posted as hazardous due to the presence of very strong magnetic fields. |
| Choice E: | Level 1 personnel are not permitted to directly admit or be designated responsible for non-MR personnel in Zone 4. |
| Question 4: The new ACR Manual on MR Safety, document revises the wording concerning staffing in the MRI facility. Which of the below expresses the new language? |
| Reference: | Reference: ACR Manual on MR Safety, Version 1.0, 2020, ACR Committee on MR Safety
https://www.acr.org/Clinical-Resources/Radiology-Safety/MR-Safety |
| Choice A: | There should be a minimum of 2 MR personnel in the Zone 3-Zone 4 area. |
| Choice B: | There should be a minimum of 2 level 2 MR personnel in the Zone 3-Zone 4 area. |
| Choice C: | There should be a minimum of 2 Level 2 MR personnel in the Zone 2-Zone 4 area. |
| Choice D: | There will be a minimum of two MR technologists or one MR technologist and one other individual with the designation of MR Personnel in the immediate Zone II through Zone IV MR environment whenever patients are in the MR environment. |
| Choice E: | Except for emergent coverage, there should be a minimum of 2 MR personnel in the Zone2 – Zone 4 area. |
| Question 5: The new ACR Manual on MR Safety states that the responsibility for the development, implementation and ongoing management of MR facility responsibility will be: |
| Reference: | Reference: ACR Manual on MR Safety, Version 1.0, 2020, ACR Committee on MR Safety
https://www.acr.org/Clinical-Resources/Radiology-Safety/MR-Safety |
| Choice A: | shared between a designated MR Physician Medical Director and an MR Technologist Safety Officer. |
| Choice B: | relegated to the Designated MR Physician Medical Director |
| Choice C: | shared between a designated MR Physician Medical Director, an MR Technologist Safety Officer and, in an advisory role, an MR Safety Expert. |
| Choice D: | relegated to the MR Safety Officer |
| Choice E: | shared between a designated MR Physician Medical Director, an MR Technologist Safety Officer and, an MR Safety Expert. |
| Question 6: Dose index correction factors (CF), defined as actual/machine-reported, measured as part of the ACR Fluoroscopy Dose Index Registry pilot indicated that: |
| Reference: | Wunderle KA, Jones AK, Dharmadhikari S, Duan X, Kim DS, Mahmood U, Mann SD, Moirano JM, Neill RA, Schoenfeld AH (2020). The ACR Fluoroscopy Dose Index Registry Pilot: Technical Considerations and Dosimetric Performance of the Interventional Fluoroscopes. JVIR, in press. |
| Choice A: | Machine-reported indices slightly underestimated actual indices |
| Choice B: | Machine-reported indices slightly overestimated actual indices |
| Choice C: | Machine-reported indices greatly underestimated actual indices |
| Choice D: | Machine-reported indices greatly overestimated actual indices |
| Choice E: | Machine-reported indices were identical to actual indices |
| Question 7: NEMA XR-27 offers the end user the ability to: |
| Reference: | National Electrical Manufacturers Association. X-ray Equipment for Interventional Procedures User Quality Control Mode: NEMA XR-27-2013 (R2018). |
| Choice A: | Input a multi-point correction factor for Ka,r and PKA that is applied to the values reported on the fluoroscope console |
| Choice B: | Input a multi-point correction factor for Ka,r and PKA that is applied to the values reported in the RDSR |
| Choice C: | Input a multi-point correction factor for Ka,r and PKA that is stored in the RDSR |
| Choice D: | Input a single point correction factor for Ka,r and PKA that is applied to the values reported on the fluoroscope console |
| Choice E: | Input a single point correction factor for Ka,r and PKA that is applied to the values reported in the RDSR |
| Choice F: | Input a single point correction factor for Ka,r and PKA that is stored in the RDSR |
| Question 8: What is the goal of the ACR Digital Mammography QC Manual? |
| Reference: | Berns EA, Pfeiffer DE, Butler PF, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2018. |
| Choice A: | Standardize QC tests for all digital mammography manufacturers |
| Choice B: | Standardize test frequencies |
| Choice C: | Standardize QC test performance criteria |
| Choice D: | To make QC tests clinically relevant and operator-friendly |
| Choice E: | All of the above |
| Question 9: For the annual medical physicist AEC test in contact mode, what is the performance criteria for DBT SNR with 4.0 cm phantom thickness? |
| Reference: | Berns EA, Pfeiffer DE, Butler PF, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2018. |
| Choice A: | > 40 |
| Choice B: | < 40 |
| Choice C: | Not defined |
| Choice D: | 40 +/- 15% |
| Question 10: What defines the required QC testing for ACR accredited stereotactic breast biopsy units? |
| Reference: | ACR Stereotactic Breast Biopsy Accreditation Program Requirements: Quality Control (Revised 12/12/19)
https://accreditationsupport.acr.org/support/solutions/articles/11000064161-quality-control-stereotactic-breast-biopsy |
| Choice A: | ACR Practice Parameters for SBB |
| Choice B: | SBB Manufacturer equipment QC procedures |
| Choice C: | FDA MQSA requirements |
| Choice D: | ACR SBB Accreditation Program QC requirements |
