| Question 1: What imaging modality/modalities is/are regulated by most states? |
| Reference: | Suggested State Regulations for Control of Radiation, Part F: Medical Diagnostic and Interventional X-ray and Imaging Systems (2015) CRCPD. Accessed May 5, 2022. https://cdn.ymaws.com/www.crcpd.org/resource/resmgr/docs/SSRCRs/F_Part_2015.pdf |
| Choice A: | X-ray-producing devices |
| Choice B: | Nuclear medicine cameras |
| Choice C: | MRI scanners |
| Choice D: | Ultrasound machines |
| Question 2: Who is required to follow Part F of the CRCPD Suggested State Regulations? |
| Reference: | Suggested State Regulations for Control of Radiation. (1991) CRCPD. Accessed May 5, 2022. https://cdn.ymaws.com/www.crcpd.org/resource/resmgr/docs/SSRCRs/FOREWORD_1991.pdf |
| Choice A: | Every healthcare facility in the U.S. that performs X-ray imaging |
| Choice B: | All sites that perform fluoroscopy-guided interventional procedures |
| Choice C: | Any imaging facilities that are reimbursed through Medicare or Medicaid |
| Choice D: | Each facility in states that have incorporated the suggested regulations into their X-ray regulations |
| Question 3: Based on the speaker’s experience, what was the main barrier in relation to a change in practice? |
| Reference: | Thakur Y, Schofield SC, Bjarnason TA. Discontinuing gonadal and fetal shielding in X-ray (2021) Can Assoc of Radiol J 72(4):595-596. |
| Choice A: | Need for communications documents for health professionals |
| Choice B: | Lack of educational materials for patients |
| Choice C: | Existing laws and regulations |
| Choice D: | Health care professionals' reluctance to change practice |
| Question 4: What is the recommended course of action if a patient or guardian requests the use of gonadal shielding during an X-ray exam? |
| Reference: | Thakur Y, Schofield SC, Bjarnason TA. Discontinuing gonadal and fetal shielding in X-ray (2021) Can Assoc of Radiol J 72(4):595-596. |
| Choice A: | Document the objection in the medical record |
| Choice B: | Shield the patient |
| Choice C: | Reschedule the imaging study |
| Choice D: | Perform the exam using MRI or US |
| Question 5: What is the primary influence on Radiologic Technologists’ overall perception of radiation safety? |
| Reference: | Moore QT. Determinants of overall perception of radiation safety among radiologic technologists (2021) Radiol Technol 93(1):8-24. |
| Choice A: | Personal accountability and feedback |
| Choice B: | Radiation policy and organizational learning |
| Choice C: | Questioning attitude and non-punitive responses |
| Choice D: | Leadership actions and teamwork across imaging stakeholders |
| Question 6: What is a primary strategy for improving radiation safety in medical imaging? |
| Reference: | Determinants of overall perception of radiation safety among radiologic technologists (2021) Radiol Technol 93(1):8-24. |
| Choice A: | Work in silos according to subspeciality |
| Choice B: | Foster interdisciplinary collaboration |
| Choice C: | Use a wide variety of different terminologies |
| Choice D: | Limit education efforts and learning opportunities |
| Question 7: What form of patient shielding is included in most states' x-ray regulations? |
| Reference: | NCRP Report No. 177: Radiation protection in dentistry and oral and maxillofacial imaging (2019) National Council on Radiation Protection and Measurements. |
| Choice A: | Fetal shielding for pregnant patinets |
| Choice B: | Thyroid shielding in dental imaging |
| Choice C: | Eye shielding during CT exams |
| Choice D: | Breast shielding for pediatric patients |
| Question 8: According to AAPM Position Statement 35-A, what is an appropriate use of dose metrics from a patient’s previous imaging exams? |
| Reference: | AAPM Position Statement 35-A: AAPM/HCR/HPS Joint Statement on Proper Use of Radiation Dose Metric Tracking for Patients Undergoing Medical Imaging Exams (2021). Accessed May 5, 2022. https://www.aapm.org/org/policies/details.asp?id=1533 |
| Choice A: | Evaluate the potential risk of deterministic effects |
| Choice B: | Determine if a subsequent imaging exam is appropriate |
| Choice C: | Decide which imaging modality should be used in the future |
| Choice D: | Calculate the patient's chance of developing cancer |
| Question 9: If a parent is standing near their child while the child is having an abdominal X-ray, about how much radiation is the parent exposed to? |
| Reference: | Brady SL. “IAEA Expert Mission: Strengthening Optimization in Radiological Practice : Patient Shielding in Radiology.” YouTube, uploaded by Imaging Academic Outreach Center, 16 May 2021. https://www.youtube.com/watch?v=u__fuSuhxGE&t=2910s |
| Choice A: | 0.01 mGy |
| Choice B: | 1 mGy |
| Choice C: | 10 mGy |
| Choice D: | 100 mGy |
| Question 10: In most states, what is the maximum dose a radiation worker can receive in a year before they are required to wear protective apparel? |
| Reference: | Suggested State Regulations for Control of Radiation, Part D: Standards for Protection Against Radiation (2003) CRCPD. Accessed May 5, 2022. https://cdn.ymaws.com/www.crcpd.org/resource/resmgr/docs/SSRCRs/dpart.pdf |
| Choice A: | 0.1 mSv |
| Choice B: | 5 mSv |
| Choice C: | 20 mSv |
| Choice D: | 60 mSv |
