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St. Joseph's Hospital Health Center

Fluoroscopy Users Manual for Physicians Examination

  
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Learning Objectives: Upon completion of this educational activity, participants will be able to:
  • Identify general fluoroscopy concepts
  • Describe the basic principles of radiation physics, biology and safety
  • Select the optimal utilization of fluoroscopy equipment while minimizing exposure to patients, operators and their colleagues
  • Describe radiation standards

1. Which statement is correct regarding radiation interactions?



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2. Most of the energy imparted by the decelerating electrons in the x-ray tube is converted into:



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3. If you double your distance from the source you decrease your exposure by a factor of:



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4. Which is CORRECT regarding the Inverse-Square-Law



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5. Regarding patient exposure which statement is CORRECT?



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6. Which statement is CORRECT regarding the use of collimators?



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7. Who may operate (set techniques, position to patient, turn on) a fluoroscopy unit?



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8. Environmental radiation, which we are all exposed to all the time, is referred to as:



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9. Regarding the fluoroscopy room environment, which statement is NOT correct?



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10. Biological damage from radiation dose results from?



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11. Which of the following is NOT true about radiation deterministic- threshold effects?



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12. Which of the following statement is CORRECT?



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13. Which is TRUE about stochastic – non threshold radiation effects?



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14. Which statement is NOT TRUE regarding case studies presented?



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15. Which factors may lead to under-reporting of radiation-induced skin effects?



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16. Which statement is TRUE regarding steeply-angled fluoroscopic views inducing skin injuries?



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17. All of the factors can help reduce beam “on-time” EXCEPT:



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18. All of the following are examples of good practice EXCEPT:



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19. Operator radiation dose is unaffected by:



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20. Where should the x-ray tube be placed to minimize skin entrance dose rate to the patient?



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21. All of the following reduce patient radiation dose EXCEPT:



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22. Which statement is TRUE regarding radiation regulations?



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23. The following is true about radiation shields EXCEPT:



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24. If the FDA maximum limit of 10 R / minute is used, how many minutes of fluoro of “on-time” would it take to reach the patient transient erythema threshold of 200 R?



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25 Which of the following is NOT true about radiation risk and ALARA ?



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26. If a physician operator is issued two dosimeters where must they be placed on the body?



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27. Which statement is NOT correct regarding radiation badge (dosimetry) use at St. Joseph’s?



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28. Does the size of the patient have any effect on patient and staff radiation exposure? If so, why?


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29. For radiation protection purposes which of the following should the fluoroscopy operator use?



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30. What is the proper location to store dosimeter(s) after a procedure?



Evaluation Form

Presentation by: John Teixeira, M.D., Radiation Office and Al Salemi, Health Physicist

 

 1. Was this activity scientifically sound and free of commercial bias?
2. Was the program topic appropriate for your needs?
3. Did the program have practical clinical value?
4. Did the program meet stated objectives?

5. Rate the projected impact of this session on your knowledge, competence, performance and patient outcomes: competence is defined as the ability to apply knowledge or skills in practice (knowing how to)

This activity increased my knowledge
This activity increased my competence
This activity improved my performance
This activity will improve patient outcomes
6. Identify how you will change your practice as a result of this activity (select all that apply).



7. Indicate any barriers you perceive in implementing these changes (select all that apply).









8. What problems in practice or patient care do you have that you would like to see addressed through this CME activity:
DISCLAIMER: Any post-test examinations accompanying an in-service presentation on this site are intended for members of the Medical Staff of St. Joseph's Hospital Health Center. Grading of these examinations and feedback regarding the score will be provided only to members of the ST. Joseph's Hospital Health Center Medical Staff.