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RAD EQUIPMENT/ IA&P

RAD EQUPIMENT and IA&P Worksheet Questions. May add more terms/definitions.

QuestionAnswer
When the mAs is increased, x-ray quantity: INCREASES proportionately.
When the kVp is increased, x-ray quantity: Why? INCREASES, while quality also increases. Because an INCREASE in quantity of kVp, produces short wavelengths, which increases the penetrating power.
When distance is increased, x-ray quantity at that distance: Decreases in proportion to distance squared
When x-ray tube filtration is increased, x-ray quantity: DECREASES
In general, x-ray quantity will increase with a/an: Increase in kVp
Which of the following does not affect x-ray quantity? a. Filtration b. kVp c. mAs d. Radioactivity e. Time d. Radioactivity
To maintain a constant IR exposure, what percentage increase in kVp should be accompanied by a reduction of one half in mAs? 15%
MATH: An extremity radiograph requires 5 mAs and results in an exposure of 180 mGy. What will be the exposure if the technique is changed to 7 mAs? 1. First determine your olds and your news. We are working with mAs and Intensity (mGy). 2. Next, figure out if it is Direct or Indirect (mAs and Intensity are DIRECTLY PROPORTIONAL) 3. Olds on the top, News on the top. SOLVE! ANSWER: 252 mGy
MATH: An abdominal view is taken at 82 kVp at 200 mAs and results in a patient exposure of 1.32 mGy. To improve contrast, the kVp is reduced to 70, but IR exposure needs to be maintained. What is the new patient exposure? 15% rule was used to decrease kVp. So, an decrease in kVp = DOUBLE the mAs (200 is now 400 mAs) mAs and Intensity = DIRECTLY proportional Olds on the top, News on the bottom. SOLVE! ANSWER: 2.64 mGy
MATH: A portable chest x-ray is taken at 90 cm SID, and the patient exposure is 2.8 mGy. What will the exposure be if the distance is increased to 180 cm and there is no accompanying technique change? Distance = SQUARE IT! Dealing with Intensity and Distance SQUARED UNDIRECTLY PROPORTIONAL Old/New = New/Old ANSWER: 0.7 mGy
MATH: A technologist is using a technique of 100 mA, 500 ms, 60 kVp with a 12:1 grid and need to switch to a 5:1 grid. What is the new mAs that the technologist should use for the exam? 1. 500 ms converted into secs (1/1000). 3 decimal places to the left = 0.5 seconds so 100 mA X 0.5 secs = 200 mAs 2. Don't touch KVP. Find the grid ratio numbers- 12:1 (6) & 5:1 (2) 3. mAs and Grid are DIRECTLY PROPORTIONAL ANSWER: 20 mAs
The inherent filtration in a general purpose radiographic x-ray tube is usually equivalent to: 1.0 mm Al eq
The equivalent added filtration provided by a conventional light-localizing, variable-aperture collimator is closest to: 1.0 mm Al eq
The visible differences between any two selected areas of brightness levels within a displayed radiographic image is known as: Contrast
The primary purpose of adding filtration to an x-ray beam is to: Remove low-energy x-rays
X-rays of higher maximum energy can be obtained by doing which of the following? Increasing kVp
The light-localizing, variable-aperture collimator contributes: To added filtration
Assuming all other technical factors remain the same, if 5 mm Al filtration is added to the x-ray tube: IR exposure will decrease
An x-ray beam can be made harder by increasing which of the following? Filtration
Added filtration: Protects the patient from unnecessary radiation exposure
Wedge filters are: Used to obtain uniform IR exposure
When added filtration is increased: x-ray quality is enhanced
What part of the fluoroscopic image intensifier converts light into electrons? Photocathode
INDIRECT digital imaging with TFT utilizes a scintillator coated with _____________ to convert x-rays into light. Cesium iodide
The global information technology standard which allows modalities to communicate with PACS is: DICOM
The reference histogram of luminance values derived during image acquisition is known as: LUT
The recommended digital exposure index range is 1800-2200. A tech makes an exposure with the technique of 80 kVp at 120 mA and the result EI is 2400? How should the tech adjust the technique for the repeat exposure to be within the recommended EI range? Cut mA in half.
The active layer in a PSP plate is usually made of phosphors from what family group? Barium fluorohalide
The layer of a CR imaging plate that "traps" electrons during exposure is the: Phosphor layer
What is the minification gain for a fluoroscopic image intensifier that has 1" output phosphor and 9" input phosphor? Minification = input squared / output squared 9^2 / 1^2 = 81/1 = ANSWER: 81
The digital post-processing technique that links multiple images together using specialized software is: Stitching
A decrease in pixel pitch will result in: Increased spatial resolution
Which of the following is not a beam-restricting device? a. A cone b. A PBL device c. A variable-aperture collimator d. Added filtration d. Added filtration
In a light-localizing, variable-aperture collimator: periodic checks of x-ray beam and light field coincidence are necessary
Which of the following devices is normally designated to limit off-focus radiation? First-stage shutters of a variable-aperture collimator
Off-focus radiation results when... Projectile electrons do not strike the focal spot
PBL stands for? Positive Beam Limitation
The principle reason for using a grid is to: Improve image contrast
Which of the following materials would be most radiolucent (more black than white)? Carbon Fiber
Which of the following is the most important grid characteristic? Grid Ratio
In a grid that has lead strips 0.5mm apart and 4 mm high, the grid ratio is: Grid ratio = h/d. 4/0.5 = 8:1 ANSWER- 8:1
If only scatter radiation reached the image receptor: Image contrast would be very low
In the design of a radiographic grid, which of the following must be true? The interspace material is radiolucent
Grids are principally effective in attenuating which of the following? X-rays after Compton interaction
Which body habitus is the easiest to penetrate? Asthenic
What is the name of the device that converts an analog electronic signal into numeric digital data (binary code)? Analog-to-digital converter
Radiographic grids must be placed between what two things? Patient and the Image Receptor
Which of the following is true about x-ray photons? They are electrically neutral and have no mass
Which of the following techniques will result in the highest patient dose if mAs is changed to maintain IR exposure? 12:1 parallel grid; 70 kVp
Grid cutoff is more pronounced with high-ratio OR low-ratio grids? High-Ratio grids
Air-gap technique results in Image Magnification
Bedside examinations require a wide range of SIDs. Which of the following linear focused grids should a technologist use to reduce the likelihood of grid cutoff to occur? 5:1
In general, which of the following has the greatest contrast improvement factor? Crossed grids
Which of the following is an undesirable characteristic of linear grids compared with focused grids? More grid cutoff
What is the result of replacing an 8:1 grid with a 12:1 grid? Higher patient dose
The minimum source-to-skin distance of a stationary fluoroscopic x-ray unit is: 15" (38 cm)
Incorrect erasure leaving a previous residual exposure after PSP IP processing is termed: Ghosting
Which of the following are causes of a PSP digital artifacts? All of the above
What is represented on the Y-axis of a histogram? Number of pixels in each tone
MATH: What is the total brightness gain of an image intensifier if the minification gain is 25 and the flux gain is 20? Total Brightness Gain = Minification Gain X Flux Gain Total Brightness Gain = 25 X 20 ANSWER = 500
Exposure linearity is a quality control test that evaluates: mA stations
Flat field correction is a software to correct the seams of combining CCD's into a larger detector, which is also known as: Tiling
The focusing cup in diagnostic radiography is usually made of: Nickel
The process of thermionic emission occurs in the: Cathode
Which of the following will result in the greatest attenuation of the x-ray beam? Barium sulfate contrast media
The number of pixels per millimeter is referred to as: Pixel density
The average amount of mA used for fluoroscopy is: 3-5
Electrons traveling from the cathode to the anode travel at what speed? 1/2 the speed of light
The interaction of radiation with matter that results in an increased dose to the patient during general radiography is: Photoelectric
Magnification mode in fluoroscopy will ______________ patient dose. INCREASE
Which of the following is used to convert an analog film into a digital image? Digitizer
The two interactions that occur within the x-ray tube are: Brems and Characteristic
A small bowel obstruction will require __________ to technical factors. DECREASE Destructive Condition
In digital imaging an over exposure will result in __________________. A loss of contrast
The x-ray circuitry device responsible for selecting the kVp is the: Autotransformer
The Nyquist Theorem states that a signal must be sampled at least _______ times the frequency of the input signal. Two
Computers take data from the user and processes it using a machine language of 1s and 0s is known as: Binary code
A CR imaging plate is erased with: White light
To reduce magnification, one should do which of the following? Reduce OID
MATH: If the SID is 100 cm and an object is placed 20 cm from the image receptor, what is the magnification factor (MF)? MF = SID/SOD; SOD = SID-OID 1. SOD= 100-20 SOD = 80 2. MF = 100/80 MF ANSWER = 1.25
MATH: A 20 cm object is radiographed at 40 cm from the focal spot, and the SID is 60 cm. The size of the image will be: 1. 60cm SID X 20cm Object / 40 cm ANSWER = 30cm
To obtain minimum magnification, one should do which of the following? Position the anatomy close to the image receptor
Which of the following conditions will contribute the least to image distortion? A thin object at a long SID
Which of the following is a photographic property of image quality? a. Contrast b. Distortion c. Elongation d. Spatial Resolution a. Contrast
A foreshortened image results in... An inclined object
Spatial resolution can be increased with the use of what three things? Longer SID, Small Focal Spot, Shorter OID
Magnification factor is not dependent on: Focal Spot Size
What occurs at the step-down transformer in an x-ray circuitry system? Voltage DECREASES and Amperage INCREASES
What occurs at the step-up transformer in an x-ray circuitry system? Voltage INCREASES and Amperage DECREASES
A set of instructions in a computer program that performs a specific function is known as: algorithms
A radiograph that exhibits a long grayscale of contrast includes... Many shades of gray that have minimal differences
In an indirect digital imaging system, the device that converts light into an electronic signal is: Photodiode
What would increase contrast resolution for a cervical spine? Increase grid ratio
A group of networked computers, servers and archives to store digital images is referred to as: PACS Picture Archiving and Communications System
When an examination is changed from an 8:1 grid technique to a non-grid technique, and compensating changes are made in other technique factors: There will be NO change in IR exposure
If a technique of 100 mA, 1000 ms is changed to 200 mA, 500 ms: There will be NO change in IR exposure
Light field to radiation field alignment congruency must be within: + or - 2 % of the SID
The process of assigning a numeric value to each pixel intensity when digitizing an analog image is known as: Quantization
Exposure latitude refers to: The range of exposures that may be captured by a detector.
Saturation of a CCD will cause: Blackness on an image where gross over exposure has occured.
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