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Radiobiology review of chapters 1-3 major concepts

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Question
Answer
Degree to which the diagnostic study accurately reveals the presence or absence of a disease in the patient   Diagnostic Efficacy  
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What is another term that means the same as the ALARA principle?   ORP= Optimization for radiation protection. Keeping the radiation exposure and consequent dose as low as reasonably achievable  
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How can a radiographer improve understanding and reduce fear/anxiety for the patient?   Use BERT. Background equivalent radiation time.  
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BERT compares the amount of radiation received with _______.   a natural background radiation received over a specific period of time. Days, weeks, months, etc.  
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Amount of energy transferred by ionizing radiation   Radiation dose  
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_______ has both a beneficial and a destructive potential.   Ionizing radiation  
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T or F. Ionizing radiation produces electrically charged particles that can cause biologic damage on molecular, cellular, and organic levels in humans.   True  
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The two types of radiation dose are?   Equivalent dose and effective dose  
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Information obtained from the exam benefit patient care, increase lifespan, have no affect, or decrease lifespan   Risk- Benefit Continuum  
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Equivalent dose (EqD) is measured in, Effective dose (EfD) is measured in,   EqD measured in Sievert (Sv), EfD measured in REM  
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What three radiation disasters did we gain understanding from?   Three mile island, Chernobyl, Japan  
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For the average population, what is the total annual background radiation?   6.25 millisievert  
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What scale ranks the severity of radiation incidents?   International Nuclear and Radiological Event Scale (INES)  
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A radiation quantity used for radiation protection purposes when a person receives exposure from various types of ionizing radiation   Equivalent dose (EqD)  
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Takes into account the dose for all types of ionizing radiation to irradiated organs or tissues in the body.   Effective dose (EfD)  
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A patient receives a chest x-ray. Using BERT, how many days of natural background radiation is the single chest x-ray equivalent to?   10 days  
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A patient has a UGI exam done. Using BERT, how many years of natural background radiation is the single UGI exam equivalent to?   1.5 years  
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What are three characteristics of the electromagnetic spectrum?   Wavelength, energy and frequency  
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X-rays possess high energy, high frequency and ____ wavelength   Short  
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What are the four types of radiation?   Primary, scatter, leakage, remnant (exit) radiation  
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Direct and indirect transmission of x-ray photons   Attenuation  
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How can a radiogapher limit indirect transmission of photons?   Grids and air-gap technique  
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T or F. Some absorption must occur to form a diagnostic x-ray image.   True  
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What is the best way to reduce scatter radiation?   The use of collimators  
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Produces an Auger electron as a secondary process from photoelectric absorption. An inner electron is removed from an atom in a photoelectric interaction, causing an inner shell vacancy, causing an emission of an auger electron.   Auger effect  
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Occurs at energies above 10 mEv   Photo disintegration  
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Interactions with matter that are not in diagnostic energy range   Pair production and photo disintegration  
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Bending of photon path. Degrades appearance of a completed radiographic image by blurring the sharp outlines of dense structures.   Small-angle scatter  
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Also known as classic, elastic, unmodified scattering. Interacts with entire atom and is never ionized.   Coherent scattering  
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Net effect of coherent scattering. The process of which the photon energy is absorbed and then reradiated in a different direction with no change in wavelength.   Rayleigh scattering  
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Another kind of coherent scattering. Occurs when a low-energy photon interacts with one or more free electrons.   Thompson scattering  
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What happens to patient dose when kVp increases?   Patient dose decreases  
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Type of energy an x-ray photon possesses?   Kinetic  
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This type of effect is called a radiationless effect. It is more prevalent in materials with a higher atomic number. It does not produce radiation therefore it has no effect on patient dose.   Auger effect  
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Of the four types of radiation, which is most useful?   Primary Beam  
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Photons with middle energy are more likely to interact with?   Orbital electrons  
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Photons with the lowest amount of energy are more likely to interact with?   Whole atom  
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The less a given structure attenuates the _____ its radiographic density will be.   Greater  
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What factors influence attenuation?   Mass density, thickness of body part, atomic number, and energy range  
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An increase in photoelectric absorption will predominately occur with   Increased atomic number, decreased energy of x-ray photon, increased mass density, thicker structures  
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If two structures have the same density and atomic number but one is twice as thick as the other, which structure absorbs twice as many photons?   Thicker structure  
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What is the function of filtration in diagnostic x-ray beam?   Hardens the beam by removing low energy photons. Decreases patient dose.  
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What year was the first radiation fatality? Who was it?   Clarence Daly in 1904  
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Received quantity of radiation that causes diffuse redness over an area of skin. Varied for each person-not precise   Skin Erythema Dose  
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A dose that occupational workers could be exposed to without having any harmful acute affect   Tolerance Dose  
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A dose that is below which an individual has a chance to sustain specific biological damage   Threshold Dose  
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T or F. Neither tolerance dose nor threshold dose are currently being used for the purposes of radiation safety   True  
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Acute or early effects. Appear within minutes, hours, days or weeks.   Short-term somatic effects  
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What are some long-term somatic effects?   Cancer, embryologic effects, formation of cataracts  
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Biologic effects of ionizing radiation on generations yet unborn   Genetic effects (Heritable Effects)  
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What are some acute somatic effects?   Nausea, fatigue, diffuse redness of skin, fever, loss of hair, intestinal disorders, shedding of the outer layer of skin  
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The unit that measures radiation intensity   Roentgen (R) or Gray (Gy)  
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Radiation absorbed dose. Responsible for patient dose.   RAD or Gray(Gy)  
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Radiation equivalent man. Responsible for occupational dose.   REM or Sievert(Sy)  
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The unit of quantity of radioactive materials   Curie (Ci) or Bequerel (Bq)  
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This quantity, describes radiation exposure of a population or group from low doses of different sources of ionizing radiation.   Collective effective dose (ColEfD)  
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What two systems can radiation units be expressed in?   International System (SI) or the traditional system  
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How is the conversion of the roentgen to coulombs per kilogram accomplished?   Multiplying the number of roentgens by 2.58 x (10) to the negative fourth power  
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Amount of energy transferred on average by radiation to an object   Linear energy transfer (LET)  
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The higher the LET the more biological damage and the higher ______ factor.   Quality  
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What is the unit of collective effective dose?   Person-sievert  
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The weighting factor that takes into account the relative risk associated with irradiation of different body tissues   Tissue weighting factor  
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If absorbed dose is stated in rad, how can gray can be determined?   Dividing by 100  
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In the International System, what is the exposure unit measured in?   Coulombs per kilogram (C/kg)  
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How do you convert GRAY to RADS?   Multiply number of Grays by 100  
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