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CIIP Study Guide 2
CIIP STUDY GUIDE 2
| Question | Answer |
|---|---|
| Which DICOM service allows a workstation to request a list of studies from PACS? | C-FIND |
| What does the DICOM part 10 file format define? | MEDIA STORAGE AND FILE STRUCTURE |
| Which study characteristic is NOT typically stored in the Dicom Header? | Patient allergies |
| A DICOM Series Instance UID Identifies: | A group of images acquired with the same technique. |
| Which DICOM transfer syntax allows uncompressed image storage? | Explicit VR Little Endian (1.2.840.10008.1.2.1) |
| A PACS typically stores pixel data: A) In the database B) On the file system C) In the RIS D) In HL7 messages | B) On the file system |
| Which imaging operation is MOST impacted by bandwidth limitations? | Viewing large CT series |
| Which DICOM service is required for Modality Performed Procedure Step (MPPS)? | Workflow Management |
| To reduce mismatches, modality technologists should rely on: | Modality Worklist |
| A multi-fram DICOM object contains: | A video sequence or set of related frames |
| DICOM IODs describe: | The structure of DICOM objects |
| WADO is used for: | Retrieving DICOM objects over HTTP |
| A PACS archive down impacts what first? | Image retrieval |
| A DICOM tag of (0020,000D) references: | A study instance UID |
| What's a key advantage of JPEG2000 compared to JPEG baseline? | JPEG2000 Supports both lossless and lossy modes |
| What does the OSI transport layer provide? | End to End communication (Open Systems Interconnection) |
| The BEST way to reduce network congestion during peak imaging hours is: | Implement QoS (Quality of Service) Network tool used to prioritize larger files w/o network congestion |
| A /23 subnet mask allows how many usable IP addresses? | 510 (32bit - 23 subnet = 9bit) /23 subnet mask always gives double so 2 to the 9th power = 512 minus 1 channel & 1 broadcaster) = 510 |
| A PACS server that fails but immediately resumes service using a secondary machine demonstrates: | Failover Clustering |
| Which device inspects packets for malicious behavior? | IDS / IPS (Intrusion Detection & Intrusion Prevention Systems) |
| What is the purpose of NAT? | Allows private IPs to access public networks |
| Traceroute test is used to diagnose? | Routing path issues |
| Which port does HTTPS use? | 443 |
| A SAN typically uses which protocol? | Fiber channel |
| To secure PACS data over the WAN, use: | VPN |
| A DHCP server provides: | Dynamic IP addresses |
| A monitoring system that polls PACS hardware for CPU and disk levels likely uses: | SNMP (Simple Network Management Protocol) |
| What is the most common cause of PACS image retrieval timeout? | Network saturation |
| GbE is typically used for? | Gigabit Ethernet is used on PACS server-to-storage links |
| Packet loss is MOST likely caused by: | Cabling issues (but could also be due to network congestion) |
| Which imaging mode does not use ionizing radiation? | MRI & US |
| The strength of an MRI magnet is measured in? | Teslas |
| An ultrasound transducer is responsible for? | Generating wave sounds and detecting echoes |
| Automatic exposure control in CT adjusts: | Tube Current |
| Which device provides analog-to-digital conversion in DR detectors? | An ADC circuitry (Analog to Digital Converter) |
| MR artifacts caused by patient motion appear as? | Blurring/Ghosting |
| Which imaging type uses radiopharmaceutical tracers? | PET |
| AEC failure in mammography can cause? | Incorrect breast density exposure |
| A CT gantry houses the: | Rotating x-ray tube and detectors |
| Nuclear medicine dose calibrators measure: | Radioactivity |
| In imaging workflow, the accession number is created by: | RIS |
| What is the MOST common cause of patient mismatches? | Manual data entry by technologists |
| Which HL7 message communicates procedure scheduling? | ORM |
| Radiology turnaround time (RTAT) measures? | Exam to final report |
| Which step occurs FIRST in IHE Scheduled Workflow? | HL7 ADT Admission |
| A QC workstation is used to: | Edit demographics and reject wrong images |
| When the technologist marks the exam "complete" the system triggers: | MPPS final update (Modality Performed Procedure Step) |
| The most effective method to reduce repeat imaging is: | Real-time MWL availability |
| A root cause analysis begins with: | Event reconstruction and timeline |
| Priors prefetching improves: | Diagnostic efficiency |
| An HL7 ADT A08 message indicates: | A08 is Patient Update |
| What is the usual source of truth for exam scheduling? | RIS |
| IHE profiles are MOST commonly used to: | Standardize Workflow Processes |
| Which radiologist workflow reduces bottlenecks? | Worklist prioritization |
| Of PACS DB, MPI, RIS Log, or AE Title map, which is used to track patient identity across multiple systems? | MPI (Master Patient Index) |
| HL7 v2 messages are delimited using: | Pipes |
| Which transport is used for HL7 v2.x? | TCP with MLLP (Minimal lower layer protocol) for real time, reliable end to end communication |
| In DICOM, the SCP is best described as the: | Server (Service Class Provider) |
| IHE XDS-I supports: | Cross enterprise image sharing (XDS-I= Cross Enterprise Document Sharing) |
| Which type of HL7 message type usually carries radiology reports? | ORU |
| IHE SWF ties together which systems? | RIS, Modality, PACS (SWF = Scheduled Work Flow) |
| HL7 OBX segments contain: | Observation/Report Data |
| The DICOM standard used for structed reports is? | SR |
| IHE ATNA provides? | Authentication, logging and auditing (ATNA = Audit Trail Node Authentication) |
| Which protocol verifies basic DICOM connectivity? C-MOVE / C-FIND / C-ECHO / C-STORE | C-ECHO |
| DICOM PS3.4 covers: | Services and Message exchange |
| Which IHE profile handles patient identity management? | PIX (Patient Identifier Cross Referencing) |
| HL7 Z segments are used for: | Vendor-Specific extensions |
| Which standard governs diagnostic reports? | DICOM SR |
| DICOM Pixel Data tag is: A) (0008,0010) B) (0010,0040) C) (0020,000D) D) (7FE0,0010) | D) (7FE0,0010) |
| A. ATNA B. XDS-I C. IOCM D. SWF Which profile dictates how corrections/deletions should be handled? | IOCM (Imaging Object Change Management is an IHE integration profile) |
| HL7 ORMs carry: | Orders |
| IHE Profiles consist of what 2 groups? | Actors and Transactions |
| Which DICOM transfer syntax supports JPEG2000? | 1.2.840.10008.1.2.4.91 (Is Lossy/Lossless 1.2.4.90 is Lossless ONLY) |
| The DICOM dictionary organizes data by: | Group / Element Structure |
| A CDA document is part of: | HL7 v3 (Clinical Document Architecture) |
| In IHE, TF is the: | Technical Framework |
| Which component defines DICOM networking roles? | PS3.7 Message Exchange: Network protocol for exchanging information. |
| IHE RID is used for what? | Web-based access to reports (RID = Retrieve Information for Display) |
| Of STORAGE, QUERY, WORKFLOW, or REPORTING, what is the DICOM Modality Worklist service classification? | WORKFLOW |
| A. RFP B. SOW C. RAID Log D. PERT Chart Which document outlines project objective, scope, and constraints? | SOW (Statement of Work) |
| The LEAN concept of "waste" includes: | Redundant workflow steps |
| A risk register documents: | Potential threats and mitigation |
| Which phase includes User Acceptance Testing (UAT) | Execution |
| A Gantt chart shows what? | Schedules and task durations |
| MTTR represents: | Mean Time To Repair |
| A PACS downtime procedure manual is part of: | Business continuity planning |
| Which meeting gathers lessons learned after go-live? | Retrospective/Postmortem |
| A project Baseline helps measure? | Scope changes |
| The best way to prevent scope creep is: | Strict Change Control |
| A vendor RFP is used to: | Request proposals (Request for Proposal) |
| Disaster recovery priority should be base on: | Clinical impact and downtime tolerance |
| SLA uptime of 99.9% permits how much downtime per year? | 8.77 hours |
| Kanban boards are used for: | Workflow visualizations |
| Which of the following are part of operational readiness? a. Training materials b. RAID Health c. VLAN Design d. IP schema | a. Training materials |
| Critical Path tasks determine: | Minimum project duration |
| A project sponsor is responsible for: | Providing executive support and resources to |
| A project's cost overrun is MOST likely due to: | Poor Scoping |
| Which metric measures average time between system failures? | MTBF (Mean Time Between Failure) |
| The most effective way to prevent repeat outages is: | Root cause analysis and corrective action |
| (0008,0008) represents what? | Image Type: Describes pixel data characteristics. |
| (0008,0020) / (0008,0030) represents what? | Study Date / Study Time. |
| (0008,0060) | Modality: (e.g., CT, MR, DX, CR, US, MG). |
| (0008,0016) | SOP Class UID: Defines the type of image (e.g., CT Image Storage). |
| (0008,0018) | SOP Instance UID: Unique identifier for each image. |
| (0010,0010) | Patient Name. |
| (0010,0020) | Patient ID. |
| (0020,000D) | Study Instance UID: Uniquely identifies the study. |
| (0020,000E) | Series Instance UID: Uniquely identifies the series. |
| (0020,0013) | Instance Number: The image number within the series. |
| (7FE0,0010) | Pixel Data: The actual image pixel data. |
| 1.2.840.10008.5.1.4.1.1.2 This DICOM UID specifies what type of Image Storage Service-Object Pair (SOP) Class. | CT Image Storage |
| 1.2.840.10008.5.1.4.1.1.4 This DICOM UID specifies what type of Image Storage Service-Object Pair (SOP) Class. | MR Image Storage |
| 1.2.840.10008.5.1.4.1.1.1.1 This DICOM UID specifies what type of Image Storage Service-Object Pair (SOP) Class. | Digital X-Ray (DX) - For Presentation |
| 1.2.840.10008.5.1.4.1.1.1.1.1 This DICOM UID specifies what type of Image Storage Service-Object Pair (SOP) Class. | Digital X-Ray (DX) - For Processing |
| 1.2.840.10008.5.1.4.1.1.1 This DICOM UID specifies what type of Image Storage Service-Object Pair (SOP) Class. | Computed Radiography (CR) Image Storage |
| 1.2.840.10008.5.1.4.1.1.3.1 This DICOM UID specifies what type of Image Storage Service-Object Pair (SOP) Class. | Ultrasound (US) Multi-frame Image Storage |
| 1.2.840.10008.5.1.4.1.1.1.2 This DICOM UID specifies what type of Image Storage Service-Object Pair (SOP) Class. | Digital Mammography - For Presentation |
| This is the default transfer syntax that all DICOM Application Entities must support. | Implicit VR Little Endian: 1.2.840.10008.1.2 |
| The transfer syntax most common high-performance format used in PACS environments | Explicit VR Little Endian: 1.2.840.10008.1.2.1 |
| The Transfer Syntax rarely used today, mostly found on legacy Unix-based systems) | Explicit VR Big Endian: 1.2.840.10008.1.2.2 |
| JPEG Baseline (Lossy): a. 1.2.840.10008.1.2.4.50 b. 1.2.840.10008.1.2.4.57 c. 1.2.840.10008.1.2.4.70 d. 1.2.840.10008.1.2.5 | a. 1.2.840.10008.1.2.4.50 |
| JPEG Lossless: (choose 2) a. 1.2.840.10008.1.2.4.50 b. 1.2.840.10008.1.2.4.57 c. 1.2.840.10008.1.2.4.70 d. 1.2.840.10008.1.2.5 | b. 1.2.840.10008.1.2.4.57 c. 1.2.840.10008.1.2.4.70 |
| RLE Lossless: a. 1.2.840.10008.1.2.4.50 b. 1.2.840.10008.1.2.4.57 c. 1.2.840.10008.1.2.4.70 d. 1.2.840.10008.1.2.5 | d. 1.2.840.10008.1.2.5 |
| Which of the following would most likely be an US image: a. 1.2.840.10008.1.2.4.50 b. 1.2.840.10008.1.2.4.57 c. 1.2.840.10008.1.2.4.70 d. 1.2.840.10008.1.2.5 | RLE Lossless d. 1.2.840.10008.1.2.5 |
| What are the 3 connection fundamentals? | 1) AE Title (used to identify a DICOM node) 2) Port 104 The standard TCP port most commonly used for DICOM 3) SCU/SCP (Client / Server) |
Created by:
foster1317