pri 2 mod 4

Which organization promotes interoperability using standards like DICOM and HL7?

a) RSNA

b) SIIM

c) FDA

d) IHE

d) IHE

The Imaging Informatics Professional (IIP) is responsible for all the following except:

a) Performing diagnostic interpretations

b) Database server maintenance

c) PACS and RIS support

d) Coordinating system upgrades

a) Performing diagnostic interpretations

Which system specifically supports the operations of a radiology department, including patient scheduling, patient records and image management?

a) PACS

b) HIS

c) EMR

d) RIS

d) RIS

Which of the following is a technical safeguard under HIPAA?

a) Privacy training module

b) Business associate agreement

c) The building security patrol officer

d) Automatic log off and encryption on clinical computers

d) Automatic log off and encryption on clinical computers

Which act was passed in 1996 to establish national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers?

a) The Patient Protection and Affordable Care Act

b) The Health Insurance Portability and Accountability Act

c) The Affordable Care Act

d) The Health Information Technology for Economic and Clinical Health Act

b) The Health Insurance Portability and Accountability Act

According to Papp, which of the following best defines informatics?

a) A body of ideas, devices, and processes related to handling multiple types of information

b) A medical term for digital radiography

c) A software used for electronic billing

d) A system that stores only imaging data

a) A body of ideas, devices, and processes related to handling multiple types of information

Bandwidth

defines the maximum amount of information that can be transferred over a data channel per unit time

Server

a computer that manages resources for other computers, servers, and network devices

Workflow

how a process is done, step by step

Network

system that allows two or more computer to exchange information

Network interface card

connects each computer to a network (also known as a network adapter)

local area network (LAN)

is a network confined to one facility and usually connected by cable, optical fiber, or a wireless system

wide area network (WAN)

include remote facilities and uses telecommunication devices such as the Internet

The main goal of interoperability in health informatics is to:

a) Enforce HIPAA encryption protocols

b) Improve patient compliance with appointments

c) Reduce staffing needs in radiology

d) Ensure seamless sharing of health data across different systems

d) Ensure seamless sharing of health data across different systems

Which modality worklist helps ensure accurate patient and exam information is loaded into the acquisition system?

a) IHE Scheduler

b) HIS Activity Queue

c) DICOM Modality Worklist

d) HL7 Protocol List

c) DICOM Modality Worklist

What is the purpose of the Health Level 7 (HL7) standards?

a) To compress medical images without data loss

b) To standardize the pixel values in diagnostic imaging

c) To encrypt radiographic images for secure PACS storage

d) To enable the exchange of text-based medical information between different information systems

d) To enable the exchange of text-based medical information between different information systems

Which of the following statements is true about Electronic Medical Records (EMRs) and Electronic Health Records (EHRs)?

a) EMRs include more features for patient engagement than EHRs

b) EMRs and EHRs are identical in scope and functionality

c) EHRs provide a more comprehensive and shareable health record than EMRs

d) EMRs provide broader, interoperable health data sharing than EHRs

c) EHRs provide a more comprehensive and shareable health record than EMRs

What key information is stored in the DICOM image header?

a) Insurance coverage of the patient and third pary payers responsible

b) Patient demographics, procedure details, and image acquisition parameters

c) Exam scheduling, billing workflow, and contact number

d) Patient symptoms, diagnosis, and primary care provider

b) Patient demographics, procedure details, and image acquisition parameters

Which of the following is NOT typically stored in a Hospital Information System (HIS)?

a) Financial transactions and billing data

b) Radiological images

c) Patient admissions and discharge data

d) Patient medical records

b) Radiological images

What is the primary function of a Hospital Information System (HIS)?

a) Designed to manage healthcare data

b) To store and manage radiologic images

c) To perform radiological examinations

d) To facilitate teleradiology services

a) Designed to manage healthcare data

What is the primary purpose of the DICOM standard?

a) To standardize electronic health records

b) To ensure interoperability of medical imaging devices

c) To manage financial transactions in healthcare

d) To handle patient admissions and scheduling

b) To ensure interoperability of medical imaging devices

Image Acquisition is a main component of PACS. This component is what captures digital images for PACS to store for interpretation.

PACS, or Picture Archiving and Communications System, is a computer system for (select 4):

a) Distributing digital images

b) Retrieving digital images

c) Presenting digital images

d) Storing digital images

e) Charting patient history

f) Billing patient exams

a) Distributing digital images

b) Retrieving digital images

c) Presenting digital images

d) Storing digital images

Another main component in PACS is the Image Storage archive. The archive is a central hub for storing digital images. Short term storage is termed by the acronym RAID and long term storage is held via Cloud.

Dicom header information can include:    (select 3)

a) Radiology report

b) Archive server location

c) Patient history

d) Patient identifiers

e) Examination description

f) Modality type

d) Patient identifiers

e) Examination description

f) Modality type

A plan for Disaster recovery ensures that images and patient data are recoverable in case of system failure, natural disasters, or cyberattacks. A key feature for this includes data redundancy, which means that multiple copies of the same data are stored across different locations, often via cloud or off site storage providers.

Which of the following compression types reduces image size without losing any data?

a) Lossy

b) Lossless

c) Lochness

d) Looky

b) Lossless

Why is it important for radiologic technologists to understand the limits of AI?

a) AI still needs human supervision and can make mistakes

b) AI is used to calculate their pay

c) AI may override patient history

d) AI will eventually eliminate all QC procedures

a) AI still needs human supervision and can make mistakes

This type of archive is not limited to solely DICOM formatted digital images. This type of archive allows for images and data from different systems and in different formats to be stored using a singular system on a common infrastructure

a) Vendor Neutral Archive (VNA)

b) MIMPS

c) Picture Archiving and Communications System (PACS)

d) Storage Area Network

a) Vendor Neutral Archive (VNA)

Which of the following situations would most likely trigger a PACS QC test called a “thread test”?

a) A patient wants to view their report through a portal

b) The RIS is being updated with new billing codes

c) A radiologist requests a printed copy of the image

d) A new image from a modality is missing on PACS

d) A new image from a modality is missing on PACS

Which scenario BEST represents the use of AI in radiology?

a) Replacing all radiologists with computers

b) A CT scanner automatically selects the proper slice thickness

c) Automatically erasing unneeded image data

d) Software flags a possible lung nodule and highlights it for the radiologist

d) Software flags a possible lung nodule and highlights it for the radiologist

Which component is responsible for sending images from modality to PACS and allows simultaneous viewing?

a) HIS

b) Archive

c) Communications network

d) Modality Worklist

c) Communications network

What standard ensures grayscale consistency across different viewing monitors?

a) JPEG

b) GSDF

c) HL7

d) VNA

b) GSDF

Teleradiology is a mode of transmitting medical images remotely, often between different healthcare facilities. It relies on secure connections through a VPN or Virtual Private Network to protect data and uses a WAN or Wide Area Network to transmit the data over long distances

Which of the following best describes the function of “hanging protocols” in PACS?

a) Encrypt patient image data for secure sharing

b) Predefine how images are laid out for viewing

c) Transfer images to the archive

d) Sort patient charts by appointment time

b) Predefine how images are laid out for viewing

The acronym MIMPS, which stands for Medical Image Management and Processing System is a newly adopted term for PACS. This reclassification was championed by the FDA in order to reflect modern advancements in medical imaging systems.

Who is typically responsible for overseeing routine QC on PACS components like compression, transmission, and archiving?

a) The front desk clerk

b) The ER nurse

c) An imaging informatics professional or PACS administrator

d) Any radiologic technologist on staff

c) An imaging informatics professional or PACS administrator

What is a key benefit of cloud storage in a modern PACS system?

a) High image resolution

b) Increased redundancy and disaster recovery

c) Elimination of DICOM headers

d) Real time billing updates

b) Increased redundancy and disaster recovery

The secondary, or clinical workstation is where radiologists interpret digital images for diagnostic purposes.

t or f

false

What part of the PACS system allows radiologists to zoom, annotate, and adjust window/level?

a) Network switch

b) Archive server

c) Modality Worklist

d) Primary display workstation

d) Primary display workstation

Which of the following is forbidden for diagnostic interpretation in mammography by the FDA?

a) Lossy compression

b) Vendor neutral archives

c) Lossless compression

d) Cloud based image retrieval

a) Lossy compression