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What are possible results from the exposure to radiation?
Changes in the DNA molecule
Sterilization of the cell
Death of the cell
How can radiation damage to the DNA molecule of a genetic cell affect the future generations of an individual?
Mutations may occur
Whole body radiation, delivered in a period of seconds to minutes, produces a clinical pattern known as what?
Acute radiation syndrome
What does lethal dose 50/30 mean?
50% of the group dies within 30 days
What does genetically significant dose mean?
Estimated dose received by the population
Radiation damage depends on what?
Absorbed dose
Type of radiation
Size of the area exposed
What is the minimum level of radiation exposure below which no genetic or somatic damage occurs?
No minimum level is known
A fluoroscopic procedure performed on a pregnant female could result in what?
Stillbirth
Miscarriage
Congenital anomalies
Radiation is said to be carcinogenic. What does that mean?
A cancer producing substance
How can radiation induce cancer in a patient?
A mutation can increase cell growth
How much radiation exposure does it take to have a lethal dose where 50% of the humans would die within 60 days ?
1.03×10^-1 C/kg (400 to 500 R)
What can occur from a significant exposure to radiation?
Blood disorders
Malignant growths develop
Cataract formation
When radiation exposure causes hematopoietic death, what is the main reason why the person died?
Immune system is destroyed
The greatest radiation hazard to the fetus occurs during what time period?
First trimester
During a Radiographic examination, what would produce the greatest skin dose?
Short SID
A reddening of the skin due to radiation damage is called what?
Erythema
What are some possible long-term somatic effects of ionizing radiation?
Life-span shortening
Malignant neoplasm
Blood deficiencies
If a human is exposed to radiation levels in the 100-200 R range, what is expected?
Completed recovery within 90 days
Radiation exposure has been linked as a cause of what malignant diseases?
Leukemia
A person exhibiting radiation sickness would have what symptoms?
Nausea
Diarrhea
Loss of appetite
Why is radiation exposure to the gonads such a critical concern?
Mutations in offspring may occur
What is the amount of radiation necessary to produce a noticeable skin reaction called?
Erythema dose
Somatic effects of radiation relate to what?
Future generations
What determines the final effect from radiation?
Type of radiation
Type of tissue
Energy of radiation
What is the most radiosensitive area of the eye?
Lens
How has data been collected for the study of the effects of radiation exposure?
Therapy patients
Radiation workers
Atomic bomb survivors
50% of the radiation exposure to the general population comes from ____?
Medical and Dental radiographs
What situation will cause the greatest effect from radiation exposure?
Large dose over a short period of time
What cells would be affected by a relatively small amount of radiation exposure?
Leukocyte
What organ is considered radiosensitive?
Gonads
Early radiation therapy treatments for acne, tonsillitis, etc. has resulted in some cases of what?
Thyroid cancer
What would be the probable result of any major radiation exposure during the first few days of pregnancy?
Prenatal death
Three cardinal rules of radiation exposure:
Time
Distance
Shielding
What is the minimum distance you should try to stand back from radiation exposure?
6 feet
A 30 degree c-arm tilt will _____ exposure to the face and neck by a factor of ___.
Increase, 4
For a small to medium plaster cast, how should technique be adjusted?
Increase mAs 50-60%, increase kVp 5-7
The surgical team consists of a _____ who prepares the sterile field and sterilizes instruments
Scrub
The surgical teams consists of a _____ who assists the surgeon, including suctioning.
Surgical assistant
The absence of infectious organisms is termed:
Asepsis
Surgical attire consists of:
hospital scrubs
Mask
Bouffant cap
Shoe covers
Protective eyewear
Scrub cover/bunny suit
(True/False) The definition of conventional tomography is “a radiographic technique that employs motion to show anatomical structures lying in a plane of tissue while blurring or eliminating the detail in images of structures above and below the plane of interest”
True
Other names for tomography include:
planigraphy
Stratigraphy
Laminography
Body-section radiography
The x-ray tube and image receptor move in ____ directions around a stationary fulcrum (pivot point) during the exposure
Opposite
An object placed in the fulcrum (focal spot) will appear:
Sharp
Objects outside the focal plane will appear:
Blurred
The ____ the distance from the fulcrum, the greater the blurring
Greater
The loss of nearly all recorded detail of objects are outside the focal plane
Blur
The total distance the tube travels
Tomographic amplitude
The distance the tube travels during exposure
Exposure amplitude
The ____ is the pivot point around which the tube and IR move
Fulcrum
The area within the image that is in focus and shows satisfactory detail
Focal plane
The fulcrum is fixed and the patient is moved up and down to change the focal level
Grossman principle, fixed fulcrum
The section (slice) thickness is the depth of the focala plane is controlled by the:
Exposure angle
The distance between the fulcrum levels of successive slices:
Section interval
(True/False) the sectional interval should not exceed the section thickness
True
Tomographic tube movement is either _____ or complex
Linear
What tube movement is used for IVU’s?
Linear
Tube movements that qualify as complex:
Curvilinear
Elliptical
Circular
Trispiral
Figure 8
Hypocycloidal
Which two tube movements give the maximum tomographic amplitude and thinnest cut?
Trispiral and hypocyloidal
Complex motions often require ____ second exposures.
3-6
A specialized tomographic procedure, used to locate a lesion when the exact location is unknown
Zonography
Before starting an IV, what two things shoulder you verify with the patient?
Name and birthdate
How many times should you read the label of the drug or contrast being administered?
3
You should always ___ the procedure to the patient, and allow them to ask questions
Explain
Should you always ask the patient what their allergies are before administering contrast and/or drugs?
Yes
What are appropriate needle sizes for children?
23-25
Where should you apply a tourniquet?
3-4” above the site
You should always clean the puncture site with:
alcohol
Betadine
Chloraprep
Do you puncture with the bevel up or down?
Down
At what angle do you puncture the skin for venipuncture?
25-45
What magnifies the image from the output phosphor onto a viewing glass?
Optical (mirror-optics) system
What mm film cameras are used in cine fluoroscopy?
16 or 35
Increased framing frequency will ___ patient dose.
Increase
Spot films produce very high
Quality images
In a ___ the machine received the image from the output phosphor, so there is less patient dose (about ½) than cassette spot film
Photospot camera
Most fluoro and commercial TV’s have:
525 scan lines
High resolution TV’s have 1024 or _____ scan lines
2048
What is the biggest advantage of video recording fluoroscopic procedures?
Can be played back immediately
During routine fluoroscopy, personnel are exposed to radiation scattered by the _____ and other objects being irradiated
Patient
Exposure ___ dramatically as the workers move away from the patient and table
Decreases
If a tower drape is used, where will most of the exposure/dose come from?
The head or foot of the table
____ is identified as a contrast media study of synovial joints and related soft tissue structures
Arthrography
The two most common arthrogrpahy procedures are done for:
Shoulders and knees
Any study involving the injection of a contrast media should have a signed ___ form
Consent
The only contraindication to arthrography would be if the patient is allergic to:
Local anesthetics and/or iodine based contrast
Common joints for arthrograms include:
Hip
Knee
Ankle
Shoulder
Elbow
Wrist
TMJ
What is the radiographic demonstration of the female reproductive tract with a contrast medium. This demonstrates the uterus and degree of openness of fallopian tubes
Hysterosalpingography
Myelography is a radiographic study of the _____ and its nerve root branches with a contrast medium
Spinal cord
What is the most common reason to do a myelography procedure?
Herniated nucleus pulposus
When the myelogram is done, keep the patients head ____ to avoid contrast media passing into cerebral ventricles.
Elevated slightly, 30-40 degrees
Where is contrast media most commonly injected for cervical myelography?
C1/C2
Where is contrast media most commonly injected for lumbar myelography?
L3/L4
What color should cerebrospinal fluid collected during myelography be?
Clear
What is a radiographic examination of the salivary glands and associated ducts with a contrast medium?
Sialography
The three major salivary glands, from largest to smallest are:
Parotid, submandibular, sublingual
Parotid duct is also known as:
Stensons duct
Submandibular/submaxillary duct is also know as:
Whartons duct
Ducts of rivinus is also known as:
Bartholins ducts
Exam performed to determine if there are any limb length discrepancies
Orthorentgenography
What is the name of a ruler used in the orthorentgenography?
Bell-Thompson