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95 Cards in this Set

  • Front
  • Back

Xray discovery (3)

November 8th, 1895



Wilhelm Conrad Roentgen



German

You have to take ___ CEUs every ___ years

12



2

Public Law 97-35

Minimum standards



Consistent and safe procedures

ASRT (2)

American Society of Radiologic Technologist



Basic Core of Knowledge and Skills

Primary Radiation

Radiation that leaves the tube before it hits anything

Scatter radiation

Results from primary xrays hitting something (usually patient)

Remnant / exit radiation (2)

Radiation that leaves the patient and strikes the IR



Will make the image

Detent

What locks the tube to center of the bucky

Bucky Tray (2)

Holder for the IR Cassette



Contains the grid

Grid

Used to absorb scatter

ARLA

As Low As Reasonably Achievable

Time (1)


Distance (4)


________ law


When ____ is ____, _____ is reduced by factor of ___


Use correct _____



Sheilding (4)

Time short



Distance


inverse square law


When distance is doubled, exposure is reduced by factor of 4


Use correct SID



Shielding



Personal


Gonadal PersonalRoomXray tube


Room


Xray tube


NCRP (3)

Sensitive body organs should be shielded



Sheilding should never be a substitute for adequate beam collomation



0.5mm lead in sheild

Personal Sheilding

Lead aprons


Lead gloves


Thyroid sheilds


Leaded glasses


Primary Protective Barrier (lead ")



Secondary Protective Barrier (lead ")

1/16"



1/32"

Tube Sheilding (2)

Lead lined



Protects patients and personnel from leakage radiation

Personnel monitoring devices (3)

OSLs


TLDs


Pocket Dosimeters

OSL

Aluminum oxide



Worn at thyroid level



If pregnant - secondary badge work at easte level under apron

How to assist after recent back injury

Have patient sit from Lateral recumbent position

Patient position for nausea or short of breath

Fowler



Elevate upper body

Patient position for abdominal pain

Elevate head and bolster under knees

Temperature

Oral: 96.8 - 99.6

Pulse (2)

60 - 100 bomb



Tachycardia 110bpm

Respiration

12 - 20

Blood Pressure (2)

50 - 99 diastolic


95 - 120 systolic



Hypertension


High BP


120 / 90


What is the main source of radiation

Radon

Units of exposure



3 units


Each has a sub unit

Roentgen (R)


Air Kerma (Gya)



Rad


GRAY (Gy)



Rem


Silvery (Sv)

Roentgen - R



Define

Measurement of xray intensity in air

Rad



Formula


Stands for _______


Measures what?

1 rad = .01 Gy



Radiation Absorbed Dose



Measurement of xray tissue

Rem



Formula


Abv. Meaning


Define

1 rem = .01 Sv



Radiation Equivalent Man



Used for dose equivalent or occupational exposure



Rem = rem x QF

R RAD REM FORMULA

1R = 1 Rad = 1 Rem

Total Equivalent Dose (EqD)



Formula

EqD = Absorbed Dose x Wr

Equivalent Dose (EqD)



Define (2)

Uses quality factor based on type and energy of radiation



Whole body dose

Effective Dose (EfD)



Define (2)


Takes into account the type of radiation and type of tissue



Individual organ dose

Conventional into SI FORMULA

SI Unit = Conventuonal / 100

600 Rad is equivalent to ____ Gy

600 rad /100



600 rad = 6Gy

DAP (4)

Dose Area Product



Determines the entire amount of energy delivered to the patient



Sum of air Kerma / exposed area of patient surface



Air Kerma Dose x area of irridated surface = DAP

Law of Bergonié & Tribondeau (5)

Age


Differentiation


Mitotic rate


Metabolic rate


Younger the cell - less differentiation, faster the mitosis/metabolic rate, more sensitive


Somatic

Short-term effects

LD 50/30


____-____ gy


____-_____ rad

3 - 4 Gy


300 - 400 rad

Erythema (2)

Reddening of skin


200-1000 rad

Reproductive cells (2)

200 rad = temporary Sterility



500 rad = permanent sterility

Somatic effects

Long term effects

Film Badge (3)

Metal filters


Film packet


1 month wear

Pocket Ionization Chambers


Pocket Dosimeter

Most sensitive


Immediate exposure readout


Easy and conventional


Accurate


Expensive

Thermoluminescent Dosimeters (TLD)

Lithium Floride Crystals


- They absorb radiation


- headed and release energy as light


3 month wear


Expensive

OSL

Long term


Irridation stimulates electrons


Aluminum oxide

Lead apron thickness

.55 mm

KvP

If KvP is changed, AEC will adjust exposure time accordingly

mA

If mA is changed, AEC will adjust the exposure time accordingly

Annual Occupational Exposure Whole Body Dose

5000 mrem


General Public Whole Body Dose

100 mrem

SID Indicator

Must be within 2% of the indicated SID

Filtration define

Process of eliminating undesirable, low-energy photons


Insertion of absorbing materials into primary beam

Sagittal vs. Coronal plane

Both vertical & mid



Sagittal- forehead to back of head


Coronal - ear to ear

Radiography positions (4)

Projection


Position


View


Method

Projection - types (8)

AP


PA


Axil


Tangential


Lateral


Oblique


Complex


True

Type of projection

AP Projection

Type of Projection

PA Projection

Projection type

Axial Projection

Projection type

Tangential Projection

Projection Type

Lateral Projection

Projection Type

PA Oblique Projection

Projection type (2)

1 Left Lateral



2 Right lateral

Position type

RAO - Right Anterior Oblique

Position type

LPO - Left Posterior Oblique

Position term

Left Lateral Decubitus

View vs. Projection



Define + example

Opposites



PA projection = AP view

# of cervical vertebrae


# of thoracic vertebrae


# of lumbar vertebrae

7


12


5

Label curvature & type of curves

A. Cervical curvature


-Concave & lordotic



B. Thoracic


-convex



C. Lumbar Curvature


-concave & lordotic



D. Sacral curvature


-convex

Kyphosis vs. Lordosis curves

Kyphosis - increased convexity "humpback"



Lordosis - increased concavity "swayback"

AP Axial



Central ray =


Center IR to ____

Center IR to 4th Cervical vertebrae



Central ray - 15 - 20



Cephalad

AP Axil - RPO / LPO (8)



Turn patient ____°


Chin = ____________


Central ray ____°


IR entering at _______


intervertebral foramina is ________ from IR


Turn patient 45° /straight ahead



Extend chin slightly



Cephalic



Central ray - 15°-20°



Entering at C4



Open intervertebral foramina FURTHEST from IR

PA Axial Oblique



Central ray ______°


intervertebral foramina ______ to IR

Central Ray - 15°-20°



Open intervertebral foramina CLOSEST to IR

Lateral patient position



Patient facing how?


Chin position?


Shoulders - explain


Respiration- ___________


Central ray = ___________


What needs to be captured in the xray

Upright with L or R side against bucky



Elevate chin



Even shoulders - decompress



Respiration - suspended at end of expiration



Central Ray - perpendicular



ALL 7 VERTEBRAE & PART OF T1

Twinning method position



Patient position


Arm/shoulder positioning - explain


Central ray __________


Enter at ____

Upright with L or R side against bucky



Elevate arm closest to the IR, flex elbow, forearm on head, Depress shoulder



Respiration - suspended at end of expiration



Central Ray - perpendicular



T1

Zygapophyseal joints



Location


Lies at ___° angle to the _____ plane

Joint space between superior articulating process and the inferior articulating process



70° , midsagittal

Intervertebral foramen



Location


Lies at ___° angle to the _____ plane

Space between inferior vertebral notch of vertebra and superior vertebral notch of vertebral below



90° , midsagittal

Atomic number



What is it?


Letter

# of protons


Z

Atomic Mass Number



Meaning


Letter

# of protons + # of neutrons



A

Alpha particles

2 protons


2 neutrons

Beta particles

No mass


-1 charge

Xrays are produced where

Outside the nucleus

Wave theory



Parts of the wave

Wavelength


Frequency


Amplitude

Wavelength



Define


Measured ____ to _____

Distance between any 2 successive points of a wave



Crest to crest



Aplitude



Define

Intensity of the wave


Max height

Frequency



Define


Measured by ____


Represented by ____

# of waves that passes a particular point in given time frame


Hertz (Hz)


Nu (v)

Wave equation

Velocity = (frequency)(wavelength)

Speed of light =

186,000 miles per second

As frequency _______ wavelength _______

Increases


Decreases

As energy _______ wavelength ______

Increases


Decreases

Filament



Define

Small could of thin tungsten wire

Radiographic qualities

Photographic properties


Density


Contrast



Geometric


Recorded detail


Distortion

Milliamperage-second



Formula

mAs = mA x seconds

Need at least _____% change in mAs

25-50%