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1 Name: Date: Contact Information: MEDICAL FLUOROSCOPY SAFETY ALASKA REGULATIONS - QUIZ 1. Where are the current Alaska regulations pertaining to medical fluoroscopy imaging found? a. 7 AAC only b. Throughout 7 AAC 18 c. 18 AAC d e. Title 7, Part 5, Article 5 2. What is the maximum exposure allowed for patients who receive a medical fluoroscopy exam? a. 100 R/year b. 1 msv/year c. 50 msv/year d. 10 r/minute e. There is no maximum permitted exposure to patients for medical fluoroscopy procedures 3. When may a patient be legally exposed to ionizing radiation in Alaska? a. Whenever the patient requests the procedure b. Whenever a nurse requests the procedure c. Only when the procedure is ordered by a licensed practitioner of the healing arts d. Whenever the patient s suspected pathology requires medical imaging to confirm e. When Medicare or the patients other health care insurance permits the procedure 4. Who is required to register a medical fluoroscopic device? a. Anyone who receives such device b. Anyone who possesses such device c. One who uses the device d. One who transfers the device 5. When is a medical fluoroscopic device required to be registered with the state of Alaska? a. When the device is purchased b. When it is installed c. When it is inspected d. Within thirty days of when it becomes operational e. Within the first year of use 6. What is the threshold output that determines when approval by the state is required prior to use of a medical fluoroscopy device to expose patients? a. >10 R/min b. >20 Rems/minute c. >50 Rems/hour d. All x-ray devices must be approved before first use e. When Maximum kvp>125

2 7. When may a state inspector review records, test devices and consult with staff in a facility that has a medical fluoroscopy device? a. Following a 30 day notice b. Only after 5 days pre-notification c. After a complaint has been received d. Within 30 days of installation of the device e. At any reasonable time 8. When can an authorized healthcare person order a medical x-ray procedure on a patient? a. When patient health demands it b. Only for clinical purposes in accordance with the regulations c. Whenever the patient s family feels it is necessary to rule out the cause of illness d. Whenever the imaging technologist needs to test their equipment e. When the machine engineer needs to check device performance and accuracy 9. Which of the following are legitimate uses of a medical fluoroscope? a. To evaluate the motility of a contrast agent administered orally b. To assist operators in accurately positioning a patient for a non-fluoroscopic imaging procedure c. To verify the fit of a patients foot with their shoe conformation d. To evaluate the location of an internal body part in preparation for a CT study are acceptable applications of a medical fluoroscope 10. The annual occupational exposure limit to operators of medical fluoroscopes is: a. 5 Sv b. 0.5 Sv c Sv d Sv e. There is no occupational exposure limit as long as ALARA is applied 11. If the operator of a medical fluoroscope works at multiple places their total annual whole body occupational exposure limit is: a. The same as the limit in one location b. The annual limit multiplied by the number of locations worked c. 1/10 the annual occupational limit for each additional site d. Depends on how much non-radiation procedures they perform elsewhere (MRI, ultrasound)) e. Depends on whether or not they are of reproductive age 12. When is personnel radiation monitoring required? a. Whenever the individual works in or near radiation devices b. When the individual is likely to receiver exceed the annual occupational exposure limit c. Whenever the operator is likely to receive one-tenth the annual whole body exposure limit d. Whenever the x-ray machine is turned on e. When the operator is within the age when reproduction is still possible

3 13. When is it necessary to post a Caution: Radiation Area sign? a. Whenever the maximum exposure within a defined area exceeds 2 mr/hour b. Whenever the maximum exposure to the whole body exceeds 5 mr/hour c. Whenever the maximum exposure to any part of the body exceeds 100 mr/hour d. Whenever the device is producing radiation e. Whenever the maximum radiation output exceeds 0.1 Sv/year 14. When is a pregnant female employee operator of x-ray devices REQUIRED to inform her employer of her pregnancy? a. Never b. When she first learns she is pregnant c. Within the first trimester of pregnancy d. Any time during the last trimester of pregnancy e. Whenever her baby is born with anomalies or a disabling condition 15. The maximum exposure permitted for the unborn fetus prior to deliver is: a. 5 Sv b. 0.5 Sv c Sv d Sv e. There is no maximum exposure limit because the fetus cannot legally be exposed at all 16. Which is the most appropriate sign to be placed at the entrance to a medical fluoroscopy room? a. CAUTION: RADIATION AREA b. CAUTION: HIGH RADIATION AREA c. WARNING: VERY HIGH RADIATION AREA d. GRAVE WARNING: EXTREMELY HIGH RADIATIONB AREA e. No sign is required as long as exposures do not exceed fluoroscopy machine limits 17. How long are personnel radiation exposure records required to be maintained by the facility? a. Three years b. One year after the employee has left employment at that facility c. Ten years or until the employee reaches age 21 d. Forever, or until the employee has died from non-radiation causes e. As long a monitoring is conducted regularly there is no requirement to retain prior exposure records 18. What is an employer required to do for their radiation device operator a. Provide personnel radiation exposure monitoring as specified in the regulations b. Provide their operator(s) with safety instructions specific to the equipment used c. Advise their operators of applicable radiation safety regulations d. Evaluate the operator to insure he/she is competent in operation of the device 19. How soon after an over-exposure incident has occurred incident has been identified must the employer notify the state of the incident? a. Immediately after the procedure is completed b. Within 48 hours of completion of the procedure

4 c. Within one week of the incident d. Whenever qualifying criteria occur within six months of the performance of a procedure e. When ever erythema occurs within thirty days of completion of a diagnostic procedure 20. Who is required to be able to document at least ten hours of instruction of medical radiation safety training specific to the fluoroscope? a. All technologists who operate a medical fluoroscope b. Anyone who controls the exposure to the patient during medical fluoroscopy procedures c. Medical physician assistants and nurse practitioners who operate medical C arm fluoroscopes d. Anyone who is not a practitioner of the healing arts licensed by the state of Alaska e. Anyone who doe snot hold a license in a medical imaging specialty 21. When is continuously sounding audible alarm required to operate when using a medical fluoroscope? a. Whenever the device is producing radiation b. Whenever the device is operating in the High Dose Rate mode c. When five minutes of total fluoroscope time has elapsed d. When total fluoroscopy time could result in an erythema dose to any body part of a patient e. Whenever the dose rate exceeds 2.58E4 C/kg during a fluoroscopic procedure 22. What is the minimum amount of lead equivalent protection required in lead aprons used during a fluoroscopy procedure? a. 1 mm Pb b. 2 mm Pb c. 5 mm Pb d mm Pb e. 0.5 mm Pb 23, What are the possible consequences to a facility where an individual involved in the operation of a medical fluoroscope is unable to document adequate training has been completed? a. A warning letter may be sent requiring cessation of the activities until qualified training has been completed b. A fine may be imposed of up to five-hundred dollars per day for each day the activity has occurred c. The individual may be sent to prison for one year for each violation that has occurred d. The facility may be shut down and all fluoroscopy operations ceased until the violation(s) is/are corrected 24. Which of he following individuals must use a protective apron with shielding value at least at the minimum required by the regulations? a. Anyone operating a mobile C arm fluoroscope b. Anyone likely to be exposed to 5 mr/hour or more during imaging procedures c. Anyone holding a patient to immobilize them during imaging d. Anyone operating any kind of mobile radiation device

5 25. When is the total exposure to a patient required to be recorded? a. When performing any kind of medical imaging procedure b. When performing any kind of medical fluoroscopy procedure c. When performing any Interventional procedure d. When performing MRI and ultrasound procedures Fax completed Quiz to , or mail it to: Attn: Radiological Health, State of Alaska, DH&SS, Labs, 5455 Dr. Martin Luther King Jr. Ave., Anchorage, AK for scoring and feedback.