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safety2

front 1

Which of the following describes a Beta particle?

A. High speed photon

B. High speed electron

C. High speed proton

D. High speed neutron

back 1

high speed electrons

-How can a high speed electron leave the nucleus of an atom? It happens when a neutron splits into its elementary parts - a proton and an electron!

front 2

Which of the following stages of cell division is considered to be the most radiosensitive?

A. Prophase B. Anaphase C. Telophase D. Metaphase

back 2

metaphase

-Radiosensitive means a cell is capable of being injured or destroyed by radiation. The metaphase stage is when cells are most susceptible to radiation effects.

front 3

Radiation is said to be carcinogenic. What does carcinogenic mean?

A. A cancer producing substance

B. Causes genetic changes

C. The ability to destroy cancer

D. Causes cell death

back 3

A. A cancer producing substance

-Radiation is a carcinogen (cancer-causing substance) because it can alter the genetic code on a DNA molecule.

front 4

The coulomb per kilogram (C/kg) unit only applies to which of the following types of radiation?

A. Alpha B. Beta C. X & gamma rays D. Background

back 4

C. X & gamma rays

-The coulomb per kilogram (C/kg) is the unit for measuring electromagnetic radiation. The becquerel is the unit for measuring radioactive decay (alpha & beta).

front 5

Which of following are in the correct order, going from most to least radiosensitive?

A. Epithelial, lymphoid, muscle

B. Lymphoid, muscle, epithelia

C. Lymphoid, epithelial, muscle

D. Muscle, epithelial, lymphoid

back 5

C. Lymphoid, epithelial, muscle

-The most radiosensitive cells are undifferentiated and divide rapidly.

front 6

Where will most of a cell's genetic information be found?

A. Nucleus B. Nucleolus C. Cytoplasm D. Daughter cell

back 6

A. Nucleus

-A. Nucleus

front 7

What is the unit for air kerma?

A. Brem B. Collision kerma C. Roentgen D. Gray

back 7

gray

-The unit for air kerma is joule per kilogram (gray, Gy)

front 8

Which of the following measurements is equal to 1 joule per kilogram?

A. Gray B. Sievert C. RBE D. C/kg

back 8

gray

-The Gray corresponds to 1 joule of energy transferred to 1 kilogram of any absorbing material.

front 9

What is the process of cell division of somatic cells called?

A. Meiosis B. Mitosis C. Synthesis D. Multiplication

back 9

mitosis

-Mitosis is the process by which somatic cells duplicate to replace cells and help the body grow. It is made up of four stages: prophase, metaphase, anaphase and telophase.

front 10

Where do the metabolic functions of a cell take place?

A. Nucleus B. Chromosomes C. Cytoplasm D. DNA molecule

back 10

Cytoplasm

-Metabolism is chemical changes in living cells by which energy is provided for the cell's vital activities.

front 11

When radiation exposure causes hematopoietic death, what is the main reason why the person died?

A. Hemorrhage B. Respiratory distress C. Immune system is destroyed D. Heart failure

back 11

-C. Immune system is destroyed

Since the lymphocytes are the cells that are easiest to destroy, the person will die from infection.

front 12

High-level, whole body radiation exposure, delivered in a period of seconds to minutes, produces a clinical pattern known as what?

A. Mortality irradiation B. Cumulative exposure C. Whole body dose D. Acute radiation syndrome

back 12

D. Acute radiation syndrome

-Acute = sudden onset; syndrome = set of symptoms. With whole-body doses over 100 rem, persons may exhibit serious physical symptoms that lead to death.

front 13

What does genetically significant dose mean?

A. Dose that will cause damage B. Dose that will cause genetic damage C. Dose that will cause a mutation D. Estimated dose received by the population

back 13

-D. Estimated dose received by the population

GSD is an estimation of the exposure to the genetic cells of a population from all forms of radiation. It is an attempt to predict the impact of present exposure on future generations.

front 14

Which of the following affects the rate of decay of a radioactive material?

A. Pressure B. Temperature C. Elevation D. Nothing can affect the rate of decay

back 14

d. Nothing can affect the rate of decay

-The disintegration (decay) of radioactive materials is not affected by any outside influences.

front 15

Which of the following refers to the amount of ionizing radiation energy transferred by any type of radiation to any target material?

A. C/kg B. Gray C. Sievert D. Kerma

back 15

gray

-The unit of absorbed dose is 1 J/kg = 1 Gy.

front 16

Which of the following would describe the shape of a DNA molecule?

A. Elliptical B. Hypocycloidal C. Double helix D. Circular

back 16

C. Double helix

-A helix is anything that has a spiral shape. DNA is composed of two long chains that spiral around each other.

front 17

How can radiation induce cancer in a person?

A. It can alter a cells function B. A mutation can increase cell growth C. It can cause cell death D. Radiation destroys the immune system

back 17

B. A mutation can increase cell growth

-Cancer is the rapid growth of a tissue. A change in the DNA molecule can be the reason for this rapid cell division.

front 18

What is the amount of radiation necessary to produce a noticeable skin reaction called?

A. Soft dose B. Low energy dose C. Erythema dose D. Isodose

back 18

C. Erythema dose

-The first noticeable reaction to radiation is when the skin begins to turn red. This reddening of the skin is known as erythema.

front 19

Stochastic effects of radiation can be defined by which of the following?

A. Cells that survive an initial irradiation but produce a late effect

B. Cells that require a threshold dose before an effect will occur

C. The greater the dose, the greater the biological effect

D. The risk of malignancy is negligible

back 19

A. Cells that survive an initial irradiation but produce a late effect

The greater the dose, the greater the chance of a specific late effect. However, the severity of the effect does not increase with an increase in dose. Cancer and genetic defects are examples of stochastic effects.

front 20

Which of the following factors will affect the quantity as well as the quality of the x-ray beam?

1. kVp
2. HVL
3. SID
A. 1 only B. 2 only C. 2 & 3 only D. 1, 2 & 3

back 20

1. kVp
2. HVL
3. SID

increasing HVL and SID will filter out low energy x rays, leaving a higher energy beam with fewer x rays. Increasing kVp increases the probability that more x rays will be produced with more energy.

front 21

How many matched pairs of chromosomes does a human somatic cell contain?

A. 6 B. 13 C. 23 D. 46

back 21

23

-There are 46 chromosomes (23 pairs) in human somatic cells. This is known as the diploid number. This number is reduced to half in genetic cells and is called the haploid number.

front 22

The radiation interaction with tissue that causes most of the cellular damage is which of the following?

A. Excitation

B. Ionization

C. Classical scattering

D. Thompson scattering

back 22

B. Ionization

-The basic interaction is when radiation removes an electron from an atom leaving a positive ion (ionization). The atom will then react differently and may cause damage to that cell.

front 23

Which of the following cells would be affected by a relatively small amount of radiation exposure?

A. Muscle B. Nerve C. Leukocyte D. Liver

back 23

-C. Leukocyte

-White blood cells divide very rapidly and therefore are very radiosensitive.

front 24

What percentage of the total amount of radiation to the general population comes from background radiation?

A. 25% B. 35% C. 50% D. 70%

back 24

50%

-Background radiation may equal 1 mSv. However, one fluoroscopic examination could equal 50 mSv or more.

front 25

Which of the following types of radiation can cause ionization, and therefore biological damage?

1. X rays
2. Infrared
3. Microwaves

back 25

xray

-Infrared and microwaves are electromagnetic radiation just like x rays. The difference is they do not possess the energy it takes to remove electrons from their orbits which causes ionization.

front 26

What do the letters "LET" stand for?

A. Lethal effective tolerance B. Lethal exchange table C. Linear energy transmutation D. Linear energy transfer

back 26

Linear energy transfer

front 27

Which of the following refers to the single set of chromosomes in a genetic cell?

A. Diploid number B. Triploid number C. Haploid number D. Semiloid number

back 27

C. Haploid number

The first division produces two cells with the normal diploid number (23 pairs of chromosomes), these divide again to produce two more cells with a haploid number (23 single chromosomes).

front 28

What is the name of the stage of cell division that is commonly referred to as the resting stage?

A. Anaphase B. Interphase C. Metaphase D. Telophase

back 28

interphase

-Inter- means between. This is the stage between cell division when the DNA molecule is synthesized (combining parts to form a whole).

front 29

What is the molecule called that has one or more unpaired electrons and is unusually chemically reactive?

A. Ion B. Mutation C. Free radical D. Excited molecule

back 29

C. Free radical

During the radiolysis of water, free radicals are produced. They are highly energized and travel at high speeds causing more damage than the radiation.

front 30

Which of the following types of tissue will absorb the most radiation?

A. Air sacs B. Bone C. Muscle D. Soft tissue

back 30

bone

-The more dense the tissue, the greater the probability that radiation will strike a subatomic particle. Bone is the most dense tissue in the above list.

front 31

How is the coulomb per kilogram (C/kg) unit determined?

A. Absorbed dose B. Ionization in air C. Half-value layer D. Compared with rem

back 31

B. Ionization in air

-As x rays pass through a kg of air they ionize the gas atoms. The number of ionizations produces a charge that is measurable. The unit for charge is the Coulomb (C).

front 32

Irradiation of which of the following anatomical areas will affect the production of white blood cells?

A. Lungs B. Liver C. Pancreas D. Bone marrow

back 32

bone marrow

-Bone marrow is found in long bones and the flat bones of the pelvis, skull and sternum.

front 33

Gross structural changes that arise when radiation breaks a chromosome may be referred to as what?

1. Aberrations
2. Anomalies
3. Lesions

back 33

1. Aberrations
2. Anomalies
3. Lesions

front 34

Which of the following are considered extremely sensitive to radiation?

A. Gonads B. Spinal cord C. Thyroid gland D. Lens of the eye

back 34

A. Gonads

front 35

Which of the following describes an atom that has lost one or more of its electrons?

A. Ion B. Nuclide C. Isotope D. Unstable

back 35

ions

front 36

If a human is exposed to radiation levels in the 100 to 200 R range, which of the following is expected?

A. No clinical effects

B. Slight reduction in lymphocytes

C. Complete recovery in 90 days

D. Death within 30 days

back 36

C. Complete recovery in 90 days

-A human exposed to this level of radiation would experience nausea, vomiting, diarrhea and decreasing blood cell counts. However, they would be expected to completely recover.

front 37

Which of the following is the major function of the process of meiosis?

A. Synthesize physical characteristics

B. Reduce number of chromosomes by half

C. Increase the number of germ cells

D. Synthesize proteins

back 37

B. Reduce number of chromosomes by half

-Meiosis is a cell division in which two successive divisions reduce the number of chromosomes in half. Then when two genetic cells join (ova and sperm) there will be the right number of chromosomes.

front 38

How will oxygen retention effect the radiosensitivity of a cell?

A. Radiosensitivity will increase

B. Radiosensitivity will decrease

C. Radiosensitivity will be eliminated

D. Radiosensitivity will not be effected

back 38

A. Radiosensitivity will increase

-A. Radiosensitivity will increase

front 39

Which of the following mature cells would be least sensitive to radiation?

A. Muscle cells

B. Nerve cells

C. Red blood cells

D. White blood cells

back 39

B. Nerve cells

-The rate at which cells divide determines the radiosensitivity of cells. Since mature nerve cells never divide, they are least sensitive to radiation.

front 40

Which of the following is the most common result of cell irradiation?

A. Cell death B. Sterilization C. Mutation D. Uncontrolled growth

back 40

-The most common result of cell irradiation would be complete recovery. Since it is not a choice, the next most common is when the cell is damaged enough that it cannot continue to reproduce.

front 41

The "Direct Hit" theory of cell irradiation can be described by which of the following statements?

A. The DNA molecule is struck

B. The cell nucleus is struck

C. The cell cytoplasm is struck

D. The cell is ionized

back 41

A. The DNA molecule is struck

-A "direct hit" means the radiation struck the DNA molecule. Whereas, an "indirect hit" means the radiation struck a water molecule which released a free radical that struck the DNA.

front 42

The information that cells require for metabolism is coded in which of the following?

A. Cytoplasm B. Spindle fibers C. RNA molecule D. DNA molecule

back 42

DNA

-Metabolism is chemical changes in living cells by which energy is provided for the cell's vital activities. DNA carries the code of the cell that determines which vital activities the cell will perform.

front 43

Which of these is a measure of the rate at which energy is transferred from radiation to soft tissue?

A. Rad B. Erg C. LET D. RBE

back 43

LET

-LET = linear energy transfer. It is the rate at which energy is lost as it ionizes atoms as it passes through matter.

front 44

What is meant by ionizing radiation?

A. Any electromagnetic radiation

B. Any radiation capable of removing an orbital electron

C. Any radiation emitted after ionization

D. Diagnostic x rays

back 44

Any radiation capable of removing an orbital electron

-A positive ion is produced when an electron is removed from an atom. The positive ion will chemically react differently. That is why ionizing radiation is potentially harmful.

front 45

What do the letters "RBE" stand for?

A. Relative biologic effectiveness

B. Radiosensitive biologic effect

C. Radioactive biological energy

D. Radiation bypass effect

back 45

A. Relative biologic effectiveness

-Relative biologic effectiveness (RBE) compares the biological effect of a 250 keV x ray with other radiations. For example, some radiation might produce twice the effect that a 250 keV x ray would.

front 46

What do the letters "GSD" stand for?

A. Gonadal safe dose

B. Genetically significant dose

C. Genetic-somatic dose

D. General somatic dose

back 46

B. Genetically significant dose

front 47

Which of the following is a type of damage that can occur to a DNA molecule when exposed to radiation?

1. Change in the genetic code
2. Breakage of the chromosome
3. Breakage of the DNA molecule

back 47

1. Change in the genetic code
2. Breakage of the chromosome
3. Breakage of the DNA molecule

front 48

Why is radiation exposure to the gonads such a critical concern?

1. The person may become sterile
2. Mutations in offspring may result
3. Gonadal cancer may develop

back 48

2. Mutations in offspring may result

front 49

During mitosis, each chromosome splits in half. What are the two halves called?

A. Chromatids B. Fragments C. Centromeres D. Spindle fibers

back 49

A. Chromatids

-The chromosome consists of two spiral structures called chromatids. During mitosis, these chromatids split and each one ends up in a daughter cell.

front 50

Which of the following is a measure of the rate of energy loss along the track of an ionizing particle?

A. Scintillation counter

B. Linear energy transfer

C. Linear attenuation coefficient

D. Ionization

back 50

Linear energy transfer

-In order for radiation to ionize an atom, an electron must be removed from the atom. It takes energy to remove an electron. The unit for LET is keV per micrometer.

front 51

The messenger RNA carries information to which of the following in order to synthesize proteins?

A. DNA molecule

B. Transfer RNA molecule

C. Chromosome

D. Ribosome

back 51

D. Ribosome

-Messenger RNA carries information from the DNA molecule (in the nucleus) to the ribosome (in the cytoplasm). Here the message is passed to transfer RNA which arranges amino acids into proteins.

front 52

A solid-state rectifier is primarily made of which of the following substances?

A. Aluminum B. Arsenic C. Silicon D. Iron

back 52

silicon

-When arsenic is added to silicon a n-type (negative) semiconductor is made and when gallium is added to silicon a p-type (positive) semiconductor is made.

front 53

What type of transformer core is most widely used in radiographic equipment?

A. Open core B. Closed core C. Shell type D. Air type

back 53

shell type

-A shell type transformer has its primary and secondary coils wrapped on top of each other, maximizing the effects of the mutual induction.

front 54

Which of the following are ways of testing for kVp accuracy?

1. Penetrometer
2. Digital kVp meter
3. Densitometer

back 54

1. Penetrometer
2. Digital kVp meter

front 55

Which of the following is correct concerning a neutral atom?

A. Same number of protons as electrons

B. Same number of protons as neutrons

C. Same number of neutrons as electrons

D. No subatomic particles

back 55

. Same number of protons as electrons

-For an atom to be neutral (no electrical charge) it has to have the same number of negative charges (electrons) as positive charges (protons).

front 56

Which of the following x-ray interactions occurs most often with x-ray energies over 100 keV?

A. Coherent (classical) scattering

B. Compton effect

C. Photoelectric absorption

D. Pair production

back 56

Compton effect

-Coherent (classical) scattering occurs with x-ray energies under 10 keV. The higher the energy, the more apt the x ray will be scattered (Compton) rather than absorbed (Photoelectric).

front 57

Ionization can result from which of the following interactions of radiation with tissue?

A. Characteristic B. Bremsstrahlung C. Photoelectric absorption D. Coherent (classical) scatter

back 57

Photoelectric absorption

Ionization is the removal of electrons from an atom. Classical scattering raises an electron to a higher energy level but does not remove it from its orbit. Characteristic and Bremsstrahlung are ways x rays are produced not x-ray interactions with tissue.

front 58

Which of the following would describe an x-ray photon?

A. High speed electron B. High speed neutron C. High speed proton D. High speed bundle of energy

back 58

D. High speed bundle of energy

-Since an x-ray photon is alternating electric and magnetic fields with no mass nor charge, they are often described as a "bundle of energy".

front 59

How many centimeters are in an inch?

A. 1.63 B. 2.10 C. 2.54 D. 3.46

back 59

2.54

front 60

Which of the following will produce the least load on an x-ray tube?

A. High kVp, high mAs B. High kVp, low mAs C. Low kVp, high mAs D. All will produce an equal load

back 60

B. High kVp, low mAs

-The quantity of electrons (mAs) striking the anode is what determines the amount of heat produced. A high kVp, low mAs technique will produce the same exposure with less heat