1) CT x-ray tube arcing can occur because of ___________ the x-ray tube
1. impourities in the oil outside
2. tungsten gas inside
3. tungsten solids in the oil inside
1 only
1 & 2
2 only
2 & 3
2) Collimation:
is accomplished by electrically blocking x-rays
affects the scan time
limits the low energy x-ray photons and passes the high energy photons
is accomplished by physically blocking x-rays
3) ______________ allows helical data to be converted into planar raw data
Retrospective reconstruction
Interpolation
Cone beam reconstruction
Convolution
4) Tube arcing might cause ____________ on the images.
star-like artifacts at the edges
an increased appearance of noise
shading and inaccurate CT numbers
an appearance of a circle or ring
5) Which of the following is common to both a localizer scan and a conventional, serial CT scan?
they both produce digital images
the patient table moves at a constant velocity
they both produce cross-sectional images
the x-ray tube makes complete 360° rotations
6) If an algorithm to correct for the cupping artifact is applied too aggressively to the data for a head image, the _____________ of the image would be too bright.
1. top and bottom
2. center
3. edges
1 only
2 only
3 only
1 & 3
7) Which of the following is TRUE regarding multi-row detector CT scanners?
1. the size of the detector arrays along the z-direction may be different.
2. the attenuation information from adjacent detector arrays may be added together to generate thicker slices
3. all of the detector arrays may or may not be used.
1 only
2 only
3 only
1, 2 & 3
8) If an image matrix has 360 rows and 360 columns, how many pixels are there in the image?
21,600
129,600
259,200
379,800
9) Which of the following provides the best bone window setting for the pelvis?
WW 2000, WL 350
WW 140, WL 60
WW 100, WL -200
WW 1000, WL 200
10) On a single-row detector scanner, collimation:
1. controls the slice thickness
2. minimizes the x-ray dose to the patient.
3. reduces the detection of scatter radiation.
1 only
2 only
3 only
1, 2 & 3
11) The main purpose of the detector is to:
provide additional collimation in order to reduce scatter
limit the x-ray dose to the patient
capture x-ray photons and convert them to a measurable signal
amplify the measured signal
12) Which of the following is a reason for inserting a tampon in the vagina for CT exams of the female pelvis?
provides a high intensity on the image
eliminates the need for IV contrast injection
eliminates the need for oral contrast media
helps visualize the vaginal canal
13) Which of the following is NOT an indication of a herniated disk?
1. deformity of the posterior border of the disk
2. displacement of epidural fat
3. hypertrophy of the inferior articulating process and lamina
1 only
2 only
3 only
1, 2 & 3
14) If an algorithm to correct for the cupping artifact is applied too aggressively to the data for a head image, the _____________ of the image would be too bright.
1. top and bottom
2. center
3. edges
1 only
2 only
3 only
1 & 3
15) ____________ in the image is a possible manifestation of patient motion.
1. ghosting
2. blurring
3. streaks
1 only
2 only
3 only
1, 2 & 3
16) The slip ring on continuous rotation CT scanners:
2. allows the exam to commence more rapidly
3. eliminates the need for the reversal of gantry frame rotation
1 only
1, 2, & 3
17) Tube interscan delay time refers to:
the time between the end of one scan and the state of the next scan during which the tube will cool
a quality assurance test performed daily by the technologist
the time required for the tube to make a complete 360* revolution about the gantry
the length of time required for the production of photons to begin after applying the voltage to the tube
18) CT is commonly referred to as all of the following names EXCEPT:
computerized axial tomography
digital subtraction angiography
CAT-scan
computed tomography
19) A(n) _____________ artifact is a streak artifact which arises from a high spatial frequency interface between tissues with a great difference in density
tube arcing
edge gradient
cone beam
ring
20) In order for an x-ray photon to be measured it must:
1. enter the detector chamber
2. be absorbed by the detector material
3. be converted to a measurable event.
1 only
2 only
3 only
1, 2 & 3
21) CT images can be directly scanned in planes other than transverse by:
1. orienting the patient's body part so that it is not perpendicular to the x-ray beam
2. tilting the gantry
3. changing the angle that the x-ray beam leaves the tube.
1 only
1 & 2
2 & 3
1, 2 & 3
22) A(n) _____________ artifact is a streak artifact which arises from a high spatial frequency interface between tissues with a great difference in density
tube arcing
edge gradient
cone beam
ring
23) Which of the following is TRUE regarding solid state detectors?
1. x-ray photons cause the detectors to generate a flash of light
2. they are the detector type used on most CT scanners today
3. they can be used in both third-generation and fourth-generation CT systems
1 only
2 only
3 only
1, 2 & 3
24) Which of the following will have the least likelihood of producing edge gradient artifacts?
thin slices with full scan
thick slices with partial scan
thin slices with partial scan
thick slice with full scan
25) Which of the following strategies will minimize metal artifacts?
1. remove as much metal from the patient as possible
2. orient slices such that the metal is avoided if possible
3. inspect the localizer for any metal on the patient and remove any metal or avoid imaging it as much as possible
1 only
2 only
3 only
1, 2 & 3
26) On a third-generation single-row detector scanner, if there are 715 detectors and there are 900 projections in a full rotation, how many samples of attenuation data are collected for the raw data of a single slice if the scan calls for an overscan of 400° rotation?
286,000
643,000
715,000
845,000
27) The actual attenuation data measured by the detectors from all projections during a scan is contained in CT _______________ data
1. image
2. convolved
3. raw
1 only
2 only
3 only
1, 2 & 3
28) The enormous heat that builds up in the CT tube is caused by the:
intensity of the x-rays emitted from the tube
electron beam between the cathode and the anode in the tube
x-ray filter in the tube which absorbs the lower energy photons before they can enter the patient
collision of the electron beam with the tungsten target on the tube anode
29) Which of the following is a component NOT normally located in the gantry of a modern CT system?
pre-patient collimators
solid-state detectors
array processor
x-ray tube
30) Which of the following would eliminate a ring artifact?
recalibration of the detector elements
removal of metal
decreased matrix
increased mAs
31) the mA determines the:
quantity of x-ray photons
coefficient of attenuation
slice thickness
energy level of the x-ray photons
32) Scatter radiation is caused by:
miscalibrated detector
x-rays generated spontaneously in the ambient atmosphere
deflections from the original trajectory of an x-ray photons through the patient
improper patient positioning
33) Multi-planar reconstructions are performed on which of the following?
1. image data
2. raw data
3. attenuation profiles
1 only
2 only
3 only
1, 2 & 3
34) ______________ may have to be edited out from the data set to get a diagnostic MIP of a CTA exam.
Iodinated contrast media
Vessels of interest
Air
Bones
35) In which direction are streaks from the edge gradient effect oriented?
radially outward from the center of the image
parallel to the direction of the sharp density difference interface
perpendicular to the direction of the sharp density difference interface
in a herringbone pattern across the image
36) A(n) _____________ artifact is a streak artifact which arises from a high spatial frequency interface between tissues with a great difference in density
tube arcing
edge gradient
cone beam
ring
37) Which of the following is TRUE regarding multi-row detector CT scanners?
2. the attenuation information from adjacent detector arrays may be added together to generate thicker slices
3. all of the detector arrays may or may not be used
1 only
1, 2 & 3
38) Which of the following may occur during the interscan delay of a conventional, or serial, CT scan performed on a continuous rotation scanner?
1. the table position is incremented
2. the tube continues to rotate in the same direction as during the scan
3. the tube assembly makes a 360° rotation
1 only
2 only
3 only
1, 2 & 3
39) Which of the following would eliminate a ring artifact?
recalibration of the detector elements
removal of metal
decreased matrix
increased mAs
40) Which of the following window settings provides the best tissue differentiation within the liver?
WW 100, WL -200
WW 140, WL 60
WW 1000, WL 200
WW 2500, WL 350
41) On a single-row detector scanner, collimation:
2. minimizes the x-ray dose to the patient
3. reduces the detection of scatter radiation
1 only
1, 2 & 3
42) An increase in _________________ does NOT occur in the resulting images when applying a sharp, or high-pass reconstruction filter during the image reconstruction of CT raw data.
1. contrast resolution
2. edge enhancement
3. the appearance of noise
1 only
2 only
3 only
1, 2 & 3
43) MDCT scanners capable of collecting 64 slices in a single rotation do NOT:
perform conventional CT scans
perform helical CT scans
use filtered back projection as their method of image reconstruction
perform localizer scans
44) A variation in which of the following will affect the hardening of an x-ray beam?
1. tissue density
2. tissue thickness
3. kVp
1 only
2 only
3 only
1, 2 & 3
45) For CT exams of the chest, the patient is usually positioned:
prone with arms at sides
prone with arms raised over the head
decubitus with arms raised over the head
supine with arms raised over the head
46) ________________ yields an image that appears 3D but also shows anatomical details above and below the 3D surface
SSD
VR
MIP
Multi-planar reconstruction
47) The CT x-ray tube rotates around the patient to:
1. keep the tube cool
2. generate projection views at different angles
3. minimize the x-ray dose administered to the patient
1 only
2 only
3 only
1, 2 & 3
48) Which of the following FALSE regarding CT systems?
2. they cannot generate a straight coronal or sagittal image
3. they have no moving parts
1 only
1, 2 & 3
49) ________________ yields an image that appears 3D but also shows anatomical details above and below the 3D surface.
SSD
VR
MIP
Multi-planar reconstruction
50) For a CT scan of the spleen which of the following is typically used?
only IV contrast media
only oral contrast media
both oral and IV contrast media
no contrast media is used
51) Which of the following may occur during the interscan delay of a conventional, or serial, CT scan performed on a continuous rotation scanner?
1. the table position is incremented
2. the tube continues to rotate in the same direction as during the scan
3. the tube assembly makes a 360° rotation
1 only
2 only
3 only
1, 2 & 3
52) In a ___________________, the highest pixel values from a stack of CTA images are projected along many "rays".
SSD
MIP
PR
VR
53) A smooth, or low-pass, reconstruction filter is typically NOT selected for a(n) ________________ exam
pituitary
kidneys
liver
internal auditory canals
54) Which of the following does NOT affect the quantity of x-rays that completely penetrates the patient?
1. the distance that the x-ray photons must travel on their course through the patient's body.
2. the molecular composition of the tissues through which the x-ray photons pass.
3. the type of detector material used
1 only
2 only
3 only
1, 2 & 3
55) A pixel is a:
bright artifact on a film
single 3D volume element within a volume of anatomical data
single 2D picture element within an image plane
range of gray levels on a CT image
56) Which of the following would decrease the effects of beam hardening artifacts?
1. increased kVp
2. increased mAs
3. increased scan time
1 only
1 & 2
2 only
3 only
57) Scatter radiation is caused by:
miscalibrated detector
x-rays generated spontaneously in the ambient atmosphere
deflections from the original trajectory of an x-ray photons through the patient
improper patient positioning
58) CTA images come from a ___________________ scan
1. conventional, or serial
2. helical
3. localizer
1 only
2 only
3 only
1, 2 & 3
59) ______________ allows helical data to be converted into planar raw data.
Retrospective reconstruction
Interpolation
Cone beam reconstruction
Convolution
60) Which of the following is TRUE regarding solid state detectors?
2. they are the detector type used on most CT scanners today
3. they can be used in both third-generation and fourth-generation CT systems
1 only
1, 2 & 3
61) Increased _______________ will increase the likelihood that a given x-ray will penetrate a material.
1. kV
2. mA
3. exposure time
1 only
2 only
3 only
1, 2 & 3
62) Which of the following would eliminate a ring artifact?
recalibration of the detector elements
removal of metal
decreased matrix
increased mAs
63) Which of the following is the typical orientation for a localizer in a chest exam?
AP
transverse
lateral
oblique
64) Which of the following may occur if the patient's arms are placed at their sides during a chest exam if the scan field-of view is 33cm?
1. beam hardening
2. out-of-field artifact
3. cone beam artifact
1 only
1 & 2
2 only
3 only
65) The number of electrons that flow from the cathode to the anode in the tube is controlled by the:
anode target
collimation
mA
kV
66) ____________ in the image is a possible manifestation of patient motion.
1. ghosting
2. blurring
3. streaks
1 only
2 only
3 only
1, 2 & 3
67) _________________ made helical imaging possible.
multi-row detector scanners
the introduction of second-generation technology
the introduction of fourth-generation technology
continuous rotation scanners
68) Which of the following may be a result of partial volume averaging?
1. decreased sharpness of edges
2. inaccurate CT numbers
3. ghosting of tissue boundaries
1 only
2 only
1 & 2
3 only
69) Which of the following may occur if the patient's arms are placed at their sides during a chest exam if the scan field-of view is 33cm?
1. beam hardening
2. out-of-field artifact
3. cone beam artifact
1 only
1 & 2
2 only
3 only
70) ________________ scanner design was the first to acquire four slices in a single rotation.
second - generation
third-generation
multi-row detector
continuous rotation
71) Which type(s) of storage media may hold CT image data?
1. internal hard disk
2. CD
3. re-writable optical disk
1 only
2 only
3 only
1, 2 & 3
72) What is the most common type of film used for recording CT images?
thermal
double emulsion
single emulsion
paper
73) The patent table:
may move continuously during the scan
can never be positioned automatically by software due to safety precautions
remains stationary throughout the patient exam once it is initially positioned
only moves after each slice is completed
74) Which system component converts the projection attenuation data into the proper digital form for the array processor?
detector
photodiode
analog-to-digital converter
host computer
75) Tube arcing might cause ____________ on the images.
star-like artifacts at the edges
an increased appearance of noise
shading and inaccurate CT numbers
an appearance of a circle or ring
76) For CT exams of the chest, the patient is usually positioned:
prone with arms at sides
prone with arms raised over the head
decubitus with arms raised over the head
supine with arms raised over the head
77) A variation in which of the following will affect the hardening of an x-ray beam?
1. tissue density
2. tissue thickness
3. kVp
1 only
2 only
3 only
1, 2 & 3
78) The service angineer should be notified about which of the following?
1. frequent bad streaks on the inferior slices of head scans
2. a consistent circle on the images
3. frequent bad streaks throughout the entire image
1 only
2 only
3 only
2 & 3
79) Which of the following is a reason for inserting a tampon in the vagina for CT exams of the female pelvis?
provides a high intensity on the image
eliminates the need for IV contrast injection
eliminates the need for oral contrast media
helps visualize the vaginal canal
80) From which of the following can the most diagnostic multi-planar reconstructions be generated?
1. stacked transverse images from a helical scan
2. stacked transverse images from a conventional, serial scan.
3. stacked localizer images
1 only
2 only
3 only
1, 2 & 3
81) Which of the following strategies minimizes beam hardening artifact from dense contrast media?
1. the contrast solution can be diluted
2. the scan can be performed with a slight delay
3. the scan can be performed in the opposite direction
1 only
2 only
3 only
1, 2 & 3
82) For which of the following studies in the chest is IV contrast typically used?
1. chest masses
2. hilar masses
3. cardiac masses
1 only
2 only
3 only
1, 2 & 3
83) What control does the operator have over the x-rays in a CT exam?
the temperature and color of the x-rays can be tuned
the energy level and the quantity of x-rays can be selected
the volume and tone of the x-rays can be dialed
the phase and frequency of the x-rays can be adjusted
84) CT x-ray tube arcing can occur because of ___________ the x-ray tube
1. impourities in the oil outside
2. tungsten gas inside
3. tungsten solids in the oil inside
1 only
1 & 2
2 only
2 & 3
85) In which direction are streaks from the edge gradient effect oriented?
radially outward from the center of the image
parallel to the direction of the sharp density difference interface
perpendicular to the direction of the sharp density difference interface
in a herringbone pattern across the image
86) CTA images come from a ___________________ scan.
1. conventional, or serial
2. helical
3. localizer
1 only
2 only
3 only
1, 2 & 3
87) What is the primary reason to have a patient phonate the letter "e" during a CT exam of the larynx?
it closes the pyriform sinuses
it demonstrates vocal cord mobility
it distends the laryngeal ventricles
it provides definition of the epiglottis
88) Increased _______________ will increase the likelihood that a given x-ray will penetrate a material
1. kV
2. mA
3. exposure time
1 only
89) What does convolution do to the image quality when it is added to the back projection reconstruction process?
normalizes the attenuation coefficients to ensure tissues are displayed with correct CT numbers
increases the number of projections thereby reducing streaking artifacts
improves contrast resolution by reducing scatter radiation
enhances important characteristics of attenuation profiles thus reducing streak and star artifacts.
90) The result of the bifurcation of the abdominal aorta is the left and right ___________ arteries.
femoral
common iliac
popliteal
quadriceps
91) Which of the following are NOT commonly used on today's commercially available CT scanners?
1. xenon detectors
2. fourth-generation technology
3. continuous rotation technology
1 only
92) Which of the following could allow for a reduction of partial volume artifact while not increasing the appearance of noise in the image?
increasing slice thickness while decreasing kVp
decreasing slice thickness while decreasing mAs
increasing slice thickness while increasing mAs
decreasing slice thickness while increasing mAs
93) Which of the following may be a result of partial volume averaging?
1. decreased sharpness of edges
2. inaccurate CT numbers
3. ghosting of tissue boundaries
1 only
2 only
1 & 2
3 only
94) Which of the following statements is FALSE regarding occurences after an x-ray photon penetrates the detector aperture?
1. the photon can pass through the detector unmeasured.
2. the photon is converted completely into an electron
3. the measured signal is enhanced by an amplifier
1 only
2 only
3 only
1, 2 & 3
95) On a CT image of the brain a cupping artifact would appear brighter:
at the anterior and posterior aspects of the brain
at the periphery of the brain
immediately around dense structures
in the center of the brain
96) CT x-ray tube arcing can occur because of ___________ the x-ray tube
1. impourities in the oil outside
2. tungsten gas inside
3. tungsten solids in the oil inside
1 only
1 & 2
2 only
2 & 3
97) Which of the following is a technique used to minimize artifacts from patient motion in exams of the chest?
1. suspended respiration
2. shortened scan time
3. patient immobilization devices
1 only
2 only
3 only
1, 2 & 3
98) Typically, what mAs is used in routine CT exams of the abdomen?
100 to 200
200 to 300
300 to 400
400 to 500
99) The enormous heat that builds up in the CT tube is caused by the:
intensity of the x-rays emitted from the tube
electron beam between the cathode and the anode in the tube
x-ray filter in the tube which absorbs the lower energy photons before they can enter the patient
collision of the electron beam with the tungsten target on the tube anode
100) MIP images:
are most frequently used for visualizing air-filled spaces
can NOT be run in a cine loop
are most accurate when a large volume of interest is selected
do NOT demonstrate detail beneath the brightest pixel
101) Which of the following are NOT commonly used on today's commercially available CT scanners?
1. xenon detectors
2. fourth-generation technology
3. continuous rotation technology
1 only
1 & 2
2 & 3
1, 2, & 3
102) X-ray photons are produced by a fast-moving electron:
2. passing close to an atomic nucleus
3. colliding with an electron within an atom and ejecting it
1 only
1, 2 & 3
103) Which of the following could allow for a reduction of partial volume artifact while not increasing the appearance of noise in the image?
increasing slice thickness while decreasing kVp
decreasing slice thickness while decreasing mAs
increasing slice thickness while increasing mAs
decreasing slice thickness while increasing mAs
104) In a ___________________, the highest pixel values from a stack of CTA images are projected along many "rays"
SSD
MIP
PR
VR
105) Which of the following is NOT a function of the PACS system?
reconstruction of the image from the raw data
long term data storage
digital distribution of images
image display for the radiologists
106) For a CT scan of the spleen which of the following is typically used?
only IV contrast media
only oral contrast media
both oral and IV contrast media
no contrast media is used
107) The number of electrons that flow from the cathode to the anode in the tube is controlled by the:
anode target
collimation
mA
kV
108) Which of the following statements is FALSE regarding 3D SSD?
helical image data is well suited for 3D SSD because there is minimal misregistration or gaps
the volume data, from which 3D SSD is generated, is created by combining transverse, sagittal, and coronal reconstructions
the tissue surface may be selected by using a threshold value equal to the tissue's CT number
patient motion during the scan is detrimental to the quality of the 3D images
109) MDCT scanners capable of collecting 64 slices in a single rotation do NOT:
perform conventional CT scans
perform helical CT scans
use filtered back projection as their method of image reconstruction
perform localizer scans
110) The x-ray beam used in CT scanning is __________________ the patient's tissues.
1. reflected off of
2. attenuated by
3. generated by
1 only
2 only
3 only
1, 2 & 3
111) A variation in which of the following will affect the hardening of an x-ray beam?
1. tissue density
2. tissue thickness
3. kVp
1 only
2 only
3 only
1, 2 & 3
112) Which of the following is typical scan delay after the initiation of injection of contrast media for studies of the liver?
15 to 25 seconds
65 to 75 seconds
85 to 95 seconds
a few minutes
113) The result of the bifurcation of the abdominal aorta is the left and right ___________ arteries.
femoral
common iliac
popliteal
quadriceps
114) Collimation:
is accomplished by electrically blocking x-rays
affects the scan time
limits the low energy x-ray photons and passes the high energy photons
is accomplished by physically blocking x-rays.
115) Which of the following window settings provides the best tissue differentiation of the soft tissues of the supratentorium?
window width = 1000, window level = 200
window width = 300, window level = 60
window width = 2500, window level = 350
window width = 100, window level = 30
116) How would the artifact from a faulty detector element appear on a localizer image?
a line perpendicular to the long axis of the patient table
it depends on the orientation in which the localizer image is performed
a circle in the center of the image
a line parallel to the long axis of the patient table
117) the mA determines the:
quantity of x-ray photons
coefficient of attenuation
slice thickness
energy level of the x-ray photons
118) Which of the following is TRUE as the slice thickness is decreased?
partial volume artifacts increase while edge gradient artifacts decrease
partial volume artifacts and edge gradient artifacts decrease
partial volume artifacts decrease while edge gradient artifacts increase
partial volume artifacts and ege gradient artifacts increase
119) Which of the following strategies would NOT help us differentiate possible pathology from a partial volume artifact?
1. inspection of adjacent slices
2. collect additional thinner slices through suspicious region
3. rescan and decrease pitch (without changing slice thickness)
1 only
2 only
3 only
1, 2 & 3
120) Which of the following structures is NOT part of the GI tract?
esophagus
stomach
duodenum
spleen
121) Which of the following is typical scan delay after the initiation of injection of contrast media for studies of the liver?
15 to 25 seconds
65 to 75 seconds
85 to 95 seconds
a few minutes
122) The slip ring on continuous rotation CT scanners:
1. prevents the high voltage cable from winding up
2. allows the exam to commence more rapidly
3. eliminates the need for the reversal of gantry frame rotation.
1 only
2 only
3 only
1, 2, & 3
123) Which of the following is NOT a function of the PACS system?
reconstruction of the image from the raw data
long term data storage
digital distribution of images
image display for the radiologists
124) Which of the following strategies will minimize metal artifacts?
1. remove as much metal from the patient as possible
2. orient slices such that the metal is avoided if possible
3. inspect the localizer for any metal on the patient and remove any metal or avoid imaging it as much as possible
1 only
2 only
3 only
1, 2 & 3
125) On a CT image of the brain a cupping artifact would appear brighter:
at the anterior and posterior aspects of the brain
at the periphery of the brain
immediately around dense structures
in the center of the brain
126) In which technique are tissues other than the surface of a structure excluded by setting a threshold value and eliminating pixels above or below that threshold?
volume rendering
multi-planar reconstruction
maximum intensity projection
3D shaded Surface Display
127) Which of the following window settings provides the best tissue differentiation within the liver?
WW 100, WL -200
WW 140, WL 60
WW 1000, WL 200
WW 2500, WL 350
128) A helical scan performed on a 64 slice MDCT scanner is reconstructed with:
back projection
simple reconstruction because it is a single projection scan
no reconstruction filter
cone beam reconstruction
129) The x-ray beam used in CT scanning is __________________ the patient's tissues
1. reflected off of
2. attenuated by
3. generated by
1 only
2 only
3 only
1, 2 & 3
130) What control does the operator have over the x-rays in a CT exam?
the temperature and color of the x-rays can be tuned
the energy level and the quantity of x-rays can be selected
the volume and tone of the x-rays can be dialed
the phase and frequency of the x-rays can be adjusted.
131) Which of the following would decrease the effects of beam hardening artifacts?
1. increased kVp
2. increased mAs
3. increased scan time
1 only
1 & 2
2 only
3 only
132) ______________________ is the mathematical process used by single-row detector scanners to reconstruct CT images from raw data.
Weighted averaging
Filtered back projection
the Fourier transform
Integration of the area under the curve
133) A CT system manufacturer has a scanner in which the focal spot of the x-ray beam can move to two, slightly separated, distinct locations. What benefit does the dual focal spot provide compared to an identical scanner possessing a single focal spot?
1. the number of projections is doubled
2. the number of rays in a single projection is doubled
3. the patient dose is halved
1 only
2 only
3 only
1, 2 & 3
134) Which of the following statements is TRUE concerning the lobes of the liver?
1. the left lobe is more anterior than the right lobe
2. the left lobe is more anterior than the caudate lobe
3. the caudate lobe is more medial than the right lobe
1 only
2 only
3 only
1, 2 & 3
135) Which of the following statements is FALSE regarding occurences after an x-ray photon penetrates the detector aperture?
2. the photon is converted completely into an electron
3. the measured signal is enhanced by an amplifier
1 only
2 only
136) The ________________ move(s) during a helical scan on a third-generation scanner.
1. x-ray tube
2. patient table
3. detector elements
1 only
2 only
3 only
1, 2 & 3
137) Which of the following is a reconstruction technique applied to the raw data after the primary reconstruction has already been accomplished?
maximum intensity projection
volume rendering
retrospective reconstruction
multi-planar reconstruction
138) Multi-planar reconstructions are performed on which of the following?
1. image data
2. raw data
3. attenuation profiles
1 only
2 only
3 only
1, 2 & 3
139) Which of the following is TRUE as the slice thickness is decreased?
partial volume artifacts increase while edge gradient artifacts decrease
partial volume artifacts and edge gradient artifacts decrease
partial volume artifacts decrease while edge gradient artifacts increase
partial volume artifacts and ege gradient artifacts increase
140) Which of the following will have the least likelihood of producing edge gradient artifacts?
thin slices with full scan
thick slices with partial scan
thin slices with partial scan
thick slice with full scan
141) For a routine CT exam of the pelvis, what gantry tilt is used?
20°
-20°
10°
no tilt is used
142) Which of the following provides the best bone window setting for the pelvis?
WW 2000, WL 350
WW 140, WL 60
WW 100, WL -200
WW 1000, WL 200
143) X-rays are used in CT because:
they are easily produced by the high frequency generator
they are less harmful than the heating effects of microwave radiation
they penetrate the body according to specific attenuation characteristics of each tissue
the FDA imposes no limit on the dose to the patient.
144) Which of the following strategies will minimize metal artifacts?
1. remove as much metal from the patient as possible
2. orient slices such that the metal is avoided if possible
3. inspect the localizer for any metal on the patient and remove any metal or avoid imaging it as much as possible
1 only
2 only
3 only
1, 2 & 3
145) Most of the commands from the technologist are received by the:
array processor
operator's console
host computer
amplifier
146) In order for an x-ray photon to be measured it must:
2. be absorbed by the detector material
3. be converted to a measurable event
1 only
1, 2 & 3
147) A helical scan performed on a 64 slice MDCT scanner is reconstructed with:
back projection
simple reconstruction because it is a single projection scan
no reconstruction filter
cone beam reconstruction
148) Which of the following is TRUE regarding the slice thickness of an image reconstructed from a helical scan?
1. on a multi-row detector scanner, the thickness is equal to the beam collimation
2. on a single-row detector scanner, the thickness is equal to the beam collimation
3. on a single-row detector scanner, the thickness can be varied retrospectively
1 only
2 only
2 & 3
1, 2 & 3
149) Which of the following may be a result of partial volume averaging?
1. decreased sharpness of edges
2. inaccurate CT numbers
3. ghosting of tissue boundaries
1 only
2 only
1 & 2
3 only
150) Which of the following is a technique used to minimize artifacts from patient motion in exams of the chest?
1. suspended respiration
2. shortened scan time
3. patient immobilization devices
1 only
2 only
3 only
1, 2 & 3
151) Which of the following is NOT contained within the mediastinum?
esophagus
heart
bronchi
lungs
152) Tube arcing might cause ____________ on the images
star-like artifacts at the edges
an increased appearance of noise
shading and inaccurate CT numbers
an appearance of a circle or ring
153) Which of the following statements is TRUE?
1. kV is the voltage potential between the tube cathode and anode while mA ultimately controls the filament current and, thus, the temperature of the cathode filament
2. kV controls the energy level of the x-ray photons and mA controls the number of x-ray photons emitted from the tube.
3. although the kV and the mA affect the operation of the CT x-ray tube, the two parameters have no bearing on the image quality.
1 only
2 only
1 & 2
2 & 3
154) X-rays are produced whenever fast-moving electrons collide with any form of matter because:
1.the electron splits into two x-ray photons of equal energy upon impact with the matter.
2. the electron loses kinetic energy which is converted into the emission of an x-ray photon
3. the electron converts the electron it collides with into an x-ray photon
1 only
2 only
3 only
1, 2 & 3
155) For which of the following studies in the chest is IV contrast typically used?
1. chest masses
2. hilar masses
3. cardiac masses
1 only
2 only
3 only
1, 2 & 3
156) The CT x-ray tube rotates around the patient to:
2. generate projection views at different angles
3. minimize the x-ray dose administered to the patient
1 only
2 only
157) How would the artifact from a faulty detector element appear on a localizer image?
a line perpendicular to the long axis of the patient table
it depends on the orientation in which the localizer image is performed
a circle in the center of the image
a line parallel to the long axis of the patient table
158) Using a __________________ reconstruction filter would decrease the appearance of noise in a CT image.
1. no
2. a sharp
3. a smooth
1 only
2 only
2 & 3
3 only
159) If an algorithm to correct for the cupping artifact is applied too aggressively to the data for a head image, the _____________ of the image would be too bright
1. top and bottom
2. center
3. edges
1 only
2 only
3 only
1 & 3
160) Which of the following are typical start and end locations for CT scans of the pelvis?
from the xyphoid process through the iliac crest
from the sternal notch through the iliac crest
from the iliac crest through the symphysis pubis
from the sternal notch through the symphysis pubis
161) Which of the following is the typical orientation for a localizer in a chest exam?
AP
transverse
lateral
oblique
162) Most of the commands from the technologist are received by the:
array processor
operator's console
host computer
amplifier
163) The patent table:
may move continuously during the scan
can never be positioned automatically by software due to safety precautions
remains stationary throughout the patient exam once it is initially positioned
only moves after each slice is completed.
164) Which of the following strategies would NOT help us differentiate possible pathology from a partial volume artifact?
1. inspection of adjacent slices
2. collect additional thinner slices through suspicious region
3. rescan and decrease pitch (without changing slice thickness)
1 only
2 only
3 only
1, 2 & 3
165) A __________________ scan uses only a single projection.
1. conventional, or serial
2. helical
3. localizer
1 only
2 only
3 only
1, 2 & 3
166) Typically, what mAs is used in routine CT exams of the abdomen?
100 to 200
200 to 300
300 to 400
400 to 500
167) On a CTA exam of lower extremity vasculature to assess atherosclerosis, coverage should extend from the ______________ to the _______________
abdominal aorta, ankles
abdominal aorta, iliac arteries
iliac arteries, femoral arteries
iliac arteries, popliteal arteries
168) Which of the following statements is TRUE?
2. kV controls the energy level of the x-ray photons and mA controls the number of x-ray photons emitted from the tube
3. although the kV and the mA affect the operation of the CT x-ray tube, the two parameters have no bearing on the image quality
1 only
1 & 2
169) Which of the following statements is FALSE regarding the collection of CT data?
long scan times are more desirable because they average out motion artifacts
the reconstruction process used to create the image occurs in the array processor
to collect the complete set of CT data, x-rays must be passed through the body at many different angles
the detectors measure x-rays which completely penetrate the patient.
170) Which of the following strategies minimizes beam hardening artifact from dense contrast media?
1. the contrast solution can be diluted
2. the scan can be performed with a slight delay
3. the scan can be performed in the opposite direction
1 only
2 only
3 only
1, 2 & 3
171) X-rays are produced whenever fast-moving electrons collide with any form of matter because:
2. the electron loses kinetic energy which is converted into the emission of an x-ray photon
3. the electron converts the electron it collides with into an x-ray photon
1 only
2 only
172) Tube interscan delay time refers to:
the time between the end of one scan and the state of the next scan during which the tube will cool
a quality assurance test performed daily by the technologist
the time required for the tube to make a complete 360* revolution about the gantry
the length of time required for the production of photons to begin after applying the voltage to the tube.
173) Which of the following statements is TRUE?
1. the amplified electrical signal obtained from the detectors must be digitized
2. digital CT images are numerical representations of cross-sectional anatomy
3. digital signals may be formed by sampling analog signals at discrete time intervals
1 only
2 only
3 only
1, 2 & 3
174) MIP images:
are most frequently used for visualizing air-filled spaces
can NOT be run in a cine loop
are most accurate when a large volume of interest is selected
do NOT demonstrate detail beneath the brightest pixel
175) How would the artifact from a faulty detector element appear on a localizer image?
a line perpendicular to the long axis of the patient table
it depends on the orientation in which the localizer image is performed
a circle in the center of the image
a line parallel to the long axis of the patient table
176) The ________________ move(s) during a helical scan on a third-generation scanner
1. x-ray tube
2. patient table
3. detector elements
1 only
2 only
3 only
1, 2 & 3
177) CT is commonly referred to as all of the following names EXCEPT:
computerized axial tomography
digital subtraction angiography
CAT-scan
computed tomography
178) Bremsstrahlung radiation does NOT include which type of electron activity?
2. collision between an incoming electron and an electron in an inner shell of the target atom
3. slowing down of an incoming electron due to the effect of passing close to the positive charge of the nucleus of the target atom
1 only
2 only
179) The cathode filament:
helps determine the size of the focal spot
lights up the tube so it can be serviced by an engineer
releases the x-ray photons
focuses x-rays onto the anode target
180) Which of the following FALSE regarding CT systems?
1.they are limited to non-oblique transverse scanning
2. they cannot generate a straight coronal or sagittal image.
3. they have no moving parts
1 only
2 only
3 only
1, 2 & 3
181) Which of the following could allow for a reduction of partial volume artifact while not increasing the appearance of noise in the image?
increasing slice thickness while decreasing kVp
decreasing slice thickness while decreasing mAs
increasing slice thickness while increasing mAs
decreasing slice thickness while increasing mAs
182) Which of the following strategies minimizes beam hardening artifact from dense contrast media?
1. the contrast solution can be diluted
2. the scan can be performed with a slight delay
3. the scan can be performed in the opposite direction
1 only
2 only
3 only
1, 2 & 3
183) Which of the following is a reconstruction technique applied to the raw data after the primary reconstruction has already been accomplished?
maximum intensity projection
volume rendering
retrospective reconstruction
multi-planar reconstruction
184) Which of the following may occur if the patient's arms are placed at their sides during a chest exam if the scan field-of view is 33cm?
1. beam hardening
2. out-of-field artifact
3. cone beam artifact
1 only
1 & 2
2 only
3 only
185) ____________ in the image is a possible manifestation of patient motion
1. ghosting
2. blurring
3. streaks
1 only
2 only
3 only
1, 2 & 3
186) Which of the following CT scanner designs does NOT use an x-ray tube?
first-generation CT
PET/CT
electron beam CT
MDCT
187) The operator's console may include:
2. keyboard
3. graphic input device
1 only
1, 2 & 3
188) Which of the following statements is FALSE regarding the collection of CT data?
long scan times are more desirable because they average out motion artifacts
the reconstruction process used to create the image occurs in the array processor
to collect the complete set of CT data, x-rays must be passed through the body at many different angles
the detectors measure x-rays which completely penetrate the patient
189) Which technology do multi-row detector scanners employ?
second-generation
third-generation
fourth-generation
first-generation
190) A retrospective reconstruction, in which the reconstruction field-of-view is varied, uses:
a reconstructed image in the sagittal plane
CT raw data
more photons
CT image data
191) A kernel is a:
component in the c-ray tube
post-processing filter applied to image data
type of detector
filter applied to the CT raw data
192) ________________ scanner design was the first to acquire four slices in a single rotation
second - generation
third-generation
multi-row detector
continuous rotation
193) Which of the following does NOT affect the quantity of x-rays that completely penetrates the patient?
2. the molecular composition of the tissues through which the x-ray photons pass
3. the type of detector material used
1 only
3 only
194) 3D shaded surface displays are performed on CT:
1.image data
2. raw data
3. attenuation profiles
1 only
2 only
3 only
1, 2 & 3
195) Which of the following structures is NOT part of the GI tract?
esophagus
stomach
duodenum
spleen
196) _________________ made helical imaging possible
multi-row detector scanners
the introduction of second-generation technology
the introduction of fourth-generation technology
continuous rotation scanners
197) Which of the following CT scanner designs does NOT use an x-ray tube?
first-generation CT
PET/CT
electron beam CT
MDCT
198) Which of the following is NOT a part of the CT tube?
tungsten target
collimator
rotating anode
filament
199) A CT system manufacturer has a scanner in which the focal spot of the x-ray beam can move to two, slightly separated, distinct locations. What benefit does the dual focal spot provide compared to an identical scanner possessing a single focal spot?
1. the number of projections is doubled
2. the number of rays in a single projection is doubled
3. the patient dose is halved
1 only
2 only
3 only
1, 2 & 3
200) Which of the following utilizes convolution?
1. 3D SSD
2. Fourier transform
3. filtered back projection
1 only
2 only
3 only
1, 2 & 3
201) Bremsstrahlung radiation does NOT include which type of electron activity?
1. collision between an incoming electron and the nucleus of the target atom.
2. collision between an incoming electron and an electron in an inner shell of the target atom.
3. slowing down of an incoming electron due to the effect of passing close to the positive charge of the nucleus of the target atom.
1 only
2 only
3 only
1, 2 & 3
202) Which of the following strategies would NOT help us differentiate possible pathology from a partial volume artifact?
1. inspection of adjacent slices
2. collect additional thinner slices through suspicious region
3. rescan and decrease pitch (without changing slice thickness)
1 only
2 only
3 only
1, 2 & 3
203) In which direction are streaks from the edge gradient effect oriented?
radially outward from the center of the image
parallel to the direction of the sharp density difference interface
perpendicular to the direction of the sharp density difference interface
in a herringbone pattern across the image
204) The main purpose of the detector is to:
provide additional collimation in order to reduce scatter
limit the x-ray dose to the patient
capture x-ray photons and convert them to a measurable signal
amplify the measured signal
205) Which system component converts the projection attenuation data into the proper digital form for the array processor?
detector
photodiode
analog-to-digital converter
host computer
206) Which of the following is NOT an advantage of a helical study compared to a conventional, serial CT study?
minimal anatomical misregistration sometimes caused by inconsistent breath-holding
shorter total exam time
can retrospectively reconstruct a slice at any arbitrary position
offers the best image quality for a brain exam
207) Which technology do multi-row detector scanners employ?
second-generation
third-generation
fourth-generation
first-generation
208) Which of the following is TRUE as the slice thickness is decreased?
partial volume artifacts increase while edge gradient artifacts decrease
partial volume artifacts and edge gradient artifacts decrease
partial volume artifacts decrease while edge gradient artifacts increase
partial volume artifacts and ege gradient artifacts increase
209) The ___________________ determines the intensity of the laser beam in a laser camera
1. intensifying grid
2. pixel values in the image data
3. magnifying power of the lens
1 only
2 only
3 only
1, 2 & 3
210) The cathode filament:
helps determine the size of the focal spot
lights up the tube so it can be serviced by an engineer
releases the x-ray photons
focuses x-rays onto the anode target
211) What does convolution do to the image quality when it is added to the back projection reconstruction process?
normalizes the attenuation coefficients to ensure tissues are displayed with correct CT numbers
increases the number of projections thereby reducing streaking artifacts
improves contrast resolution by reducing scatter radiation
enhances important characteristics of attenuation profiles thus reducing streak and star artifacts
212) What is the most common type of film used for recording CT images?
thermal
double emulsion
single emulsion
paper
213) CT images can be directly scanned in planes other than transverse by:
2. tilting the gantry
3. changing the angle that the x-ray beam leaves the tube
1 only
1 & 2
214) Which of the following is NOT contained within the mediastinum?
esophagus
heart
bronchi
lungs
215) For a routine CT exam of the pelvis, what gantry tilt is used?
20°
-20°
10°
no tilt is used
216) The pencil thin section of the x-ray fan beam that strikes a single detector is called a:
line
projection
view
ray
217) Which of the following is NOT a part of the CT tube?
tungsten target
collimator
rotating anode
filament
218) The service angineer should be notified about which of the following?
1. frequent bad streaks on the inferior slices of head scans
2. a consistent circle on the images
3. frequent bad streaks throughout the entire image
1 only
2 only
3 only
2 & 3
219) On a CT image of the brain a cupping artifact would appear brighter:
at the anterior and posterior aspects of the brain
at the periphery of the brain
immediately around dense structures
in the center of the brain
220) The service angineer should be notified about which of the following?
1. frequent bad streaks on the inferior slices of head scans
2. a consistent circle on the images
3. frequent bad streaks throughout the entire image
1 only
2 only
3 only
2 & 3
221) Which of the following will have the least likelihood of producing edge gradient artifacts?
thin slices with full scan
thick slices with partial scan
thin slices with partial scan
thick slice with full scan
222) X-ray photons are produced by a fast-moving electron:
1. colliding with an atomic nucleus
2. passing close to an atomic nucleus
3. colliding with an electron within an atom and ejecting it.
1 only
2 only
3 only
1, 2 & 3
223) The operator's console may include:
1. monitor
2. keyboard
3. graphic input device
1 only
2 only
3 only
1, 2 & 3
224) A smooth, or low-pass, reconstruction filter is typically NOT selected for a(n) ________________ exam.
pituitary
kidneys
liver
internal auditory canals
225) If an image matrix has 360 rows and 360 columns, how many pixels are there in the image?
21,600
129,600
259,200
379,800
226) On a third-generation single-row detector scanner, if there are 715 detectors and there are 900 projections in a full rotation, how many samples of attenuation data are collected for the raw data of a single slice if the scan calls for an overscan of 400° rotation?
286,000
643,000
715,000
845,000
227) Which of the following are typical start and end locations for CT scans of the pelvis?
from the xyphoid process through the iliac crest
from the sternal notch through the iliac crest
from the iliac crest through the symphysis pubis
from the sternal notch through the symphysis pubis
228) Which of the following combinations of scanning parameters is best for evaluating abnormalities within the petrous pyramids of the temporal bones?
sharp algorithm, window width = 2500, 0.5 to 3mm slices
standard algorithm, window width = 2500, 4 to 8mm slices
standard algorithm, window width = 300, 0.5 to 3mm slices
soft algorithm, window width = 300, 0.5 to 3mm slices
229) Which of the following would decrease the effects of beam hardening artifacts?
1. increased kVp
2. increased mAs
3. increased scan time
1 only
1 & 2
2 only
3 only
230) Which of the following is a component NOT normally located in the gantry of a modern CT system?
pre-patient collimators
solid-state detectors
array processor
x-ray tube
231) The ___________________ determines the intensity of the laser beam in a laser camera.
1. intensifying grid
2. pixel values in the image data
3. magnifying power of the lens
1 only
2 only
3 only
1, 2 & 3
232) Which of the following statements is TRUE concerning the lobes of the liver?
1. the left lobe is more anterior than the right lobe
2. the left lobe is more anterior than the caudate lobe
3. the caudate lobe is more medial than the right lobe
1 only
2 only
3 only
1, 2 & 3
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