Regulatory Legal and Standards

Question 1

The attending radiologist or medical director has the final determination on whether to scan or not scan any patient with an implant or device. True or False?

True

False

Answer 1

True

Question 1

The attending radiologist or medical director has the final determination on whether to scan or not scan any patient with an implant or device. True or False?

True

False

Answer 1

True

Question 2

Scheduled patients can be screened by one staff member in order to save time. True or False?

True

False

Answer 2

False

Question 3

The three most common non contrast related events reported to the FDA are:

hearing loss, allergic reactions, staff lifting injuries

thermal injuries, patient complaints, scheduling delays

thermal injuries, projectiles, hearing loss

Answer 3

thermal injuries, projectiles, hearing loss

Question 4

The FDA approves how devices can be used and therefore we should never use them in any other way. True or False?

True

False

Answer 4

False

Question 5

When the radiologist is unfamiliar with an implant or safety procedure, the responsibility for clearing that implant falls to the MRSO on duty. True or False?

True

False

Answer 5

False

Question 6

According to The Joint Commission, MRI sites should collect data on all of the following EXCEPT:

any MRI-related patient thermal injuries

incidents where ferromagnetic objects have unintentionally entered the MRI scanner room

how many adverse events each staff member is responsible for

injuries resulting from the presence of ferromagnetic objects in the MRI scanner room

Answer 6

how many adverse events each staff member is responsible for

Question 7

Scheduled patients should be screened by at least 2 separate individuals, one of whom should be Level 2 MR trained. True or False?

True

False

False

Answer 7

True

Question 8

MRI access not restricted appropriately is a common citation on Joint Commission surveys. True or False?

True

False

Answer 8

True

Question 9

MRI safety training (Level 1 and Level 2) and safety screening should be completed annually. This does not apply to the radiologists/physicians supervising MR contrast administration. True or False?

True

False

Answer 9

False

Question 10

In the U.S. the color of medical gas cylinders is regulated by:

The FDA

The president

The Department of Transportation

The medical gas supplier

Answer 10

The Department of Transportation

Question 11

According to the 2016 TJC review of survey results related to MR safety, the top 4 citations included all the following except:

Lack of zone and warning signage

Ferromagnetic items entering Zone 4

MRI access not restricted

Documentation of required MR personnel training

Patient screening

Answer 11

Patient screening

Question 12

“Direct supervision” means that the physician must be immediately available and interruptible during contrast administration. True or False?

True

False

Answer 12

True

Question 13

MRSO certification through the ABMRS lasts for:

forever and ever

one year

10 years, after which it must be renewed

it depends on where you live

Answer 13

10 years, after which it must be renewed

Question 14

According the the ACR Guidance Document, what types of incidents should be reported to the medical director in a timely manner?

Near incidents

Incidents in which patients experienced harm

Contrast Reactions and Incidents in which patients experienced harm

Any and all adverse events

Answer 14

Any and all adverse events

Question 15

Ferromagnetic objects unintentionally entering the scan room only need reported if they result in an injury. True or False?

True

False

Answer 15

False

Question 16

If no policies and procedures are in place, it is acceptable for a technologist to cancel an MRI examination due to screening questions without consulting the attending radiologist. True or False?

True

False

Answer 16

False

Question 17

Patients should be educated that they might feel tugging or pulling on large implanted metallic nonferrous devices when being moved into or out of the bore. True or False?

True

False

Answer 17

True

Question 18

For the purposes of MR safety, patients are considered __________.

Level 1 MR personnel because they have been screened

Level 2 MR personnel if they have had prior MRI’s

Non-MR personnel and must be under the supervision of Level 2 personnel while in Zone 4

Answer 18

Non-MR personnel and must be under the supervision of Level 2 personnel while in Zone 4

Question 19

According to the Centers for Medicare & Medicaid Services (CMS), it is acceptable to administer contrast without a physician immediately available. True or False?

True

False

Answer 19

False

Question 20

According to the ACR Guidance Document, what is an acceptable window of time in which any and all adverse events, MR safety incidents, or “near incidents” that occur in the MR site are to be reported to the medical director?

24 hours

48 hours

1 week

Quarterly

Answer 20

24 hours

Question 21

Who defines the operating modes for MR systems - Normal, First Level, Second Level?

Each manufacturer defines its own limits

Applications when setting up the system with the user

International Electrotechnical Commission (IEC)

The scanning technologist

Answer 21

International Electrotechnical Commission (IEC)

Question 22

There are no consequences to cancelling an MRI if the technologist wishes to do so. True or False?

True

False

Answer 22

False

Question 23

According to the Centers for Medicare & Medicaid Services (CMS), “direct supervision” means the physician should be in the MRI room. True or False?

True

False

Answer 23

False

Question 24

It is acceptable for non-MRI staff to perform initial patient screening as long as it is followed by screening by Level 2 MRI staff. True or False?

True

False

Answer 24

True

Question 25

The FDA approves:

All devices for all possible scenarios of use

How the device was tested and the information that was submitted to support the testing

The maximum exposure a device can have before it fails

The only way a device should be used

Answer 25

How the device was tested and the information that was submitted to support the testing