Pre-rotation Test: NIS ER

2.

One of greatest challenges of radiologist in current practice is the decrease of interaction with referring physicians and patients

True
False

Correct Answer

A. True

Explanation

The statement is true because with the advancement of technology and the increasing use of Picture Archiving and Communication Systems (PACS), radiologists now primarily communicate with referring physicians through electronic means, such as email or online portals, rather than face-to-face interactions. This decrease in direct interaction can lead to potential challenges in understanding the clinical context of the imaging studies and may impact patient care.

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3.

Data in electronic medical records are non-private and can be accessed by any physicians in the hospital regardless of their role

True
False

Correct Answer

A. False

Explanation

The statement is false because data in electronic medical records are private and can only be accessed by authorized individuals such as physicians, nurses, and other healthcare professionals who have a legitimate need for the information in order to provide appropriate care to the patient. Access to electronic medical records is typically restricted and protected by security measures to maintain patient confidentiality and comply with privacy regulations such as HIPAA.

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4.

As a physician, it is okay to receive a gift of up to 5,000 Baht from patients, patient’s family or pharmaceutical/med tech industry

True
False

Correct Answer

A. False

Explanation

Physicians should not accept gifts from patients, patient's family, or the pharmaceutical/med tech industry, regardless of the amount. Accepting gifts can create conflicts of interest and compromise the objectivity and integrity of the physician-patient relationship. It is important for physicians to maintain ethical standards and prioritize the best interests of their patients over personal gain.

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5.

In an elevator, it is okay to talk to your friend about a patient without mentioning the patient’s name to respect patient’s confidentiality

True
False

Correct Answer

A. False

Explanation

It is not okay to talk about a patient in an elevator, even without mentioning their name. Elevators are public spaces and there is always a risk of someone overhearing the conversation. It is important to respect patient confidentiality at all times and only discuss patient information in private, secure areas.

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6.

Fasting for a minimum of 4 hours is required prior to all contrast- enhanced CT scan

True
False

Correct Answer

A. False

Explanation

Fasting for a minimum of 4 hours is not required prior to all contrast-enhanced CT scans. While fasting may be necessary for certain types of CT scans, such as those involving the abdomen or pelvis, it is not a requirement for all contrast-enhanced CT scans. The need for fasting will depend on the specific instructions given by the healthcare provider or radiologist.

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7.

In preparation for contrast-enhanced CT, serum creatinine can be omitted in patients who are less than 65 years old without known underlying renal disease

True
False

Correct Answer

A. True

Explanation

Patients who are less than 65 years old and do not have known underlying renal disease are at a lower risk of developing contrast-induced nephropathy (CIN) during contrast-enhanced CT. Therefore, it is safe to omit the measurement of serum creatinine in these patients before the procedure. However, it is important to note that this recommendation may vary depending on the specific guidelines and protocols followed by different healthcare institutions.

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8.

The most dangerous aspect of withholding a CT scan in emergent patients for serum creatinine or premedication for hypersensitivity reaction is the risk associated with delayed diagnosis

True
False

Correct Answer

A. True

Explanation

Withholding a CT scan in emergent patients for serum creatinine or premedication for hypersensitivity reaction can be dangerous because it can lead to a delayed diagnosis. CT scans are often critical in identifying and diagnosing emergent conditions, and delaying the scan due to concerns about serum creatinine or hypersensitivity reaction can result in a delay in providing appropriate treatment. This delay can increase the risk to the patient and potentially worsen their condition. Therefore, it is important not to withhold a CT scan in emergent patients for these reasons.

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9.

Arterial-phase imaging is required in CT for blunt abdominal trauma

True
False

Correct Answer

A. True

Explanation

Arterial-phase imaging is required in CT for blunt abdominal trauma because it allows for better visualization of the vasculature and can help identify active bleeding or vascular injuries. This phase of imaging provides detailed information about the blood flow and can help guide further management and treatment decisions. By capturing images during the arterial phase, CT can provide valuable information about the extent of injury and help in planning appropriate interventions. Therefore, it is necessary to perform arterial-phase imaging in CT for blunt abdominal trauma.

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10.

Duty of a radiologist ends at the time of radiology report verification/finalization

True
False

Correct Answer

A. False

Explanation

The statement that the duty of a radiologist ends at the time of radiology report verification/finalization is false. A radiologist's duty extends beyond just verifying and finalizing the report. They are responsible for interpreting the images, providing accurate diagnoses, and communicating the findings to the referring physician or healthcare team. They may also be involved in follow-up discussions, consultations, and further imaging recommendations. Thus, their responsibilities continue even after the report is finalized.

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Pre-rotation Test: Nis Er

Profession is different from occupation in that the former has a rule of law to follow

Quiz Preview

One of greatest challenges of radiologist in current practice is the decrease of interaction with referring physicians and patients

Data in electronic medical records are non-private and can be accessed by any physicians in the hospital regardless of their role

As a physician, it is okay to receive a gift of up to 5,000 Baht from patients, patient’s family or pharmaceutical/med tech industry

In an elevator, it is okay to talk to your friend about a patient without mentioning the patient’s name to respect patient’s confidentiality

Fasting for a minimum of 4 hours is required prior to all contrast- enhanced CT scan

In preparation for contrast-enhanced CT, serum creatinine can be omitted in patients who are less than 65 years old without known underlying renal disease

The most dangerous aspect of withholding a CT scan in emergent patients for serum creatinine or premedication for hypersensitivity reaction is the risk associated with delayed diagnosis

Arterial-phase imaging is required in CT for blunt abdominal trauma

Duty of a radiologist ends at the time of radiology report verification/finalization