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Radiology · Radiation safety: operator dose in fluoroscopy
Sample itemIn a fluoroscopy room, where is scattered radiation dose to the operator greatest?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. On the side of the patient where the X-ray beam enters, near the tube
Scatter arises mainly at the beam entrance surface of the patient, so intensity is highest on the tube side, and lower on the detector side where the patient attenuates the beam. Lateral projections increase scatter on the tube side. Distance, shielding and reduced exposure time lower the dose.
Option by option
A. On the side of the patient where the X-ray beam enters, near the tube (correct)
Correct. Entrance-side scatter is highest near the tube.
B. On the side of the image receptor
The detector side receives less scatter because the patient attenuates it.
C. At a distance of several metres
Dose falls with distance.
D. Behind a lead screen
A lead screen reduces the dose.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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