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Test Bank For Introduction To Radiologic and Imaging Sciences and Patient Care 7th Edition by Adler
Test Bank For Introduction To Radiologic and Imaging Sciences and Patient Care 7th Edition by Adler
Test Bank For Introduction To Radiologic and Imaging Sciences and Patient Care 7th Edition by Adler
REF: p. 6
REF: p. 8
8. All of the following are true of the diagnostic procedure of mammography except
a. it is very valuable for the detection of early breast cancers.
b. the procedures may be performed using a general radiographic machine.
c. radiographers need to be specially trained in order to perform mammography.
d. radiographers must be certified by the ARRT to qualify for the mammography
examination.
ANS: B
Special breast imaging centers have been built to accommodate the demand for mammography procedures. Equipment and
supplies, such as a specially designed X-ray tube and high-resolution digital imaging detectors, are used to create high-quality
breast images. Mammography cannot be performed using general X-ray equipment.
REF: p. 8
9. To study the blood vessels of the brain, kidneys, liver, and other organs, contrast material is administered into these vessels by
using
a. catheters.
b. stents.
c. balloons.
d. None of the above
ANS: A
Angiography is the term for radiologic examination of the blood vessels after injection of a contrast medium. Most often, the
contrast material is injected through a catheter, which can be directed to a variety of major arteries or veins for visualization of
these structures.
REF: p. 7
10. Radiologic science continues to be one of the most exciting professions in medicine. An imaging modality that uses no ionizing
radiation and the energy of radio waves and magnetic fields is
a. nuclear imaging.
b. thermography.
c. CVIT.
d. MRI.
ANS: D
Magnetic resonance imaging (MRI) uses a strong magnetic field and radio waves along with a computer to generate sectional
images of patient anatomy. MRI creates no ionizations at current energy levels and is regarded as a safe modality, particularly for
pediatric and pregnant patients.
REF: p. 10
REF: p. 6
REF: p. 11
13. Board-certified radiologists can be a medical doctor (MD) or a doctor of osteopathy (DO). To become a board-certified radiologist
following medical school, these physicians must complete a
a. residency.
b. master’s degree education.
c. baccalaureate degree.
d. doctoral (Ph.D) degree program.
ANS: A
After medical school, most MDs and DOs complete additional clinical experience, known as a residency, in an area of
specialization. Residencies are usually 3 or 4 years and may include a wide variety of branches in medicine.
REF: p. 12
14. The health occupation that deals with the management of patient medical records and medical coding is
a. dietetics.
b. biomedical engineering.
c. health information services.
d. medical records therapist.
ANS: C
Health information services involve careers that are responsible for the management of health information, such as that contained in
the patient’s health record. These careers do not involve direct patient contact but are essential to the efficient operation of any
health care facility.
REF: p. 12
15. The distinction between a technologist and a technician can be confusing to the general public, when related to medical personnel.
A key difference between the two involves education. A technologist typically
a. is very attentive to details as prescribed by a superior.
b. has a higher level of education and deal with higher-level problems.
c. works under the supervision of another health care provider.
d. works in a supportive role at the direction of a technician.
ANS: B
Technologist is a general term that applies to an individual skilled in a practical art. This health care provider appli es knowledge to
practical and theoretic problems in the field. Technician is a term that applies to a person who performs procedures that require
attention to technical detail. Technicians work under the direction of another health care provider. The terms technologist and
technician are often used interchangeably, which can create problems in disciplines in which the terms are used to denote differing
levels of education. In general, technologists are involved in higher-level problem-solving situations and have more extensive
educational preparation than do technicians.
REF: p. 11
16. The medical imaging specialty of uses radiopharmaceuticals and gamma radiation in the production of medical images for
patient diagnosis.
a. radiation oncology
b. MRI
c. sonography
d. nuclear medicine
ANS: D
The field of nuclear medicine involves procedures that use radioactive materials for diagnostic or therapeutic purposes. Nuclear
medicine procedures usually involve the imaging of a patient’s organs—such as the liver, heart, or brain—after the introduction of
a radioactive material known as a radiopharmaceutical.
REF: p. 8
17. The current medical standard for measuring bone health, with a high degree of accuracy, is
a. radiographs of the chest.
b. DEXA studies of the hip and lower spine.
c. sonography of the heel.
d. nuclear scans of the bones.
ANS: B
Bone densitometry (BD) is used to diagnose osteoporosis, a condition that is often recognized in menopausal women but can also
occur in men. To detect osteoporosis accurately, dual-energy X-ray absorptiometry (DEXA or DXA) is used. DEXA BD is the
current standard for measuring bone mineral density (BMD).
REF: p. 9
REF: p. 7
19. The education of radiographers involves the commitment and dedication of many people. All of the following may be directly
involved with and responsible for your education as a radiographer except the
a. program director.
b. clinical coordinator or clinical instructor.
c. medical equipment applications specialist.
d. didactic faculty member.
ANS: C
A clinical instructor teaches students primarily on a one-on-one basis in the clinical setting. A didactic faculty member teaches
students typically through classroom lectures and laboratory activities. A clinical coordinator has teaching responsibil ities along
with administrative duties in overseeing clinical education, most often in programs using many clinical education centers. A
program director has teaching responsibilities, as well as overall administrative responsibility for the entire educatio nal program.
REF: p. 11
REF: p. 8
LOYAL STATES.
Ratified—Twenty-one States.
Rejected—Three States.
Rejected—Ten States.
Mr. President:—You have been fully informed that the rebel army
is in the front, with the purpose of overwhelming us by attacking our
positions or reducing us by blocking our river communications. I
cannot but regard our condition as critical, and I earnestly desire, in
view of possible contingencies, to lay before your excellency, for your
private consideration, my general views concerning the existing state
of the rebellion, although they do not strictly relate to the situation of
this army, or strictly come within the scope of my official duties.
These views amount to convictions, and are deeply impressed upon
my mind and heart. Our cause must never be abandoned; it is the
cause of free institutions and self-government. The Constitution and
the Union must be preserved, whatever may be the cost in time,
treasure, and blood. If secession is successful, other dissolutions are
clearly to be seen in the future. Let neither military disaster, political
faction, nor foreign war shake your settled purpose to enforce the
equal operation of the laws of the United States upon the people of
every State.
The time has come when the government must determine upon a
civil and military policy, covering the whole ground of our national
trouble.
The responsibility of determining, declaring, and supporting such
civil and military policy, and of directing the whole course of national
affairs in regard to the rebellion, must now be assumed and exercised
by you, or our cause will be lost. The Constitution gives you power,
even for the present terrible exigency.
This rebellion has assumed the character of a war; as such it
should be regarded, and it should be conducted upon the highest
principles known to Christian civilization. It should not be a war
looking to the subjugation of the people of any State, in any event. It
should not be at all a war upon population, but against armed forces
and political organizations. Neither confiscation of property, political
executions of persons, territorial organization of States, or forcible
abolition of slavery, should be contemplated for a moment.
In prosecuting the war, all private property and unarmed persons
should be strictly protected, subject only to the necessity of military
operations; all private property taken for military use should be paid
or receipted for; pillage and waste should be treated as high crimes;
all unnecessary trespass sternly prohibited, and offensive demeanor
by the military towards citizens promptly rebuked. Military arrests
should not be tolerated, except in places where active hostilities
exist; and oaths, not required by enactments, constitutionally made,
should be neither demanded nor received.
Military government should be confined to the preservation of
public order and the protection of political right. Military power
should not be allowed to interfere with the relations of servitude,
either by supporting or impairing the authority of the master, except
for repressing disorder, as in other cases. Slaves, contraband under
the act of Congress, seeking military protection, should receive it.
The right of the government to appropriate permanently to its own
service claims to slave labor should be asserted, and the right of the
owner to compensation therefor should be recognized. This principle
might be extended, upon grounds of military necessity and security,
to all the slaves of a particular State, thus working manumission in
such State; and in Missouri, perhaps in Western Virginia also, and
possibly even in Maryland, the expediency of such a measure is only
a question of time. A system of policy thus constitutional, and
pervaded by the influences of Christianity and freedom, would
receive the support of almost all truly loyal men, would deeply
impress the rebel masses and all foreign nations, and it might be
humbly hoped that it would commend itself to the favor of the
Almighty.
Unless the principles governing the future conduct of our struggle
shall be made known and approved, the effort to obtain requisite
forces will be almost hopeless. A declaration of radical views,
especially upon slavery, will rapidly disintegrate our present armies.
The policy of the government must be supported by concentrations
of military power. The national forces should not be dispersed in
expeditions, posts of occupation, and numerous armies, but should
be mainly collected into masses, and brought to bear upon the
armies of the Confederate States. Those armies thoroughly defeated,
the political structure which they support would soon cease to exist.
In carrying out any system of policy which you may form, you will
require a commander-in-chief of the army, one who possesses your
confidence, understands your views, and who is competent to
execute your orders by directing the military forces of the nation to
the accomplishment of the objects by you proposed. I do not ask that
place for myself. I am willing to serve you in such position as you
may assign me, and I will do so as faithfully as ever subordinate
served superior.
I may be on the brink of eternity; and as I hope forgiveness from
my Maker, I have written this letter with sincerity towards you and
from love for my country.
Very respectfully, your obedient servant,
George B. McClellan,
Major-General Commanding.
George B. McClellan.
These were passed by all of the eleven States in the rebellion. The
codes varied in severity, according to the views of the Legislatures,
and for a time they seriously interfered with the recognition of the
States, the Republicans charging that the design was to restore
slavery under new forms. In South Carolina Gen’l Sickles issued
military orders, as late as January 17, 1866, against the enforcement
of such laws.
To assure the rights, of the freedmen the 14th amendment of the
Constitution was passed by Congress, June 18th, 1866. President
Johnson opposed it, refused to sign, but said he would submit it to
the several States. This was done, and it was accepted by the required
three-fourths, January 28th, 1868. This had the effect to do away
with many of the “black codes,” and the States which desired
readmission to the Union had to finally give them up. Since
reconstruction, and the political ousting of what were called the
“carpet-bag governments,” some of the States, notably Georgia, has
passed class laws, which treat colored criminals differently from
white, under what are now known as the “conduct laws.” Terms of
sentence are served out, in any part of the State, under the control of
public and private contractors, and “vagrants” are subjected to
sentences which it is believed would be less extended under a system
of confinement.
Johnson’s Policy.
[33]
The events which led to the impeachment of President Johnson,
may be briefly stated as follows: On the 21st of February, 1868, the
President issued an order to Mr. Stanton, removing him from office
as Secretary of War, and another to General Lorenzo Thomas,
Adjutant-General of the Army, appointing him Secretary of War ad
interim, directing the one to surrender and the other to receive, all
the books, papers, and public property belonging to the War
Department. As these orders fill an important place in the history of
the impeachment, we give them here. The order to Mr. Stanton
reads:
“By virtue of the power and authority vested in me as President by
the Constitution and laws of the United States, you are hereby
removed from office as Secretary for the Department of War, and
your functions as such will terminate upon the receipt of this
communication. You will transfer to Brevet Major-General Lorenzo
Thomas, Adjutant-General of the Army, who has this day been
authorized and empowered to act as Secretary of War ad interim, all
records, books, papers, and other public property now in your
custody and charge.”
The order to General Thomas reads:
“The Hon. Edwin M. Stanton having been this day removed from
office as Secretary for the Department of War, you are hereby
authorized and empowered to act as Secretary of War ad interim,
and will immediately enter upon the discharge of the duties
pertaining to that office. Mr. Stanton has been instructed to transfer
to you all the records, books, and other public property now in his
custody and charge.”
These orders having been officially communicated to the Senate,
that body, after an earnest debate, passed the following resolution:
“Resolved, by the Senate of the United States, That under the
Constitution and laws of the United States the President has no
power to remove the Secretary of War and designate any other
officer to perform the duties of that office.”
The President, upon the 24th, sent a message to the Senate,
arguing at length that not only under the Constitution, but also
under the laws as now existing, he had the right of removing Mr.
Stanton and appointing another to fill his place. The point of his
argument is: That by a special proviso in the Tenure-of-Office Bill the
various Secretaries of Departments “shall hold their offices
respectively for and during the term of the President by whom they
may have been appointed, and for one month thereafter, subject to
removal by and with the advice of the Senate.” The President affirms
that Mr. Stanton was appointed not by him, but by his predecessor,
Mr. Lincoln, and held office only by the sufferance, not the
appointment, of the present Executive; and that therefore his tenure
is, by the express reading of the law excepted from the general
provision, that every person duly appointed to office, “by and with
the advice and consent of the Senate,” etc., shall be “entitled to hold
office until a successor shall have been in like manner appointed and
duly qualified, except as herein otherwise provided.” The essential
point of the President’s argument, therefore, is that, as Mr. Stanton
was not appointed by him, he had, under the Tenure-of-Office Bill,
the right at any time to remove him; the same right which his own
successor would have, no matter whether the incumbent had, by
sufferance, not by appointment of the existing Executive, held the
office for weeks or even years. “If,” says the President, “my successor
would have the power to remove Mr. Stanton, after permitting him
to remain a period of two weeks, because he was not appointed by
him, I who have tolerated Mr. Stanton for more than two years,
certainly have the same right to remove him, upon the same ground,
namely that he was not appointed by me but by my predecessor.”
In the meantime General Thomas presented himself at the War
Department and demanded to be placed in the position to which he
had been assigned by the President. Mr. Stanton refused to
surrender his post, and ordered General Thomas to proceed to the
apartment which belonged to him as Adjutant-General. This order
was not obeyed, and so the two claimants to the Secretaryship of War
held their ground. A sort of legal by-play then ensued. Mr. Stanton
entered a formal complaint before Judge Carter, Chief Justice of the
Supreme Court of the District of Columbia, charging that General
Thomas had illegally exercised and attempted to exercise the duties
of Secretary of War; and had threatened to “forcibly remove the
complainant from the buildings and apartments of the Secretary of
War in the War Department, and forcibly take possession and
control thereof under his pretended appointment by the President of
the United States as Secretary of War ad interim;” and praying that
he might be arrested and held to answer this charge. General
Thomas was accordingly arrested, and held to bail in the sum of
$15,000 to appear before the court on the 24th. Appearing on that
day he was discharged from custody and bail; whereupon he entered
an action against Mr. Stanton for false imprisonment, laying his
damages at $150,000.
On the 22d of February the House Committee on Reconstruction,
through its Chairman, Mr. Stevens, presented a brief report, merely
stating the fact of the attempted removal by the President of Mr.
Stanton, and closing as follows:
“Upon the evidence collected by the Committee, which is hereafter
presented, and in virtue of the powers with which they have been
invested by the House, they are of the opinion that Andrew Johnson,
President of the United States, should be impeached of high crimes
and misdemeanors. They, therefore, recommend to the House the
adoption of the following resolution:
“Resolved, That Andrew Johnson, President of the United States
be impeached of high crimes and misdemeanors.”
After earnest debate, the question on the resolution was adopted,
on the 24th, by a vote of 126 to 47. A committee of two members—
Stevens and Bingham—were to notify the Senate of the action of the
House; and another committee of seven—Boutwell, Stevens,
Bingham, Wilson, Logan, Julian, and Ward—to prepare the articles
of impeachment. On the 25th (February) Mr. Stevens thus
announced to the Senate the action which had been taken by the
House:
“In obedience to the order of the House of Representatives we
have appeared before you, and in the name of the House of
Representatives and of all the people of the United States, we do
impeach Andrew Johnson, President of the United States, of high
crimes and misdemeanors in office. And we further inform the
Senate that the House of Representatives will in due time exhibit
particular articles of impeachment against him, to make good the
same; and in their name we demand that the Senate take due order
for the appearance of the said Andrew Johnson to answer to the said
impeachment.”
The Senate thereupon, by a unanimous vote, resolved that this
message from the House should be referred to a select Committee of
Seven, to be appointed by the chair, to consider the same and report
thereon. The Committee subsequently made a report laying down the
rules of procedure to be observed on the trial.
On the 29th of February the Committee of the House appointed for
that purpose presented the articles of impeachment which they had
drawn up. These, with slight modification, were accepted on the 2d
of March. They comprise nine articles, eight of which are based upon
the action of the President in ordering the removal of Mr. Stanton,
and the appointment of General Thomas as Secretary of War. The
general title to the impeachment is:
“Articles exhibited by the House of Representatives of the United
States, in the name of themselves and all the people of the United
States, against Andrew Johnson, President of the United States, as
maintenance and support of their impeachment against him for high
crimes and misdemeanors in office.”
Each of the articles commences with a preamble to the effect that
the President, “unmindful of the high duties of his office, of his oath
of office, and of the requirements of the Constitution that he should
take care that the laws be faithfully executed, did unlawfully and in
violation of the laws and Constitution of the United States, perform
the several acts specified in the articles respectively;” closing with the
declaration: “Whereby the said Andrew Johnson, President of the
United States, did then and there commit and was guilty of a high
misdemeanor in office.” The phraseology is somewhat varied. In
some cases the offense is designated as a “misdemeanor,” in others
as a “crime.” The whole closes thus:
“And the House of Representatives, by protestation, saving to
themselves the liberty of exhibiting at any time hereafter any further
articles or other accusation or impeachment against the said Andrew
Johnson, President of the United States, and also of replying to his
answers which he shall make to the articles herein preferred against
him, and of offering proof to the same and every part thereof, and to
all and every other article, accusation, or impeachment which shall
be exhibited by them as the case shall require, do demand that the
said Andrew Johnson may be put to answer the high crimes and
misdemeanors in office herein charged against him, and that such
proceedings, examinations, trials, and judgments may be thereupon
had and given as may be agreeable to law and justice.”
The following is a summary in brief of the points in the articles of
impeachment, legal and technical phraseology being omitted:
Article 1. Unlawfully ordering the removal of Mr. Stanton as
Secretary of War, in violation of the provisions of the Tenure-of-
Office Act.—Article 2. Unlawfully appointing General Lorenzo
Thomas as Secretary of War ad interim.—Article 3 is substantially
the same as Article 2, with the addition that there was at the time of
the appointment of General Thomas no vacancy in the office of
Secretary of War.—Article 4 charges the President with “conspiring
with one Lorenzo Thomas and other persons, to the House of
Representatives unknown,” to prevent, by intimidation and threats,
Mr. Stanton, the legally-appointed Secretary of War, from holding
that office.—Article 5 charges the President with conspiring with
General Thomas and others to hinder the execution of the Tenure-of-
Office Act; and, in pursuance of this conspiracy, attempting to
prevent Mr. Stanton from acting as Secretary of War.—Article 6
charges that the President conspired with General Thomas and
others to take forcible possession of the War Department.—Article 7
repeats the charge, in other terms, that the President conspired with
General Thomas and others to hinder the execution of the Tenure-of-
Office Act, and to prevent Mr. Stanton from executing the office of
Secretary of War.—Article 8 again charges the President with
conspiring with General Thomas and others to take possession of the
property in the War Department.—Article 9 charges that the
President called before him General Emory, who was in command of
the forces in the Department of Washington, and declared to him
that a law, passed on the 30th of June, 1867, directing that “all
orders and instructions relating to military operations, issued by the
President or Secretary of War, shall be issued through the General of