Try it
Radiology · Radiation protection: ten day rule
Sample itemA 28-year-old woman with a regular cycle needs an elective lumbar spine radiograph series. Under the traditional ten day rule, when should it be scheduled?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. In the first 10 days after the start of menstruation
The ten day rule says elective examinations that expose the pelvis or lower abdomen should be done in the first ten days of the cycle, when pregnancy is very unlikely. It aims to avoid irradiating a conceptus unknowingly.
Option by option
A. At any time, as the rule does not exist
The rule exists as a long-standing protective practice for elective examinations.
B. In the first 10 days after the start of menstruation (correct)
Correct. The first ten days after menses begin are the safest window.
C. Only in the second half of the cycle
The second half of the cycle is when an early pregnancy is more likely.
D. In the last 10 days of the cycle
Late-cycle timing carries the highest chance of an undetected conception.
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.
More Radiology questions
- NeuroimagingWhat is the first investigation of choice in suspected acute subarachnoid haemorrhage?
- Cardiac imagingA 'boot-shaped' heart (coeur en sabot) on a chest radiograph is typical of:
- Musculoskeletal imagingA 'bamboo spine' on a plain radiograph is characteristic of:
- Paediatric radiologyThe 'double bubble' sign on an abdominal radiograph of a newborn suggests: