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Radiology · Radiation protection
Sample itemWhat is the key first step when imaging is considered in a patient who may be pregnant?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Confirm the clinical indication and consider non-ionizing alternatives
Imaging in pregnancy requires a justified clinical indication and dose optimization; ultrasound or MRI may be appropriate alternatives for some questions, but urgent necessary imaging should not be delayed without a valid reason.
Option by option
A. Proceed without asking about pregnancy
Pregnancy status can materially affect planning and should be considered.
B. Use contrast in every study
Contrast use depends on the indication and risk assessment, not pregnancy alone.
C. Confirm the clinical indication and consider non-ionizing alternatives (correct)
Correct: indication review and suitable alternatives guide safe imaging choice.
D. Automatically refuse all imaging
Necessary imaging is not automatically forbidden in pregnancy.
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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