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Radiology · Radiation safety: pregnancy
Sample itemWhen imaging a pregnant patient, what is the primary radiation-protection principle?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Use justified imaging with the lowest reasonable dose while not delaying essential diagnosis
Imaging in pregnancy is justified when expected diagnostic benefit outweighs risk; ultrasound and MRI are often useful alternatives, but necessary radiography or CT should not be withheld in emergencies. Dose optimization is essential.
Option by option
A. Avoid all imaging regardless of urgency
Avoiding essential imaging can harm both patient and fetus.
B. Use justified imaging with the lowest reasonable dose while not delaying essential diagnosis (correct)
Correct. Benefit-risk assessment and dose optimization guide safe care.
C. Use ionizing radiation because fetal dose is irrelevant
Fetal radiation exposure is considered and minimized.
D. Repeat scans routinely for reassurance
Repeated nonindicated scans add unnecessary exposure.
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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