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Radiology · Radiation safety and radiobiology: dose limits and patients
Sample itemA radiology resident asks whether the annual occupational dose limit also caps the radiation a patient may receive from medically indicated CT scans. What is the correct answer?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. No, patient exposure is controlled by justification and optimisation, not by dose limits
Dose limits apply to occupational and public exposure. Medical exposure of patients is governed by justification of the examination and optimisation of the dose, with diagnostic reference levels used as benchmarks.
Option by option
A. Yes, but patients are limited to the public dose limit
The public limit is for non-medical exposure of the public and does not cap patient scans.
B. Yes, patients are limited to the same annual dose
Occupational limits do not apply to patients.
C. No, patients have no safeguards at all
Patients are protected by justification, optimisation and reference levels.
D. No, patient exposure is controlled by justification and optimisation, not by dose limits (correct)
Correct. The benefit to the patient is weighed in each case, and no fixed limit applies.
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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