SIIM Live Learning Center (Curriculum Module (Exam) )
SIIM Live Learning Center (Curriculum Module (Exam) )
Welcome SIIM 2017
Paul Fontenot
IIP
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Course Status 100 Background
1. Adult learning styles are best described by the statement:
Course 101 Needs
a. “Hands on” experience in the workplace setting works best for most adults Assessments &
SIIM IIP Bootcamp 2017 b. Classroom didactic teaching, with exams, is most effective for adult learners
Module c. A mixture of kinesthetic, didactic and visual approaches is necessary Standards
SIIM 2017 IIP Bootcamp 102 Installation
d. Adults require oneonone teaching sessions with a mixture of teaching approaches
Learning Activity
Take Test & Implementation
2. Classroom based user training sessions were conducted by your vendor trainers, for your
Completed
% of Course
recent upgrade, using the vendor’s standard Hospital X based training system software. On go 103 DaytoDay
live, the most likely problem that your users will have is Operations &
100%
a. Following the basic procedure steps that they have been taught Regulations
b. Adapting the learned tasks to their workflow environment 104 – Putting it All
c. Performing their informatics workflow steps while working with patients Together
d. Forgetting the new procedures that they have learned to perform
Take Test
3. The best example of a learning objective to assure proper use of your new informatics Summary
software by your technologists is: After attending this course, the student ________________
a. Will know how to use Vendor A’s software in the clinic environment
b. Will understand how to schedule a patient for any imaging study
c. Will be able to answer at least 80% of the scheduling test questions correctly
d. Will accurately verify that all images have successfully transferred to PACS
4. A formative course assessment is done to
a. Update course materials or presentations in response to student needs
b. Compare the course outcomes against the learning objectives
c. Evaluate students attained skills on software deployment
d. Statistically evaluate the cost effectiveness of a training program
5. The radiation dose metric, DLP, on the CT Protocol page represents
a. Dose received by the patient during a CT exam
b. The radiation dose per unit mass of tissue for the exam.
c. The CTDIvol summed over all of the series in the exam
d. A phantom dose for the CT imaging protocol performed.
6. The ACR Dose Index Registry uses a standardized list of study descriptions based on
a. The RadLEX Playbook
b. DICOM Part 3 IOD Definitions
c. ACR Technical Standard (2014)
d. IAC Recommendations
7. Bloom’s taxonomy is useful for
a. Calculating the storage needs of images in a VNA
b. Creating efficient and accurate workflow diagrams
c. Reviewing medical environment safety requirements
d. Describing the knowledge level required by a task
8. A useful tool when instructing a kinesthetic learner may be
a. Colorful slide shows and demonstrations
b. Demonstrations by the learner
c. Ability to take notes electronically
d. One on one teaching interactions
9. A train the trainer method for instruction
a. Requires a selection of super users
b. Is the least demanding on staff
c. Requires more vendor support after golive
d. All of the above
10. An important aspect of adult learning is
a. Training on new systems should involve a raise in pay
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b. Adults really don’t need much practice on new skills
c. Relevancy and prior experiences should be addressed
d. All of the above
11. Figure A
The image in Figure A is a (an) ___________ view.
a. Anterior
b. Axial
c. Coronal
d. Sagittal
12. An image series labeled “T1 weighted” is generated by what modality?
a. Computed tomography
b. Positron emission tomography
c. Computed radiography
d. Magnetic resonance imaging
13. Window level and width definitions utilizing Hounsfield Unit density values are commonly
defined for images obtained by:
a. Positron emission tomography
b. Computed tomography
c. Magnetic resonance imaging
d. Ultrasound
14. CAD techniques are routinely used to assist diagnosis in:
a. Magnetic Resonance Spectroscopy
b. Breast Tomosynthesis
c. Ultrasound Doppler
d. Echocardiology
15. Of the image types below, which would have the largest pixel dimensions.
a. Magnetic Resonance
b. Ultrasound
c. Computed Tomography
d. Breast Tomosynthesis
16. A dose measure that is utilized for CT Dose reporting is _____________.
a. DLP
b. RDSR
c. Air Kerma
d. BIRADS
17. Multimedia (images and measurements) reporting is important to all imaging, particularly:
a. DEXA
b. Ultrasound
c. Ophthalmology
d. All of the above
18. Figure B
In the MRI image of the foot in Figure B, the yellow arrow is most likely pointing to:
a. Soft tissue
b. Fat
c. Bone
d. Muscle
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19. The highest numbered MRI zone that can be entered without prescreening or being a trained
staff member is:
a. Zone I
b. Zone II
c. Zone III
d. Zone IV
20. CT images are fused with PET images to provide _______________________.
a. Standardized HU values for measuring PET quantitative uptake
b. Bone mineral density comparative values
c. The dose of the injected radiopharmaceutical
d. Anatomical localization of the PET signals
21. The split between average yearly background and medical ionizing radiation dose as reported
in NCRP 160 is:
a. 25% Background, 75% Medical
b. 50% Background, 50% Medical
c. 75% Background, 25% Medical
d. 60% Background, 40% Medical
22. The difference between the CTDIvol dose measure and the SSDE dose measure is:
a. SSDE is corrected for patient size
b. SSDE is corrected for scan length
c. CTDIvol is corrected for patient volume
d. CTDIvol represents the real patient dose
23. Figure C
Figure D
The images, Figure C and D, below were acquired using
a. Ultrasound
b. DEXA
c. CT Imaging
d. Fluoroscopy
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24. Figure E
Figure F
The images, Figure E and F, below were acquired
a. EXA
b. PET/CT Imaging
c. CT Imaging
d. Fluoroscopy
25. Quality Assurance encompasses
a. The entire transaction cycle
b. Outcomes
c. The order process
d. All the above
26. Quality Improvement is:
a. An ongoing process
b. Should be kept at the department level
c. Requires little organizationallevel involvement
d. None of the above
27. Fishbone charts are used to:
a. Create a good soup
b. Analyze root cause
c. Track quality improvement
d. Provide insight to the Gant chart
28. Policies can be:
a. Both Internal and External
b. A Management Directive
c. Bent to meet the needs of the patient
d. A & B Only
29. Where vendors are involved a BAA:
a. Is a good idea
b. Should be a policy
c. Not needed as they are covered by service agreements
d. Only needed when no PHI is involved
30. The goal of a quality improvement plan in imaging is to:
a. Improve the quality control procedures in healthcare clinical areas.
b. Improve procedures to measure performance improvement for healthcare employees.
c. Maximize the efficiency of the imaging operations
d. Improve healthcare production and reduce overall business expenses.
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31. Quality Improvement Programs include the following
a. Management Controls manufacturing methods.
b. Worker Involvement and ownership of outcome
c. QA post production
d. Both a and c
32. Common themes of all QI plans include all of the following EXCEPT:
a. Data Collection
b. Implement changes
c. Sign off and move to next project
d. Evaluate for results
33. Quality Improvement models used in Healthcare include all of the following EXCEPT:
a. Six Sigma
b. FACE
c. LEAN
d. FMEA
34. Charts Used in the QI process include:
a. Check Sheet
b. Histogram
c. Fishbone
d. All of the above
35. The Control Chart can be used for monitoring:
a. Errors in reports
b. Fluctuations in imaging times
c. PACS Monitor Calibration
d. QA of Imaging Studies
36. What QI instrument is most likely to be used in developing a RIS / PACS downtime workflow:
a. Fishbone Diagram
b. Pareto Chart
c. Check Sheet
d. Flowchart
37. The Role of the IIP in Quality Improvement Programs include all of the following except:
a. Collecting and analyzing QC data
b. Equipment purchasing
c. Error exception and correction
d. Troubleshooting and service support
38. The structure content of policies and procedures should include:
a. Purpose
b. Revision History
c. Scope
d. All of the above
39. User Management first has to have what type of development in order to be most effective:
a. Software development
b. Role development
c. Job Descriptions
d. All of the above
40. An example of a user management audit include:
a. Failed login attempts
b. Lunch break punches
c. Active logins without activity
d. Both b and c
41. The HIPAA Privacy Rule requirements are classified into which three categories:
a. Administrative, Physical, and Technical
b. Operations, Clinical, and Technical.
c. Administrative, Technical, and Security Officer requirements
d. Operations, Training, and Contingency Planning
42. HIPAA provides instruction for implementing each security standard and each HIPAA
implementation standard is designated as either:
a. Responsible (R) or Addressable (A)
b. Required (R) or Addressable (A)
c. Required (R) or Avoidable (A)
d. Responsible (R) or Avoidable (A)
43. HITECH refers to:
a. The base level of knowledge needed by a PACS administrator to become certified
b. The law that provides CMS incentive payments for meaningful use of EHR technology
c. The HIPAA Administrative Simplification rules
d. The IHE protocol used by imaging modalities to insure secure data transmission
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44. Acceptable Image storage for Mammography under MQSA is:
a. DICOM Lossy format
b. Lossless compressed format
c. TIFF
d. Lossy JPEG
45. An example of a Systems Management policy would include:
a. Employee termination policy
b. Granting employee access to applications policy
c. User password aging policy
d. Computer/Data Center back up policy
46. Of the following, which organization is most expert in workplace ergonomics?
a. American College of Radiology
b. American Association of Physicists in Medicine
c. Occupational Safety and Health Administration
d. Society for Imaging Informatics in Medicine
47. Which of the following would be the LEAST ergonomic PACS workstation change?
a. Black on white clinical document presentation
b. Blinds/shades on outward facing windows
c. Light diffusers
d. Mouse button scripting tools
48. Which of these is generally considered part of a good PACS workstation position?
a. Images just slightly above eye level
b. Mouse holding forearm perpendicular to the floor
c. Shoes on the floor or footrest
d. Shoulders relaxed with elbows flared outward on the table
49. What is one reason cloud based image sharing is preferred over CD media sharing?
a. CDs are more familiar to patients and referring physicians
b. CDs increasingly are not playable on offtheshelf devices
c. CDs more securely protect PHI than does cloud based sharing
d. CDs offer a sense of data ownership by the patients
50. Which of the following is TRUE regarding image upload and download securities?
a. Physicians are typically knowledgeable of all necessary department image upload/storage
b. Radiologists generally have securities to do image uploads
c. eferring physicians have securities to do image uploads
d. Risk Management and compliance experts should be consulted while developing policy for
image upload and download
51. Which of the following is a common Medical Physicist display calibration performance
check?
a. Modality technique chart
b. Phantom skin entrance exposure
c. Regulated radiation dose parameter adherence
d. Luminance uniformity
52. Which of the following is TRUE regarding image retention rules?
a. Federal retention rules dictate retaining images for 7 years
b. Images may be interpreted after lossy compression
c. Practices for hospitals retaining pediatric studies are determined by patient consent
d. State retention rules vary significantly
53. Which would be a poor imaging governance practice?
a. A broad and inclusive membership body
b. Defining new system requirements after system evaluation
c. Frequent stakeholder communication regarding plans, progress, and timelines
d. Pursuing consolidation of clinical image storage and metadata attribution workflows
54. What is one reason cloud based image sharing is preferred over CD media sharing?
a. The number of images per examination has increased
b. The number of imaging examinations performed has increased
c. A and B
d. None of the above
55. What is the most expensive part of a PACS workstation?
a. The A/B switch for the PACS monitor and resulting workstation
b. The diagnostic monitors
c. The PC tower
d. The universal power supply
56. Which of the following is not a tool used to manage a project?
a. Gantt chart
b. RACI Diagram
c. Run Chart
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d. Operations quality dashboard
57. Measurable goals to include in a Mission Statement include:
a. Elimination of Film Loss
b. Decrease TurnAround Time
c. Increase Patient Satisfaction
d. All of the above
58. Which is not one of the Process Groups of Project Management?
a. Planning
b. Execution
c. Completion
d. Assessment
59. The Request for Proposal should include:
a. A Mission Statement
b. Growth Potential
c. List of Modalities
d. All of the above
60. Which is not one of the Triple Constraints:
a. Cost
b. Time
c. Risk
d. Scope
61. The document that formally authorizes a project is a:
a. Statement of Work
b. RFP
c. Charter
d. Stakeholder Register
62. A Gantt Chart is created in what stage of the project:
a. Initiation
b. Monitoring and Controlling
c. Planning
d. Executing
63. Which is used to identify the many possible causes for an effect or problem:
a. Scatter Diagram
b. Fishbone Diagram
c. RACI Diagram
d. PERT
64. The tool used to estimate the amount of time it takes to complete a project task:
a. Run Chart
b. PERT
c. Workflow Analysis
d. Gantt Chart
65. Figure E
Which Project Management tool is demonstrated by the example shown in Figure G.
a. Ishakawa diagram
b. Project scope
c. Gantt chart
d. Pert tool
66. Which of the of the following would be included in a PACS project team?
a. Project Sponsor
b. Vendor Management
c. Resident
d. Domain Administrator
67. Which of the following best defines the purpose of a Gap Analysis Model?
a. A clinical evaluation process used to determine the cause and effect for quality control errors.
b. A process to determine the historical and actual performance for established clinical outcomes.
c. A process to determine the difference between the current practice and a desired standard.
d. A technical evaluation process used to determine cause and effect for quality control errors.
68. When developing your ROI for a PACS purchase, you should consider the following?
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a. Personnel Time Savings
b. Decreased Technologist Productivity
c. Decreased Radiologist Productivity
d. Increased Report TurnAround
69. A Request for Solution, compared with a traditional Request for Proposal is:
a. The same as a Request for Information
b. Takes more time for evaluating responses
c. Contains many pages of detailed functional requirements
d. Requests a vendor to respond to the institutions unique requirements
70. Negotiating the purchase contract will include all of the following except?
a. Warranties
b. Software Upgrades
c. Payment Schedule
d. Job Descriptions
71. When considering stakeholders, which of the following groups is least likely to be
represented on a PACS selection committee?
a. Radiologists
b. Emergency department physicians
c. Nursing
d. Information systems
72. In negotiating a PACS contract:
a. It is recommended to negotiate only with one vendor.
b. It is very similar to buying a piece of imaging equipment.
c. It is recommended to involve outside legal counsel expertise.
d. The project work plan can wait until after the contract is signed.
73. Which is not a step used in Procurement:
a. Need
b. Planning
c. Negotiation
d. Selection
74. When soliciting information from a vendor for a PACS project, the list of requests would go in
what order?
a. RFP then RFI
b. RFI then RFP
c. It makes no difference
d. RFP then RIP
75. Of the choices below, which one is NOT a reason for a VNA
a. Provides continuum of care for patients across the enterprise
b. It will help keep you data clean because it only takes DICOM imaging studies
c. Open standards at the regional, enterprise, hospital, and department level
d. Maintains patient privacy and security
76. Before choosing an image viewer you must ensure that the VNA will be compatible
a. True
b. False
c.
d.
77. It is a good idea to have your mirrored cluster nodes be geographically distant
a. True
b. False
c.
d.
78. What is the most widely used pattern used when performing DICOM monitor evaluations?
a. Briggs Pattern
b. CS Pattern
c. TG18 Pattern
d. SMTE Pattern
79. All of the following are disaster recovery models except for:
a. Geographically dispersed cluster nodes
b. ASP model
c. Cloud computing
d. Relational model
80. To confirm that a server is online and connected to the network, what is the first step that the
user should take?
a. Ping it
b. Turn off the computer
c. Check the DNS
d. Collision detection
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81. What is ethernet?
a. A cable
b. A networking technology for wireless networks
c. A networking technology for local area networks
d. The predecessor to internet
82. What is ethernet?
a. A cable
b. A networking technology for wireless networks
c. A networking technology for local area networks
d. The predecessor to internet
83. What does multiple access in Ethernet mean?
a. Anyone can initiate a network transfer process
b. Many people can access your ethernet
c. Collision detection
d. Is anyone else sending packets?
84. What is the difference between a Hub and a Switch?
a. Hub connects personal computers, Switch connects servers
b. Switch connects personal computers, Hub connects servers
c. Hub shares everyone traffic, Switch has dedicated traffic
d. Switch shares everyone traffic, Hub has dedicated traffic
85. What’s a MAC Address?
a. Media Access Control
b. Media Accessory Controller
c. Motherboard Access Control
d. Media Accessor Chip
86. What does TCP/IP stand for?
a. Transmission Control Packets / Internet Packets
b. Transmission Control Protocol / Internet Protocol
c. Transmission Change Protocol / Internet Protocol
d. Transmission Change of Packets / Internet Packets
87. How do dynamic IP addresses get assigned in a network?
a. DNS
b. Ethernet
c. NAT
d. DHCP
88. What is DNS?
a. Domain Name System
b. Domain Naming Schema
c. Device Name System
d. Device Naming Schema
89. What is a load balancer?
a. Distributes traffic to multiple servers
b. Distributes load to different RAMs on your PC
c. Backs up your Hard Disk
d. None of the above
90. A subnet is used to:
a. Provide access to a network to multiple users
b. Allow disaster recovery
c. Change the way an IP looks to different users
d. Divide a network into two or more networks
91. What does a firewall do?
a. Anti Virus
b. Phishing Detector
c. Allows/Deny access based on rules
d. Stops popups
92. When is DR used?
a. To continue business processes on a normal day
b. To continue business processes during a disaster
c. To get IT systems to be fast
d. None of the above
93. How is BC different from DR?
a. DR is during disaster, BC is during nondisaster
b. BC is during disaster, DR is during nondisaster
c. DR is not a type of HA, BC is
d. DR is always implemented, BC is not
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94. What do five nines mean?
a. 99.5% uptime
b. 99.9% uptime
c. 99.999% uptime
d. 9.9999% uptime
95. VPN allows access through?
a. A NAT
b. A Firewall
c. A DHCP
d. A DNS
96. 10.224.20.180 is an example of:
a. NAT
b. DNS
c. IPv6
d. d.IPv4
97. Which of the following best defines HL7?
a. A framework for integrating healthcare information systems including specifications on how to
implement standards.
b. A sevenlayered framework for communications and network protocol design.
c. A standard for the electronic data exchange of patient demographic information among
diverse healthcare information systems.
d. A standard for the electronic exchange of medical image data among diverse healthcare
information systems.
98. General orders are passed between various healthcare systems using which HL7 message
type?
a. ADT
b. DFT
c. ORM
d. ORU
99. Which of the following is not a valid DICOM Instance UID?
a. Image Instance UID
b. Series Instance UID
c. SOP Instance UID
d. Study Instance UID
100. The IHE ___________________ is designed to provide a reliable of way of specifying a level
of adherence to communications standards to achieve truly efficient interoperability. These
standards could include DICOM and HL7 among others.
a. Initiative
b. Standard
c. Implementation
d. Communication
101. The IHE reconciliation profile most concerned with reconciliating patient identification
information when it is incomplete is?
a. CPI
b. SWF
c. PIR
d. ARI
102. The Information Object Definition (IOD) component of the DICOM standard can be found in
what part of the standard?
a. One
b. Two
c. Three
d. Four
103. ORU messages are typically used to convey?
a. Results of orders
b. Placement of orders
c. Scheduling protocols
d. Admission orders
104. DICOM data elements are stored in DICOM IODS in order by?
a. Module
b. Information Entity
c. Element number
d. Group number
105. What HL7 standard allows for single logon for multiple applications?
a. Clinical Document Architecture
b. Clinical Context Object Workgroup
c. Electronic Medical Record
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d. Clinical Decision Support
106. Regarding optionality of IOD modules, what letter indicates a module is optional?
a. M
b. U
c. O
d. C
107. IHE was started initially by?
a. RSNA
b. SIIM
c. ACR
d. NEMA
108. The IHE CDI integration profile defines how systems adhere to what part of the DICOM
standard?
a. 11
b. 12
c. 13
d. 14
Curriculum Details
SIIM IIP Bootcamp 2017
August 01, 2017 January 01, 2019
STEP 1 TRAINING MANUAL DOWNLOAD
STEP 2 100 BACKGROUND
STEP 3 101 NEEDS ASSESSMENTS & STANDARDS
STEP 4 102 INSTALLATION & IMPLEMENTATION
STEP 5 103 DAYTODAY OPERATIONS & REGULATIONS
STEP 6 104 – PUTTING IT ALL TOGETHER
STEP 7 TAKE TEST
SUMMARY
Curriculum Status
Activity Name Status
Training Manual Download Complete
100 Background Complete
101 Needs Assessments & Standards Complete
102 Installation & Implementation Complete
103 DaytoDay Operations & Regulations Complete
104 – Putting it All Together Complete
Take Test Complete
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