Limited X-ray Machine Operator Exam Preparation

Course Duration:

6 weeks (12 sessions)

  • Weekly schedule: 2 sessions per week, 2.5 hours each session.

Course Goals:

  1. Prepare students for the LXMO licensure exam.

  2. Provide a solid understanding of radiographic principles, anatomy, equipment, safety, and positioning.

  3. Enhance problem-solving skills related to radiographic procedures and patient care.

  4. Familiarize students with sample questions and practical scenarios from the licensure exam.

Week 1: Introduction and Basic Principles of Radiography

Session 1:

Topic: Introduction to Radiography and Professional Ethics

  • Overview of the LXMO licensure process.

  • Introduction to the field of radiography and professional responsibilities.

  • Importance of ethics in patient care and radiology practice.
    Key Concepts: ALARA (As low as reasonably achievable), patient consent, and HIPAA.
    Workbook Exercises: Review of ethical scenarios and professional conduct questions.

Session 2:

Topic: Basics of Radiation and Image Production

  • X-ray production: Components of the X-ray tube, mechanics of X-ray generation, and basic physics concepts.

  • Properties of X-rays: Penetration, absorption, and interaction with matter.

  • Introduction to image receptors and basic radiographic quality.
    Workbook Exercises: Questions on X-ray production, safety, and image formation.

Week 2: – Patient Care, Communication, and Radiation Protection.

Session 3:

Topic: Patient Care and Communication

  • Techniques for effective patient communication, addressing patient concerns, and positioning for comfort.

  • Basic infection control, handling of patients with special needs.

  • Patient positioning aids and techniques.
    Key Concepts: Body mechanics, patient confidentiality, and patient transfer methods.
    Workbook Exercises: Review of patient care scenarios and correct positioning methods.

Session 4:

Topic: Radiation Safety and Protection

  • Principles of radiation protection: Time, distance, shielding.

  • Safe practices for both patients and radiologic technologists.

  • Personal protective equipment (PPE) and lead shielding techniques.
    Key Concepts: Dose limits, occupational exposure, and ALARA principles.
    Workbook Exercises: Radiation safety guidelines, calculations for shielding, and dose limits.

Week 3: Radiographic Equipment and Digital Imaging

Session 5:

Topic: Radiographic Equipment and Controls

  • Basic components of X-ray machines and control panels.

  • Imaging settings: kVp (kilovoltage), mA (milliamperage), exposure time, and their effects on image quality.
    Key Concepts: Technical factors, exposure technique charts, and common troubleshooting issues.
    Workbook Exercises: Equipment labeling, calculations for exposure, and troubleshooting exercises.

Session 6:

Topic: Introduction to Digital Imaging

  • Differences between film and digital systems.

  • Image receptors: CR (Computed Radiography) vs DR (Digital Radiography).

  • Image quality factors: Spatial resolution, contrast, noise, and artifacts.
    Key Concepts: PACS (Picture Archiving and Communication System), image storage, and retrieval.
    Workbook Exercises: Compare image quality in different radiographic systems, practice labeling and adjusting digital images.

Week 4: Radiographic Procedures and Image Evaluation

Session 7:

Topic: Chest, Abdomen, and Extremity Radiography

  • Radiographic positioning for chest, abdomen, and extremities.

  • Anatomy recognition and correct imaging angles for optimal results.
    Key Concepts: AP (Anterior-Posterior), PA (Posterior-Anterior), lateral views, and oblique projections.
    Workbook Exercises: Practice positioning using diagrams and identifying anatomical landmarks.

Session 8:

Topic: Image Evaluation and Error Correction

  • How to assess radiographs for positioning errors, under/overexposure, and artifacts.

  • Common imaging mistakes and their correction.
    Key Concepts: Acceptable image quality, repeat analysis, and problem-solving techniques.
    Workbook Exercises: Evaluation of sample radiographs, identifying errors, and proposing corrective actions.

Week 5: Anatomy, Physiology, and Specialized Imaging

Session 9:

Topic: Anatomy and Physiology for Radiographers

  • Focused review of anatomy relevant to limited radiographic practice: Chest, abdomen, pelvis, spine, upper and lower extremities.

  • Review of key physiology concepts tied to radiographic images.
    Workbook Exercises: Anatomy labeling exercises, matching X-rays with anatomical structures.

Session 10:

Topic: Specialized Radiographic Procedures

  • Imaging techniques for trauma patients, pediatric patients, and the elderly.

  • Adjusting positioning techniques and exposure settings for special cases.
    Workbook Exercises: Case studies on positioning for non-standard patients, review of advanced positioning for trauma.

Week 6: Mock Exams and Review

Session 11:

Topic: Mock Exam and Test-Taking Strategies

  • Full-length mock exam covering all sections.

  • Review of time management, multiple-choice strategies, and common pitfalls in exam questions.
    Workbook Exercises: Answer key and explanations for the mock exam, tips for handling difficult questions.

Session 12:

Topic: Final Review and Q&A

  • Comprehensive review of key concepts, with focus on weak areas identified in the mock exam.

  • Open session for student questions, clarification, and group discussion.
    Workbook Exercises: Final practice with questions on weak topics, reinforcement of key concepts.

Materials:

  • Textbook: "Radiography Essentials for Limited Practice" (by Bruce W. Long, Eugene D. Frank, Ruth Ann Ehrlich)

  • Workbook: Workbook associated with the textbook.

  • Supplementary Materials: Digital PACS access, anatomy flashcards, positioning charts, radiographic equipment simulator (if available).

Assessment:

  • Participation in workbook exercises (20%)

  • Performance on two mock exams (40%)

  • Final practical skills assessment (40%)