

Medical Imaging Fundamentals
Midterm Exam
Course Introduction
Medical Imaging Fundamentals offers a comprehensive introduction to the principles, techniques, and applications of medical imaging technologies used in modern healthcare. The course explores the physics and instrumentation behind key modalities such as X-ray, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and nuclear medicine. Emphasis is placed on understanding image formation, image quality, contrast mechanisms, and safety considerations. Students will also gain insight into image analysis, digital processing, and the clinical context in which medical imaging is employed for diagnosis and treatment. The course balances theoretical foundations with practical examples, preparing students for further study or careers in biomedical engineering, radiology, or related fields.
Recommended Textbook
Introduction to Radiologic and Imaging Sciences and Patient Care 6th Edition by Arlene M. Adler
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Chapter 1: Introduction to Imaging and Radiologic Sciences
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Q1) Wilhelm C.Roentgen's discovery of "the x-ray" is regarded as one of medicine's most significant achievements.Although his discovery was accidental,his early research was so thorough that no significant findings have been added to his original theories.This in itself is a true tribute to the brilliance of Roentgen as a scientist.One of the most famous early images he created was an x-ray image of his A)colon.
B)laboratory assistant's foot.
C)wife's hand.
D)kidneys.
Answer: C
Q2) A valuable x-ray procedure used to diagnose a myocardial infarction is A)mammography.
B)myelography.
C)arthrography.
D)coronary arteriography.
Answer: D
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Page 3

Chapter 2: Professional Organizations
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Q1) The organization that sponsors an international meeting in Chicago,Illinois each year in late November is the
A)International Society of Radiographers and Radiologic Technologists (ISRRT).
B)Radiological Society of North America (RSNA).
C)American College of Radiology (ACR).
D)Joint Review Committee on Education in Radiologic Technology (JRCERT).
Answer: B
Q2) The oldest radiologic society in the medical imaging profession is the A)American Medical Society.
B)International Society of Radiographers and Radiologic Technologists.
C)American Roentgen Ray Society.
D)Radiological Society of the Americas.
Answer: C
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Chapter 3: Educational Survival Skills
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Sample Questions
Q1) Time management is an important part of controlling stress levels.Effective methods to control time include
1)avoiding deadlines because they typically limit time for pleasurable activities.
2)pushing yourself to unknown limits because you need to know your potential.
3)determining the most important activities that could contribute to your success.
4)focusing only on those activities that are important,allowing little time for close friends and family.
5)doubling your study time to improve your grade from a D to an A.
A)1 only
B)3 only
C)1,2,and 5 only
D)3,4,and 5 only
Answer: B
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Chapter 4: Critical-Thinking and Problem-Solving Strategies
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Q1) While working as a radiographer,you design a unique receptor holder to use during portable procedures that clearly reduces the exposure of others by lessening the need to hold patients or cassettes.The development of this imaging device shows that you are functioning at what level of learning?
A)Psychomotor
B)Synthesis
C)Affective
D)Cognitive
Q2) In your experiences as a student radiographer,you will encounter a variety of technologists,each with his or her own methods for performing procedures.Some will be quite good,and unfortunately some will be bad.As a student,you have a responsibility to recognize these various behaviors and assess their professional correctness.A firm reference point for determining the appropriate behavior for technologist behavior would be
A)asking other technologists if these behaviors are correct.
B)calling the Joint Review Committee on Education in Radiologic Technology and getting their opinion.
C)referencing the ASRT Practice Standards and ARRT Code of Ethics.
D)consulting a radiologist to get his or her opinion.
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Chapter 5: Introduction to Clinical Education
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Q1) A female radiography student is considered pregnant when she
A)verbally states she is pregnant to her classmates and clinical instructor.
B)begins to show the typical signs of a pregnancy.
C)voluntarily declares her pregnancy in writing to program officials.
D)requests a second personnel monitoring device and a wraparound lead apron.
Q2) You are completing your clinical rotation in a small department that is typically understaffed,particularly on Fridays.On this day,the department supervisor has asked a couple of the second-year students if they would skip a scheduled class meeting because of staffing shortages.This event would be viewed as a(n)
A)excellent opportunity for the students to perform independently and gain experience.
B)violation of JRCERT Standards.
C)acceptable JRCERT violation as long as it is not a pattern of department management.
D)violation of HIPAA regulations because the students would now have access to patient records.
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Chapter 6: Radiology Administration
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Sample Questions
Q1) Medical imaging professionals must be aware that their actions,comments,and appearance contribute to the image of their employer and of the profession.Positive interactions with patients and their family members establish goodwill on behalf of the organization.Which of the following is the best single choice that illustrates desirable goodwill efforts enhancing public image?
A)Greeting patients in a monotone voice with minimal eye contact to appear professional
B)Proudly displaying your religious tattoos to express your spirituality
C)Wearing attire that is consistent with the dress code and presenting an upbeat attitude
D)Referencing your textbook during a medical procedure to avoid mistakes
Q2) In providing radiology care to a patient,you observe a colleague accidentally exposing the wrong body part.It appears that he is unaware of the mistake.This action would be considered a(n)
A)insignificant patient care event.
B)medical error.
C)true accident and not worthy of documentation.
D)medical event that would be billed as a separate procedure.
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Chapter 7: Radiographic Imaging
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Q1) All of the following are true of computed radiography (CR)EXCEPT
A)it uses cassettes.
B)the image is recorded on an amorphous silicon digital detector plate.
C)the active chemical in CR plates is barium fluorohalide.
D)the image plates are reusable.
Q2) The loss of radiographic image resolution is often referred to as unsharpness.All of the following contribute to total image unsharpness EXCEPT the A)size and shape of the patient's anatomy.
B)pixel size of the image receptor (IR)and monitor display.
C)size and shape of the exposure field (collimation).
D)image geometry factors such as SID,OID,and focal spot size.
Q3) The invisible,unprocessed data on an image detector immediately after x-ray exposure form the _____ image.
A)remnant
B)manifest
C)primary
D)latent
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Chapter 8: Radiographic and Fluoroscopic Equipment
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Q1) To improve the flexibility of a radiographic system,engineers have designed equipment so that the x-ray tube support system and detector assembly
A)are always connected and centered to each other.
B)have only longitudinal motions.
C)have only transverse motions.
D)do none of the above.
Q2) A general radiographic imaging system consists of which components?
1)Control console and generator
2)X-ray tube and support assembly
3)Lead aprons and gloves
4)Left and right lead markers
5)X-ray table and upright cassette holder
6)Collimator assembly
A)3,4,5,and 7 only
B)1,2,5,and 6 only
C)1,2,3,and 4 only
D)1,2,4,and 6 only
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Chapter 9: Basic Radiation Protection and Radiobiology
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Q1) Which of the following personnel radiation monitors will provide a near-immediate reading of radiation exposure,if necessary?
A)TLD
B)Film badge
C)Lithium fluoride chips
D)Pocket dosimeter
Q2) The material commonly used for shielding against radiation exposure in protective aprons and gloves is
A)lead.
B)aluminum.
C)copper.
D)tungsten.
Q3) The dose equivalent limits for radiation workers are based on the radiation received from what source(s)?
A)Background radiation
B)Medical and dental radiography
C)Occupational exposure
D)Radiation fallout
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Chapter 10: Human Diversity
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Q1) In the process of preparing a Hmong patient for an interventional procedure,you discover the patient speaks no English.She has no family members with her and was escorted down by hospital transport.A necessary part of the examination is for the patient to complete an informed consent document.An effective strategy you could use to accomplish this would be
A)speaking slowly and deliberately in English and showing the patient where to sign the document.
B)trying to act out the intent of the document through demonstration and modeling. C)asking a coworker to witness your explanation of the document and the patient's signature.
D)delaying the procedure until a hospital translator can be present during the explanation.
Q2) Which of the following would not reflect a human diversity characteristic?
A)Disability
B)Gender
C)Occupation
D)Race
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Page 12

Chapter 11: Patient Interactions
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Q1) The use of humor during radiographic procedures can be effective with patients if used professionally and under the right circumstance.An example of correct use of humor is
A)repeating an ethnic joke you heard on the radio earlier in the day.
B)making light of the bad weather and how it "brightened your day" to have a job inside.
C)telling the patient you need to repeat the examination because the "mouse on the generator flywheel" did not run fast enough to give enough power for the exposure.
D)commenting on the patient's tattoo and how funny it looks with the skin stretched from the x-ray positions.
Q2) Which of the following is an example of a negative nonverbal communication technique?
A)Giving a pleasant smile
B)Maintaining eye contact
C)Leaning toward the patient when talking to him or her
D)Talking to the patient with your back turned as you record in the chart
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Chapter 12: History Taking
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Q1) The patient coming to you for an abdominal examination states,"My belly hurts." A logical question to ask next would be
A)"Can you touch the area of your belly that hurts?"
B)"Can you draw on a diagram of the human body the area that hurts?"
C)"Did you tell the nurse this when you were in the urgent care center?"
D)"Would you point to the area that hurts for the radiologist when he enters the examination room?"
Q2) As you prepare to take a PA chest radiograph on a patient who is suspected of having a lung collapse,you note that the patient has an extremely difficult time taking in a deep inspiration.An imaging sciences professional would
A)make no mention of the breathing pattern because it has no relationship to a lung collapse.
B)work very quickly and not bother with any additional patient history.
C)record the depth of inspiration as a measure of the quality of the symptom.
D)call inhalation therapy to measure the inspiration with a spirometer.
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Chapter 13: Safe Patient Movement and Handling Techniques
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Q1) When moving a patient to or from a stretcher,
A)have the patient hold the stretcher from moving.
B)lock the stretcher securely against the examination table.
C)prop a wheelchair against the end of the cart.
D)protect the stretcher with woolen blankets.
Q2) The purpose of a patient transfer is to
A)make arrangements for the patient to be moved to another nursing unit.
B)safely move a patient from one area to another.
C)provide for the patient's hospital bill to be deducted from his or her banking institution.
D)make delivery arrangements for the patient's personal belongings.
Q3) A sudden drop in a patient's blood pressure caused by standing or sitting upright is called
A)hypertension.
B)anemia.
C)orthostatic hypotension.
D)postural emesis.
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Chapter 14: Immobilization Techniques
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Q1) When performing a lumbar spine series on an elderly patient,
A)move very quickly and deliberately from one position to the next to expedite the examination.
B)remove the radiolucent table pad to improve image quality.
C)allow the patient to bend hips and knees between exposures to lessen back strain.
D)provide a warm blanket for comfort and remove it for each exposure.
Q2) The technique of wrapping a patient in a sheet
A)is known as mummification.
B)is appropriate for young adults and teenagers.
C)is appropriate for a child who can cooperate and understand your instructions.
D)should be used only with parental approval.
Q3) All of the following are examples of simple immobilization techniques EXCEPT
A)wrapping a child in a sheet (mummy wrap).
B)using a positioning sponge.
C)laying a sandbag across the patient's anatomy.
D)using a Velcro strap to stabilize the anatomy.
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Chapter 15: Vital Signs, Oxygen, Chest Tubes, and Lines
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Sample Questions
Q1) In a patient with hypoxia,
A)heart rate decreases owing to low oxygen saturation values.
B)respiratory rate remains unchanged.
C)respiratory depth remains unchanged owing to increased cardiac output.
D)blood pressure increases.
Q2) All of the following are true of oxygen therapy EXCEPT
A)the universal color of flowmeters is green.
B)oxygen is considered a drug and is regulated by the government.
C)oxygen therapy can be prescribed by pharmacists and respiratory therapists.
D)oxygen delivery devices either have a low flow rate or a high flow rate.
Q3) A Swan-Ganz catheter differs from a central venous (CV)catheter in that Swan-Ganz
A)lines measure arterial pressures in the wedge position and reflect pressure in the left atrium.
B)catheters may be single-lumen or multilumen design,with a pressure electrode and cuff at the distal end.
C)catheters are named after Jeremy Swan and William Ganz developers.
D)All of the above are true.
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Chapter 16: Basic Cardiac Monitoring: The
Electrocardiogram
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Q1) An effective method for treating select cardiac arrhythmias is the use of high-frequency alternating current to destroy strategic cardiac tissue and reroute the cardiac impulses generated.These procedures are known as
A)selective coronary angioplastic repairs.
B)cardiac ablation treatments.
C)left ventriculograms.
D)cardiac valvular replacements.
Q2) The polarity that exists across a cardiac cell membrane is maintained by an active transport process known as
A)the cardiac cycle.
B)fibrillation.
C)sodium-potassium ion pump.
D)pinocytosis.
Q3) The QRS complex on a typical ECG represents
A)depolarization of atrial muscle.
B)depolarization of ventricular muscle.
C)repolarization of ventricular muscle.
D)ventricular diastole.
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Chapter 17: Infection Control
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Q1) After an organism is infected and by the time symptoms of the infectious process manifest,several steps have taken place.These steps consist of
A)1,2,3,and 4 only
B)2,4,5,6,and 7 only
C)3 and 6 only
D)1,2,4,and 7 only
Q2) The spread of infection via contaminated food referenced is spread by A)contact.
B)fomite.
C)air.
D)vector.
Q3) By what method are pathogens spread when a person coughs or sneezes?
A)Vector
B)Vehicle
C)Direct contact
D)Droplet
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Chapter 18: Aseptic Techniques
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Q1) The goal of aseptic technique is to
A)protect the radiographer from infection.
B)protect the patient from pathogenic microbes.
C)prevent the spread of infection from the patient to any equipment in the examination room.
D)protect the surgical team from an infected patient.
Q2) Two people in sterile attire should pass each other in which of the following ways?
A)Front to back
B)Back to front
C)Back to back
D)Front to front
Q3) When handling a patient with a Foley catheter in place,
A)the drainage bag should be placed at the same level or higher than the bladder.
B)avoid kinks in the tubing and keep the drainage bag lower than the bladder.
C)it is advisable to clamp the tubing to do a lengthy small bowel study.
D)never let the volume of urine fill more than 30% of the collection bag capacity.
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Chapter 19: Nonaseptic Techniques
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Q1) A common misunderstanding of patients regarding barium enemas is that
A)the actual barium enema examination is "just another cleansing enema."
B)the barium enema is all that is needed as a cleansing enema.
C)they will be asked to drink a chalky "milkshake" for the examination.
D)they will be expected to defecate during the examination for filming.
Q2) When working with a nonambulatory male patient who needs to void,
A)ask the patient how much assistance he feels he needs and allow him to use a urinal.
B)after the patient has voided,record the volume of urine in the patient's chart if documentation is required.
C)dispose of the urine in the toilet and rinse the urinal with cold water.
D)remove your disposable gloves,wash your hands,and place the soiled urinal in a receptacle for resterilization.
E) do all of the above.
Q3) The most common type of nasogastric tube used for stomach decompression is the A)Swan-Ganz catheter.
B)central venous pressure line.
C)peripherally inserted central catheter (PICC).
D)single-lumen Levin tube.
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Chapter 20: Medical Emergencies
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Q1) The Heimlich maneuver is
A)used to start an intravenous line for drug administration.
B)never used on a pregnant patient.
C)modified for infants to include back slaps and chest thrusts.
D)none of the above are correct.
Q2) You have come upon a motor vehicle accident as the first person to arrive.As you assess the victim's level of consciousness,you begin to ask questions and encourage the victim to respond.During your efforts to do so,the victim has no verbal response to any stimuli,but his leg moves with your touch and pinch.This person demonstrates what level of consciousness?
A)Alert and responsive
B)Drowsy but can be aroused
C)Unconscious but reflexive
D)Comatose and unresponsive
Q3) All of the following are related EXCEPT
A)airway.
B)breathing.
C)circulation.
D)chest compression.
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Page 22

Chapter 21: Pharmacology
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Q1) When you ask the pharmacist for the drug Benadryl,you are asking for the drug using the drug's _____ name.
A)brand
B)generic
C)kinematic
D)chemical
Q2) Patients with congestive heart failure and lymphedema are typically prescribed A)a diuretic.
B)furosemide.
C)Lasix.
D)all of the above.
Q3) Transdermal patches are intended to release a drug over an extended period of time.Particular care must be used with this type of drug administration owing to its design and thin metal backing.The modality of concern in medical imaging would be
A)CT scanning.
B)sonography.
C)MRI scanning.
D)PET scanning.
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Chapter 22: Principles of Drug Administration
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Q1) All of the following are related EXCEPT
A)intramuscular.
B)intragluteal.
C)subcutaneous.
D)intravenous.
Q2) The abbreviation IM means
A)in the morning.
B)in mouth.
C)intramuscular.
D)once per month.
Q3) When venipuncture is performed for contrast medium administration,
A)the veins of the arms are preferred injection sites.
B)a 25-gauge needle is preferred to lessen extravasation.
C)delayed reaction to the intravenous injection can be expected.
D)all of the above.
Q4) The abbreviation stat means
A)statistic.
B)immediately.
C)statutory.
D)perform upon first available opening
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Chapter 23: Contrast Media and Introduction to Radiopharmaceuticals
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Q1) A common contrast agent used for MRI examinations is A)ultrasonic microbubbles.
B)barium sulfate.
C)gadolinium-DTPA.
D)triiodinated thorium.
Q2) When working with a radiopharmaceutical,the nuclear medicine professional must be aware of
A)the half-life of the isotope.
B)any isotope spills or leaks.
C)contamination of isotope that yields image artifacts.
D)all of the above.
Q3) Generally speaking,radiographic images are the result of x-ray photons being absorbed to varying degrees based on tissue density and thickness.There are five radiographic densities seen on radiographs: air or gas,water,fat,mineral,and metal.The lowest subject contrast between these five densities is between
A)bone and air.
B)water and mineral.
C)water and fat.
D)metal and air.

Page 25
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Chapter 24: Professional Ethics
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Q1) A technologist who has completed a procedure on a patient leaves the area grumbling,"I hate to do AIDS patients because I am afraid of catching the disease." A member of the housekeeping staff hears the technologist and asks who the AIDS patient is so he can pass the information along to his coworkers for safety reasons.The technologist responds by giving the patient's name and room number.This act constitutes a(n)
A)ethical dilemma.
B)ethics violation.
C)moral violation.
D)virtue.
Q2) Which of the following would be considered an unethical practice for a radiologic technologist?
A)Repeating a radiograph because of incorrect technique selection
B)Watching an interesting case
C)Criticizing a doctor or team member in a private or public forum
D)Reporting unethical practices of a coworker
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Chapter 25: Health Records and Health Information Management
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Q1) To maximize the full reimbursement for a diagnostic study performed in medical imaging,
A)the correct DRG must be attached to inpatient studies performed.
B)any changes to radiology's examinations must be communicated with the hospital chargemaster so that the correct CPT-4 code is assigned.
C)the correct CPT code must be assigned using the ICD-9-CM nomenclature.
D)all of the above are correct.
Q2) An effective hospital quality improvement program
A)presents its findings and recommendations to the hospital medical staff and board of trustees.
B)includes only departments that are perennially problematic.
C)deals exclusively with the financial strength of the hospital.
D)publishes all of its findings in the local newspaper and on television and radio.
Q3) A key function performed by a patient's health information record is to
A)ensure the patient is discharged in a timely fashion.
B)communicate to the patient's physician all care rendered by all persons.
C)document the patient's chief complaint to see if it was treated.
D)make sure all the patient's requests were met during the stay.
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Chapter 26: Medical Law
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Q1) If bodily harm were to occur to a patient as a result of reckless conduct by the health care provider,this would be deemed A)battery.
B)assault.
C)defamation.
D)slander.
Q2) As you perform a mammogram on an anxious patient,she asks you to stop the breast compression and examination because it is getting painful.Your responsibility as a professional is to
A)explain to her the importance of compression and continue uninterrupted.
B)release the compression completely and make the exposure.
C)get another technologist to perform the examination.
D)stop the examination at her request and submit the images you have completed.
Q3) The most common legal claim against health care providers is A)slander.
B)libel.
C)assault.
D)negligence.
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