Free Practice Questions for Sweden Radiographer Knowledge Test (Kunskapsprov för röntgensjuksköterskor)

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Exam Review

Key Facts: Sweden Radiographer Knowledge Test (Kunskapsprov för röntgensjuksköterskor) Exam

3 parts

Theoretical test: radiation physics, drug calculation, examination methods

Lunds universitet

5 tasks

Practical test at Practicum Clinical Skills Centre, Lund

Lunds universitet

5 / 3

Maximum attempts: five for the theoretical test, three for the practical test

Lunds universitet; Socialstyrelsen

SEK 990

Socialstyrelsen application fee for review of the foreign education (step 1)

Socialstyrelsen

Kunskapsprov för röntgensjuksköterskor is run by Lunds universitet for Socialstyrelsen: a one-day theoretical test in three parts (radiation physics, drug calculation and handling, radiological examination methods) and, after passing, a practical test of five tasks at Practicum in Lund. Candidates have up to five theoretical and three practical attempts within five years. The test is in Swedish; this 100-question bank is an English-language MCQ study adaptation — not an official translation, format simulation, or substitute for writing/speaking/performance practice.

Sample Sweden Radiographer Knowledge Test (Kunskapsprov för röntgensjuksköterskor) Practice Questions

Try these sample questions to review concepts for the Sweden Radiographer Knowledge Test (Kunskapsprov för röntgensjuksköterskor) exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 45-year-old patient arrives at the radiology department for a standard erect chest examination (thorax frontal och sida). Why is the frontal chest radiograph conventionally acquired in a posteroanterior (PA) projection rather than anteroposterior (AP)?

A.To eliminate the need for a scatter-reduction grid and avoid respiratory motion blur

B.Less cardiac magnification and lower dose to anterior organs such as thyroid and breasts

C.To increase magnification of retrocardiac lung lesions and widen the intercostal spaces

D.To allow the scapulae to project over the lung parenchyma and improve contrast resolution

Explanation: In a PA chest projection, the patient's anterior chest wall is placed in close contact with the image receptor. This minimizes the object-to-image distance (OID) for the heart, thereby preventing geometric magnification and yielding an accurate cardiac size assessment, while also reducing the radiation dose to sensitive anterior organs such as the thyroid and breasts.

2During a standard erect lateral chest radiograph, why is the patient routinely positioned with the left side against the image receptor (vänster sida mot detektorn)?

A.The left lateral position prevents geometric divergence of the x-ray beam through the thoracic spine

B.The left lateral position provides clearer visualization of the right hemidiaphragm and liver margin

C.It places the heart nearer the detector, reducing cardiac magnification

D.The left lateral position eliminates the need for suspended full inspiration during exposure

Explanation: Because the heart lies primarily in the left anterior hemithorax, placing the left side against the detector minimizes heart-to-detector distance (OID). This reduces cardiac magnification and penumbra blur, allowing more precise evaluation of retrocardiac lung parenchyma and the left costophrenic angle.

3A bedridden intensive care patient has a suspected apical pneumothorax following central line insertion. An erect PA view cannot be obtained. Which alternative conventional radiograph or technique is most sensitive for detecting a small pneumothorax in a recumbent patient?

A.Lateral decubitus with horizontal beam, affected side down

B.Standard supine AP radiograph acquired during deep full inspiration

C.Prone AP radiograph with a 15-degree caudal tube tilt

D.Lateral decubitus with horizontal beam, affected side up

Explanation: In a recumbent patient, free intrapleural air rises to the highest non-dependent point. By placing the patient in a lateral decubitus position with the suspected pneumothorax side elevated (affected side up) and directing the central ray horizontally, air collects along the lateral chest wall between the pleura and ribs, making even a small pneumothorax easily detectable.

4A 68-year-old patient with acute peritonitis and suspected hollow organ perforation cannot stand. If conventional radiography is used to look for free intraperitoneal gas (fri gas), which projection is the primary alternative to an erect view?

A.Left lateral decubitus (left side down) with a horizontal beam

B.Right lateral decubitus abdominal view with horizontal beam

C.Standard supine abdominal radiograph (buköversikt i ryggläge)

D.Prone cross-table lateral projection centered on the pelvis

Explanation: When an erect projection is impossible, a left lateral decubitus view (left side down) with a horizontal beam is the conventional alternative. Free gas rises to the right flank and outlines the lateral edge of the liver, where it is not confused with gas in the stomach or the splenic flexure. In current practice, CT is the preferred examination for suspected perforation.

5An immobilized trauma patient on a spine board has a cross-table lateral cervical spine radiograph, but the C7–T1 junction is hidden by the shoulders. What is the appropriate next step?

A.Sit the patient up to depress both shoulders without immobilization

B.A swimmer's (Twining) view with spinal precautions kept, or CT

C.Accept the image and note that C7–T1 cannot be shown in trauma

D.An AP open-mouth projection centred on the lower cervical spine

Explanation: A cervical spine radiograph series is not diagnostic until the whole cervical spine, including the C7–T1 junction, is shown. When the shoulders obscure C7–T1, a swimmer's (Twining) projection — one arm raised and the other lowered — projects the junction between the shoulder girdles without moving the spine, or the patient goes on to CT, which is now usually the first-line examination for adult cervical spine trauma.

6When performing an open-mouth projection of the cervical spine (halsrygg dens / öppen mun) to visualize the atlas (C1) and axis (C2), how should the patient's head be aligned relative to the central ray?

A.The patient's neck must be maximally hyperextended so the chin is elevated 45 degrees above the occlusal plane

B.The orbitomeatal line must be perpendicular to the image receptor with a 25-degree cephalad tube angle

C.Line from the upper incisors' biting edge to the mastoid tip perpendicular to the detector

D.The infraorbitomeatal line must be parallel to the central ray with the mouth completely closed

Explanation: Proper positioning for the open-mouth dens projection requires aligning a line from the occlusal edge of the upper incisors to the base of the skull (mastoid tip) perpendicular to the detector. This prevents superimposition of either the upper incisors (if neck is flexed) or the occipital bone (if neck is extended) over the dens and atlantoaxial joints.

7A 22-year-old gymnast falls onto an outstretched hand (FOOSH) with acute pain and tenderness in the anatomical snuffbox (snusgropen). What is the standard technical strategy for imaging suspected scaphoid bone (båtben) fracture in conventional radiography?

A.Use ultrasound only, as radiographs cannot show carpal cortex breaks

B.Perform a single routine PA wrist view with radial deviation and high kV technique

C.Acquire only a lateral projection of the forearm and hand with maximum wrist flexion

D.Dedicated scaphoid views in ulnar deviation; repeat or MRI if negative

Explanation: A scaphoid series includes dedicated projections (PA in ulnar deviation, lateral and obliques, often with 10–20° tube angulation along the scaphoid) that elongate and profile the scaphoid waist. Because occult fractures may not be visible at first, guidelines commonly recommend either repeat radiographs after about 10–14 days or early MRI when clinical suspicion persists.

8When assessing suspected knee osteoarthritis (knäledsartros) in an adult outpatient, why are weight-bearing radiographs (belastade bilder) preferred to supine views?

A.Loading the joint reveals joint space narrowing that supine views can miss

B.Weight-bearing eliminates all scatter radiation, allowing lower patient radiation dose

C.Weight-bearing prevents the patella from contacting the femoral trochlea during flexion

D.Weight-bearing allows the röntgensjuksköterska to assess meniscal tears directly without MRI

Explanation: In supine or recumbent positions, non-weight-bearing joint spaces can appear deceptively normal even in the presence of severe cartilage loss. Standing weight-bearing projections compress the articular cartilage under physiological load, accurately demonstrating true joint space narrowing, subchondral sclerosis, and osteophyte formation.

9To perform an axial projection of the patella (patella axial / skyline projection) to evaluate the patellofemoral joint space and subluxation, what is the standard recommended knee flexion angle in routine radiography?

A.90 to 120 degrees of deep hyperflexion

B.30 to 45 degrees of flexion

C.0 degrees (full anatomical extension)

D.10 to 15 degrees of hyperextension

Explanation: A knee flexion angle of 30 to 45 degrees seats the patella gently within the proximal femoral trochlear groove without forcefully compressing or reducing subluxation. Flexion beyond 60-90 degrees forces a subluxating patella back into the femoral groove, obscuring underlying patellofemoral instability.

10An 82-year-old patient is admitted with an externally rotated, shortened right leg following a fall, with acute hip pain and suspected femoral neck fracture (collumfraktur). How should the röntgensjuksköterska approach patient positioning for the pelvic and hip projections?

A.Place the patient in a prone frog-leg position (Lauenstein projection) with bilateral maximal hip abduction

B.Forcefully internally rotate both feet 15-20 degrees to profile the femoral neck on the injured side

C.Do not rotate the leg; take AP pelvis and a horizontal-beam lateral hip

D.Apply manual traction to the injured foot while acquiring the lateral hip projection

Explanation: In acute trauma with suspected femoral neck fracture, rotating or abducting the limb can cause severe pain, displace an impacted or undisplaced fracture, and lacerate retinacular blood vessels supplying the femoral head. Positioning must be performed without manipulating the injured limb, utilizing an AP pelvis and a cross-table axiolateral projection (Danelius-Miller method / horisontal stråle).

About the Sweden Radiographer Knowledge Test (Kunskapsprov för röntgensjuksköterskor) Exam

Kunskapsprov för röntgensjuksköterskor is Socialstyrelsen's knowledge test for radiographers educated outside the EU/EEA who want a Swedish licence. Lunds universitet runs a theoretical test in three parts and a practical test of five medical-technical tasks, all in Lund and in Swedish. This page offers independent English-language practice for the knowledge areas the test covers.

Exam sponsor: Lunds universitet on behalf of Socialstyrelsen (National Board of Health and Welfare). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Theoretical test (Lund, one day): Part 1, radiation physics (radiation technology, radiobiology and radiation protection, CT, MRI); Part 2, drug calculation and handling; Part 3, radiological examination methods (nursing care, anatomy, common diagnostics, acute situations). Practical test (Practicum, Lund): five medical-technical tasks.

Time Limit

All three theoretical parts on one day; practical test on a separate date

Passing Score

Each part must be passed; theoretical test before practical test

Exam / Certification Fees

No examination fee published (SEK 990 Socialstyrelsen application fee for the earlier education review)

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Socialstyrelsen – Steg 2: Gör kunskapsprov (röntgensjuksköterska utbildad utanför EU/EES) · Source checked 2026-10-14
Lunds universitet – Kunskapsprov för röntgensjuksköterskor utbildade utanför EU/EES · Source checked 2026-10-14
Socialstyrelsen – Regler vid kunskaps- och lämplighetsprov (2024-12-03) · Source checked 2026-10-14

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

25 practice questions

Conventional radiography and projection methods

Projections, exposure, detectors and image quality.

25 practice questions

Computed tomography

Physics, dose, reconstruction, artifacts and protocols.

20 practice questions

MRI and ultrasound

MR safety, sequences, contrast and artifacts; ultrasound basics.

15 practice questions

Radiation protection and radiation physics

Dose quantities, limits, optimization and staff protection.

15 practice questions

Contrast media, drug calculation, patient care and law

Drug calculation, contrast safety, hygiene and Swedish rules.

Preparing for the Sweden Radiographer Knowledge Test (Kunskapsprov för röntgensjuksköterskor) Exam

What You Need to Know

Passing score: Each part must be passed; theoretical test before practical test
Assessment: Theoretical test (Lund, one day): Part 1, radiation physics (radiation technology, radiobiology and radiation protection, CT, MRI); Part 2, drug calculation and handling; Part 3, radiological examination methods (nursing care, anatomy, common diagnostics, acute situations). Practical test (Practicum, Lund): five medical-technical tasks.
Time limit: All three theoretical parts on one day; practical test on a separate date
Exam / certification fees: No examination fee published (SEK 990 Socialstyrelsen application fee for the earlier education review) Official sources

Using Our Practice Resources

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Sweden Radiographer Knowledge Test (Kunskapsprov för röntgensjuksköterskor): Suggested Study Strategy

1Use the literature lists Lunds universitet publishes for each theoretical part and the practical test.

2Practise drug calculation by hand: percentage solutions, weight-based doses and infusion rates, with correct units.

3Learn the Swedish radiation protection rules: strålskyddsförordningen dose limits and SSM's regulations on medical exposures.

4Review projection technique and CT/MR protocols with the reasoning behind each step, since Part 3 covers examination methods and acute situations.

5Rehearse common practical tasks such as patient identification, positioning, contrast handling and radiation protection in the examination room.

Frequently Asked Questions

How is the theoretical test structured?

It has three parts taken on the same day in Lund: Part 1, radiation physics (radiation technology, radiobiology and radiation protection, CT and MRI); Part 2, drug calculation and handling; and Part 3, radiological examination methods (nursing care, relevant anatomy, common diagnostics in the organ systems and action in acute situations). You cannot postpone one part to another sitting, and answers are written in Swedish unless otherwise stated.

What is the practical test?

After passing the theoretical test you take a practical test at Practicum Clinical Skills Centre in Lund, made up of five medical-technical tasks that a radiographer normally performs in a radiology department. No teaching is given at the sitting.

When are the tests held?

The next theoretical test is on 26 January 2027 (register by 22 December 2026), and theoretical tests are planned for January, May and September 2027. A practical test is held on 15 or 16 December 2026, and practical tests are usually held in April, August and December.

How many attempts do I get?

Five attempts at the theoretical test and three at the practical test, and the whole test must be completed within five years of your first theoretical sitting. Not attending without cancelling counts as a used attempt.

Is the test available in English?

No. The test is in Swedish. This bank is an English-language multiple-choice study adaptation: it helps you review the knowledge areas but is not an official translation, and it cannot simulate the written answers or the practical test.