10/1: Radiation Biology pt.2 Flashcards

1
Q

This is a collection of signs and symptoms following acute whole-body radiation exposure

A

Acute radiation syndrome

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2
Q

What is the sublethal exposure?

A

<2 Gy

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3
Q

What is lethal exposure?

A

2-8 Gy

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4
Q

What is the supra-lethal exposure?

A

> 8 Gy

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5
Q

What are the stages in acute radiation syndrome?

A

Prodromal period
Hematopoietic syndrome
Gastrointestinal syndrome
CNS and Cardiovascular syndrome

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6
Q

what is the most severe effect from hemopoeitic syndrome?

A

sepsis

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7
Q

What stage of the acute radiation syndrome is NON-LETHAL?

A

Prodromal period

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8
Q

What is the Gy in the prodromal period?

A

<2

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9
Q

What is the Gy in the hematopoietic syndrome?

A

2-10 Gy

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10
Q

What is the Gy in the Gastrointestinal syndrome?

A

10-100 Gy

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11
Q

In prodromal syndrome, when do the symptoms resolve?

A

After a few weeks

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12
Q

What occurs in hematopoietic syndrome?

A

Irreversible injury to the spleen and bone marrow that causes loss of circulating peripheral blood cells

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13
Q

This is extensive injury to the basal lamina epithelial cells of the intestine

A

Gastrointestinal syndrome

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14
Q

How fast do you die from gastrointestinal syndrome?

A

3-5 days

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15
Q

With damage to the CNS and cardiovascular syndrome, how fast is death?

A

Few minutes to 48 hours

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16
Q

What is the most lethal stage of acute radiation syndrome?

A

CNS and cardiovascular syndrome

17
Q

What treatment will provide the optimum treatment?

A

Combination of surgery, radiation, chemotherapy

18
Q

What dose to treat solid tumors?

19
Q

What dose to treat lymphomas?

20
Q

What dose to treat intraoral cancer?

21
Q

1 Gy = _____ microSv

22
Q

This is when the total dose is divided into multiple small doses to provide greater care

A

Fractionation

23
Q

Is it better to have multiple small doses or one large dose?

A

Multiple small

24
Q

What is the radiation effect on the mucosa?

A

Mucositis
2nd infections

25
What is the radiation effect on taste buds/oral cavity?
Lost of taste
26
What is the term for loss of taste?
Hypogeusia
27
What is the radiation effect on salivary glands?
Xerostomia
28
What is the radiation effect on teeth?
Lack of development Radiation caries
29
What is the radiation effect on bone?
Osteoradionecrosis
30
What is the radiation effect on muscle?
Fibrosis
31
What kind of teeth are resistant to direct effects of radiation exposure?
Adult teeth
32
If the radiation precedes calcification, then
Tooth bud will be destroyed
33
If the radiation is after calcification, then
Teeth will malform, slow growth
34
What kind of radiation causes radiation caries?
Indirect
35
Bone osteoradionecrosis is primarily due to
Vasculature Marrow affecting vascular and hematopoietic elements
36
Fibrosis can result in
Contracture and trismus in the muscles