Exam 1 - 5. Radiation Biology Flashcards

1
Q

3

Radiographs are made with _____ radiation

A
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2
Q

3

Follow the ______ principle to minimize risks.

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3
Q

3

What does ALARA stand for?

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4
Q

4

Low energy X-rays are ______ by the body (_____absorption).

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5
Q

4

Low energy X-rays occur when X-rays interact with ____ tissues like ____ or _____. These low energy x-rays are _____.

A
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6
Q

4

High energy X-rays undergo _____. This releases ________ electrons which cause ______ when interacting with _________.

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7
Q

4

What is the major site of biologic damage?

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8
Q

5

In direct actions, the photon directly interacts with and ionizes a _______. The ________ produced by the ionization interaction (________) may also interact directly with biologic macromolecules.

A
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9
Q

5

What fraction of radiation is direct action?

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10
Q

5

Indirect action, the secondary electron interacts with, for example, a _____ to produce a ______, which in turn produces the _______.

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11
Q

5

What fraction of radiation is indirect radiation?

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12
Q

6

Direct and indirect radiation both yield ________, which are ________.

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13
Q

6

Free radicals are ______ reactive and have ______ half lives.

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14
Q

6

Free radicals play a dominant role in producing _______ in _______.

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15
Q

7

In direct action, free radical generation occurs within _____ of the passage of a photon

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16
Q

7

Free radicals quickly reform into _______.

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17
Q

7

What would be an example of free radical dissociation using an equation?

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18
Q

7

What would be an example of free radical cross-linking using an equation?

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19
Q

7

Direct actions dominate with ______) radiations and are less predominant with _____ radiations such as ______.

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20
Q

8

Water constitutes approximately ___% of mammalian cells.

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21
Q

8

When water is irradiated, it _____ into _____. This is referred to as _____.

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22
Q

8

The initial series of interactions of x-ray photon with water produce _____ and _______ free radicals that interact with biologic macromolecules

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23
Q

8

The hydroxyl radical is _____ and is estimated to cause ______ of the biologic damage to mammalian cells from x-rays.

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24
Q

9

Indirect action results in _____ damage.

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25
Q

10

What is the range of time for energy absorbed in radiation biology Excitation and ionization? Chemical reactions? Bioeffects?

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26
Q

11

What is the term for the time between when energy is absorbed and damage done to when the signs and symptoms are visible?

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27
Q

11

The latent period may take ____ or up to ____ or more.

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28
Q

11

How long the latent period takes depends on the ______ and the _______.

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29
Q

12

What are the two most important damages to DNA?

A
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30
Q

13

During what phase are the cells most sensitive to radiation?

A
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31
Q

14

During what phase of the cell cycle are cells less and LEAST sensitive to DNA damage?

A
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32
Q

13

If a DNA strand break occurs prior to chromosomal duplication (late G1/early S), the break is ______ and both sister chromatids will ______. These are known as _______.

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33
Q

13

If the DNA strand break occurs after chromosomal duplication (late S/G2), only ________ will encounter the break. These are known as ______.

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34
Q

14

Stochastic effects are caused by ______.

A
35
Q

14

Deterministic effects are caused by ____.

A
36
Q

14

Is there a minimum threshold dose for stochastic effects?

A
37
Q

14

Is there a threshold dose for deterministic effects?

A
38
Q

14

Describe the severity of clinical effects and dose for stochastic effects.

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39
Q

14

Describe the severity of clinical effects and dose for deterministic effects.

A
40
Q

14

For stoachastic effects, the frequency of the effect is proportional to ____. The higher the dose, the _____ the risk of manifesting the disease.

A
41
Q

14

For deterministic effects, the probability of effect is ____ of dose. Most individuals manifest the effect when the ______ is exceeded.

A
42
Q

14

Are stochastic effects caused by doses used in diagnostic radiology?

A
43
Q

14

Are deterministic effects caused by doses used in diagnostic radiology?

A
44
Q

14

What is an example of stochastic effects?

A
45
Q

14

What is an example of deterministic effects?

A
46
Q

16

What is the term for damage to body cell and is passed on to the same type of cell in that person, not to future offspring?

A
47
Q

17

What is the most likely result of stochastic effects?

A
48
Q

20

Is the nucleus or the cytoplasm more sensitive for determinisitic effects?

A
49
Q

20

____ in the chromosome is the most sensitive site for deterministic effects.

A
50
Q

21

What is the term for damaged cells releasing molecules that kill adjacent cells?

A
51
Q

22

The Law of Bergonie and Tribodeau states that radiosensitivity of a biological tissue is directly proprtional to the ______ and inversely proportional to the _______ of its cells.

A
52
Q

22

Radiosensitivity is greatest for those cells that have a high _____ and a long _____, such as the ______ and _____ mucosa.

A
53
Q

22

Radiosensitivity is greatest for cells that are differentiated or undifferentiated?

A
54
Q

23

The most sensitive cells to deterministic effects are those that _____, are ____, and are ______.

A
55
Q

23

_____ cells are most sensitive, followed by cells of ___, ___, ____, and _____.

A
56
Q

24

The cells that are least sensitive to deterministic effects are _____ cells, followed by ___, ____, ____, and ____.

A
57
Q

26

What does this describe?

-Acute radiation syndrome that causes nausea, vomitting, and diarrhea
-1-2 Gy

A
58
Q

26

What does this describe?

-Acute radiation syndrome that damages the bone marrow, causing infection, bleeding, and anemia.
-2 to 7 Gy

A
59
Q

26

What does this describe?

-Acute radiation syndrome that causes damage to libing of the GI tract, resulting in ulceration, septicemia, and death
-7-15 Gy

A
60
Q

26

What does this describe?

-Acute radiation syndrome that causes death.
-greater than 50 Gy

A
61
Q

27

Late effect of low doses: Somatic

Cataract formation has a threshold of ___ Gy and a dental dose of ____ to ____ mGy (____ times lower than the threshold).

A
62
Q

28

Effects of low doses: fetal

-0-9 days
-most sensitive stage for lethal effects

A
63
Q

28

What is the threshold for effect for preimplantation stage?

A
64
Q

28

Effects of low dose: fetal

What is the stage that is 10 days to 8 weeks and causes mental retardation, microcephaly, growth retardation?

A
65
Q

28

Effects of low doses: fetal

-8 weeks to 25 weeks
-causes mental retardation

A
66
Q

28

Late fetal period: Excess absolute risk is about ____ Gy for early child cancer.

A
67
Q

29

Fractionation is spreading the dose out over ___ or giving it in ____ to ___ the damage.

A
68
Q

30

Smaller volume has what effect on cells damaged?

A
69
Q

30

What effect does lower oxygen have on radiation? Why?

A
70
Q

30

Higher Linear Energy Transfer (LET) = more ______

A
71
Q

31

Fractionation of daily small doses of radiotherapy for the oral cavity provides _____ tumor destruction than with a large single dose.

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72
Q

31

What are the “4 R’s” for benefits of fractionation?

A
73
Q

32

For radiotherapy of the oral cavity, typically ____ Gy is administered for a weekly exposure of ____ Gy. The radiotherapy continues for ____ weeks until a total of ____ Gy is administered. In recent years, a new 3D technique called ______ has been used to control the dose distribution.

A
74
Q

33

What is the “Golden Window” for effects of therapeutic radiation on the oral cavity?

A
75
Q

33

The highest risk for effects of therapeutic radiation on the oral cavity is between ____ months after therapy.

A
76
Q

35

At doses of 60 Gy and greater, the fraction for Xerostomia to occur increases to ____.

A
77
Q

36

What are the three types of radiation caries?

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78
Q

37

Therapeutic radiation does not affect ______ teeth, but may effect _____.

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79
Q

38

At what Gy are stimulatory effects on osteoblasts seen?

A
80
Q

38

At what Gy is there death of chondroblasts and osteoblasts?

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81
Q

38

At what Gy is a single dose in a young child that results in irreversible growth retardation and short stature?

A
82
Q

38

At what Gy is there radiation damage to mature, intact bone, a more radioresistant tisue?

A
83
Q

38

Osteoradionecrosis is a combination of what three things?

A
84
Q

39

If the muscles of mastication are involved in radiation effects, _____ may result. The ___ and _____ muscles are usually invovled.

A