Exam 4 Flashcards

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1
Q

A biologic reaction is produced by 4 Gyt of a test radiation. It takes 16 Gyt of 250-kVp x-rays to produce the same biologic reaction. What is the relative biologic effectiveness (RBE) of the test radiation?

A

RBE = Dose of standard radiation(16 Gy) / Dose of test radiation (4 Gy)

4

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2
Q

Which of the following is/are considered low-LET radiation(s)?

  1. X-rays
  2. Alpha particles
  3. Gamma rays
A

1 and 3 only

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3
Q

Because the genetic information to be passed on to future generations is contained in the strict sequence of nitrogenous bases, the loss or change of a base in the DNA chain represents a (an)

  • covalent cross-link
  • aneuploidy
  • bleb
  • mutation
A

mutation

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4
Q

Because the master molecule is unique in any given cell, no similar molecules in the cell are available to replace it; if a critical location on the master molecule is a target receiving multiple hits from ionizing radiation, the master molecule may be inactivated. If this occurs, what is the consequence for the affected cell?

  • Loss of all intracellular fluid
  • Increased pressure on the cell membrane leading to immediate rupture
  • Disruption of cell chemistry only
  • Normal cell function will cease, and the cell will die
A

Normal cell function will cease, and the cell will die

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5
Q

Which of the following curves illustrates the radiation sensitivity of a particular type of cell?

  • Dose–response curve
  • Cell extrapolation curve
  • Cell survival curve
  • Cell specialization curve
A

Cell survival curve

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6
Q

Which of the following groups of cells is the least radiosensitive?

  • Nerve cells in an embryo-fetus
  • Lymphocytes
  • Adult nerve cells
  • Immature spermatogonia
A

Adult nerve cells

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7
Q

A periodic blood count is not recommended as a method for monitoring occupational radiation exposure because

  1. biologic damage from ionizing radiation cannot be determined from a blood test.
  2. biologic damage has already been sustained when an irregularity is seen in the blood count.
  3. a traditional blood count is a relatively insensitive test that is unable to indicate exposures of less than 10 cGy.
A

2 and 3 only

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8
Q

Based on current data, which of the following would be considered a safe radiation dose for the gonads of both males and females?

  • 0 Gy tissue
  • 3 Gy tissue
  • 1 Gy tissue
  • 5 Gy tissue
A

0 Gy tissue

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9
Q

When LET increases, the chance of producing a significant biologic response in the radiosensitive DNA macromolecule

  • grows
  • remains constant, not increasing or decreasing
  • decreases considerably
  • decreases slightly
A

grows

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10
Q

Direct action may occur after exposure to any type of radiation, but it is much more likely to happen after exposure to

  • high-LET radiation such as alpha particles
  • low-LET radiation such as x-rays
  • non-ionizing radiation such as microwaves
  • low-LET radiation such as gamma rays
A

high-LET radiation such as alpha particles

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11
Q

If a person receives radiation exposure sufficient to cause the gastrointestinal syndrome, fatality occurs primarily because of

  • catastrophic damage to the epithelial cells that line the gastrointestinal track, resulting in the death of the exposed person within 3 to 5 days from a combination of infection, fluid loss, and electrolytic imbalance
  • edema in the cranial vault
  • meningitis
  • convulsive seizures
A

catastrophic damage to the epithelial cells that line the gastrointestinal track, resulting in the death of the exposed person within 3 to 5 days from a combination of infection, fluid loss, and electrolytic imbalance

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12
Q

Which of the following is not a form of acute radiation syndrome?

  • gastrointestinal syndrome
  • carcinogenic syndrome
  • cerebrovascular syndrome
  • hematopoietic syndrome
A

carcinogenic syndrome

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13
Q

The term LD 50/30 signifies the whole-body dose of radiation that can be lethal to

  • 50% of the exposed population in 50 days
  • 50% of the exposed population in 30 days
  • 30% of the exposed population in 30 days
  • 30% of the exposed population in 50 days
A

50% of the exposed population in 30 days

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14
Q

Which of the following are classified as early tissue reactions of ionizing radiation?

  • Male and female sterility, embryologic defects, and cancer
  • Blood disorders, fever, and genetic effects
  • Erythema, cataract formation, and cancer
  • Nausea, epilation, and intestinal disorders
A

Nausea, epilation, and intestinal disorders

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15
Q

Research has shown that repeated radiation injuries have a

  • sigmoidal effect
  • cumulative effect
  • no discernible effect
  • threshold effect
A

cumulative effect

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16
Q

The hematopoietic form of acute radiation syndrome is also called the

  • bone marrow syndrome
  • Auger syndrome
  • cerebrovascular syndrome
  • cytogenetic syndrome
A

bone marrow syndrome

17
Q

A term that is synonymous with epilation is

  • atrophy
  • desquamation
  • radiodermatitis
  • alopecia
A

alopecia

18
Q

During cardiovascular or other therapeutic interventional procedures that use high-level fluoroscopy for extended periods, the effects of ionizing radiation on the skin are

  • nonexistent
  • minimal
  • significant
  • moderate
A

significant

19
Q

Early tissue reactions are

  • a result of irradiation of acellular tissue
  • a result of grenz rays in a diagnostic x-ray beam
  • common in diagnostic imaging
  • not common in diagnostic imaging
A

not common in diagnostic imaging

20
Q

During the major response stages of acute radiation syndrome after the prodromal stage, the period when symptoms that affect the hematopoietic, gastrointestinal, and cerebrovascular systems become visible, is called

  • the cytogenic syndrome
  • recovery
  • the latent period
  • manifest illness
A

manifest illness