Laura Nappi Practice Q's - rad safety related Flashcards
practice test 1:
3. if the radiation worker is expected to receive _______ of the effective dose, they should be monitored.
A. 10%
B. 20%
C. 30%
D. 40%
A. 10%
practice test 1:
6. which of the following is NOT a primary component of Cerrobend?
A. lead
B. tin
C. bismuth
D. cerium
D. cerium
practice test 1:
11. what is the tolerance dose of 1/3 of the kidney according to Enami et al.?
A. 2300 cGy
B. 3000 cGy
C. 4500 cGy
D. 5000 cGy
A. 2300 cGy
practice test 1:
14. machines with energy ranges of 50-150 kv are known as:
A. linear accelerators
B. orthovoltage
C. superficial
D. cyclotron
C. superficial
practice test 1:
16. terrestrial radiation is an example of:
A. gamma rays
B. natural background radiation
C. alpha particles
D. beta particles
B. natural background radiation
practice test 1:
21. if exposed to radiation during the first 10 days of gestation, what is the most common effect?
A. organogenesis
B. microcephaly
C. skeletal abnormalities
D. prenatal death
D. prenatal death
practice test 1:
22. what is true about hand blocks and cast blocks?
A. cast blocks are cut to match the angle of the photon beam to reduce penumbra
B. hand blocks are custom for each patient
C. cast blocks can have 7.5% transmission
D. a positive block shields the periphery of the radiation field
A. cast blocks are cut to match the angle of the photon beam to reduce penumbra
practice test 1:
25. what is the dmax for a 6MV beam?
A. 1.5 cm
B. 2.5 cm
C. 3.0 cm
D. 3.2 cm
A. 1.5 cm
practice test 1:
27. what device is used to spread the beam of electrons when utilizing electron therapy?
A. bending magnet
B. electron gun
C. scattering foil
D. flattening filter
C. scattering foil
practice test 1:
28. the distance from the source of radiation to the isocenter is known as:
A. source to axis distance
B. source to surface distance
C. central axis
D. source to collimator distance
A. source to axis distance
practice test 1:
30. list the following type of radiation in order from LOWEST quality factor to HIGHEST quality factor:
alpha particles
beta particles
neutrons
protons
A. alpha, beta, neutrons, protons
B. protons, neutrons, beta, alpha
C. beta, protons, neutrons, alpha
D. neutrons, alpha, protons, beta
C. beta, protons, neutrons, alpha
practice test 1:
31. the radiation oncologist wants 100% of the dose to be delivered at the patient’s skin surface. The patient is going to be treated with an energy of 6 MV. What bolus thickness would be required?
A. .5 cm
B. 1 cm
C. 1.5 cm
D. 2 cm
C. 1.5 cm
practice test 1:
34. the normal tissue tolerance is 12 Gy and lethal tumor dose is 10 Gy. What is the therapeutic ratio?
A. .8
B. 1.2
C. 2.3
D. 3.6
B. 1.2
practice test 1:
38. on a dose-response relationship graph, high LET would be represented as:
A. a more rounded curve
B. a slowly declining curve
C. a steep curve
D. a flat horizontal curve
C. a steep curve
practice test 1:
39. the amount of time the beam is on is known as:
A. occupancy
B. dose
C. workload
D. use factor
C. workload
practice test 1:
44. 1 Gray is equal to how many Sievert?
A.1 Sv
B. 10 Sv
C. 100 Sv
D. 1000 Sv
A.1 Sv
practice test 1:
46. what is included in the four R’s of biological effectiveness?
A. Regeneration, Redistribution, Repair, Resolve
B. Regeneration, Repopulation, Reoxygenation, Repair
C. Repopulation, Redistribution, Repair, Reoxygenation
D. Repopulation, Regeneration, Repair, Reoxygenation
C. Repopulation, Redistribution, Repair, Reoxygenation
practice test 1:
50. the number of waves that pass-through a given point in a specified amount of time is known as:
A. frequency
B. wavelength
C. speed
D. amplitude
A. frequency
practice test 1:
54. what type of radiation has a charge, heavy mass, high LET and only travels in one direction?
A. xrays
B. gamma rays
C. alpha particles
D. beta particles
C. alpha particles
practice test 1:
57. when the treatment room door is opened while the beam is on, the beam should turn off. When the door is shut again, what should happen?
A. the beam should automatically turn on
B. the patient’s treatment cannot be completed
C. the beam won’t on until the therapist turns the beam on again
D. the treatment must start over again
C. the beam won’t on until the therapist turns the beam on again
practice test 1:
61. what is the most effective way to increase radiation protection?
A. decrease time
B. increase distance
C. increase shielding
D. decrease distance
B. increase distance
practice test 1:
62. at least how much bone marrow needs to be in a trt field for bone marrow depletion to occur?
A. 10%
B. 15%
C. 20%
D. 25%
D. 25%
practice test 1:
64. IMRT is possible with use of:
A. Cerrobend blocks
B. compensators
C. wedges
D. MLCs
D. MLCs
practice test 1:
65. what is the dmax for a 9 MeV beam?
A. 1.5 cm
B. 2.2 cm
C. 2.8 cm
D. 3.0 cm
B. 2.2 cm
practice test 1:
66. neutron production can occur in which part of the LINAC?
A. collimating jaws
B. target
C. bending magnet
D. waveguide
A. collimating jaws
practice test 1:
70. if a person could receive 5 gray in 1 hour within 1 meter from a radiation source, the following sign should be visible:
A. radiation area
B. high radiation area
C. very high radiation area
D. caution: radioactive materials
C. very high radiation area
practice test 1:
73. the radiation beam has an intensity of 50 mR/hr at a distance of 20 cm from the source. What is the intensity at 12 cm from the source?
A. 18 mR/hr
B. 30 mR/hr
C. 95 mR/hr
D. 139 mR/hr
D. 139 mR/hr
practice test 1:
78. all of the following have a quality factor of “1”, EXCEPT:
A. xrays
B. gamma rays
C. beta particles
D. alpha particles
D. alpha particles
practice test 1:
79. what are the two most toxic materials in Cerrobend blocks?
A. tin and cadmium
B. lead and bismuth
C. bismuth and tin
D. cadmium and lead
D. cadmium and lead
practice test 1:
80. the klystron is located within the:
A. drive stand
B. gantry
C. collimator
D. modulator cabinet
A. drive stand
practice test 1:
85. where is the field size defined:
A. on patient’s skin surface
B. at isocenter
C. in collimator
D. at source of radiation
B. at isocenter
practice test 1:
86. Characteristic xrays are a secondary reaction to which photon interaction?
A. coherent scattering
B. photoelectric effect
C. compton scattering
D. pair production
B. photoelectric effect
practice test 1:
90. what is the SI unit for absorbed dose?
A. rad
B. gray
C. sievert
D. rem
B. gray
practice test 1:
93. the oxygen enhancement ratio describes:
A. oxygen enhances survival rates during radiation treatments
B. oxygen helps cells repair while radiation is being delivered
C. oxygen makes a cell more sensitive to radiation during treatments
D. oxygen does not effect radiation treatments
C. oxygen makes a cell more sensitive to radiation during treatments
practice test 1:
99. a brachytherapy applicator that is used to treat cervical cancer is:
A. intraluminal
B. intracavitary
C. interstitial
D. intra-arterial
B. intracavitary
practice test 1:
100. “exposure” can only be defined at energies less than ___
A. 1 MeV
B. 2 MeV
C. 3 MeV
D. 5 MeV
C. 3 MeV
practice test 1:
105. the cells ability to repair itself is represented in which region of the dose-response relationship graph?
A. Do
B. Dq
C. n
D. TD 5/5
B. Dq
practice test 1:
106. ALARA stands for:
A. As Little As Reasonable Affordable
B. As Low As Reasonably Achievable
C. As Low As Realistically Attainable
D. As Little As Realistically Achievable
B. As Low As Reasonably Achievable
practice test 1:
109. Radiation can cause damage to organs within the body. If the same cell type replaces cells within this organ, what has occurred?
A. regeneration
B. repair
C. necrosis
D. reversal
A. regeneration
practice test 1:
110. if the dose given for a single treatment fraction is different than ____________ of the prescription, it is considered a medical event.
A. 20%
B. 30%
C. 40%
D. 50%
D. 50%
practice test 1:
111. CT simulation laser tolerance is?
A. +/- 1 mm
B. +/- 2 mm
C. +/- 1 cm
D. +/- 2 cm
B. +/- 2 mm
practice test 1:
113. which of the following energies is the most penetrating?
A. colbalt-60
B. 10 MeV
C. 6 MV
D. 10 MV
D. 10 MV
practice test 1:
116. in what order would the following sources be in if you were to list them from shortest half-life, to longest half-life?
iodine-125
cesium-137
iridium-192
gold-198
B. Gold-198, Iodine-125, Iridium-192, Cesium-137
practice test 1:
120. all of the following are related to indirect effects of radiation EXCEPT:
A. water
B. free radicals
C. hydrogen peroxide
D. oxygen
D. oxygen
practice test 1:
123. to find the area of an irregularly shaped field use:
A. Clarkson integration
B. equivalent square
C. Monte Carlo computation
D. Mayneord F factor
A. Clarkson integration
practice test 1:
124. a “ready pack” film is taped onto the treatment table. The corners of the light field are traced onto the film. an exposure to the film is then made. The markings and the exposed area are compared. What check is this?
A. collimator indicator agreement
B. light and radiation field agreement
C. multileaf collimator performance
D. safety light tests
B. light and radiation field agreement
practice test 1:
126. how much of the beam is allowed to go through the collimating jaws?
A. less than .2%
B. less than .5%
C. less than 2%
D. less than 5%
B. less than .5%
practice test 1:
128. a wall that absorbs scatter radiation is known as -
A. primary barrier
B. secondary barrier
C. tertiary barrier
D. scatter barrier
B. secondary barrier
practice test 1:
132. the most radio-resistant cycle of cell division is -
A. G1
B. G2
C. M
D. S
D. S
practice test 1:
134. Forward planning is when the:
A. planner chooses desired parameters and then the isodose curves are generated
B. planner chooses tolerance doses of all the tissues in treatment area and then the parameters are created
C. planner chooses the isodose curves and parameters are created
D. planner choose parameters and isodose curves
A. planner chooses desired parameters and then the isodose curves are generated
practice test 1:
136. when a wedge is in the path of the radiation beam:
A. beam hardening increases
B. beam hardening decreases
C. PDD increases
D. PDD decreases
A. beam hardening increases
practice test 1:
143. at least what dose is needed to the lens of the eye to cause blindness?
A. 100 cGy
B. 500 cGy
C. 750 cGy
D. 1000 cGy
B. 500 cGy
practice test 1:
147. the beam-flattening filter is used for what type of treatments?
A. electron
B. proton
C. photon
D. orthovoltage
C. photon
practice test 1:
149. list the following in order from smallest volume to largest volume?
PTV
GTV
CTV
C. GTV -> CTV -> PTV
practice test 1:
150. which instrument would be used to find a misplaced source?
A. ion chambers
B. Geiger-Muller detector
C. Thermoluminescence dosimeter
D. diodes
B. Geiger-Muller detector
practice test 1:
154. on a dose-response relationship graph, the portion of the curve that represents 37% of cell survival is:
A. Do
B. Dq
C. n
D. TD 5/5
A. Do
practice test 1:
156. which isodose curve defines the “useful range” in electron beam?
A. 50%
B. 80%
C. 90%
D. 100%
A. 50%
practice test 1:
159. which somatic effect does NOT have a threshold?
A. stochastic effects
B. non-stochastic effects
C. direct effects
D. indirect effects
A. stochastic effects
practice test 1:
164. what is the maximum cumulative dose limit for a 40-year old radiation therapist?
A. 5 rem
B. 20 rem
C. 40 rem
D. 80 rem
C. 40 rem
practice test 1:
169. what is the main use of sulfur hexafluoride?
A. prevents microwaves from flowing back into the klystron
B. prevents linear accelerator from overheating
C. prevents arcing in the waveguide
D. prevents secondary scattering
C. prevents arcing in the waveguide
practice test 1:
171. a patient is receiving a dose of 3000 cGy to the upper-abdominal region would need which of the following medications to relieve a common side effect?
A. antiemetic
B. analgesic
C. anti-inflammatory
D. anti-diarrheal
A. antiemetic
practice test 1:
172. what type of radiation consists of photons that were naturally produced from a nucleus?
A. xrays
B. gamma rays
C. alpha particles
D. beta particles
B. gamma rays