Practice Exam 4 Flashcards
Which machine components are located within the gantry?
(Select all that apply)
A
Electron gun
B
Klystron
C
Accelerator structure
D
Bending magnet
A
Electron gun
C
Accelerator structure
The electron gun and accelerator structure are located in the gantry. The klystron is in the drive stand and the bending magnet is in the treatment head.
List the order of machine parts in the linac head for a photon treatment:
A
Target, flattening filter, ion chamber, primary collimators, secondary collimators, MLCs
B
Target, ion chamber, primary collimators, flattening filter, secondary collimators, MLCs
C
Target, flattening filter, primary collimators, ion chambers, secondary collimators, MLCs
D
Target, primary collimators, flattening filter, ion chamber, secondary collimators, MLCs
D
Target, primary collimators, flattening filter, ion chamber, secondary collimators, MLCs
The order of machine parts for photon beam treatments = target, primary collimators, flattening filter, ion chamber, secondary collimators, MLCs. When an electron beam is needed, the target and flattening filter are removed. Instead of the flattening filter, we see the scattering foil.
Which agency is responsible for regulating the manufacturing of linear accelerators?
A
The U.S. Environmental Protection Agency (EPA)
B
The U.S. Nuclear Regulatory Commission
C
The Food and Drug Administration (FDA)
D
State Governments
C
The Food and Drug Administration (FDA)
- Flattening filters are made of high z# (atomic number) materials, in a cone shape (with the thicker section in the center) and helps to reduce the intensity in the center of the beam in efforts to make it more
uniform or homogenous
(PBI) has become more widely used for the treatment of early stage breast cancer in selected women
image is rt breast treatment
The study of the number of people with a disease
A
Epidemiology
B
Etiology
C
Entomology
D
Ethology
A
Epidemiology
Epidemiology = the study how many people have a dise
This device creates an even dose distribution and the thickest portion of this device is located centrally.
A
Flattening filter
B
Wedge
C
Compensating filter
D
Scattering foil
A
Flattening filter
Flattening filters are made of high z# (atomic number) materials, in a cone shape (with the thicker section in the center) and helps to reduce the intensity in the center of the beam in efforts to make it more uniform or homogenous.
PPD is affected by:
(Select all that apply)
A
Energy
B
Depth
C
SSD
D
SAD
D
SAD
Which agency is responsible for protecting the health and safety of the public against radioactive materials?
A
The U.S. Environmental Protection Agency (EPA)
B
The U.S. Nuclear Regulatory Commission
C
The Food and Drug Administration (FDA)
D
State Governments
B
The U.S. Nuclear Regulatory Commission
Which of the following techniques could be used to reduce tumor motion?
(Select all that apply)
A
DIBH
B
Gating
C
Abdominal compression
D
4D CT
A
DIBH
B
Gating
C
Abdominal compression
Tumor motion can be reduced using DIBH, gating, and abdominal compression techniques. 4D CTs do not reduce tumor motion, but rather track the motion during the scan to show the full motion of the tumor on all breathing phases.
Which organ does NOT have a tolerance dose of 4500 cGy?
A
Colon
B
Heart
C
Eye retina
D
Brain
B
Heart
Colon, eye retina and brain have a tolerance dose of 4500 cGy for the whole organ. The heart has a tolerance dose of 4000 cGy for the whole organ.
Tumor differentiation also determines:
A
Grade
B
Stage
C
Metastasis
D
Size
A
Grade
Tumor grade is determined by examining how a cell looks under a microscope. If it resembles normal cells, it is said to be “well-differentiated” and less aggressive. If it does not resemble normal cells, it is “undifferentiated” and is more aggressive.
Which machine components are located within the drive stand?
(Select all that apply)
A
Klystron
B
Circulator
C
Power supply
D
Accelerator structure
A
Klystron
B
Circulator
The drive stand contains the klystron and circulator. The power supply is a separate component. The accelerator structure is located in the gantry.
The occupational exposure limits are ______ than public exposure limits.
A
2x more
B
2x less
C
10x more
D
10x less
C
10x more
Which of the following are NOT considered sterile
A
Areas from the waist level and up
B
Areas from the knee level and up
C
Passing another person front to front
D
Passing another person back to back
B
Areas from the knee level and up
C
Passing another person front to front
There are specific rules to be followed for sterile techniques. Sterile fields occur at the level of the tabletop and waist level and up (below this level is not sterile). No one should lean over the sterile field. Once sterile item becomes wet, it is no longer sterile. Contact between sterile objects and non-sterile objects should be avoided. When two sterile people are passing each other, they must pass back-to-back.
When viewing an axial image, which directions can the patient be moved in?
(Select all that apply)
A
Anterior and posterior
B
Left and right
C
Superior and Inferior
D
The patient can only be adjusted in 1 of the above
A
Anterior and posterior
B
Left and right
Axial images allow matching to occur in the anterior and posterior direction as well as the left to right direction. The superior and inferior directions are not visualized on an axial image.
This image represents a 3D or complex treatment plan to the rectum. The treatment fields are “boxier” in appearance and less conformal than IMRT or SBRT would be.
3D is Boxier
The stage of acute radiation syndromes that is also called NVD due to nausea, vomiting and diarrhea is called:
A
Prodromal
B
Manifest
C
Latent
D
Recovery
A
Prodromal
Prodromal stage of ARS: Symptoms include nausea, vomiting, anorexia, and/or diarrhea and can appear within minutes to days of radiation exposure.
Which structure is located around the vertebral level of T4-T5?
A
Hyoid bone
B
Xiphoid
C
GE junction
D
Carina
D
Carina
Which type of breast surgery removes chest wall muscles?
A
Radical mastectomy
B
Total mastectomy
C
Simple mastectomy
D
Lumpectomy
A
Radical mastectomy
Simple mastectomy: involves removing the breast along with an ellipse of skin that encompasses the nipple-areola complex.
Lumpectomy: is a type of breast cancer surgery in which the tumor and a small amount of surrounding tissue called the margin is removed
What is the proper order of machine parts for a photon beam?
A
Electron gun, accelerator structure, bending magnet, target
B
Accelerator structure, electron gun, target, bending magnet
C
Electron gun, accelerator structure, target, bending magnet
D
Electron gun, target, accelerator structure, bending magnet
A
Electron gun, accelerator structure, bending magnet, target
What is the typical gantry angle used for supraclavicular fields?
A
0 degrees
B
5 - 10 degrees
C
10 - 15 degrees
D
15 - 20 degrees
C
10-15 degrees for a supraclavicular field of 3 field breast techniques. This angle avoids the spinal cord.
Which machine components are located within the treatment head?
(Select all that apply)
A
Electron gun
B
Target
C
Ion chambers
D
Water cooling system
B & C
The target and ion chambers are located in the treatment head. The electron gun is within the gantry. The water-cooling system is within the drive stand.
When viewing sagittal images, which directions can the patient be moved in?
(Select all that apply)
A
Anterior and posterior
B
Left and right
C
Superior and inferior
D
The patient can only be adjusted in 1 of the above
A & C
Sagittal images allow matching to occur in the anterior and posterior direction as well as the superior to inferior directions. The left and right directions are not visualized on an Sagittal image.
Which of the following does NOT need to be on a consent form?
A
Treatment site
B
Laterality and body part
C
Risks and benefits of treatments
D
Treatment dose
D
Treatment dose
Which acute radiation syndrome has the shortest latent stage?
A
Bone marrow syndrome
B
GI syndrome
C
CNS syndrome
Which of the following couch adjustments can be made with a 6 DoF couch?
A
Pitch
B
Roll
C
Rotation
D
All of the above
(D) All of the above
6 DoF (6 degrees of freedom) couches allow for adjustments in the pitch, roll and rotational directions.
Which organ is most susceptible to damage from contrast media use?
A
Heart
B
Kidneys
C
Liver
D
Bladder
(B) Kidney
Kidneys are most susceptible to damage during contrast media use in CT simulation. This is why BUN, creatinine and eGFR levels are checked prior to use.
Compared to machines that only treat complex treatments, machines that treat SBRT treatments have:
A
A smaller laser tolerance
B
A larger laser tolerance
C
The same laser tolerance
D
No laser tolerance
A
A smaller laser tolerance
- Laser tolerances is specific to machine type and are stricter for machines treating SBRT treatments (1 mm) compared to machines treating only complex, non-SBRT treatments (2mm) and IMRT treatments (1.5 mm).
Decisions such as CPR, ventilation devices, palliative care options, etc. should be outlined on this document:
A
Bill of Rights
B
Living will
C
Consent form
D
Healthcare proxy
B
Living will
Living wills are legal documents that state the patient’s choice for their health care when they become terminally sick.
The patient is prescribed 180 cGy and is to be treated at 100 SSD. What does did the patient receive if they were accidentally treated at 90 SSD?
A
162 cGy
B
200 cGy
C
222 cGy
D
267 cGy
C
222 cGy
Inverse square law factor to find overdose: (100/90)^2 x 180 =222 cGy