Scope and Standards of the RME

Question 1

Cancer

Answer 1

Term for disease in which abnormal cell divide without control and aggressively migrate or are transported to other organs in the host

Question 2

Tumor

Answer 2

Abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign or malignant. Also known as neoplasm.

Question 3

Malignant

Answer 3

Cancerous. Malignant tumors can invade and destroy nearby tissue and spread to other parts of the body.

Question 4

Benign

Answer 4

Not cancerous. may grow larger, but do not spread to other parts of the body. They can cause damage and/or death for the host.

Question 5

Hyperplasia

Answer 5

Abnormal increase in number of cells in an organ or tissue

Question 6

Neoplasia

Answer 6

Abnormal and uncontrolled cell growth that alters normal function of host tissue, physiology, or function. Neoplasm may be benign or malignant.

Question 7

Hematuria

Answer 7

RBC’s or blood in urine. (greater than or equal to 3 RBC/HPF) that persist upon repeat testing.

Question 8

Anemia

Answer 8

Body does not have enough healthy RBC’s

Question 9

Complete Blood Count

Answer 9

only HCT and WBC are utilized in RME.

Question 10

HCT

Answer 10

Percentage of whole blood made up of RBC’s

Question 11

Urinalysis

Answer 11

Looking for RBC’s in urine

Question 12

Radiobioassay

Answer 12

Concentration of radionuclide material in body or in excreted from body or removed from body.

Question 13

Internal Monitoring

Answer 13

used for internal dose calculations

Question 14

Medical Conditions that may be disqualifying on the radiation medical examination

Answer 14

1. History of Cancer or Cancer therapy

exception: Actinic Keratosis and Basal Cell Carcinoma

Colon Polyps removed, not disqualifying, but need pathology report.

abnormal pap is not disqualifying

2. Radiation Therapy
3. History Polycythemia vera
4. History of Leukemia
5. Open lesions
6. Persistent abnormal HCT, WBC, UA
7. Internal deposited radionuclides greater than 50% of an ALI

Question 15

Standards for Lab Values when conducting RME

Answer 15

1. Abnormal Blood count, WBC, or HCT
   - outside normal range value are considered DQ if the repeat remains abnormal.
   WBC- out of range differential
   
   • Physician must perform further clinical evaluations to determine the reason for abnormal HCT or WBC
   • Further studies for R/O cancer bone marrow suppression
2. Urinalysis- >3 RBC per HPF on micro
   
   • two normal micro to clear dipstick
   • two abnormal, definitive evaluation will be performed to R/O cancer
3. Any abnormality requires comment block 14, CD/NCD and basis of determination