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WorksheetsRADTHERA QUIZ
Total questions: 158
Worksheet time: 53mins
These are other names of brachytherapy, EXCEPT?
Implant radiation therapy
External radiotherapy
Endocurietherapy
Curie radiotherapy
The following are benefits of brachytherapy, EXCEPT?
Can be performed on an outpatient basis
Is very effective in treating cancer
Has a minimized risk of side effects
Is an invasive technique
The treatment time for EBRT
3-5 weeks
1-5 days
6-8 weeks
2-5 days
The following are side effects of brachytherapy, EXCEPT?
Erection problem
Effects on liver
Effects on the bladder
Infertility
Different types of brachytherapy can be defined according to, EXCEPT?
Duration of dose delivery
None
Placement of radiation source
The rate of the radiation intensity delivered to the body
Brachytherapy that involves placement of the radiation source in a space next to the target tissue
Contact
Intraluminal
None
Interstitial
When a part of an artery with a stent gets blocked
ISR
CIR
IST
RIS
A radiation source that can also be placed in blood vessels
Intraluminal
Intracavitary
Intravenous
NONE
Temporary brachytherapy is also known as?
High dose rate brachytherapy
Permanent brachytherapy
none
Low dose rate brachytherapy
Seeds are used in permanent seed implant therapy involving injecting approximately 30-100 radioactive seeds into the prostate gland
Pd- 103
l-131
Au-198
Cs-137
It is commonly used in lung cancer, prostate cancer, breast cancer, and osteosarcoma
P-132
Lu-177
Sm -155
l-125
Yttrium 90 (Y-90) is used for the following, EXCEPT?
Metastatic colon cancer
Neuroendocrine tumors
Prostate cancer
Liver cancer
Used in medicine for cancer radiation therapy, especially for eye and skin tumors
Tu-106
Cf-252
Pd-103
l-125
Sources for the treatment of carcinoma of cervix uteri.
Pd-103
P-132
lr-192
Cs-137
This is a boost technique frequently used to deliver an additional dose of radiation therapy to the tumor bed following breast conserving surgery and combined with external beam radiation therapy to the entire breast for patients with early breast cancer.
Ir-192
Pd-103
P-132
Cs-137
It’s goal is to determine the treatment position that will be use daily, to make devices that will help the patient maintain that position and to obtain the necessary images from treatment planning.
Simulation
Treatment Delivery
None
Treatment planning
Helps implement the treatment plan by determining the number and duration of the treatment session.
Therapy nurse
Medical physiscist
Dosimetrist
Oncologist
Specially trained to operate the sophisticated systems of computer used for radiation treatment.
Oncologist
Medical physicist
Dosimetrist
Radiologic Technologist
Helps patients understanding and cope with the side effects of radiation.
Dosimetrist
Radiologic Technologist
Medical physiscist
Therapy Nurse
A board certified specialist/physician who evaluates the patient, determines the appropriate therapy and area to be treated.
Medical physicist
Radiologic Technologist
Oncologist
Dosimetrist
Assists the team by assuring the quality and calibration of the therapy systems used for patient care making proper radiation dose given and assisting with the development of new applications.
Oncologist
Dosimetrist
Radiation Physicist
Radiologic Technologist
The following are advantages of Teletherapy, EXCEPT?
Invasive
Large field even the whole body can be accommodated.
Any anatomical site can be treated
Usually done in an OUT patient basis
The following are disadvantages of Radiotherapy, EXCEPT?
It requires specially designed room for radiation protection
IMPOTENCE is up to 77% of men
None
No significant dose to the staff, Family members.
The following are treatment Therapy Process, EXCEPT?
Diagnosis
Simulation
none
Treatment planning
The following are common side effects of radiation therapy, EXCEPT?
fatigue
Skin rashes
Vomiting
Loss of hair
The following are ionizing radiations used in radiotherapy, EXCEPT?
none
gamma
x-ray
beta
Gamma rays are produced spontaneously as certain elements such as the following, EXCEPT?
Radium
Cobalt 60
Uranium,
Iodine 131
A gamma knife treatment delivers a total of_________ beams of radiation intersect to form a powerful tool focused on a targeted area of abnormal or cancerous tissue within the brain.
100
200
201
300
The following can be used as simulation machines, EXCEPT?
Nuclear Medicine
CT scan
MRI
X-ray
During __________ the area of the patients body to be treated is marked directly on the patients skin with markers.
Treatment delivery
Simulation
None
Diagnosis
Treatment delivery
Simulation
None
Diagnosis
The Dosimetrist, Oncologist, Physicist will generate treatment plan that delivers the appropriate dose to the tumour while minimizing dose to surrounding normal tissue.
true
false
Treatment process can take 10-15 minutes each week.
true
false
Some patient may experienced nausea from radiation therapy. In such cases nausea usually occurs during the 1st few days after radiation.
true
false
Patient should only use soap and lukewarm water on the skin during radiation treatment.
true
false
Fatigue can also result from stress of dealing with diagnosis and treatment of cancer.
true
false
The process of energy absorption or scattering, describe by the percent of radiation remaining after x-rays passes through object.
Tomography
Attenuation
Artifacts
DAS
The month and year where Polonium was discovered.
July 1898
Nov. 1898
Dec. 1898
Jan. 1898
Radiotherapy may combine with the following, EXCEPT?
Surgery
Hormone therapy
Chemotherapy
none
The most commonly treated cancers are the following, EXCEPT?
Prostate
Lungs
Cervix
None
The date when radium was discovered.
February 1895
January 1923
July 1898
December 1898
1st therapeutic use of x-rays was reported to have taken place when a patient with carcinoma of the breast was treated.
Nov. 8, 1898
December 28, 1895
January 29, 1898
February 26,1898
The 1st cancer of basal cell epithelioma had been cured by radiation in what year?
1895
1899
1923
1898
They found that by administering Fractionated doses of radiation that is smaller daily doses rather than large single dose they could achieved the same tumor response but without serious injury to the adjacent normal tissue.
Dotter & Seldinger
Becquerel & Curie
Regaud & Coutard
Hounsfield & Radon
The radiation dose necessary to cause redness of the skin.
Tolerance dose
Erythema dose
Maximum permissible dose
none
Fractionated doses of radiation exposure was recognized in what year?
1963
1950
1989
1970
During the___methods of measuring dose where developed and quantitative measurements.
1920
1911
1968
1930
The atomic mass number of electrons.
2
0
1
9.1
The atomic mass number of nucleus.
2
1.67
0
1
If there is an excess of electrons or an electron is removed the atom is said to be
Disintegrated
Radioactivity
Attenuated
none
The number of neutron in an atom is the difference between the
atomic mass no. and atomic no.
Protons and electrons
Proton and neutron
none
Atoms that have the same no. Of neutrons but different no of protons.
Isotopes
Isotones
Isobars
Isomers
Atoms that contains the same no. of protons but varying no. of neutrons.
Isotones
Isotopes
Isomers
Isobars
They are identical atoms and exist in the different energy state.
Isomers
Isobars
Isotones
isotopes
Attraction between electrons and the nucleus of an atom.
Attractive force
Nuclear force
Repulsive force
Centrifugal force
The electrons stays on their respective orbits due to these two forces.
Attractive and Centrifugal
Nuclear and Repulsive
Centrifugal and Repulsive
Repulsive and attractive
Responsible for calibration and maintenance of the radiation-producing equipment.
Oncologist
Radiotherapist
Medical Dosimetrist
Medical Physicist
Devices a plan for delivering the treatments in a manner to best meet the physician's goals of irradiating the tumor while protecting vital normal structures.
Oncologist
Radiotherapist
Medical Dosimetrist
Medical Physicist
This treatment intent is used to relieve symptoms caused by the cancer at an advance stage, extends the quality of life of the patient.
Curative
Palliative
Prophylactic
none
This is a cancer treatment that uses drugs for prevention of cancer cell production.
Hormone therapy
Chemotherapy
Biologic Therapy
Radiotherapy
This is also termed as immunotherapy.
Chemotherapy
Hormone therapy
Biologic Therapy
Hyperthermia
The following are factors for cancer treatment, EXCEPT?
Stage
Tumor location
none
Tumor type
The spread of a malignancy into body cavities can occur via penetrating the surface of the peritoneal, pleural, pericardial, or subarachnoid spaces.
Seedings
None
Hematogenous spread
Lymphatic spread
This is typical route of metastasis for sarcomas, but it is also the favored route for certain types of carcinoma, such as those originating in the kidney (renal cell carcinoma). Because of their thinner walls, veins are more frequently invaded than are arteries, and metastasis tends to follow the pattern of venous flow.
Hematogenous spread
Seedings
none
Lymphatic Spread
Stage or period of absence of cancer.
metastases
Recurrence
Remission
Cured
Type of recurrence where Ca returns at a lymph node or tissue located near the previous Ca.
Regional
Local
Distant
none
This is a subtype of CA which involves blood forming tissue.
Sarcoma
Lymphoma
none
Carcinoma
A type of biopsy where the entire lump removed.
Surgery
Core needle
Incisional
Excisional
Small lesion confined to organ of origin with no evidence of vascular or lymphatic spread or metastasis.
Stage 4
Stage 3
Stage 1
Stage 2
Determines the volume of tissue that needs to be encompassed within the radiation field.
Treatment Plan
Treatment delivery
Treatment delivery
Simulation
This is a type of brachytherapy where placement of Radioactive source on or in close proximity to the lesion
Interstitial
Intracavitary
none
Mould technique
medical use of ionizing radiation as part of cancer treatment
(a)
(a) .is concerned with the generation, conservation, and dissemination of knowledge concerning the causes, prevention, and treatment of cancer with particular emphasis on the role of ionizing radiation
The year when Henri Becquerel discovered radioactivity.
1896
1869
1898
1986
He observed the darkening of photographic plates by Uranium salts and realized that these rays were emitted spontaneously and continuously from Uranium.
Henri Becquerel
Marie Curie
John Dalton
Earnest Rutherford
The 1st use of Radium in the U.S. was around _________
1989
1908
1911
none
______when madame Marie Curie began to developed the accurate standard of quantities of pure Radium salts.
1911
1908
1920
1999
During the _____ methods of measuring dose where developed and quantitative measurements
1930s
1990s
1920s
1950s
_____ portable survey meters and ionization chambers became standard equipments for hospitals.
1930s
1920s
1950s`
1960s
____ Fractionated doses of radiation exposure was recognized.
none
1930s
1950s
1920s
an English school teacher published a book summarizing his experiment according to him element could be classified according to integral values of atomic mass each reacting the same way in chemical reaction .
They look alike, they were constructed alike and they reacted alike but they are different from the atoms of any element.
·
John Dalton
Dmitri Mendeleeve
J.J. Thompson
Earnest Rutherford
According to him elements were arrange in order of increasing atomic mass a periodic repetition of similar chemical properties occurred. This was the first periodic table.
John Dalton
J.J Thompson
Dmitri Mendeleeve
Niel Bohr
He concluded that electrons were an integral part of all atoms. He described that an atom is like a Plum Pudding.
· Discovered “ Corpuscles” later called “ Electrons”.
J.J Thompson
Earnest Rutherford
Niel Bohr
James Chadwick
He introduces the Nuclear model, according to him the atom is containing a small dense positive charge center surrounded by a negative cloud randomly located. He called the center of the atom Nucleus.
Earnest Rutherford
Erwin Schrodinger
John Dalton
none
Discovered the “Nucleus “
1922
1911
1920
1930
Discovered “ Proton”
1911
1920
1930
1908
according to him the atom is like a miniature solar system in which the orbital electrons revolved around the nucleus in a prescribed shell or energy levels.
Erwin Schrodinger
James Chadwick
Earnest Rutherford
Niel Bohr
He discovered “ Neutron”.
James Chadwick
Niel Bohr
Erwin Schrodinger
Curie brothers
The smallest particle of matter that has the property of an element and can react chemically.
Atom
electrons
molecules
nucleus
He used mathematical equations to describe the likelihood of freeing an electron in a certain position. The atomic model is known as “ Quantum Mechanical Model
Niel Bohr
James Chadwick
Erwin Schrodinger
Marie Curie
He assumes that electrons is a wave and tries to describe the regions in space or orbitals where the electrons are most likely to be found.
Erwin Schrodinger
Niel Bohr James Chadwick
Earnest
none
Particles much smaller than atoms.
subatomic particles
atom
molecules
electron
Is the smallest particle of a chemical compound.
atom
nucleus
subatomic particles
molecules
· Atoms that have the same atomic no. But different atomic mass no.
(a)
· Atoms that contains the same no. of protons but varying no. of neutrons.
(a)
· Atomic nuclei that have the same atomic mass no. But different no. Of neutrons.
(a)
· Atoms with different atomic no. And different atomic mass no.
(a)
Atoms that have the same no. Of neutrons but different no of protons
(a)
· Atoms with the same atomic no. And the same atomic mass no.
(a)
· They are identical atoms and exist in the different energy state.
·
(a)
an outward force away from the center.
centrifugal force
attractive force
nuclear force
repulsive force
occurs between the protons.
repulsive force
centrifugal force
attractive force
nuclear force
holds the atomic nucleus together due to neutrons.
repulsive force
nuclear force
centrifugal force
attractive force
given to destroy left-over microscopic cells that may be present after the known tumor is removed by surgery.
Is given to prevent a possible cancer reoccurrence.
adjuvants
neo-adjuvant
PROPHYLACTIC TREATMENT
PALLIATIVE TREATMENT
given prior to the surgical procedure.
may be given to attempt to shrink the cancer so that the surgical procedure may not need to be as extensive.
adjuvant
neo-adjuvant
palliative treatment
curative treatment
to shrink any cancerous tumors and/or stop the cancer from growing and spreading.
PALLIATIVE TREATMENT
HEMATOGENOUS SPREAD
CURATIVE TREATMENT
PROPHYLACTIC TREATMENT
may be used to relieve symptoms caused by the cancer at an advance stage, extends the quality of life of the patient.
CURATIVE TREATMENT
PROPHYLACTIC TREATMENT
PALLIATIVE TREATMENT
HEMATOGENOUS SPREAD
used for small tumors
surgery
CHEMOTHERAPY
none
HORMONE THERAPY
a malignant tumor that expands by invasion or systemically by metastasis.
- A disease process that involves an unregulated, uncontrolled replication of cells.
cancer
metastasis
hyperthermia
none
allows the transport of tumor cells to lymph nodes and ultimately, to other parts of the body
SEEDINGS
LYMPHATIC SPREAD
HEMATOGENOUS SPREAD
none
all signs and symptoms of Ca are gone.
(a)
the malignant tumor shrunk, but does not disappear.
(a)
FREE OF SIGNS AND SYMPTOMS FOR FIVE (5) YEARS
(a)
PATIENT IS DIAGNOSED WITH NEW CANCER THAT’S COMPLETELY UNRELATED WITH THE PREVIOUS CANCER.
(a)
return of cancer after treatment and after a period of time during which the cancer cannot be detected.
(a)
Ca returns at the original site.
(a)
originating from epithelial tissue.
(a)
originating from connective tissue.
(a)
involves blood forming tissue.
(a)
- medical removal of tissue from living subject to determine presence or extent of disease.
(a)
small sample tissue
(a)
sample fluid
(a)
small solid sample
(a)
Occult lesion; no evidence clinically
(a)
Small lesion confined to organ of origin with no evidence of vascular or lymphatic spread or metastasis
(a)
Tumor of less than 5cm. invading surrounding tissue and first-station lymph nodes but no evidence of metastasis
(a)
Extensive lesion greater than 5cm. with fixation to deeper structure and with bone and lymph
(a)
More extensive lesion than above or with distant metastasis
(a)
made of 2 chemicals that can be mixed together to form a styro-like material that may take shape of the patient.
(a)
electron accelerator that uses magnetic induction to accelerate electrons in circular path; also capable of producing photons.
betatron
xbrt
cobalt 60
none
treating lesions on or near the surface of the skin.
betatron
cobalt 60
Superficial Machine
Orthovoltage
Placement of Radioactive directly into the tumor site and adjacent tissue.
Interstitial
Intracavitary
Mould Technique
none
The year when betatron was introduced by Kerst
1941
1911
1961
1914
moderately superficial tissues
Superficial Machine
Orthovoltage
Betatron
Cobalt 60
artificially produced isotope formed in a nuclear reactor
Cobalt 60
betatron
Orthovoltage
none
refers to the way the treatment is planned or simulated on a specially calibrated diagnostic x-ray machine known as a simulator
Conventional
simulation
conformal
none
is derived from the technique of shaping the beams to conform to the shape of the tumor.
conformal
conventional
simulation
none
is an advanced technique that incorporates the use of imaging technologies to generate three-dimensional images of a patient’s tumor and nearby organs and tissues.
3DCRT
4DXRT
IMRT
2DXRT
- is a collimator or beam-limiting device that is made of individual "leaves" of a high atomic numbered material, usually tungsten, that can move independently in and out of the path of a radiotherapy beam in order to shape it and vary its intensity.
2DXRT
MLC
IMRT
4DXRT
The technique of using customized field blocking to protect sensitive normal tissue during megavoltage radiation treatment
(a)
is the use of imaging during radiation therapy to improve the precision and accuracy of treatment delivery.
4DXRT/IGRT
IMRT
MLC
2DXRT
is used to treat tumors in areas of the body that move, such as the lungs.
IGRT
3DXRT
IMRT
MLC
is a highly precise form of radiation therapy initially developed to treat small brain tumors and functional abnormalities of the brain.
IMRT
SRS
SBRT
none
When SRS is used to treat body tumors is called _____
SBRT
SRS
2DXRT
4DCRT
is a form of radiation treatment used to destroy tumor cells.
(a)
is the unit used to measure the total amount of radiation that the patient is exposed to.
(a)
Adjuvant therapy doses typically range from 45 to 60 Gy for the treatment of breast, head, and neck cancers.
true
false
• means that the patient is subjected to smaller but more frequent doses of radiation over the same period of time.
hyperfractionated
hypofractionated
• breaks the total dose into larger doses, often giving a dose less than once each day.
hypofrationated
hyperfractionated
Standard treatment with radiation therapy lasts for five to eight weeks
true
false
refers to when the total dose is administered over a shorter period of time than usual. This involves more frequent doses, usually more often than once daily, to administer the equivalent total dose over a shorter period of time.
accelerated radiation
hypofractionated
hyperfractionated
none
the total dose to deliver is divided between several sessions
repair
fractionation
protraction
none
• total duration of the treatment (number of days between the 1st and last session).
protraction
repair
fractionation
When tumor cells are hypoxic they are less susceptible to the indirect effects of radiation.
true
false
is a treatment regimen that delivers higher doses of radiation in fewer visits
hypofractionation
hyperfractionation
• is dividing the same total dose into more deliveries, so that treatments are given more than once a day.
hyperfractionation
hypofractionation
• (two deliveries per day and/or deliveries on weekends as well) has also been investigated.
accelerated fractionation
fractionation
hyperfractionation
hypofractionation
• is a term used in radiotherapy treatment planning to help calculate absorbed dose to water in conditions other than those directly measured.
Tissue Air Ration (TAR)
Tissue Max Ration (TMR)
• is a special case of TPR and may be defined as the ratio of the dose at a given point in phantom to the dose at the same point at the reference depth of maximum dose.
Tissue Max Ratio (TMR)
Tissue Air Ration (TAR)
