Rad Sci
Rad Sci
Rad Sci
What is a clinical target volume as defined by the International Commission on Radiological Units?
- tissue volume that contains a demonstrable gross tumor volume (GTV) and/or subclinical
microscopic malignant disease, which has to be eliminated
What are the factors in which the percentage depth dose is dependent on?
- field size, distance, energy
What is the range (in kVp) in which supervoltage x-ray units usually operate?
- 500 to 1000
What is the radiation therapy treatment for very superficial dermatological conditions usually employing 10-30
kV radiation?
- Grenz ray
What is the resultant effect of percentage depth dose (PDD) at a given depth?
- increases with higher beam energies
What refers to procedure and patient position during a treatment-planning computerized tomography scan?
- must be supine on flat surface
What is the reason why immobilization is particularly important in radiation therapy treatment of head and
neck cancer.
PROXIMITY OF SEVERAL RADIOSENSITIVE ORGANS, AND OFTEN SMALL TUMOR MARGIN
What is the main goal of radiation therapy in patients with bone metastasis?
- reduce the pain and prevent fracture
What is the area for radiation therapy in which the field size is usually defined when using source-skin-distance
(SSD) technique and a photon beam?
- at the rotational axis of machine
What is the shape of radioactive source frequently used in tandem and ovoids in radthera
TUBE
How is Lucite tray when inserted in the path of the beam can be considered?
BEAM SPOILER
What radiotherapy machine operates on the principle that an electron will accelerate in a circular orbit in a
changing magnetic field?
- betatron
An Instrument used to detect frequency shift is called___
DOPPLER
"soft x-ray"
GRENZ RAY
Height of Wave
AMPLITUDE
What would most likely be imager using linear arrays rather than phased or curvilinear arrays
INFANT
What is the reason a lucite tray is inserted in the path of the beam
BEAM SPOILER
Photon interaction with matter that is most likely to occur with radthera delivers via Linear Accelerator
COMPTON EFFECT
Photon interaction with matter that is most likely to occur with radthera delivers via orthovoltage
PHOTOELECTRIC EFFECT
Responsible for signaling machine to shut off when requested dose has been delivered
IONIZATION CHAMBER
Important consideration when taking into account of contour of the px when calculating isodose distribution
MUST BE ACCURATE BECAUSE IT HAS an EFFECT IN DOSE
What is the peak that is exhibited by proton and alpha particles at the end of their range of travel, where MOST
of their energy is deposited?
BRAGG
What device is used to compensate for missing tissue as well as increase the dose to skin during radiation
therapy treatment?
BOLUS
What is the schedule requirements for routine test of door interlocks in LINAC?
DAILY
What is the approximately dose in (cm depth) that occurs in 6MV photon beam?
1.5
What is the depth dose (cm) of the maximum dose in 4MV x-ray?
1.0
what is the process in which the planned field arrangement is field arrangement is verified using the x-ray
machine that mimics the therapy machine and produces diagnostic quality radiograph
SIMULATION
The daily output photon constancy on Linear accelerator (LINAC) should be within _____ percent of normal
limits
3
True to CT
TWO COMPONENTS OF DIGITAL IMAGING COLLECTING SYSTEM, ANALOG TO DIGITALDIGITAL TO
ANALOG CONVERSION
Best imaging modality for the rupture of the spleen in blunt abdomen trauma
CT
What is the precautionary measure in the event of spill of Tc-99m to one’s clothes?
REMOVE AND STORE CLOTHES UNTIL IT’S RADIOACTIVE DECAYS TO BACKGROUND
What radiopharmaceuticals is least likely to localize within myocardium as part of normal physiologic uptake
F-18 FLORBETABEN
What will refer to IRMA (Immunoradiometric assay) rather than RIA (radioimmunoassay)?
LABELED ANTIBODY
If there is an unknown radionuclide spilled on the countertop, what device will be utilized by the technologist
to identify what radionuclide was spilled?
WELL-COUNTER
What impurity is measured when Mo-99/Tc-99m generator eluate is placed on a special test paper that
changes in color?
CHEMICAL
What is the approximate threshold in tesla per seconds for induction in magnetic phosphene at low frequency?
3
When is the test object imaging will be performed as required for quality control in a magnetic resonance
imaging system?
DAILY
When will the sterility/pyrogen testing be done for tc99m based product made from nucmed dept
AFTER-THE-FACT
What radiopharmaceuticals are used for dual tracer gastric emptying study?
TC-99M DTPA IN WATER AND TC-99M SULFUR COLLOID LABELED EGGS
What is the Preferred imaging procedure for preoperative localization for hyperfunctioning parathyroid
adenoma
RADIONUCLIDE SCINTIGRAPHY
What is the resultant effect from an increased radioiodine uptake for thyroid gland?
IODINE DEFICIENCY INDUCED HYPOTHYROIDISM
What is the maximum dose of the other members of the public that should not exceed (in mSv) from a patient
who received I 131 therapy?
5
What carcinoma is effectively detected and staging from a whole body radioiodine?
PAPILLARY
What is the imaging method in nuclear medicine that displays a distribution of radiopharmaceuticals over a
specific period.
DYNAMIC IMAGING
What is the recommended study or combination for suspected hip replacement infection?
LABELED LEUKOCYTES AND SULFUR COLLOID IMAGING MARROW
What is the typical energy window used (in percent) for imaging Technetium-99m on gamma cameras?
20
What is the preferred Scheduled for linearity check of dose calibrator in Nuclear Medicine
QUARTERLY
Most common long term observed in administration of I-131 NAL therapy dose treatment of Grave’s diseases
HYPOTHYROIDISM
What is the Physical Half life of Radionuclide it is the time to take for
THE NUCLIDE TO DECAY TO ONE HALF OF ITS ORIGINAL ACTIVITY
Select the condition that would most likely cause acoustic enhancement sonographically
Fluid filled mass
Determine the condition in which partial volume averaging averaging artifacts exist
- Field of view is large
Distinguish the factors that will affect patient dose in computed tomography
- Linear attenuation coefficient and noise
Select the principal determinant for contrast rendition of magnetic resonance image
- Gradient magnetic field amplitude and timing
Point out the factors in which percentage depth dose is dependent on
- Field size, Energy, Distance (FED)
What is the important consideration when taking into account the contour of the patient when calculating an
isodose distribution?
- Must be accurate because it has an effect on dose
Which radiotherapy machine operates on the principle that an electron will accelerate in a circular orbit in a
changing magnetic field
- Betatron
Abdominal scan includes an anteroposterior scout with 7mm from top of diaphragm to
- Symphysis pubis
Which of the ff software program will generate sagittal and coronal image from the transaxial data set
- Multi planar reformatting
What is referred to as the computed tomography number fluctuation from pixel in the image for a scan of
water phantom
- Noise
Which of the following is not an indication for computed tomography of the spine
- Stroke
Which of the ff defines the brightness of the image in magnetic resonance imaging
- Magnetic resonance signal strength
What type of artifact in a computed tomography scan will produce a starburst appearance
- Streak artifact
Which of the following refers to the distance traveled per unit time
#distance traveled per unit time
- Propagation speed
What would most likely be imager using linear arrays rather than phased or curvilinear arrays
- Infants
What is the resultant effect of transmission or vibration from particle to particle in a medium
- Propagation of sound
A 3.5 Mhz pulse will be attenuated after passing through 2cm of soft tissue by
- 7
What is the malignancy that is least likely to present as a photopenic lesion or cold defect on Tc99m MDP bone
scintigraphy
- Breast carcinoma
Determine the thyroid carcinoma that can be effectively detected and staged through a whole body
radioIodine scintigraphy
- Papillary
Which of the ff radionuclide generator equilibrium relationship where the parent t1/2 is a factor of 100-1000
times greater than the daughter t1/2
- Secular
Select the factor that determines the amount of reflection at the interface of two dissimilar material
- Specific acoustic impedance
Which organ should the sonographer scan if uterine malformations are seen
- Kidneys
Determine the ratio of pressure to particle velocity at a given point within the ultrasonic field
- Impedance
Determine what is referred to as the colloid shift in a nuclear medicine liver scanning
- Increased uptake of colloid in spleen and bone marrow relative to liver
Determine the maximum allowed exposure to another member of the public from a patient who has received
an outpatient I-131 therapy
- 5 mSv
The process by which protons release the energy that is absorbed from the radiofrequency pulse is
- Relaxation
Identify the part or the brainstem that appears as heart shaped or circular shaped structure on axial computed
tomography scan of the brain
- Midbrain
Which of the ff will provide a visual representation of the dose at various positions across the radiation field
- Isodose curve
What is the geometric area defined by the collimator or radiotherapy unit at the skin surface
- Field
If the sonogram suggest a mass in the head of the pancreas, the sonographer should
- Examine the biliary radicles, common bile duct, and gallbladder if dilated
In an ultrasound examination, if the prostate is found to be enlarge, the sonographer should also check the
- kidney for hydronephrosis
The portion of the magnetic field extending away from the confines of the higher that connect be used for
imaging but can affect nearby or personnel is called:
-Fringe field
Treatment cancers using 10-15 kVp BEST describes which type of therapy machines
-Grenz Ray
Precautions to reduce the risks of ingestion of small fragments of cerrobend metal in a block cutting room
-practice Good hygiene: wash hands before eating, drinking, and smoking
A given depth, what is the resultant effect of the percentage depth dose?
-Increases with higher beam energies
356. In radiation therapy, the three planes in a patient: across the body, along the body in lateral view, and
along the body in anterior view are referred as
-Axial, Sagittal, and Coronal
An example of radiosensitizer
-Hydroxyurea
What is the equal to the ratio operating frequency and frequency bandwidth
- Transducer Quality Factor
Sonographic demonstration of a device of a double decidual sac, with or without fetal pole, strongly suggests
_____
- An Intrauterine Pregnancy
What anatomical landmark is used to differentiate the left medial segment to right anterior segment?
- Ligamentum Venosum (Fissure)
Pharmacokinetics
-absorb, distribute, metabolize, and eliminate drug (ADME)
Category of Penicillin
-natural drug
Pharmacodynamic
-how the drug affect the body at the molecular level
Pfiezoelectric Material
-Ceramics
A guide for determining the needed electron beam energy (in MeV) is to
- Multiply the maximum tissue dept in centimeter by 3
What is the estimated frequency of a sound waves with a wavelength of 5.2 meters if the velocity is 5.2km/s
- 1000 c/s
One of the acoustic parameters which determines the intensity of the ultrasound wave is
- Particle displacement
Shape of radioactive sources frequently used in tandems and ovoids in radiation therapy
- Tubes
Eye sonography
- 15MHz
What component of a computed tomography gantry is responsible for reducing to patient dose and enhancing
image contrast
- Collimator assembly
Which of the ff allows the continuous rotation of the xray tube and detectors
- Slip ring
Identify the components in a computed tomography that permits the gantry to rotate continuously allowing
helical scanning
- Slip ring
What indication written on the request for computed tomography of the neck will not be performed
- Polyps
Abdomen
- 12-24hours
Adjusting the compression on some ultrasound equipment will affect the ____ process
- Dynamic range
In an electron beam
- 20% isodose curve bulges out and 90%curve constrict
The CT generation that introduced the data acquisition scheme using a fan beam of xrays and a 360 degrees
rotation of xray tube and detectors
- Third
To beat visualize the prostate sonographically when performing transverse scan of the pelvis, the sonographer
should_____
- Angle the transducer 15 degrees caudad
Torniquet test
- Help to identify optimal vein by assessing its elasticity and refill time
r/o cholelithiasis
- A cavernous hemangioma
Which is the resultant refraction if the probe is positioned perpendicular to the interface
- Minimizing refraction
vertebral instability
-vertebroplasty
The time it takes for 63% of the transverse magnetization to recover in tissue
- T2 relaxation time
Control knob
- Output
Effective dose
- Sievert
Peter mansfield
- Discovery of the MRI principle
Where will the data from the computed tomography detectors are first sent?
- pre processor
What is the principal mechanism in the production of a magnetic resonance imaging signal?
- electromagnetic induction
What is the measure of the electric current density induced by transient magnetic fields?
- ampere per square centimeter
What is the approximate threshold in tesla per second for induction of magnetic phosphenes at low
frequencies?
-3
What is the chemical form resulting from Technetium 99m (Tc99m) eluted
from the Mo99/Tc99m generator?
- pertechnetate
What will be the resultant effect when one uses a low-energy collimator to
image a medium-energy isotope?
- decrease resolution
What is the coincidence resulting from two photons detected at the same time but originate from two
independent events in a positron emission Tomography (PET)?
- random
What is the most important consideration to avoid radiation-induced pneumonitis, in radiation therapy?
- total dose and also which portion of the lung was irradiated
What is a sonographic plane that is most comparable with cranial computed tomography?
- axial
What is the medium in which ultrasound moves with the highest velocity?
- bone
What is the most sensitive and specific noninvasive method in diagnosing mitral stenosis?
- echocardiography
In ultrasound, what is the factor that is unchanged or constant when a sound beam is refracted?
- frequency
What would likely result to the near field length if a transducer element diameter is doubled?
- quadrupled
What is the position that will show the portal vein as a circular anechoic structure on a sagittal scan?
- anterior to the inferior vena cava
What is the given point within the ultrasonic field, the ratio of pressure to particle velocity?
- impedance
What is the display that has little or no value when applied to real-time in ultrasound?
- A-mode
What is the major component of a magnetic resonance imaging unit in the scanning system?
- magnet
When is the BEST time to image the kidney using Technetium 99m dimercaptosuccinic acid (Tc99m DMSA)?
- 4 hours post injection
What is the immediate precautionary measure in the event of a spill of Technetium-99m (Tc-99m) to one’s
clothed?
- remove and store the clothes until radioactivity decays to background
What is the priority activity to perform if the radiopharmaceutical is spilled on the floor?
- cover area with absorbent paper and restrict access around it
What is the best way to decrease the radioactive dose to visitors if a post nuclear medicine procedure patient is
surveyed to emit 3 mR/hr at bedside?
- have the visitor sit or stand as far as possible from bedside
What is the reason why Technitium-99m pertechnetate is taken up by the thyroid gland?
- same ion size with Iodine
What is the compound coupled with Technitium-99m that are used to investigate the brain?
- HMPAO (Hexamethylpropyleneamine)
If there is an unknown radionuclide spilled on the countertop, what device will be utilized by the technologist
to identify what radionuclide was spilled?
- well counter
Which of the following phrases is not a critical factor in keeping radiation exposure to a minimum?
- geometry of container holding radiation source
What imaging modality would best demonstrate the posterior fossa, cerebellum, and brainstem?
- magnetic resonance
The daily photon output constancy on the linear accelerator (LINAC) should be within _____ percent of normal
limits.
-3
What is the primary reason why the use of betatrons in radiation therapy became unpopular?
- produce low dose rates and limited field sizes
What is the patient’s planes across the body, along the body in lateral view, and along the body in anterior view
as applied in radiation therapy?
- axial, sagittal, and coronal