clinic 1 practice test questions

a pt’s diameter at central axis is 23cm, and the isocenter has been placed for an anterior/posterior only tx plan. the field size is 14×10

is 10 the length or width

length

what is the distance to isocenter

100cm

what does SSD stand for and what tx type is it used on

source to skin distance; electron only

what does SAD stand for

source to axis distance

what is used for the source to isocenter

SAD

what tx types can you use SSD on

electron or photon

what is the purpose of the prone belly board

let abdomen fall through

what part of the body gets out of the way on the prone belly board

small bowel

what is the term that clicks stuff on the couch

indexing

what is the name of the noun of the board that goes on the couch

s-frame

pt is prone, head toward gantry. Post port is at 0 degrees and gantry rotates clockwise. What would you call the port at 230 degrees

left anterior oblique

what does ODI stand for

optical distance indicator

what is the grade of a tumor

the tumor’s aggressiveness

which statement is not true about attendance while in this program

if you are absent from clinic 4 times during the semester, you will have an 8 point deduction from your final clinic grade

where is the thicker part of the foot

heel

write the answer in the correct format:

worse case scenario for nodes

not known if there is metastatic disease

best case scenario of tumor

T0, N4, MX

if this field is shaped by a cerrobend block, would you say it is a positive or negative block

negative

what can a pendant do

can change jaws, move couch, move gantry angle

what gleason score would you want

2 + 5

what does HIPAA stand for

health insurance portability and accountability act

how many comps must you complete during this semester

16

how many clinical rotations will have during this program

8

how many Tri-semester evals will have in spring do you have

3

how many case studies in the fall do you have

3

how many times do you ask the friday question

every friday

what is the first blood component to respond to tx with radiation by showing a drop in counts

white blood cells

what is anorexia

loss of appetite

what is cachexia

wasting away

the pt is prone with their feet first (at gantry), post port is at 0 degrees and gantry rotates clockwise. What would you call the port at 230 degrees?

right anterior oblique

what does ODI stand for

optical distance indicator

what does IFD stand for

intrafield diameter

what is another word for IFD

seperation

what does prophylactic mean

to prevent disease

what does anaplastic mean

not resembling; undifferentiated

what does in situ mean

pre-invasive stage of a tumor

what does unilateral mean

same side

what does dyspnea mean

difficulty breathing

what does palliative mean

treatment given to patients for comfort and to improve their quality of life

what does Horner’s syndrome suggest 

pancoast tumor

what are the 3 signs of horner’s syndrome

constricted pupil, loss of facial sweating, drooping of upper eyelid

does side effects of tx end as soon as tx ends (yes or no)

no

a 10×10 field size for an SAD tx technique means the field size exiting pt will be something smaller than 10×10 (yes or no)

no

should weight be checked weekly on most pts (yes or no)

yes

non-coplanar means done with IMRT (yes or no)

no

the E head rest tilts the head back more than C head rest (yes or no)

yes

pelvic exams are typically done with the pt in lithotomy position (yes or no)

yes

what info would you expect to learn from the term grade

tumor’s aggressiveness

what info would you expect to learn from the term stage

anatomic extent of the tumor

what are the 4 components of cerrobend

bismuth, lead, tin, cadium

which component of cerrobend is the most hazardous

cadium

what is the purpose of the device that goes across pt abdomen

control pt breathing

if the pt is being treated with anterior/posterior ports, and the distance from iso to table top is 12.5. The ODI readout on anterior is 90.5. what is the pt’s diameter

22cm

the supine pt is being treated with anterior, posterior, and left/right lateral ports. the physician wants isocenter moved 1 cm posteriorly.

• will the anterior depth increase, decrease, or stay the same

increase

the supine pt is being treated with anterior, posterior, and left/right lateral ports. the physcian wants isocenter moved 1 cm posteriorly.

• will the distance to iso anteriorly increase, decrease, or stay the same

stays the same

the supine pt is being treated with anterior, posterior, and left/right lateral ports. the physcian wants isocenter moved 1 cm posteriorly.

• will the posterior SSD increase, decrease, or stay the same

decrease

the supine pt is being treated with anterior, posterior, and left/right lateral ports. the physcian wants isocenter moved 1 cm posteriorly.

• will the field size at iso increase, decrease, or stay the same

stays the same

the supine pt is being treated with anterior, posterior, and left/right lateral ports. the physcian wants isocenter moved 1 cm posteriorly.

• will the right lateral SSD increase, decrease, or stay the same

stays the same

the supine pt is being treated with anterior, posterior, and left/right lateral ports. the physcian wants isocenter moved 1 cm posteriorly.

• which table position will change with this adjustment to the field

table raises up

if BID tx are being given, and the first tx is at 8am, when should the 2nd tx be given?

after 2pm, bc it needs to be given 6hrs later

what is the difference in machine parameter/function (jaw, mlcs, etc) being static vs dynamic

static means it does not move, dynamic means it is moving

if dosimetry sends word to the therapist that the lateral ports on a pt in supine position, it needed to be moved anteriorly 1cm, how would you adjust the PSA?

move the table down

what is the most common total daily dose seen in clinic

180cGy

what does a gleason grade 5/5 mean to you

a very high risk (total is 10) highest score and primary score combined

if the field size is set for an SSD setup technique for an ant/posterior plan, what will the field size be on the skin

12 × 8

the pt is supine. the physician reviews images and request that iso needs to be shifted 3cm anterior

• will the anterior SSD increase, decrease, or stay the same

increase

the pt is supine. the physician reviews images and request that iso needs to be shifted 3cm anterior

• will the field size (ant) on the skin increase, decrease, or stay the same

increase

the pt is supine. the physician reviews images and request that iso needs to be shifted 3cm anterior

• will the field size in iso increase, decrease, or stay the same

stay the same

define TD5/5

a chart that list the critical structures of treatment and the total dose that can get given to them with the results of 5% complications given after 5 years of tx

what would the pack year history be if I smoked 1.5 pack of cigs for 40 years

60 years

if you arrive at your clinical assignment at 8:05am, what time do you sign in

right when you get inside the department at 8:05am

how does the breathing cube technology benefit the pt

it tracks their breathings and when they hold their breath so the therapist knows when to beam on and can help to reduce dose to certain structures by holding their breath

what purpose does a bolus serve

brings dose closer to the skin and reduces skin sparing/build up region

the pt is supine, at what gantry angles are these two ports being treated

0 and 90

list a treatment site that grade is the primary site of disease where this is most important in the prognosis

prostate, lung, brain

what does en face mean to you

facing each other

what is the pathology for penile

squamous

what is the pathology for cervical

squamous

what is the pathology for endometrial

adenocarinoma

what is the pathology for bladder

transitional cell

what is the pathology for lung

adenocarcinoma

what does IFD stand for

intrafield diameter

what is the pts primary diagnosis for testicular cancer

seminoma

the pt is prone and their feet is at the gantry. the post port is at 0 degrees and rotates clockwise. what would you call the port at 70 degrees

left posterior oblique

what do you call this condition, sometimes seen in therapy pts (superficial veins on nose)

telangiectasis

what answers “how aggressive is the tumor”

grade

what is the best case scenario for nodes, not known if there is mets, worse case for tumor

T4, N0, MX

what is the difference in a machine parameter/function

jaw, gantry

what is the first blood component to respond to treatment with radiation by showing a drop in counts

white blood cells

what is the first chemo respond that drops

white blood cells

name at least 3 nodal groups that are seen in the images

common iliac, external iliac, internal iliac

name three different scenarios where you might expect the prescription to be “total dose of 3000cGy”

spinal cord compression, vertebral body mets, brain mets, testicular

name three major pieces shown in this picture

tanden, ring, rectal paddle

what is the whole abdomen port dose

2300

what is the whole abdomen port dose for when their is a reduction

1700/1800

What would you expect caused this condition (swollen arm of baby)

lymphedema

name 2 factors that increases your risk of having an adverse reaction

poor kidney function, high creatine level, prior reaction, allergies, over 50 years of age

4 components of this block and the most hazardous

bismuth, lead, tin, cadmium; cadmium

what is the name and purpose of this device

jump rope and it pulls the shoulders down

what does cachexia mean

wasting away

what does anorexia mean

loss of appetite