EXTERNAL BEAM RADIOTHERAPY( EBRT)



Distant radiotherapy

 

1. What is the source of the Distant Gamma Therapy?

a. * Co -60

b.  I -131

c.  Au -198

 

2. Which isotope is using in Gamma EBRT

a. *Cs -137

b.  Au -198

c.  I – 131

 

3. What is the source-skin distance measurement  usually using

for the short distance radiotherapy :

a. * 1,5-30 cm

b.  10-30 cm

c.  5-50 cm

 

4. Which detail of the distant radiotherapy machine allowed reduce the radiation skin reaction :

a. *Filters

b.  Screens

c.  Bolus

5. What sources of ionizing radiation are using for the EBRT( distant radiotherapy:

a.  *Gamma Ray

b.  Alfa emission

c.  Beta emission

 

6. What sources of ionizing radiation are using for the EBRT( distant radiotherapy)

a. * X-Ray

b.  Beta emission

c. Alfa emission

 

7. Which types of ionizing radiation has been characterized by the Bragg peak?

a. * Proton beam

b.  Gamma Ray

c.  X-Ray

d.  Beta emission

 

8. Which types of ionizing radiation has been characterized by the Bragg peak?

a. *Fast moving subatomic particles

b.  Gamma Ray

c.  X-Ray

d. Beta emission

 

9. What is the skin tolerance dose on the Conventional fractional Gamma therapy coarse with 2 Cy single session

a. *50 -55 Gy

b.  20-25 Gy

c.  10-20 Gy

 

 

 

10. Which methods of irradiation are belong to the distant dynamic radiotherapy

a. *Tangential

b.  Multifilds

c.  Applicational

 

11. Which methods of irradiation are belong to the distant dynamic radiotherapy

a.  *Rotational

b.  Application

c.  Multifilds

 

12. Which methods of irradiation are belong to the distant dynamic radiotherapy:

a. * Sectoral

b.  Application

c.  Multifiled

 

13. What is usually using for dose-field  reformation

a. * Tissue-equivalent boluses

b.  Diaphragm

c. Radiation head

 

14. What is usually using for dose-field reformation

a. * Lead filters

b.  Diaphragm

c. Radiation head

 

15. What is the skin erytheme  dose on the Conventional fractional Gamma therapy

a. * 20-25 Gy

b.  40-50 Gy

c.  30 -35 Gy

 

 

16. What is usually using for reformation of the irregular skin field

a. *Lead screens block

b.  Discriminator

c.  Collimator

 

17. What is usually using for reformation of the irregular skin field

a. *Tungsten screen block

b.   Discriminator

c. Filter

 

18.  Which prevalence of the neutron beam therapy is using for the high radioresistant tumor and tumor relapse treatment?

a.  *Absent of Oxygen effect

b.  Absent of the particles charging

c.  High LET ( linear energy transfer )

 

19. What is the source- skin distance for the far distant radiotherapy

a. * 30 cm- 1,5-4 m

b.  1-50 cm

c.  1,5 cm-1,5 m

 

20. What is the skin dose on the Conventional fractional Gamma therapy for dry radioepydermitis development:

a. *30 -35 Gy

b.  20-25 Gy

c.  40-45 Gy

 

21. In which methods of radiotherapy the patient’s integral dose is minimal “

a. * Convergent

b.  Tangential

c.  Rotational

 

22.  

 

23. What is the treatment of the patient with diagnosis not small cells lung cancer II stage

a.  * Combined radiotherapy

b.  Surgical intervention

c.   Complex radiotherapy

 

24. What is the treatment of the patient with diagnosis not small cells lung cancer III stage

a. * Complex radiotherapy

b.  Surgical intervention

c.  Combined radiotherapy

 

25. What is the treatment of the patient with diagnosis small cells lung cancer II stage

a.  * Combined radiotherapy

b.  Chemo surgical therapy

c.   Chemo radiotherapy

 

26. What is the treatment of the patient with diagnosis small cells lung cancer II stage

a. *Combined radiotherapy

b. Chemotherapy, surgery

c. Radhiochemotherapy

 

27. What is the treatment of the patient with diagnosis small cells lung cancer III stage

a. *Chemoradiotherapy

b.  Combined

c.  Chemo-Surgical treatment

 

28. What is the Radiotherapy method using for Breast cancer treatment?

a. *Distant (EBRT)

b. Contact Beta therapy

c.  Method of selective radionuclide accumulation

 

29. What is the method of radiotherapy  using for Breast cancer

a. *Electrontherapy

b.  Contact beta therapy

c.  Selective radionuclide accumulation

 

30. What kind of treatment is using for Breast cancer in situ patient

a. * Surgical intervention

b.   Combined method of radiotherapy

c.  Complex method of radiotherapy

 

31. What treatment is usually using for the patient with diagnosis Breast cancer II stage

a. * Combined radiotherapy

b.  Surgical intervention

c.  Complex radiotherapy

 

32. What treatment is usually using for the patient with diagnosis :cancer of esophagus I-III stage

a. *Distant Gamma therapy ( EBRT)

b.  Interstitial beta therapy

c.  Distant X-Ray therapy

 

33. What treatment is usually using for the patient with diagnosis: cancer of esophagus I-III stage

a. *United radiation therapy (External beam and intracavitary irradiation )

b. Interstitial beta therapy

c.  Distant X-Ray therapy

 

34. What treatment is usually using for the patient with diagnosis: cancer of esophagus I-III stage

a. *Combined radiotherapy

b.  Interstitial beta therapy

c. United radiation therapy (External beam and intracavitary irradiation

 

35. What treatment is usually using for the patient with diagnosis: cancer of esophagus IV stage

a. *Palliative radiotherapy

b. United radiation therapy (External beam and intracavitary irradiation

c. Combined radiotherapy

 

36.  In which stage of the Gastric cancer preoperational radiotherapy should be done?

a.  * Patient with II –III stage of the gastric cancer

b.  Patient with II stage of gastric cancer

c.  Patient with VI stage of gastric cancer

 

37.  What kind of radiotherapy should be used to prevention of development of the liver metastasis at the patient with gastric cancer?

a. *Radionuclide therapy with Au -198

b.  Distant X-Ray therapy of the liver

c.   United radiotherapy ( distant Gamma Ray and intracavitary Gamma therapy)

 

38. How many skin ports should be used for the patients with diagnosis of gastric cancer radiotherapy

a. * 2-3 skin ports

b.  Single skin port

c.  4-5 skin’s ports

 

39. What kind of the radiotherapy should be used for patient with diagnosis

Colorectal cancer 0 stage?

a. * Transrectal tumor resection

b.  Combined radiotherapy

c. United radiotherapy ( distant Gamma Ray and intracavitary Gamma therapy)

40. What kind of the radiotherapy should be used for patient with diagnosis

Colorectal cancer  II stage?

a. * Combined radiotherapy

b. Transrectal tumor resection

c. United radiotherapy ( distant Gamma Ray and intracavitary Gamma therapy)

41.      

 

42.  What kind of the radiotherapy should be used for patient with diagnosis cervix cancer in situ

a. * Surgical intervention

b. Combined radiotherapy

c. United radiotherapy ( distant Gamma Ray and intracavitary Gamma therapy)

d.  Palliative distant Gamma therapy

 

43. What kind of the radiotherapy should be used for patient with diagnosis cervix cancer in I stage

a. * Combined radiotherapy

b.  Surgical intervention

c. United radiotherapy ( distant Gamma Ray and intracavitary Gamma therapy)

d. Palliative distant Gamma therapy

 

44. What kind of the radiotherapy should be used for patient with diagnosis cervix cancer in II stage

a. * United radiotherapy ( distant Gamma Ray and intracavitary Gamma therapy)

b. Combined radiotherapy

c.  Surgical intervention

d. Palliative distant Gamma therapy

 

45. What kind of the radiotherapy should be used for patient with diagnosis cervix cancer in IV stage

a. *Palliative distant Gamma therapy

b. United radiotherapy ( distant Gamma Ray and intracavitary Gamma therapy)

c. Surgical intervention

d. Combined radiotherapy

 

46. What kind of the radiotherapy should be used for patient with diagnosis cervix cancer in III stage

a. * United radiotherapy ( distant Gamma Ray and intracavitary Gamma therapy)

b. Combined radiotherapy

c. Surgical intervention

d. Palliative distant Gamma therap

 

 

INTERNAL RADIATION THERAPY

BRACHYTHERAPY

 

1.  What types of radiopharmaceuticals are using for the interstitial Gamma therapy?

a. *All mentioned

b.  Open radiopharmaceuticals

c. Closed radiopharmaceuticals

 

2. What property of the radionuclide is using in the radioisotope imaging?

a. *High specificity for the organ

b. Good solubility

c. Short half-life

 

3. Which methods of radiotherapy belong to brachytherapy

a.  * Intracavitary

b.  United radiotherapy

c. Dynamic radiotherapy

 

 

4. What is source of Gamma – Ray :

a. *Co 60

b.  P 32

c. Tl 204

d. Au 198

 

5. Application beta therapy is using for cancer treatment with superficial localization in the skin and mucosa with the deep infiltration of the surrounded tissue. What is the penetration ability for the beta source?

a. * 1-2 mm

b.  2,5-3 mm

c.  3,1-3,5 mm

 

6. What source of the radiation is using for the interstitial radiotherapy?

a.  *Closed

b.  X-Ray

 

7. What is the early radiation skin lesion?

a. *Bullous edema and early radiation ulceration

b. Erythema

c. Dry radioepidermitis

d. Wet radioepidermitis

e.  Epillation in the field of irradiation

 

8. What is the source-skin distance for short focus X-Ray therapy?(RUM -7 machine)

a. * 7,5 cm

b.  5 cm

c.  15 cm

9.  

     

10. Which condition has no contra indication for the radioisotope treatment by I 131?

a. *Thyrotoxicosis

b.  Pregnancy and lactation

c.  Nodular goiter

d.  Child and teenager

 

11. Cervix cancer II stage is treated by the chart:

a.  * External Gamma therapy TFD is 40 -42Gy

Internal Gamma therapy TFD is 12,5Gy

b.     External Gamma therapy TFD is 40 -42Gy

Internal Gamma therapy TFD is 10, 5Gy

c.      External Gamma therapy TFD is 40 -42Gy

Internal Gamma therapy TFD is 13, 5Gy

 

 

12. Which radiopharmaceutical is using for interstitial beta therapy?

a. *Cyrconium phosphate

b.  P -32

c.  Ir 192

d.  Co-60

 

13. Persistent radiotherapy can be done by the:

a. *Application radiotherapy

b.  Short focus radiotherapy

c.  Distant radiotherapy

 

14. What method of radiotherapy is using for hyperkeratosis treatment?

a. * Application beta therapy

b.  Application Gamma therapy

c.  Interstitial Alfa therapy

 

15. What source is using for intracavitary gamma therapy?

a. *All mentioned

b.  Open sources

c.  Closed sources

16.   

  

17. Application Gamma therapy with source of low activity is using for superficial tumors with underlying tissue infiltration treatment. What is the penetration ability for this source?

a. * 1,0-1,5 cm

b.   0,5-0,9 cm

c.   1,6-2,1 cm

d.   2,1-2,5 cm

 

18. What type of the radiotherapy is using for corneal tumor treatment?

a. * Application beta therapy

b.  Application Gamma therapy

c.  Interstitial Gamma therapy

 

19. What diameter of the superficially located tumor can be treated with interstitial Gamma therapy?

a. *Not more than 5 cm

b.  Not more than 2 cm

c.  Not more than 7 cm

 

20.  When the early radiation reaction will appear?

a. *Reaction which are appears in time of radiotherapy or in closed 3 month after radiotherapy

b.  Reaction which are appears in time of radiotherapy or in 3 day till 3 weeks after complete of radiotherapy

c.   Reaction which are appears in3 days till 3 month after radiotherapy

 

21. What is the limitation for the patients traveling, who is treating with interstitial radiotherapy?

a. *Patient’s traveling  is limited by the word “active “room

b.  Bed rest

c.  No limitation

 

 

22. What is the beta source, usually using for contact radiotherapy

a. *Au 198

b. Co 60

c. Ir 192

23.  

 

24. What is the treatment of the patient with diagnosis: Thyrotoxicosis mid stage?

a. *2,5 -3,0 MBq I -131 per 1 g glandular tissue

b.  3.0 -3,5 MBq I- 131 per 1 g glandular tissue

c.   3,5-4.0 MBq I- 131 per 1 g glandular tissue

 

25.  What is the treatment of the Cervix cancer II stage

a. * United radiotherapy

b.  Complex radiotherapy

c.  Distant ( EBRT)Radiotherapy

d. Intracavitary radiotherapy

 

26. What is the radiopharmaceuticals is usually using for interstitial beta therapy?

a. *Y-90 sylicate

b.  P -32

c.  Ir -192

d.  Co -60

 

 

27. Persistent irradiation can be performed by the :

a. *Incorporated  source radiotherapy

b.  Short distance ( EBRT) radiotherapy

c.  Long distance (EBRT) radiotherapy

 

28. Which method from all mentioned is belong to contact radiotherapy ( brachytherapy)?

a. * Application radiotherapy

b.  Dynamic distant radiotherapy ( dynamic EBRT)

 

29. What method of irradiation is using at interstitial radiotherapy?

a. *Persistent radiotherapy

b.  Conventional , fractionation radiotherapy

 

30. What is the source for the intracavitary radiotherapy?

a.  * All mentioned

b.  Open sources

c.  Cover sources

 

31. Application Gamma therapy by the sources of small activity is usually using for superficial tumors with underlying tissue infiltration treatment. What is the penetration ability for this source?

a. * Not more the 1,0-1,5 cm

b.  Not more than 0,5-0,9 cm

c.  Not more than 1,6-2,0 cm

d.  Not more than 2,1-2,5 cm

 

32. Choose the method of persistent radiotherapy:

a. * Intracavitary radiotherapy

b.  Short distance ( EBRT) radiotherapy

c.  Long distance (EBRT) radiotherapy

 

33. What is the limitation of the patients traveling, who is treating with the contact radiotherapy?

a. *Patient’s traveling l is limited by the word “active “room

b.  No limitation

 

34. What the radiopharmaceuticals are usually using for interstitial beta therapy?

a. * Au 198

b.  Ir 192

c.  P -32

d.  Co 60

 

35. What is the radio isotope is using for interstitial Gamma therapy?

a. * Co 60

b.  Y -90 silicate

c.  Chrome phosphate

d. Au 198

 

36. Choose the correct definition of common radiation reaction:

a. *It is complex of common and local reaction, which arise by the irradiation effects and can be reversed

b.  It is complex of irreversible pathological conditions which arise by the irradiation effects

c.  It is complex of common and local reaction, which arise by the irradiation and needs special treatment

 

37. What type of the radiotherapy is using for multiple bones metastasis treatment?

a. *Complex radiotherapy

b.  Long distance Gamma therapy

c.  Contact radiotherapy

 

38. What is the method of radiotherapy for Thyrotoxicosis treatment?

a. *Radio isotope with I -131

b.  Application radiotherapy

c.  Intracavitary radiotherapy

d.  Radio surgery

39.   

           

40. What is the source of beta emission is using for contact radiotherapy

a. * P – 32

b.  Co -60

c.  Ir -192

41.   

42.

43. What is the source of Gamma Ray?

a. * Ir 192

b. Au 198

c. Tl -204

d. P 32

e.


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