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
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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
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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
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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
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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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