Quiz Mock Exam 3 - Ungraded - Requires Respondus Lockdown Browser Webcam

10/17/23, 8:43 AM Quiz: Mock Exam #3 - Ungraded - Requires Respondus LockDown Browser + Webcam
Mock Exam #3 - Ungraded - Requires Respondus

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 This is a preview of the published version of the quiz
Started: Oct 17 at 7:43am
Quiz Instructions
You have 3 hours and 50 minutes to answer 155 multiple choice questions. Have a calculator available
and be aware of the time.
Question 1 1 pts
Tissue tolerance dose, TD5/5, depends on:
volume irradiated and dose per fraction
max pixel dose to organ and total treatment time
dose per fraction and position of organ in body
tumor dose and cell type
Question 2 1 pts
In the small volume treatment of bladder cancer with radiation therapy, the patient
should be treated with:
a full bladder in order to spare as much small bowel as possible
a full bladder in order to spread the dose evenly to the tumor
an empty bladder in order to encompass tumor with reproducibility
an empty bladder in order to minimize bleeding complications
https://uwlac.instructure.com/courses/629371/quizzes/1385319/take?preview=1 1/60
the rectum empty
Question 3 1 pts
According to the TG-51 protocol, the calibration of a high-energy photon beam using
an ion chamber is done:
in air with the chamber at isocenter
in a water phantom at dmax depth
in a water phantom at 10 cm depth
in a water-equivalent phantom at dmax depth
in a water phantom at 15 cm depth
Question 4 1 pts
Which of the following describes the total energy absorbed in a treated volume?
absorbed dose
exposure
dose maximum
integral dose
Question 5 1 pts
A build-up cap for an ionization chamber:
is used to protect the chamber from mechanical damage
should be made of a high Z material
prevents stem leakage
corrects for perturbations in the beam
must be thick enough to provide, along with the chamber wall, electronic equilibrium
Question 6 1 pts
The exposure or exposure rate in air is converted to dose or dose rate in a medium
using the:
stopping-power ratio
W-quantity
f-factor
exposure calibration factor, Nx
G-value
Question 7 1 pts
At Co-60 or high energy, a build-up cap around an ion chamber is required to:
protect the ion chamber
improve the ion collection efficiency
satisfy the condition of "electronic equilibrium"
eliminate stem effect
eliminate the ion chamber leakage
Question 8 1 pts
Aeq is a correction factor for the:
ion-chamber leakage
ion-recombination loss
attenuation of the beam in air
attenuation of the beam in the build-up cap and the chamber wall
scattering of the beam in air
Question 9 1 pts
According to the TG-51 protocol, the electron beams are calibrated with an ion
chamber:
at a depth of 5 cm in a water phantom
at a depth of 5 cm in a water-equivalent phantom
at a depth of dmax in a water phantom
in air at 100 cm from the source
in water at a reference depth determined by the 50% depth dose
Question 10 1 pts
A patient is treated at 100 cm SAD with 6MV photons on a linear accelerator. The
machine breaks down and the patient is moved to an 18MV linear accelerator, 100
cm SAD. To ensure that the patient is properly treated, the medical dosimetrist should
consider doing which of the following?
recalculate the monitor units
define new field sizes
decrease treatment dose for that day
add bolus to decrease beam penetration
All are correct
Question 11 1 pts
Electron arc therapy is most useful for treating tumors of the:
pituitary
prostate
chest wall
pancreas
brain
Question 12 1 pts
Radiographs that are generated from CT data in a plane perpendicular to the central
axis of a simulated beam and used as reference images for verification of a
computer-designed treatment are referred to as:
portal images
DRR's
DVH's
MLC portals
computer radiographs
Question 13 1 pts
When treating with an electron field, which of the following materials is NOT a suitable
option to dissipate the effect of electron backscatter?
a bolus material placed between the internal lead shield and the preceding tissue
dental acrylic encompassing lead used for internal shielding
a high atomic number (z) material around any lead used for internal shielding
an aluminum sheath around any lead used for internal shielding
Question 14 1 pts
Stereotactic radiosurgery can be performed using which of the following radiation

types?
photons only
photons and electrons
protons, electrons, and gamma rays
protons, gamma rays, and photons
Question 15 1 pts
To minimize electron contamination, the minimum distance between a wedge or

compensator and the patient surface is:
no gap or direct contact
5 cm
15 cm
50 cm
Question 16 1 pts
The Bragg-Gray relationship relates the dose at a point in a medium to:
a light output from TLD
a temperature change produced in a calorimeter
the charge liberated in the gas of an ion chamber
a ferric ion concentration produced in a Fricke dosimeter
a silver ion concentration on a film
Question 17 1 pts
When treating a breast tumor, scattered dose to the opposite breast can be reduced
by:
using a beam splitter in the tangential fields
adding bolus to the treated breast
reducing the amount of lung in the tangential fields
eliminating the wedge in the medial field
Question 18 1 pts
The exposure calibration factor, Nx, for a calibration instrument, is expressed in:
cGy/Coulomb
R/Coulomb
ergs/Coulomb
volt/Coulomb
eV/Coulomb
Question 19 1 pts
A patient with a H & N cancer is being treated with 10 MV x-rays. A beam spoiler is
being used to increase the dose to the superficial nodes. Which of the following
statements concerning the effects of the beam spoiler is/are correct?
surface dose decreases with decreasing spoiler-to surface distance
surface dose increases as the thickness of the spoiler is increased from 1cm to 2cm
the point of maximum dose buildup moves closer to the surface with increasing spoiler-to-
surface distance
the beam spoiler becomes the principal source of heavy particle contamination of the beam
Question 20 1 pts
Which of the following statements concerning wedge fields is correct?
the wedge causes an isodose curve tilt towards the toe
the wedge angle increases with increasing hinge angle
the wedge helps to soften the beam by reducing hot spots
the maximum dose for a single beam occurs at dmax on the central axis
Question 21 1 pts
The most important step in the implementation of an electronic medical chart is:
configuration
data gathering
problem-solving
staff education
Question 22 1 pts
When treating carcinoma of the bladder, the superior border of the radiation field
usually does NOT extend superior to S-1. This is to reduce toxicity to the:
kidney
ureters
lumbar spine
pelvic crest
small bowel
Question 23 1 pts
Figure 3 shown represents a single-field isodose distribution as the beam traverses

through:
bone
full thickness block
soft tissue only
partial transmission block
lung
Question 24 1 pts
In the 3-field treatment of the pelvis (anterior and 2 posterior obliques) an increase in
the angle between the wedge fields would:
increase the dose to the rectum, but decrease the dose to the femoral heads
decrease the dose to the rectum, and decrease the dose to the femoral heads
increase the dose to the rectum, and increase the dose to the femoral heads
decrease the dose to the rectum, but increase the dose to the femoral heads
not affect the dose to the rectum, but would decrease the dose to the femoral heads
Question 25 1 pts
The wavelengths of ultrasound are:
greater than those of x-rays
less than those of x-rays
less than those of visible light
less than those of microwaves
Question 26 1 pts
Bladder cancers are mostly of what histology?
squamous cell
adenocarcinoma
transitional cell
small cell
Question 27 1 pts
A Farmer-type chamber used for exposure or air kerma measurements in a hospital

must have:
air equivalent wall
water equivalent wall
tissue equivalent wall
high Z wall
Question 28 1 pts
What is the most helpful tool in diagnosing prostate cancer?
PLA
PGA
PSB
PSA
Question 29 1 pts
The initial dose rate at a point in tissue from a permanent seed implant with I-125 is 8
cGy/hr. The total dose at the same point will be _____ cGy.
690
7980
11,500
16,600
18,000
Question 30 1 pts
When considering endometrial cancer, which of the following are one of the lymph
nodes groups at risk?
inguinal
femoral
cervical
common iliac
Question 31 1 pts
What radioactive source is commonly used to prevent vascular restenosis after stent
placement?
Iridium-192
Iodine-125
Palladium-103
Cesium-137
Question 32 1 pts
The difference between exposure and dose is the difference between:
the rad and the gray
absorption of ionizing radiation and biological effect
photons and charged particles
ionization in air and absorption in a medium
ionizing and non-ionizing radiation
Question 33 1 pts
The most prevalent sanctuary sites for Acute Lymphoblastic leukemia are:
CNS & spleen
spleen & testes
lymph nodes & bone marrow
CNS & testes
Question 34 1 pts
The mean lethal dose (MLD) is defined as dose to:
reduce the survival fraction to 37% of the original value (in the exponential region)
kill the whole cell population irradiated
reduce the survival fraction to 10% of the original value
kill all cancer cells
Question 35 1 pts
Which of the following statements is TRUE regarding the quasithreshold dose (Dq) on
a cell survival curve?
It is also known as the “sublethal” dose
It is the dose at which survival becomes exponential
It is determined by the intersection of extrapolated lines from the SF of 1 and target number
(n)
All of the above are true
Question 36 1 pts
The TD5/5 for the whole lung is 3000 cGy.
True
False
Question 37 1 pts
In an isocentric treatment, 100 SAD, the anterior SSD is 88 cm. The tumor depth is:
10
12
16
Question 38 1 pts
Match acute whole body irradiation doses with its correct syndrome.
10 - 50 Gy - death in 3 days
[ Choose ]
> 50 Gy - death in < 3 days

[ Choose ]
1 -10 Gy - death in 3 weeks

[ Choose ]
Question 39 1 pts
The exposure rate on the surface of source transport containers (used for
transporting source from prep room to administration room) should not be more than
about:
1 mR/h
10 mR/h
1 R/h
none of the answers are correct
Question 40 1 pts
A Manchester type implant requires 250 mg-hr per 1000cGy. The treatment time to
deliver 5000 cGy using 15.5 mg of Radium is _____ hours.
95.6 hours
50.8 hours
25.6 hours
80.6 hours
Question 41 1 pts
PET images are made by detection of:
positrons emitted from the isotope
x-rays created in an annilihation reaction
gamma rays produced by radioactive decay
characteristic photons emitted by the isotope
Question 42 1 pts
A dosimeter of adequate sensitivity, accuracy, and simplicity for the calibration of

brachytherapy sources in terms of AKS is:
the Farmer chamber
film
a well-type ionization chamber
a parallel plate chamber
Question 43 1 pts
Discrete brachytherapy sources must be leak-tested:
only once
once a month
semiannually
annually
Question 44 1 pts
Which of the following can be used to reconstruct the three-dimensional positions of a

set of implanted brachytherapy sources for dosimetry puposes?
stereo-shift films
a fluoroscopic image
oblique orthogonal films
all of the answers are correct
Question 45 1 pts
For the same geometry and effective dose at Point A, high dose rate treatment of the
cervix would be expected to give increased rectal complications. Rectal problems are
reduced in HDR treatments by:
reducing the activity in the colpostats
fractionating the HDR treatment
reducing the activity in the proximal end of the tandem
inserting a lead shield into the rectum
all are correct

Question 46 1 pts
When designing a whole abdomen treatment plan to 35 Gy, which of the following
organs need to be protected so as not to exceed their tolerance dose?
kidney
heart
stomach
small intestine
Question 47 1 pts
In treatment of the cervix, Point B which defines dose to the pelvic nodes can be
found:
2 cm superior from the top of the ovoids and 5 cm lateral from the tandem
2 cm superior from the center of the ovoids and 5 cm lateral from the tandem
2 cm superior from the top of the ovoids and 5 cm lateral from the mid-plane of the body
2 cm superior from the center of the ovoids and 5 cm lateral from the mid-plane of the body
Question 48 1 pts
The dose rate in tissue at 2.0 cm from a 1.0 mg point source of radium is:
0.4 cGy/min
1.97 cGy/hr
8.25 cGy/hr
0.79 cGy/hr
1.6 cGy/min
Question 49 1 pts
A Paterson-Parker distribution requires 235 mg-hr per 1000 R. The treatment time to
deliver 5000 R using 15.5 mg of radium is ______ hours.
25.6
50.8
75.8
95.6
100
Question 50 1 pts
What communication standards are shaped by a joint committee of the National

Electronic Manufacturers Association (NEMA) and the American College of Radiology
(ACR)?
data entry
DICOM
HL7
HIPAA
Question 51 1 pts
How much Co-60 is equivalent in radiation level to 10 mCi of Ra-226? [Exposure rate
constant Co-60= 13.07]
6.3 mCi
.063 mCi
.63 mCi
63 mCi
Question 52 1 pts
1 mg Ra (0.5 mm Pt filtration) gives an exposure rate of 8.25 R/h @1 cm. The

strength of a Ra substitute is 2 mg Radium equivalent. It gives an exposure rate at 1
cm of:
8.25 R/hr
16.5 R/hr
4.12 R/hr
none of the choices are correct
Question 53 1 pts
After removing the sources from a brachytherapy patient:
the patient must be surveyed using a survey meter
the source container must be surveyed, after sources are replaced in storage
the room must be surveyed
source inventory must be updated to show that sources have been returned to storage

Question 54 1 pts
The constancy of linac output, when checked daily for photon and electron beams,
compared to benchmark values established during commissioning, must be within:
plus/minus 1%
plus/minus 3%
plus/minus 5%
Question 55 1 pts
The TD5/5 for the whole liver is 3000 cGy.
True
False
Question 56 1 pts
The symmetry and flatness of the clinical photon beam can be checked using:
film
calorimeter
rem ball
electrometer
Question 57 1 pts
According to TG-142, the tolerance for localizing lasers for SBRT treatments is:
< +/- 1mm
+/- 1mm
+/- 2mm
+/- 3mm
Question 58 1 pts
Gadolineum is:
unaffected by magnetic fields
a ferromagnetic material
useful as a contrast agent for MRI imaging
a material used in coil construction
Question 59 1 pts
Co-60 beam output must be checked:
daily
weekly
monthly
annually
Question 60 1 pts
Which of the following must be performed as a pretreatment safety check for an HDR
unit?
full source calibration
AKS of the source verification
mechanical integrity check of applicators
radiochromic source inspection
Question 61 1 pts
The full calibration of the beam must be carried out:
daily
weekly
monthly
annually
Question 62 1 pts
Dose calculation algorithms can be separated into three categories which include all
the following except:
correction based
modified computational based
model based
direct Monte Carlo
Question 63 1 pts
During QA tests on linacs, beam symmetry and flatness can be checked using
several different methods. However, the baseline data measured during acceptance
testing of the new linac must be measured with:
film exposed parallel to the beam axis and evaluated using a scanning densitometer
an array of diodes providing a real-time display of the dose profile
a small volume ion chamber scanned across a water tank
a calibrated thimble chamber with a build-up cap exposed in air at 1cm intervals across the
beam at the level of the isocenter
Question 64 1 pts
According to the AAPM quality assurance report TG-142, what is the frequency and
tolerance of the light and radiation field coincidence?
monthly, 2mm or 1% on a side
monthly, 5mm of 2% on a side
annually, 2mm or 1% on a side
annually, 5mm or 2% on a side
Question 65 1 pts
Match the following organization with its appropriate description:

the organization that represents the

[ Choose ]
medical dosimetry profession
the organization responsible for

[ Choose ]
credentialing medical dosimetry
the organization that fosters education

[ Choose ]
and professional development of
medical physicists
the organization that is devoted

[ Choose ]
exclusively to professional activities of
medical physics and sponsors the
Board of Medical Physics
the organization responsible for

[ Choose ]
certification of radiation oncologists
and medical physicists
Question 66 1 pts
According to the Standards and Scope of Practice for Medical Dosimetrists, which of
the following procedures is not considered acceptable for a medical dosimetrist to
perform?
patient data acquisition
manual or computer-generated isodose plans
manual or computer-generated dose calculations
treatment unit calibrations
all options are within the Scope of Practice
Question 67 1 pts
A wall that separates the treatment room from the control panel must use which
fraction for occupancy in the shielding calculation?
1/8
1/4
1/2
Question 68 1 pts
The main magnet of an MRI uses:
a circular superconducting magnet
a semicircular strong magnet
a dipole ferromagnet
a superconducting 2 coil magnet
Question 69 1 pts
Because of the properties of the radiation detected in a PET scanner, it must have
a__________array of detectors.
linear
dual paired
convex
circular
Question 70 1 pts
The tangent fields shown below are aligned so that the medial field borders are non-
divergent. The medial tangent is located at an angle of 55 degrees. The field width is
16cm x 16 cm at 100 SAD. At approximately what angle will the opposing lateral
tangent be located?
253
244
226
217
Question 71 1 pts
The principle on which ultrasound transducers function is the:
inverse square law
acousto-electric effect
piezoelectric effect
Decibel effect
Question 72 1 pts
What radionuclide has a half-life of 17 days, emits an average photon energy of 21

keV, and decays by electron capture?
Iridium-192
Iodine-125
Cesium-137
Palladium-103
Question 73 1 pts
Do for an oxygenated tumor is 100 cGy. If OER for the tumor is 3, what is the Do of
the tumor under hypoxic conditions?
100
300
600
Question 74 1 pts
Magnetic fields will:
cause protons to start spinning
increase the rate of spin of a proton
decrese the rate of spin of a proton
change the direction of the long axis of a proton's spin
Question 75 1 pts
The resolution of PET images is approximately:
1mm
4mm
6mm
10mm
Question 76 1 pts
If a PTV volume measures 57cc and the prescription isodose volume measures 59
cc, the conformity index is:
0.96
1.01
1.03
1.05
Question 77 1 pts
What is an advantage of fusing CT images with PET images for treatment planning?
better localization of functional abnormalities
gives 3-dimensional information not available with PET alone
allows imaging of larger body sections
significantly reduces costs for the patient
Question 78 1 pts
The formula for calculating CT numbers is influenced by linear attenuation coefficients

of tissue and water.
True
False
Question 79 1 pts
The anterior and posterior skin surfaces seen on a lateral DRR of a patient's pelvis
will be accurately represented when isocenter of the beam is placed at the patient’s:
anterior surface
posterior surface
midline
carina
Question 80 1 pts
HL7 is responsible for developing standards for:
sharing image information
data entry
exchanging clinical data
security and privacy

Question 81 1 pts
When adding a 0.5 cm margin to all sides of a 15 x 15 cm field, the added area
equates to an additional:
15 cm squared
21.5 cm squared
25 cm squared
31 cm squared
Question 82 1 pts
ICRU-50 delineates target volumes by distinct boundaries. Which one is not part of
the ICRU-50 definition?
GTV
CTV
DTV
PTV
Question 83 1 pts
A wall in which radiation is directly aimed at in the simulator room is called a/an:
secondary barrier
primary barrier
occupancy barrier
radiation barrier
Question 84 1 pts
The binary value of 1101101001 represents what numerical value?
36
256
512
873
1101101001
Question 85 1 pts
In clinical photon beam therapy planning, the PTV is generally enclosed by which
isodose line?
99%
95%
80%
50%
Question 86 1 pts
According to ICRU-50, the following statement is correct:

CTV > PTV
ITV < CTV
treated volume > PTV
treated volume > irradiated volume
Question 87 1 pts
Simulation films, compared to port films, have:
poor quality
better quality
same quality
Question 88 1 pts
Match the different volumes to their definitions.
Gross Tumor Volume (GTV)

[ Choose ]
Clinical Target Volume(CTV)

[ Choose ]
Planning Target Volume (PTV)

[ Choose ]
Treatment Volume (TV)

[ Choose ]
Question 89 1 pts
Organs at risk (OAR) are the critical normal tissues or structures whose irradiation
may significantly influence the treatment plan or dose prescription.
True
False
Question 90 1 pts
Hardening of x-ray beams refers to using filters to produce a beam of:
greater intensity
lower average energy photons
higher average energy photons
Question 91 1 pts
The exposure rate at 1 meter around a patient with 100 mg.Ra.eq of Cs-137 with a
gynecological implant is approximately:
8.25 R/hr
8.25 mR/hr
82.5 mR/hr
82.5 mR/min
.825 R/hr
Question 92 1 pts
If a wedge angle were 50 degrees, what would be the hinge angle you would use to
try to get the best distribution using a wedge pair?
80 degrees
65 degrees
130 degrees
90 degrees
Question 93 1 pts
When preparing for a simulation, the following points are important:
the CT table top should be flat
the immobilization/accessory devices should have an electron density similar to water
all scans are to be acquired using an axial technqiue
the CT gantry should be tilted slightly to be perfectly perpendicular with the patient's body
Question 94 1 pts
CT gives:
good delineation of the periphery of the tumor
good spatial accuracy
good definition of bony structures
electron density data

Question 95 1 pts
MRI gives:
good delineation of soft tissue sarcomas
information only in axial plane
good definition of bony structures
electron density data
Question 96 1 pts
When considering a 100 SAD isocentric treatment, if a patient's anterior SSD

measures 86.5 cm and the posterior SSD measures 85.5 cm, what is the patient
separation?
14.5 cm
24 cm
28 cm
32 cm
Question 97 1 pts
All thermoplastic materials need a base plate support on table top. It is preferable to
have these plates made of:
high density materials
low density materials
non-tissue equivalent materials
carbon fiber materials
Question 98 1 pts
If a dosimetrist becomes pregnant, her fetus should not receive more than:
.05 rem per month
1 mSv per month
1 rem over the course of the pregnancy
50 mSv over the course of the pregnancy
Question 99 1 pts
Which energy of neutrons would have the highest weighting factor in regard to dose
equivalent?
10-100 keV
100 keV-2 Mev
2-20 Mev
> 20 Mev
Question 100 1 pts
In calculating shielding requirements, which of the following factors pertains to the

dose given (ie. # of patients x dose/patient at 1 meter)?
Use factor
Work load
Occupancy
Patient load
Question 101 1 pts
A cobalt-60 therapy source usually has a diameter of:
1-3 mm
3-5 mm
5-10 mm
10-20 mm
Question 102 1 pts
Regulations state that an uncontrolled area must not have radiation exposure in
excess of:
.001 rem/week
.01 rem/week
.1rem/week
1 rem/week
Question 103 1 pts
At what minimum photon energy does neutron contamination become clinically

significant?
6 MV
10 MV
15 MV
18 MV
Question 104 1 pts
Film badges for personnel dosimetry have a reliability of:
plus/minus 50%
plus/minus 30%
plus/minus 10%
plus/minus 1%
Question 105 1 pts
TMR is a special case of TPR where the reference depth = dmax.
True
False
Question 106 1 pts
In order to accelerate electrons, linear accelerators use:
ultrasound waves
electromagnetic waves
ultraviolet rays
low energy rays
Question 107 1 pts
Clarkson's method is used for:
dose calculation of a rectangle field
dose calculation of an irregular field
dose calculation of a circular field
dose calculation of a square field
Question 108 1 pts
A wedge transmission factor of 0.895 indicates an attenuation of the incident beam

by:
10.5%
50%
89.5%
100%
Question 109 1 pts
HTTP is the protocol used to view web pages.
True
False
Question 110 1 pts
Percent depth dose is significantly affected by:
field size, energy, SSD, and depth
only field size, SSD and depth
only energy, field size and depth
only energy, SSD, and depth
only field size, SSD, and energy
Question 111 1 pts
BSF is:
equal to the TAR at the dmax depth
dependent on the field size
dependent on the energy
independent of SSD
Question 112 1 pts
TMR and TAR are related as follows:
TMR = TAR x BSF
TMR = TAR/BSF
TMR = TAR/SAR
TMR = TAR/SMR
TMR = TAR x SMR
Question 113 1 pts
If the dose rate in free space at a distance of 80.5cm is 122.2 cGy/minute, what would
be the dose rate in free space at 100.5cm?
190.5 cGy/min
152.6 cGy/min
78.4 cGy/min
97.9 cGy/min
Question 114 1 pts
Calculate the TMR for a 6MV beam at 8cm depth for a 10 x 10 field given that the
TAR at 8cm for a 10 x 10 is .866 and the BSF(PSF) is 1.025.
.866
.888
.845
1.18
Question 115 1 pts
The output of a 6MV accelerator is measured at dmax using an SSD of 104cm rather
than 100cm SSD. What is the percentage error?
7.54% less
7.54% more
8.1% less
8.1% more
Question 116 1 pts
The collimator setting to treat a 40cm field at 130cm SSD on an 80cm SAD Cobalt
unit is _____cm.
15.1cm
24.6cm
40.0cm
50.4cm
Question 117 1 pts
The dose rate for a 10 x 10cm Cobalt-60 field is 100cGy/min measured in air, at 80cm
SAD. The BSF = 1.035. The dose rate in tissue at depth of dmax, 80cm SSD is:
108.5 cGy/min
102.2 cGy/min
100.0 cGy/min
98.8 cGy/min
96.6 cGy/min
Question 118 1 pts
The TAR for a 10 x 10cm field at 100cm SAD for a 4MV photon is 0.8 at a depth of
7cm. What change would you expect in the TAR by extending the SSD from 93cm to
193cm (200cm SAD)?
5% increase
10% increase
15% increase
no change in TAR
Question 119 1 pts
The ODI reads 160cm when the distance is actually 162cm on a linac. The resulting
error for a patient receiving an extended distance treatment at 160cm is:
an underdose of 1.3%
an overdose of 1.3%
an overdose of 2.5%
Question 120 1 pts
Calculate the geometric penumbra at a depth of 5 cm given an SSD of 92, an SDD of

50 cm, and a source size of 2mm.
1.4 mm
1.8 mm
1.5 cm
1.9 cm
Question 121 1 pts
The following equation is an example of what radioactive mode of decay?
positron emission
electron capture
internal conversion
negatron emission
alpha particle decay
Question 122 1 pts
During the calibration of a Cobalt-60 unit, the temp-pressure correction is omitted. If

P=776 and T=22 degrees C, the stated output will be about: (note:STP is P=760 and
T=22 degrees C)
1% low
2% low
4% low
2% high
3.5% high
Question 123 1 pts
In the treatment of medulloblastoma, the lateral brain fields can be given a collimator
rotation to align them with the diverging spine field. If the spine field length is 25cm at
100cm SSD, the collimator rotation will be:
2.5 degrees
7 degrees
14 degrees
25 degrees
Question 124 1 pts
What is the threshold energy for pair production:
0.511 MeV
1.02 MeV
1.533 MeV
981 MeV
Question 125 1 pts
Which of the following relationships is true for photoelectric effect?
Question 126 1 pts
The Bragg peak is not observed in electrons because of their:
high speed
negative charge
small mass
short life span
Question 127 1 pts
Which nuclear force is responsible for holding the nucleons together in the nucleus?
strong nuclear force
weak nuclear force
electromagnetic force
gravitational force
Question 128 1 pts
Which of the following particles will penetrate the deepest in tissue:
20 keV Auger electrons
10 MeV alpha particle
20 keV proton
1 MeV positron
2 MeV beta particle
Question 129 1 pts
When an electron is ejected from an atom and leaves an ionization track, it is called:
a characteristic electron
an auger electron
a delta ray
an electrostatic charge
Question 130 1 pts
In the production of bremsstrahlung, the electron:
ejects a cloud of electrons
slows down and loses some of its energy as an x-ray photon
produces a heavy particle
ejects an electron from the atom
Question 131 1 pts
Neutrons are:
directly ionizing particles
indirectly ionizing particles
electromagnetic radiation
radiofrequency radiation
Question 132 1 pts
The most efficient absorber of neutrons is:
copper
aluminum
borated polyethylene
lead
Question 133 1 pts
When exposed to the same neutron beam, which of the following tissues receives a
higher absorbed dose:
muscle
lung
fat
brain
Question 134 1 pts
Characteristic x-rays are produced when:
an electron in converted into a photon
an ejected neutron gives away excess energy to become stable
an electron from an outer shell makes a transition to an inner shell
Question 135 1 pts
What amount of cerrobend is needed to effectively block a 12 MeV beam?
6 mm
6 cm
7.2 mm
7.2 cm
Question 136 1 pts
X-ray tube targets are generally made of:
low Z material such as Al
high Z material such as tungsten
an alloy of lead and copper
complex organic compounds
Question 137 1 pts
Superficial machines operate between:
10-20 kV
20-50 kV
50-150 kV
150-400 kV
Question 138 1 pts
A common prescription point for a lateral total body irradiation technique is:
at the skin surface
at the level of dmax
midline, at the level of the umbilicus
at a depth of 15 cm
Question 139 1 pts
A service that connects computers and peripherals in the same building is called:
Local Area Network (LAN)
Connection Area Network (CAS)
Wide Area Network (WAN)
Metropolitan Area Network (MAN)
Question 140 1 pts
Typical SSD for superficial units is:
5-15 cm
15-20 cm
20-30 cm
30-50 cm
Question 141 1 pts
In orthovoltage therapy, 90% of the dose occurs at an approximate depth of:
0.5 cm
1.0 cm
2.0 cm
5.0 cm
Question 142 1 pts
Cobalt-60 therapy machines produce photon beam energies of:
1-1.33 MeV
1.17 and 1.33 MeV
1.25 MeV
1.17 MeV
Question 143 1 pts
Application of ALARA means that:
No expense should be spared to reduce exposure down to the negligible levels
As long as workers and the public receive less than recommended dose limits no other
action need be taken
An occasional exposure beyond recommended limits is acceptable and no additional action

is needed.
A radiation protection program be established that keeps exposures as far below

recommended limits as possible within limits of reasonable cost and effort
Question 144 1 pts
The output of a cobalt-60 therapy source decreases each month by about:
0.1%
1.0%
2.0%
5.0%
Question 145 1 pts
Physical penumbra is defined as the region between which two isodose lines?
50% and 70%
10% and 80%
20% and 90%
40% and 60%
Question 146 1 pts
Electron scatter foils are usually made of what type of material?
tungsten
acrylic
tin
lead
Question 147 1 pts
In a linear accelerator, the flattening filter is used to:
flatten the front end of the accelerator head
make the beam intensity uniform
produce electron beams
filter the neutrons from the beam
Question 148 1 pts
Calculate the %DD at 180cm SSD when the %DD at 100cm SSD is 73.6% for an
18MV x-ray beam at a depth of 12cm (dmax = 4cm).
66.8%
69.1%
71.3%
76%
78.4%
81.1%
Question 149 1 pts
The flattening filter typically is made of:
low Z material
lead or tungsten
inert materials
zinc or copper
Question 150 1 pts
Calculate the timer error for a Cobalt-60 unit given that the reading for a 2 minute
exposure was 4.189 and the cumulative reading for 4 readings taken for 0.5 min each
was 4.556.
.01
.03
.06
.09
Question 151 1 pts
What nodal group is located just anterior to the C1 through C3 vertebral bodies?
retropharyngeal (Rouviere's) nodes
jugulodigastric (JD) nodes
supraclavicular nodes
anterior cervical nodes
Question 152 1 pts
The base of tongue is part of what anatomical region?
oral cavity
hypopharynx
oropharynx
floor of mouth
Question 153 1 pts
For megavoltage x-ray beams, assuming all other variables remain constant, the
percent depth dose remains the same as exposure rate at the isocenter increases.
True
False
Question 154 1 pts
Which of the following regions of the electromagnetic spectrum listed below has the
highest frequency?
ultraviolet light
infrared
visible light
radio waves
Question 155 1 pts
The radiation weighting factor is a factor used to obtain the equivalent dose from the
absorbed dose and is based on the type of radiation absorbed. Select the radiation
below with the highest/greatest weighting factor.
alpha particles
photons
electrons
muons
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10/17/23, 8:43 AM Quiz: Mock Exam #3 - Ungraded - Requires Respondus LockDown Browser + Webcam

Mock Exam #3 - Ungraded - Requires Respondus

Started: Oct 17 at 7:43am

Tissue tolerance dose, TD5/5, depends on:

volume irradiated and dose per fraction

max pixel dose to organ and total treatment time

dose per fraction and position of organ in body

tumor dose and cell type

a full bladder in order to spare as much small bowel as possible

a full bladder in order to spread the dose evenly to the tumor

an empty bladder in order to encompass tumor with reproducibility

an empty bladder in order to minimize bleeding complications

the rectum empty

in air with the chamber at isocenter

in a water phantom at dmax depth

in a water phantom at 10 cm depth

in a water-equivalent phantom at dmax depth

in a water phantom at 15 cm depth

A build-up cap for an ionization chamber:

is used to protect the chamber from mechanical damage

should be made of a high Z material

prevents stem leakage

corrects for perturbations in the beam

exposure calibration factor, Nx

protect the ion chamber

improve the ion collection efficiency

satisfy the condition of "electronic equilibrium"

eliminate stem effect

eliminate the ion chamber leakage

Aeq is a correction factor for the:

attenuation of the beam in air

scattering of the beam in air

at a depth of 5 cm in a water phantom

at a depth of 5 cm in a water-equivalent phantom

at a depth of dmax in a water phantom

in air at 100 cm from the source

in water at a reference depth determined by the 50% depth dose

recalculate the monitor units

define new field sizes

decrease treatment dose for that day

add bolus to decrease beam penetration

All are correct

Electron arc therapy is most useful for treating tumors of the:

dental acrylic encompassing lead used for internal shielding

an aluminum sheath around any lead used for internal shielding

Stereotactic radiosurgery can be performed using which of the following radiation

photons and electrons

protons, electrons, and gamma rays

protons, gamma rays, and photons

To minimize electron contamination, the minimum distance between a wedge or

no gap or direct contact

The Bragg-Gray relationship relates the dose at a point in a medium to:

a light output from TLD

a temperature change produced in a calorimeter

the charge liberated in the gas of an ion chamber

a ferric ion concentration produced in a Fricke dosimeter

a silver ion concentration on a film

using a beam splitter in the tangential fields

adding bolus to the treated breast

reducing the amount of lung in the tangential fields

eliminating the wedge in the medial field

surface dose decreases with decreasing spoiler-to surface distance

> 50 Gy - death in < 3 days