Board review-cards I most need to review

Card Set Information

Board review-cards I most need to review
2014-04-21 18:54:06
Radiation Therapy
RTT review
Board review-cards most need to review
Show Answers:

  1. What are the most common sites of metastasis for lung cancer?
    Liver, Bone, Brain

    ("Lungs Like BB's")
  2. What are the most common sites of metastasis for anal cancer?
    Liver, Lungs

    ("Anal Lives  in the Lungs")
  3. What is the most common site of metastatis for stomach cancer?

    (The stomach is near the liver)
  4. What are the most common sites of metastasis for breast cancer?
     Lung, Bone & Brain

    ("Lungs are near the breasts, BB")
  5. What is the most common symptom of oropharynx cancer?
    painful swallowing and otalgia (ear pain)
  6. What is a whipple procedure?
    resection of the head of pancreas, entire duodenum, distal stomach, gallbladder, and common bile duct
  7. What lymph nodes are covered in a mantle field?
    submandibular; occipital; cervical; supraclavicular; infraclavicular; axillary; hilar; mediastinal

    ("SOCS In A Hot Mess")
  8. What are the common chemo drugs used in hodkins disease?
    Adriamycin, Bleomycin, Vincristine, Dacarbazine

  9. Most common symptom of hypoparynx cancer?
    Dysphagia & painful neck node
  10. List some symptoms of anaphylactic shock(10)
    • 1)Difficulty breathing
    • 2)swollen or tingling lips
    • 3)drop in blood pressure
    • 4)vomitting
    • 5)metalLic taste in the mouth
    • 6)itching skin
    • 7)hives
    • 8)dizziness
    • 9)Temporary loss of consciousness
  11. TD 5/5 of the fetus
    200 cGy
  12. TD 5/5 of the vagina
  13. TD 5/5 of the Lungs
    17.5 Gy
  14. TD 5/5 of the Liver
    30 Gy
  15. TD 5/5 of the kidney
    23 Gy
  16. TD 5/5 of the rectum
    60 Gy
  17. TD 5/5 of the testis
    100 cGy
  18. Td 5/5 of the Brain
    50-60 Gy
  19. TD 5/5 of the Lens
    500-1000 cGy
  20. What is the range of white blood cells?
  21. What is the range for hemoglobin? (O2 in RBCs)
    • 13-17
    • (lower for women &Children)
    •  men 14 - 18    
    • women 12-16   
    • children  12-14

    (thinks: hemOglobin, as in oxygen, and you want to strangle your kids during teenage years!)
  22. The suprasternal notch is at what level?
  23. What is TPR?
    • Ratio of the absorbed dose at a given depth in a phantom to the absorbed dose at the same  point at a reference depth in a phantom   TPR= dose in tissue/dose in phantom
    • (difference between TPR and TMR, is that the reference depth is dmax)
  24. What is the treatment for low grade glioblastoma?
    surgery (gross total resection  / radiation - postop 50-55 Gy

    (Think a Glioblastoma is the same age range as me for dose)
  25. What is the anatomy of the hypo-pharynx?
    pyriform sinuses (most common); post-cricoid; lower posterior pharyngeal walls below the base of the tongue

  26. What is TMR?
    Dose in tissue/dose in phantom (D-max)

    (reference depth is Dmax-for TPR reference depth can be anything)
  27. What is TAR?
    • TAR= dose in tissue/dose in air
    • The ratio of the absorbed dose at a given depth in phantom to the absorbed dose at the same
    • point in free space
  28. Describe the Compton interaction
    • produced when an xray photon interacts with an outershell orbital electron with sufficient energy to eject the electron from orbit and alter its the photon's  path
  29. What is the dose for treating Lung?
    ( curative NSCLC, SCLC, Boost)
    curative NSCLC = 6000-7500 cGy        SCLC 4500 - 6000 cGy   Boost 4000-4500 cGy
  30. What is the dose for treating the bladder?
    45-50 Gy - large pelvic field            15-20 Gy Boost fields
  31. What is the dose for treating the prostate?
    • 72-80 Gy   
    • nodal doses 45-50 Gy       
    • seminal vesicles  54-56 Gy
  32. What is the Nasopharynx borders?
    • Superior - 2cm beyond the tumor including the base of skull and sphenoid sinus
    • Posterior - 2cm of margin beyond mastoid process
    • Anterior - posterior third of the maxillary sinus and nasal cavity
    •  Inferior - Thyroid Notch
  33. What is the treatment for ALL Leukemia
    • Total Body Irradiation(TBI) doses are 1200 cGy in 3 days
    • Bone Marrow transplant
    • Chemo: Prednisone, Vincristine, L-Aspaginase
  34. Define:   Ampulla of Vater
    the union of the pancreatic duct and the common bile duct
  35. In Arc Therapy - gantry doesn’t move, what is wrong?
    wrong mode
  36. 2/3 of the tongue drains to?
    submandibular,submaxillary, and upper jugular nodes

    Check this??
  37. Packed red blood cells?   Increases patients ________ and _______
    hematocrit & hemoglobin
  38. Ampula of Vater      AKA;_______________   associated with ___________
    aka: hematopancreatic duct       associated with pancreas
  39. What cancer most likely metastasizes to both sides of the neck?
    base of tongue, nasopharynx
  40. What is the most common site of spread for laryngeal cancer?
    subdigastric nodes
  41. What is methotrexate most often used for?
    lymphomas and breast cancer
  42. If you have an unresectable non small cell tumor, what would be the dose?
    55 to 60 Gy
  43. List blood cells from most sensitive to least sensitive
    (erythrocytes, endothelial, crypt, parenchymal cells)
    • 1)crypt cells
    • 2)endothelial cells
    • 3)parenchymal cells
    • 4)erythrocytes
  44. What does the nasopharynx drain too?
    • lateral retrophaygeal nodes(NODES OF ROUVIERE)
  45. What is the TD 5/5 of the heart that causes pericarditis?
    40 Gy
  46. Where is the pyriform sinus located?
    located in the hypopharynx  - lies between the throat & the esophagus
  47. Cesium 137 is most common in treating?
    cervical cancer
  48. What is the most common sign of nasophayngeal cancer ?
    nose bleeds, difficulty hearing
  49. Which of the following would you do interstitial  brachytherapy on?
    A) tongue   B) Tonsils   C) Larynx   D) Nasopharynx
  50. What organs drain to the internal iliacs?
    vagina, cervix, prostate, bladder
  51. Which bones would prostate cancer metastasize to first?
    lumbar spine
  52. What is Cisplatin?
    a chemotherapy drug that is a cytotoxic alkylating agent
  53. What is this?
    coronoid process of the mandible
  54. Dmax 18 MV :
    3.5 cm
  55. Dmax 10 MV :
    2 cm or 2.5 cm