2022 AAPM 64th Annual Meeting
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Session Title: Effective Communication About Radiation Dose and Radiation-Induced Risks for Pediatric Patients
Question 1: Which of the following have been used to assess the impact of patient communication roles for medical physicists?
Reference:Atwood, T.F., et al. "Establishing a New Clinical Role for Medical Physicists: A Prospective Phase II Trial." Int J Radiat Oncol Biol Phys. 2018 Nov 1;102(3):635-641.
Choice A:Patient anxiety
Choice B:Patient technical satisfaction
Choice C:Patient overall satisfaction
Choice D:All of the above
Question 2: In a review of patient questions from physicist-patient consults (in the radiation oncology setting), the majority of patient questions came from which category?
Reference:Reference: Atwood, T.F., et al. "A Review of Patient Questions from Physicist-Patient Consults." J Appl Clin Med Phys. 2020 Jun 9;21(8):3055-308
Choice A:General radiation questions or concerns
Choice B:Treatment planning and treatment delivery questions
Choice C:Safety and quality assurance questions
Choice D:Medical questions
Choice E:None of the above
Question 3: Which is not one of the ā€œ4Cā€™sā€ of Patient- and Family-Centered Care (PFCC)?
Reference:Kandom N. "Engaging Patients and Families in Pediatric Radiology.ā€ Pediatr Radiol. 2020 Oct;50(11):1492-1498.
Choice A:Culture
Choice B:Care
Choice C:Capitalism
Choice D:Communication
Choice E:Collaboration
Question 4: Targeting the tumor with local radiotherapy during immunotherapy can:
Reference:Formenti SC, Demaria S. Combining radiotherapy and cancer immunotherapy: a paradigm shift. J Natl Cancer Inst. 2013;105(4):256-265.
Choice A:enhance in field responses
Choice B:enhance out of the field responses
Choice C:enhance both in field and out of field responses
Choice D:reduce toxicity of immune checkpoint blockade strategies
Choice E:none of the above
Question 5: Localized Ionizing Radiation has:
Reference:Demaria S, Golden EB, Formenti SC. Role of Local Radiation Therapy in Cancer Immunotherapy. JAMA Oncol. 2015 Aug 13.
Choice A:Pro-immunogenic effects
Choice B:Immunosuppressive effects
Choice C:Both a and b
Choice D:Neither a nor b
Question 6: The Neutrophils/Lymphocytes ratio:
Reference:Cannon NA, Meyer J, Iyengar P, Ahn C, Westover KD, Choy H, Timmerman R., Neutrophil-lymphocyte and platelet-lymphocyte ratios as prognostic factors after stereotactic radiation therapy for early-stage non-small-cell lung cancer., J Thorac Oncol. 2015 Feb;10(2):280-5.
Choice A:Is measured within the tumor
Choice B:Is measured in the blood
Choice C:Predicts for toxicity to immune checkpoint blockade
Choice D:None of the above
Choice E:All of the above
Question 7: The radionuclide internal radiation dosimetry in children will differ from that associated with adults due to changes in:
Reference:Treves ST, Fahey FH. Radiation Dose to Pediatric Patients From Radiopharmaceuticals. Semin Nucl Med. 2022;52:149-156. PMID: 34916043.
Choice A:Anatomy but not physiology
Choice B:Physiology but not anatomy
Choice C:Both anatomy and physiology
Choice D:Neither anatomy nor physiology
Question 8: When considering the radiation dosimetry of hybrid PET/CT, one must consider the radiation dose from:
Reference:Fahey FH. Dose Optimization of Hybrid Imaging. Health Phys. 2019 Feb;116(2):179-183. PMID: 30585961.
Choice A:Both the PET radiopharmaceutical and the CT
Choice B:Only the PET radiopharmaceutical
Choice C:Only the CT
Choice D:The higher of the PET or the CT
Question 9: What effect does providing parents with dosimetric, and risk information have on the likelihood of their child undergoing an appropriate medical imaging test?
Reference:Fahey FH, Treves ST, Adelstein SJ. Minimizing and communicating radiation risk in pediatric nuclear medicine. J Nucl Med. 2011 Aug;52(8):1240-51. PMID: 21764783.
Choice A:The child is much less likely to have the test
Choice B:The child is much more likely to have the test
Choice C:The effect is unknown
Choice D:Providing such information has no adverse effect
Question 10: Which of the following parameters impacts radiation dose to the patient in CT imaging?
Reference:AAPM/RSNA Physics Tutorial for Residents: Topics in CT, Michael F. McNitt-Gray, RadioGraphics, Vol 22, pp 1541-1553, 2002
Choice A:X-ray beam energy
Choice B:Tube current
Choice C:Rotation time
Choice D:All of the above
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