| Question 1: According to the report from the AAPM Subcommittee on Guidelines for Competency Evaluation for Clinical Medical Physicists in Radiation Oncology, how many treatment planning procedures should a medical physicist do to maintain competence? |
| Reference: | A report from the AAPM Subcommittee on Guidelines for Competency Evaluation for Clinical Medical Physicists in Radiation Oncology. Pavord DC1, Birnbaum S, Bocuzzi D, deBoer S, Freedman DJ, Schell M, Sutlief S. J Appl Clin Med Phys. 2016 Jul 8; 17(4): 3-14. |
| Choice A: | 12 general plans, 4 special procedure plans |
| Choice B: | 8 general plans, 2 special procedure plans |
| Choice C: | 4 general plans, 1 special procedure plans |
| Choice D: | 2 general plans, special procedure plans optional |
| Question 2: Which sentence best describes the tolerance doses presented in TG-101? |
| Reference: | Stereotactic body radiation therapy: The report of AAPM Task Group 101. Benedict SH, Yenice KM, Followill D, Galvin JM, Hinson W, Kavanagh B, Keall P, Lovelock M, Meeks S, Papiez L, Purdie T, Sadagopan R, Schell MC, Salter B, Schlesinger DJ, Shiu AS, Solb |
| Choice A: | The tolerances are extrapolated from QUANTEC data hypofractionated treatment regimens. |
| Choice B: | The data are based on animal studies inferred from comparable toxicity using conventional dose per fraction. |
| Choice C: | The data are based on systematic studies drawing from dose escalation protocols. |
| Choice D: | The doses are mostly unvalidated, and while most are based on toxicity observation and theory, there is a measure of educated guessing involved as well. |
| Question 3: Which of the following planning strategy results in lowest dose to lung in breast cancer? |
| Reference: | Exposure of the lungs in breast cancer radiotherapy: A systematic review of lung doses published 2010–2015. Aznar, Marianne C. et al. Radiotherapy and Oncology, Volume 126, Issue 1, 148 – 154. |
| Choice A: | Field-in-field tangential beams |
| Choice B: | VMAT |
| Choice C: | Wedge pair |
| Choice D: | IMRT |
| Question 4: Which of the following is correct for the PTV margin to achieve a tumor local control in SBRT? |
| Reference: | Shaverdian N, Tenn S, Veruttipong D, Wang J, Hegde J, Lee C, et al. The significance of PTV dose coverage on cancer control outcomes in early stage non-small cell lung cancer patients.... Br J Radiol 2016; 89: 20150963. |
| Choice A: | ITV+7mm (NRG-BR001) is necessary |
| Choice B: | ITV+5mm (RTOG 0813) is necessary |
| Choice C: | Full ITV coverage is good enough |
| Question 5: Which statement below summarizes common features of advanced planning tools of knowledge-based planning, multiple criteria optimization, and auto-planning? |
| Reference: | [1] Krayenbuehl et. al. Evaluation of an automated knowledge based treatment planning system for head and neck, radiation oncology, 2015 10:226.
[2] Philips manual in Pinnacle treatment planning
[3] RayStation User’s Manual |
| Choice A: | Only knowledge-based planning propagates knowledge from experts planning |
| Choice B: | There is no common feature between the three methods. |
| Choice C: | Multiple criteria optimization can find the optimal solution. |
| Choice D: | Auto-planning is the same as conventional IMRT planning. |
| Choice E: | These three methods can improve plan quality, consistency, and efficiency. |
| Question 6: Which statement below is true about knowledge based modeling? Treatment planning knowledge based models are |
| Reference: | [1] Lian et al, Modeling the dosimetry of organ-at-risk in head and neck IMRT planning: An inter-technique and inter-institutional study, Medical Physics 2013, 40(12)
[2] Yuan et al, Quantitative analysis of the factors which affect the inter-patient organ-at-risk dose sparing variation in IMRT plans, Medical Physics 2012, 39(11) |
| Choice A: | Confined to a single institution |
| Choice B: | Applicable to multiple modalities |
| Choice C: | Useful for only IMRT |
| Choice D: | Physician Specific |
| Choice E: | Useable only with Monte Carlo-based dose calculation algorithms. |
