| Question 1: Patients experiencing financial toxicity may: |
| Reference: | Chino et al, Going for Broke: A longitudinal Study of Patient-Reported Financial Sacrifice in Cancer Care, JCO Oncology Practice 14(9), e533-546, 2018 |
| Choice A: | Take less medication than prescribed |
| Choice B: | Skip recommended treatments |
| Choice C: | Miss their utility bill and have their lights turned off |
| Choice D: | Sell their house in order to pay bills |
| Choice E: | All of the above. |
| Question 2: What is NOT a potential solution to financial toxicity: |
| Reference: | Zafar et al, The utility o cost discussions between patients with cancer and oncologists, AJMC 21(9), 607-615, 2015 |
| Choice A: | Copay assistance through pharmacy companies |
| Choice B: | Modification of treatment plan to shorter evidence based fractionation |
| Choice C: | Improved access to health insurance for cancer survivors via the Affordable Care Act |
| Choice D: | Avoid costs discussions so as to not compromise care |
| Choice E: | Maintain capacity for work by scheduling treatment in the early AM |
| Question 3: The law of X-ray reflection which states that in order for scattered x-rays from a crystal bombarded with incident x-ray beams, to be reflected (diffracted) at an angle equal to incident angle is called: |
| Reference: | The Online Dictionary of Crystallography, https://dictionary.iucr.org/ |
| Choice A: | Bragg’s reflection |
| Choice B: | Lau’s transmission |
| Choice C: | Heisenberg's uncertainty |
| Question 4: CRnR system focuses the K? photons of Tungsten. K?1 characteristic photons of Tungsten have an energy of about: |
| Reference: | Khan, Physics of Radiation Therapy, 5th edition, P. 35 |
| Choice A: | 60 KeV |
| Choice B: | 140 KeV |
| Choice C: | 1 MeV |
| Question 5: Components that cause the longest LINAC downtime in LMICs include machine diagnostics, vacuum pump and RF power supply. (T/F) |
| Reference: | Wroe L, et al. Comparative Analysis of Radiotherapy Linear Accelerator Downtime and Failure Modes in the UK, Nigeria and Botswana. Clin Oncol 2020;32(4):111-118. |
| Choice A: | True |
| Choice B: | False |
| Question 6: Compared to patients living in metropolitan counties, outcomes for patients living in rural areas are: |
| Reference: | Henley SJ, Anderson RN, Thomas CC, et al. Invasive cancer incidence 2004–2013, and deaths 2006–2015, in nonmetropolitan and metropolitan counties — United States. MMWR Surveill Summ.
2017;66:1. |
| Choice A: | Better due to better access to care |
| Choice B: | Better due to more active lifestyles |
| Choice C: | Worse |
| Choice D: | The same |
| Question 7: The CMS Alternative Payment Model is: |
| Reference: | Radiation Oncology Model, Centers for Medicare and Medicaid Services Innovation Center, https://innovation.cms.gov/innovation-models/radiation-oncology-model. |
| Choice A: | A concept only, and has not been endorsed for use |
| Choice B: | The long-established system for payment for cancer services to Medicare patients |
| Choice C: | A demonstration project used at one hospital in 2019 |
| Choice D: | A mandatory-participation payment model scheduled for implementation in 2022 with a fixed payment based on diagnosis rather than payment for specific procedures |
| Question 8: Which recent AAPM task group addresses plan and chart review? |
| Reference: | Ford, E. et al. Strategies for Effective Physics Plan and Chart Review in Radiation Therapy: Report of AAPM Task Group 275. Med. Phys. (2020) doi:10.1002/mp.14030. |
| Choice A: | 213 |
| Choice B: | 333 |
| Choice C: | 275 |
| Choice D: | 300 |
| Question 9: Which of the following constitutes 2 of the top 10 failure modes in photon/electron EBRT? |
| Reference: | Ford, E. et al. Strategies for Effective Physics Plan and Chart Review in Radiation Therapy: Report of AAPM Task Group 275. Med. Phys. (2020) doi:10.1002/mp.14030. |
| Choice A: | Wrong or inaccurate contours |
| Choice B: | Wrong dose |
| Choice C: | Wrong scan |
| Choice D: | Wrong laterality |
| Question 10: What are some goals that software vendors should consider when designing tools for treatment planning? |
| Reference: | Ford, E. et al. Strategies for Effective Physics Plan and Chart Review in Radiation Therapy: Report of AAPM Task Group 275. Med. Phys. (2020) doi:10.1002/mp.14030. |
| Choice A: | Designing features that prevent errors |
| Choice B: | Designing automated tools to assist with physics plan and chart review tasks |
| Choice C: | Develop workflow tools to assist in communication and enforcement of review |
| Choice D: | All of the above |
