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Rad Therapy Quality Management Final Review Flashcards | StudBud
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Rad Therapy Quality Management Final Review
Rad Therapy Quality Management Final Review
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Radiation Therapy Quality Management
Flashcards
92 cards
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Practice quiz
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Questions
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Answers
1
Near misses and errors need to be reported within what time frame?
12 hours
3 days
1 week
24 hours
2
Which of the following are the 2 types of treatment planning?
Forward & Inverse
Clinical & Computer
Forward & Backward
Inverse & Clinical
3
Which of the following would be considered a professional charge?
physics chart review
treatment on a linear accelerator
Weekly on treatment evaluation
making a block or device
4
What is the ICRU recommendation for tolerances of delivered doses from brachytherapy procedures
within 3%
within 2%
within 1%
within 5%
5
Who is responsible for carrying out the morning quality assurance procedures for the linac?
Medical Dosimetrist
Oncology Nurse
Medical Physicist
RadiationTherapist
6
All of the following are parts of the Quality Improvement process EXCEPT:
Analyze
Measure
Improve
Observe
7
The QA3 device (Sun Nuclear) can do all of the following checks for a proton accelerator EXCEPT
check range stability of the beam
establish that the connectivity of all systems is functional
verify laser alignment
verify functionality of imaging equipment
8
Which of the following guidelines makes recommendations for QA of TPS (RTP systems)?
TG 142
TRS 198
TG 53
TG 40
9
A misadministration would include any of the following EXCEPT:
Wrong patient
Wrong mode of treatment
Wrong radioactive drug
Wrong date
10
Which of the following would NOT be a step in implementing corrective action?
Review of data collected
Analyze the event
Notify a supervisor
Create or improve a policy/procedure
11
CMS stands for
Center for Medical Services
Center for Medicare and Medicaid Services
Community Medical Service
Center for Medical Systems
12
Who regulates mold rooms and lead products in radiation therapy?
NRC
NRC
OSHA
EPA
13
Which of the following beams is not a particle beam?
Neutron
Carbon Ion
Photon
Proton
14
Daily output constancy for a linear accelerator must be within ___ % of the expected value.
1
5
3
2
15
Who requires the Radiation Oncology Department to have a Policy and Procedure manual?
AAPM
TJC
OSHA
The NRC
16
What responsibilities may be delegated to a radiation therapist for a brachytherapy procedure?
surveying of the room and patient
implantation of radioactive seeds
source changes
intracavitary preparation procedures
17
In radiation therapy, where do protons come from?
Oxygen
Neutrons
Hydrogen atoms
Carbon Ions
18
When is it necessary to verify accurate light field coincidence?
Always
When treatment fields require bolus
when the linac is in photon mode
When clinical setups are being performed
19
Who from the following list is not a member of the radiation oncology team?
Radiologist
Radiation Therapist
Dosiemtrist
Medical Physicist
20
What item from the following is not a necessary part of the treatment chart?
Consultation note
daily treatment log
must have a paper component
treatment plan
21
The requirements for working as a RT in New York include all of the following EXCEPT:
ARRT RTT
Graduate of accredited program in radiation therapy
State License
ASRT
22
Machine isocenter can be verified with which of the following devices?
QC3 phantom
Winston-Lutz phantom
Water phantom
CATPHAN phantom
23
Which of the following is NOT one of the 4 types of regulating agencies in healthcare?
Institutional
Mandatory
Federal
Professional
24
The 14 principles of management, which modern healthcare is based on, was written by whom?
Deming
Roentgen
Kaplan
Darwin
25
Expenses incurred regardless of the number of patients seen or procedures performed are:
Variable costs
Revenue
Fixed costs
Capital
26
Who creates and updates the professional practice standards for radiation therapists?
ACR
ARRT
AAPM
ASRT
27
Which of the following agencies is NOT a professional agency for Radiation Oncology?
ACRO
ARRT
ASRT
AAPM
28
The US healthcare system is considered:
a multi payer system
universal healthcare
a 1 payer system
charity care
29
The document used to specify the effects of hazardous materials is called a:
Universal precautions
Material safety and data sheet
Toxic fact sheet
Toxic materials hazard sheet
30
What document(s) are responsible for the Brachytherapy QA guidelines?
TG 56 & 10 CFR 35
TG 42
TG 53
TG 148
31
Which of the following items does not need to be included in the daily treatment documentation?
physicians signature
daily & cumulative dose
date
skin reactions
32
The ASRT practice standards outline a radiation therapists' scope of practice EXCEPT?
Professional Performance Standards
Quality Performance Standards
Clinical Performance Standards
Ethical Performance Standards
33
Universal precautions involve use of all of the following EXCEPT:
Gloves
Bleaching surfaces
Sharps disposal
Handwashing
34
What is the acceptable range of inaccuracy of HU's for daily CT QA procedures?
0-5 HUs
under 3 HUs
1-2 HUs
1-10 HUs
35
Who is responsible for medical care costs extending beyond the annual policy limit?
The patient
The hospital or doctor
US government
The insurance carrier
36
Daily QA of the lasers should fall within __mm of the iso, or 1.5 mm on machines performing __.
2.5; IMRT
2; IMRT
2.5; SRT
2; SRS
37
Which of the following is NOT one of Deming's principles of management?
Promote teamwork
Allow employees to contribute to the process
Inspect for errors
Emphasize quality above quantity
38
Which of the following is not a step in the clean up of a cerrobend spill?
scrape off of surface
allow to cool
vacuum with a hepa vacuum
Disinfect area with bleach
39
R&V systems monitor all of the following parameters, EXCEPT:
table position
MU's
beam modifiers
use of bolus
40
Another term for managed care is:
primary care
universal healthcare
PPO
HMO
41
Facility requirements include all of the following except:
Adequate parking
Easy access for patients
Adequate space
refreshments
42
Where do most safety hazards for brachytherapy arise from?
Errors in the algorithms of TPS
The source not retracting back into its housing
The half life of the source changing too quickly
Errors of human origin
43
Who is responsible for review of charts, port films and incident reports?
Medical Physicist
Radiation Therapist
Radiation Oncologist
Radiation Safety Officer
44
What is the current report relating to quality management of linear accelerators?
TG 100
TG 40
TG 142
TG 53
45
What is the process that must take place after the installation of a new brachytherapy source?
Re-comissioning
daily QA checks
surveying
Comissioning
46
For photon therapy, weekly QA typically entails which of the following?
interlock checks
Dosimetric verifications
safety checks
MLC checks
47
How frequently should indicator lights be verified?
prior to treating each patient
Daily
Monthly
Weekly
48
The written error or near miss report is due to be submitted to the NRC within what time frame?
1 week
1 month
24 hours
15 days
49
Which of the following frequencies is least utilized for periodic QA procedures?
Weekly
Annually
Monthly
Daily
50
Which of the following would be considered a technical charge?
MD drawing treatment volumes
On treatment evaluation by MD
Daily radiation therapy treatment
Initial consultation
51
How frequently does an HDR Iridium 192 source need to be changed?
bi-annually
every 3-4 months
monthly
daily
52
Which federal regulating agency is responsible for regulating medical electronic products?
Environmental Protection Agency
Department of Transportation
Center for Devices and Radiologic Health
Office of Hazardous Materials
53
Protons differ from photons in all of the following ways, EXCEPT:
They have mass
They have different depth dose characteristics
They have charge
They cause ionizations
54
The linear accelerator treatment room should include all of the following EXCEPT:
dimable lights
a remote afterloader
storage for immobilization equipment
engineered around an isocenter
55
Who created and updates the CPT manual?
AMA
ACRO
CMS
AAPM
56
How often should physics, therapists and radiation oncologists review charts?
monthly
weekly
once at the end of a course of therapy
daily
57
The dose maxiumum for photons is referred to as:
Dmax
90% isodose line
Dmin
Bragg Peak
58
Which of the following is an example of a flexible budget?
adding a wing to the department
replacing machinery that is outdated
administrative salaries
changes in staffing due to change in patient load
59
What member of the QI team is responsible for ensuring licenses and CE's are up to date?
Medical Physicist
Medical Director
Chief Radiation Therapist
Medical Dosimetrist
60
Who is responsible for the over site of radiologic equipment in any NRC agreement states?
agreement states do not require regulation or oversite
NRC
OSHA
The state
61
In what year was the affordable care act passed?
2010
1900
1965
2015
62
Supplemental insurance may include which of the following?
vision or hearing
Long term care
medicaid
Dental policy
63
Who performs the daily QA checks for a proton accelerator?
Dosimetrists
Physics assistants
Radiation Therapists
Qualified Medical Physicist
64
Which of the following is a Federal regulating agency?
Nuclear Regulatory Committee
ARRT
New York State DOH
ASRT
65
All of the following are components of the departmental budget, EXCEPT:
Fixed costs
Advertising
Variable costs
Revenue
66
Medicare was brought about to cover which at risk population?
Elderly
Single mothers
HIV + individuals
The poor
67
Patient outcomes, informed consent and documentation of daily treatment are all considered:
Quality indicators
the treatment chart
Quality Improvement
Procedures
68
Of the following procedures, which does NOT fall in the category of patient specific QA?
verification of dose to MU's
chart review
laser alignment verification
daily imaging
69
Which report(s) does proton therapy QA procedures arise from?
TG 42 & JACMP
TRS 398 & ICRU 78
TG 148
TG 53
70
Who is responsible to carry out the QA of individual treatment plans?
Medical Dosimetrist
Medical Director
Radiation Oncologist
Radiation Therapist
71
Legally speaking, a patients medical documents must be all of the following EXCEPT:
Chronologic
Signed
Legible
incomplete
72
The goal for dose homogeneity in protons is:
5%
3-5%
2-3%
1-2%
73
Photons have energies in what range?
50-150 MV
50-150 MeV
50-250 MeV
up to 50 MeV
74
The quality improvement plan consists of all of the following, EXCEPT:
Taking action to resolve identified problems
Assessment of individual clinical events
Annual review of QI plan effectiveness
Annual staff member review
75
Which professional organization creates the Task Group reports used for radiation oncology QM?
ACRO
AAPM
ARRT
ASRT
76
Which of the following agencies is NOT an institutional regulating body?
ARRT (American Registry of Radiologic Technologists)
NCQA (National Committee for Quality Assurance)
TJC (The Joint Commission)
ANSI (American National Standards Institute)
77
What is the range of accuracy required for computer assisted dose calculations (brachytherapy)?
+/- 3%
+/- 2%
+/- 5%
+/- 1%
78
True or False: New York is an NRC agreement state
False
True
79
A misadministration is defined as what percentage of the total prescribed dose?
25%
20%
10%
15%
80
For proton therapy, weekly QA typically consists of which of the following:
dosimetric checks
safety checks
couch isocentricity
mechanical checks
81
Departmental areas include all of the following except:
Controlled
Restricted
Staff
Unrestricted
82
To whom should workplace hazards be reported when they are left unresolved?
OSHA
ACRO
TJC
NRC
83
Which of the following is not a patient outcome?
mortality
Disease free survival
socioeconomic status
morbidity
84
Misadministrations should be reported to all of the following EXCEPT:
ARRT
Radiation Oncologist
NRC
Patient
85
Who is responsible for the over site and implementation of the Rad Onc Dept QM program?
Radiation Oncologist
Medical Director
Medical Physicist
Radiation Safety Officer
86
What is the least frequency advised to perform QA checks for brachytherapy equipment?
daily on days that the unit will be used
daily
monthly
weekly
87
The amount of money a patient must pay for qualified medical costs before coverage starts:
copay
out-of-pocket limit
co-insurance
Deductible
88
The following are the 3 categories of QA checks for medical accelerators, EXCEPT:
Dosimetric
Mechanical
Isocentric
Safety
89
The daily QA logs communicate all of the following to the physics department, EXCEPT:
the machine is performing within specifications
the patients are being treated accurately
machines operate properly
the QA process is being followed
90
Which of the following is not one of the 4 categories of QA procedures?
Safety checks
Mechanical checks
Patient specific QA
Maintenance checks
91
Star shot test are used to test for stability of what?
SSD
dosimetric output
mechanical isocenter
mlc function
92
For infection control purposes, all patients should be treated as:
potentially infectious
healthy unless specified otherwise