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MDCB Board Review Latest Questions And Answers!!!
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In terms of a computer, what do the following acronyms stand for: CRT LED LCD ROM RAM - ANS CRT: cathode ray tube LED: liquid emitting diode LCD: liquid crystal display ROM: read only memory (permanent, can't write over) RAM: random access memory (temporary, lost when computer turn...

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  • September 6, 2024
  • 101
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • mdcb board review latest questions and answers

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MDCB Board Review Latest Questions
And Answers!!!
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In terms of a computer, what do the following acronyms stand for:
CRT
LED
LCD
ROM
RAM - ANS CRT: cathode ray tube
LED: liquid emitting diode
LCD: liquid crystal display
ROM: read only memory (permanent, can't write over)
RAM: random access memory (temporary, lost when computer turns off)

What is used for MRI magnet shielding? What is used for MRI radiofrequency shielding? - ANS
-steel plates
-metal mesh (Faraday cage)

What strength of MRI has been shown to have no biological effects? - ANS If <10Tesla,
then no biological effects

What is the cause for acoustic noise with an MRI machine? - ANS The switching of
gradient fields

What is the event of a rapid boil-off of the liquid nitrogen or liquid helium surrounding the MRI
magnet, which is a failure of the emergency venting system and can cause a life-threatening
oxygen shortage in the MRI room? - ANS Quench

What is the resolution of MRI? Spatial accuracy? - ANS -Resolution: 0.3lp/mm
-Spatial accuracy: 1mm-2mm

How can the resolution of an MRI be bettered? - ANS Use stronger gradients

What are some disadvantages of MRI? - ANS -Image distortion due to lack of homogeneity
of magnetic fields and due to the gradients having slight spatial non-linearities
-No electron density info
-Long scan times (motion artifacts)
-Spatial resolution not as good as CT

,What 9 structures are evaluated on an MRI? - ANS -CSF
-Gray matter
-White matter
-Fat
-Cortical bone
-Air
-Blood
-Oedema
-Protein

On a T1 MRI image, how does the following anatomy look:
-CSF
-Gray matter
-White matter
-Fat
-Cortical bone
-Air
-Blood
-Oedema
-Protein - ANS -CSF: dark
-Gray matter: gray
-White matter: bright
-Fat: bright
-Cortical bone: dark
-Air: dark
-Blood: dark
-Oedema: grey/dark
-Protein: bright

On a T2 MRI image, how does the following anatomy look:
-CSF
-Gray matter
-White matter
-Fat
-Cortical bone
-Air
-Blood
-Oedema
-Protein - ANS -CSF: bright
-Gray matter: gray
-White matter: gray
-Fat: gray
-Cortical bone: dark
-Air: dark

,-Blood: dark
-Oedema: bright
-Protein: bright

For an MRI, what scan is Gadolinium used on? What does the contrast do? - ANS -Used
with T1 images
-Shortens the T1 time
-Bright signal

What does FLAIR stand for? What type of images is it? - ANS -Fluid Attenuation Inversion
Recovery
-It is a T2 image set but with CSF suppressed

What is the range of magnet strength for MRI and what units are used? - ANS 0.5-3.0
Tesla

For Ir-192 what is the:
-activity
-half-life
-average energy
-source size
-exposure rate constant - ANS -activity: 10Ci
-half-life: 74 days
-average energy: 380 kEv, has 20 betas and 20 gammas
-source size: 4mmx0.8mm
-ERC: 4.69 R-cm^2/hr/mCi

How many inches of concrete is needed for shielding an HDR room? - ANS 18-24" (2 feet)

What instrument is used to perform an area room monitor for HDR? What is the frequency of
this? - ANS GM detector, daily

What is the frequency for HDR QA interlocks? - ANS daily

What is the frequency and tolerance for HDR positioning QA checks? - ANS -Daily
-1mm

What HDR QA checks should be done quarterly? - ANS -Source calibration
-Source positioning
-Timer checks
-Applicators

What is the frequency for HDR source exchange QA check? HDR calibration QA checks? - ANS
Quarterly

, With LDR QA, ___% of the sources need to be sampled when they are recieved by a site. -
ANS 10%

What equipment is used to calibrate HDR and LDR sources? - ANS Re-entrant
chamber/ion chamber

What are three things that should be done in terms of radiation safety when dealing with LDR
sources? - ANS -Use forceps when handling
-Transfer with Pb pigs
-Use shields

Where is the rx point for an HDR lung tx? - ANS -1cm from the catheter
-This creates a 2cm cylinder of dose

Where is the rx point for an HDR vaginal cuff tx? - ANS On the surface or 5mm from the
cylinder

What is advantage and disadvantage of using an HDR tandem+ring vs a tandem +ovoid? - ANS
Advantage: easier to place
Dis: ring has no shielding ant/post

What type of applicator is used for HDR GYN needles? What type is used for HDR skin tx? -
ANS -GYN needles: Syed template for extensive disease
-Skin: Friedburg flap

What is the rx for PBI txs? - ANS 10 fractions, 340cGy/fx, BID

For PBI txs, what is the dose on the balloon surface? - ANS 200%

For PBI tx, what is the target volume? What is the rx point? - ANS PTV_eval, which is the
PTV minus 5mm of skin minus pectoral muscle
-Rx point: 1cm from balloon

A PBI HDR tx with a single lumen has ___dwells. If it is a multi-lumen it has ___. - ANS
single: 1-5 dwells
multi: custom (stays off skin and is more conformal)

For PBI patients, what type of staging should the patients be? - ANS -Early stage breast
cancer, preferably node negative
-Protocol allows for 3 positive nodes

For PBI txs,
-The symmetry of the balloon<___mm

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