Exam 3 - radiology Flashcards

(46 cards)

1
Q

veterinarians main use of radiation

A

diagnostic x-rays

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2
Q

OSHA

A

onsite services/consulting
decreased accidents in the US workplace
authority to fine facilities for potentially harming employees
authority to inspect facilities if owner is present

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3
Q

energy or elementary particles that can propagate through air and transfer energy to matter; energy in transit

energy or particles released during radioactive decay or produced artificially

A

radiation

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4
Q

radiation is of sufficient energy to eject electron; knock e- out of shell

localization is what matters - not that the total energy exchange is low

A

ionizing radiation

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5
Q

main type of ionizing radiation particles

list the other particles

A

electrons from accelerators

protons, neutrons, alpha particles, heavy charged particles

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6
Q

types of electromagnetic ionizing radiation

A

photons - xrays (extranuclear) & gamma rays (intranuclear)

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7
Q

how does ionizing radiation damage mammalian cells

A

deposition of ionizing radiation at or near DNA

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8
Q

radiation mostly causes ____ death but also causes ______

A

mitotic death (mitotic catastrophe)

apoptosis, autophagy, necrosis, senescence

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9
Q

skin changes - reddening of the skin due to vasodilation, erythema are due to ___ effects

A

early

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10
Q

birth defects and cancer are due to ____ effects following low doses of irradiation - job, environment, medical procedures

A

late - cells live and carry forward the damage, the cells during division die

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11
Q

spontaneous process by which the unstable atoms of an element emit or radiate excess energy in the form of particles or waves

A

radioactivity

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12
Q

energy deposited by radiation in mass of material at location of interest

A

absorbed dose

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13
Q

classify if the patient is radioactive or not after these procedures
radiographs
nucmed bone scan
pet CT
MRI
cobalt machines

A

no
yes
yes
no
machine yes, patient no

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13
Q

international unit

A

Gray

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14
Q

what are acute radiation syndromes (ARS)

A

acute effects following relatively high doses of whole-body irradiation

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15
Q

all ARS syndromes are preceded by ______

A

prodromal radiation syndrome (an effect soon after exposure) which is then followed by a latent period

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16
Q

name that syndrome:
death within 48-72 hrs
severe nausea/vomit
incoordination
resp distress
seizures, death
damage to endothelial cells (leakage/edema)
> 50 Gy

A

cerebrovascular syndrome (incapacitation syndrome)

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17
Q

name that syndrome:
death in 3-10 days
exposure > 7 Gy
nausea, vomit, diarrhea
dehydration, wt loss, exhaustion
septicemia, shock, electrolyte imbalance

A

gastrointestinal syndrome

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18
Q

prodromal signs of cerebrovascular syndrome

A

easy fatigability

19
Q

prodromal signs of GI syndrome

A

anorexia
vomiting

20
Q

lymphocytes undergo what type of cell death similar to salivary and lacrimal cells

21
Q

name that syndrome:
no signs until latent period
3-8 Gy
destruction of BM stem cells = depletion of RBC, WBC, platelets
chills, fever, bruising, fatigue, oral ulceration and epilation

A

hematopoietic syndrome

22
Q

when does death occur with hematopoietic syndrome

A

BEFORE ANEMIA

23
Q

name that syndrome:
> 8 Gy
death ~ 130 days

A

pulmonary syndrome (rare)

24
name that syndrome: beta or low energy photons (gamma) inflam, erythema, dry/moist desquamation, hair follicle damage immediate burns are thermal latent phase lethal or complicate recovery
cutaneous radiation injury (CRI)
25
the largest dose that humans can receive and survive is predicted to ____ subsequent cancers
double
26
Which ARS occurs shortly after whole body radiation exposure and may help predict patient outcome
prodromal syndrome
27
patient radiation dose use what units
Gray
28
radiation worker dose use what units
Sievert (Sv)
29
what is mostly used with veterinarinas and xrays, relative biological effectiveness (RBE) or tissue weighting factor?
RBE
30
The occupational dose for a radiation worker is:
5 rem (50 Sv) /year
31
natural external exposure
cosmic (e.g. sun) terrestrial (varies by latitude and altitude - dose doubles with each mile above sea level)
32
mechanisms of internal exposure of radiation
ingestion/body tissue (thorium, radium, lead, K-40) inhalation (radon gas)
33
The most significant reason for increased exposure to the general population over the last 30 years is
Increased use of radiation for medical procedures
34
what diagnostic procedure has the most mSV & rem
body CT then head CT
35
Currently, the primary concern and reason for establishing radiation dose limits for radiation workers is
prevent cancer
36
greatest personal risk?
smoking
37
fetal radiation exposure
0.5 rem (5 mSv)/ gestation period 0.05 rem/month
38
effects on embryo are not observed below ____ rem
10 rem
39
radiation during preimplantation 0-9 days results in...
embryonic death
40
radiation during organogenesis 10 days-6 weeks results in...
teratogenesis
41
radiation during fetal period 6wk -term results in...
growth retardation
42
radiation during fetal period 8-15(25) weeks results in...
mental retardation
43
what should a pregnant person do
declare their pregnancy, but have the right to not declare or to undeclare
44
ALARA responsibilities
time distance shielding
45
differences with high energy x-rays
shielded vault required cannot be in room during treatment