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,True A lower than normal dose rate is used to treat total-body irradiation, True or false?
F CML and CLL occur more frequently in children than in adults, true or false?
The incidence of CLL increases with age, with 65 years as the
average age of onset.
The disease is rare in persons younger than 40 years. More
than half of new cases of CLL occur in persons 70 years or
older. CML accounts for approximately 15% of all adult
leukemias. The incidence of this disease, which is rare in
childhood and uncommon before the age of 35, peaks among
persons in their mid-60
True. ALL is the most common of the pediatric cancer. Leukemia is the most common pediatric cancer, True or False?
True. Patients needing TBI can be treated with either an AP/PA or opposed lateral treatment
The opposed lateral technique is used by The New England arrangement, True or False?
Medical Center's Radiation Oncology Department and is
described in the chapter. AP/PA treatments are
used at The Brigham and Women's Hospital/Dana Farber
Cancer Institute's Radiation Oncology Department
True Radiation exposure is risk factor for leukemia, true or False?
The markedly higher incidence of acute leukemia among
survivors of the atomic bomb explosions in Japan has
suggested that ionizing radiation may play a role in
leukemogenesis
True TBI can used as part of the treatment of patients with leukemia, true or false?
TBI can be used to treat patients with leukemia
ALL. 1. Children are most likely to develop which type of leukemia?
ALL is the most common of the pediatric malignancies, and a.ALL
approximately 80% of b.AML
children with acute leukemia have the ALL subtype c.CLL
d.CML
,D 2. Which of the following is also known as maintenance therapy?
The chemotherapy treatment techniques used in treating ALL a.remission induction
are divided into four groups: remission induction, b.consolidation
consolidation, prophylaxis of overt CNS disease, and c.prophylaxis of overt CNS disease
maintenance or continuation therapy d.continuation therapy
D 3. What is the treatment of choice for leukemias?
Bone marrow transplantation, which was considered an a.surgery
experimental procedure until approximately 25 years ago, is b.chemotherapy
the treatment of choice for several diseases, including ALL, c.radiation therapy
AML, and CML. d.bone marrow transplant
D 4. What is the dose/fraction schedule for TBI?
There are three main protocols that are in use. The patient may a.12 Gy, 6 fx, bid
receive TBI with the dose totaling 1200 cGy. For 3 consecutive b.13.5 Gy, 6 fx, bid
days, 200 cGy is given two times a day (bid). The patient may c.6 Gy, 2 fx, bid
receive TBI with the dose totaling 1350 cGy. For 3 consecutive d.all of the above
days, 150 cGy is given two times a day (bid). A mini TBI
fractionation schedule is given over 2 days where the first day
is bid with a total dose of 600 cGy
C 5. What organ(s) is(are) always shielded during AP/PA TBI treatments?
For AP/PA TBI treatments, the patient has a chest simulation a.spinal cord
and customized 85% transmission lung shields are cut and b.larynx
placed anterior to posterior to lower the dose to c.lungs
the lungs to within 5% of the prescribed dose to decrease the d.all of the above
incidence of interstitial
pneumonitis. A portal imager verifies lung shield placement
A 6. What is the most common type of pediatric leukemia?
There are approximately 5200 estimated new cases a year of a.ALL
ALL, and it is the most common pediatric leukemia b.AML
c.CLL
d.CML
, D Which type of leukemia accounts for nearly 15% of all adult leukemias and is uncommon
before the age of 35?
a.ALL
b.AML
c.CLL
d.CML
A 8. Which of the following is
The natural history of CML is divided into three stages: not one of the stages in the natural history of CML?
chronic, accelerated, and a.plague
acute phase (or blast crisis) b.chronic
c.accelerated
d.acute
D Which of the following stages in the natural history of CML is also known as blast crisis?
The natural history of CML is divided into three stages: a.plague
chronic, accelerated, and b.chronic
acute phase (or blast crisis). c.accelerated
d.acute
C Which of the following is
Dysphagia may be a side effect associated with treatment, but not a symptom commonly associated with a diagnosis
it is not a common symptom associated with leukemia of leukemia?
a.fever
b.loss of appetite
c.dysphagia
d.weight loss
D Which of the following is
CLL is rare in persons younger than 40 years. More than half not true concerning CLL?
of new cases of CLL are 70 years or older. a.It can be confused for a lymphoma.
b.Only symptomatic patients are treated.
c.It resembles CML but with a malignant lymphoid cell line.
d.It is a disease of children