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MDCB Practice Set 4 – Expanded and Verified Clinical Physics Questions with Accurate Answers

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This document presents a full-length verified question set from MDCB Practice Set 4, featuring high-level clinical physics and treatment planning scenarios tailored for Medical Dosimetry Certification Board exam preparation. Topics include TG-51 calibration protocols, QA processes for imaging (CBCT/KV), IMRT plan verification, HIPAA and CPT standards, dosimetrist responsibilities, image storage (PACS/DICOM), Hounsfield units, biological effectiveness, and radiation dose conversion. Additional questions assess anatomical targeting, radiobiology concepts, Hodgkin’s and Ewing’s sarcoma management, and QUANTEC dose constraints.

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MDCB Practice Set 4 questions with verified answers
1. The recommendations of Task Group 51 (TG-51) of the American
Association of
Physicists in Medicine (AAPM) deal with a protocol for the:
(A) specifications of activity of brachytherapy sources.
(B) calibration of ionization chambers.
(C) determination of absorbed dose from high-energy photons and
electrons.
(D) computer model for 3-dimensional treatment planning. Ans✓✓✓
C


2. Issues associated with increased weekly imaging with either CBCT or
KV imaging:
(A) Increased patient through put
(B) Increased maintenance and quality assurance of equipment
(C) Decreased amount of time it takes to treat the patient
(D) Decreased conformity to ensure GTV is covered by the prescribed
dose Ans✓✓✓ B


3. An Intensity Modulated Radiation Therapy (IMRT) quality assurance
program verifies which of
the following?
(A) Table Transmission
(B) Multileaf collimator scatter

, (C) Patient Position
(D) IMRT Treatment plan is deliverable Ans✓✓✓ D


4. A 10x10 electron cone was damaged in the treatment room. A
replacement cone was ordered.
Which of the following statements is TRUE?
(A) The output must be measured for any new cone
(B) The output must be remeasured for all cutouts
(C) The output tables will remain the same with the new cone
(D) If the cone is from the same vendor no measurements are
necessary Ans✓✓✓ A


5. The Health Insurance Portability and Accountability Act of 1996
(HIPAA) addresses the
regulations concerning:
(A) billing practices of medical providers.
(B) disposal of radioactive waste.
(C) privacy of patients.
(D) quality assurance of medical devices. Ans✓✓✓ C


6. Which of the following is not a role of the medical dosimetrist?
(A) assessing selection of beam orientation and weighting
(B) evaluating the plan for target coverage and normal tissue exposure

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