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MDCB – Practice Question Set with Verified Answers – Comprehensive Board Review

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This document contains a robust and extensive set of verified practice questions tailored for the Medical Dosimetry Certification Board (MDCB) exam. It covers all major domains, including dose calculation, treatment planning, brachytherapy, QA, radiobiology, beam modification, tissue inhomogeneities, and radiation safety. Each question is followed by its correct answer, providing learners with a self-assessment tool to reinforce key concepts such as PDD, penumbra, MU calculations, IMRT, Point A in HDR, and critical safety thresholds.

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MDCB practice questions with verified answers
A collimated field size is 10 x 10 cm2. Thirty percent of the field is
blocked. The effective field size is approximately how many cm2?
a. 5.5
b. 6.5
c. 7.5
d. 8.5 Ans✓✓✓ d. 8.5


A patient is to receive 55 Gy to a tumor in the mediastinum. In order to
meet the acceptable dose limits for the spinal cord, you could:
a. use high energy photon beams to decrease the entrance dose.
b. block the spinal cord out of all treatment fields after 40 Gy is
delivered.
c. use a BID treatment technique to achieve greater repair time for the
normal tissue cells.
d. utilize a 3DCRT beam arrangement including oblique beam angles.
Ans✓✓✓ d. utilize a 3DCRT beam arrangement including oblique beam
angles.


According to AAPM TG report #142, when performing periodic linac
quality assurance procedures, which of the following is the acceptable
tolerance for electron flatness?
a. 1%
b. 2%

,c. 3%
d. 4% Ans✓✓✓ c. 3%


According to QUANTEC guidelines, what is the percentage rate of optic
neuropathy when treating the optic nerve to a dose greater than 60 Gy
with conventional fractionation?
a. <3%
b. >3% and < 7%
c. >7% and < 20%
d. >20% and < 50% Ans✓✓✓ c. >7% and < 20%


According to QUANTEC guidelines, what rate of spinal cord myelopathy
would be expected if 70 Gy were delivered to the spinal cord with
conventional fractionation of 2 Gy per day?
A. < 5%
B. 20%
C. 50%
D. 100% Ans✓✓✓ C. 50%


According to the American Association of Physicists in Medicine (AAPM)
standards (TG40), what is the minimum time frequency for checking the
"Emergency Off" switch? (A) daily
(B) weekly
(C) monthly

, (D) quarterly Ans✓✓✓ (C) monthly


An atomic mass unit (AMU) is defined as
a. the mass of one neutron
b. the mass of one proton
c. 1/12 the mass of a carbon-12 atom
d. 1/16 the mass of an oxygen-16 atom Ans✓✓✓ c. 1/12 the mass of a
carbon-12 atom


Calculations using which algorithms have shown the most significant
gains in accuracy at interfaces of heterogeneous tissues?
a. correction based
b. pencil beam
c. convolution-superposition
d. Monte Carlo Ans✓✓✓ d. Monte Carlo


Charge capture for procedures directly related to the 3-dimensional
conformal treatment planning process covers which of the following
procedures?
a. MLC/aperture design
b. continuing/special medical physics
c. pre-treatment quality assurance
d. portal images Ans✓✓✓ a. MLC/aperture design

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