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P&P Final Exam (RTH 420) | 2025/2026 | 120 Radiation Oncology Q&A on IGRT, Endocrine Tumors, GI & GYN Cancers

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This document contains 120 verified and graded A+ exam questions with answers for the Principles & Practice of Radiation Therapy (RTH 420) final exam at Pacific University, tailored for the 2025/2026 academic year. It is an extensive study guide designed to support students and professionals in mastering core radiation oncology concepts, technologies, and clinical practices. Key topics covered include: Image-guided radiation therapy (IGRT) techniques, including EPID, OBI, and CBCT, and how they improve precision in treatment delivery Advanced treatment modalities such as SBRT, SRS, and proton therapy, including Bragg’s Peak, CyberKnife, and TomoTherapy Endocrine and neurological tumors, including treatment and hormonal functions of the thyroid, pituitary, and adrenal glands Gastrointestinal (GI) malignancies, such as colorectal, pancreatic, and esophageal cancers, including staging, epidemiology, symptoms, and dose tolerances Gynecologic (GYN) cancers, including cervical, ovarian, vulvar, and endometrial cancers, along with their etiology, treatment borders, and radiation dose limits Leukemia and hematologic conditions, with a focus on AML, CLL, and ALL, transplant sources, and target therapies Radiation biology and pathology fundamentals, including cellular damage, tumor classifications, and biopsy techniques Vital signs, staging (TNM), demographics, and medical recordkeeping relevant to oncology practice This document is particularly useful for: Radiation therapy students and interns preparing for board exams or course finals Radiologic technologists and radiation therapists seeking exam prep or CEU review Medical dosimetrists and clinical oncology professionals reviewing foundational concepts Instructors looking for high-quality, real-world Q&A material for teaching support Comprehensive and exam-aligned, this file offers both factual depth and clinical context, making it ideal for academic excellence and licensure preparation in radiation therapy and oncology care. Keywords: radiation oncology, IGRT, EPID, SBRT, SRS, Bragg peak, CyberKnife, endocrine tumors, thyroid cancer, pituitary tumor, GI cancers, colorectal cancer, pancreatic cancer, GYN cancers, cervical cancer, ovarian cancer, leukemia, AML, CLL, radiation dose limits, tumor staging, TNM, CBCT, medical imaging, radiologic pathology, RTH 420 exam prep

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P&P Final Exam 2025/2026 Exam
Questions and Verified Answers |
Already Graded A+



What is the process called on how the OBI's and ultrasound bat machine

talk to the treatment machine? - 🧠ANSWER ✔✔Image Registration (Pg.314

W.L)

What are the different ways to monitor breathing with lung tumors? -

🧠ANSWER ✔✔Abdominal compression


Integration of motion into the treatment planning & tracking.

Breath hold

Respiratory Gating

,What are the goals of the radiation oncology team? - 🧠ANSWER ✔✔Plan

deliver accurate and precise treatments.

Increase toxicity

Reduce effects

What is the type of radiation called that delivers an extreme high dose with

1-5 fractions? - 🧠ANSWER ✔✔Stereotactic Treatments (ex: SBRT and

SRS).

What technique was used back then for stereotactic treatments? What was

the type of machine used? - 🧠ANSWER ✔✔Cranial Sterotactic Treatments-

Gamma knife.


What does image guidance do? - 🧠ANSWER ✔✔IGRT is to image the

patient just prior to treatment, then compare the position of the external set

up marks and internal anatomy to the treatment plan.


What is EPID? What does it do? - 🧠ANSWER ✔✔EPID stands for

Electronic Portal Imaging Device. It is used to produce near real time portal

images on a computer screen for evaluation.

, What are the devices on a linear accelerator called, that are used for

imaging? - 🧠ANSWER ✔✔OBI's and MV panel


Which organs are affected by motion? - 🧠ANSWER ✔✔Lungs


Liver

Breast

Pancreas

Esophagus

How does Cyber knife work? What kind of technique does it have? -

🧠ANSWER ✔✔It's able to treat anywhere in the body and uses a non-

isocentric treatment approach (high accuracy).


What is Braggs Peak? - 🧠ANSWER ✔✔Braggs Peak is the sharp increase

in the dose distribution curve of a charged particle such as photons at a

particular depth.

Why is tomo's technique different from other volumetric techniques? -

🧠ANSWER ✔✔Tomo is a CT and a treatment machine.


What is unique about protons? - 🧠ANSWER ✔✔Very sharp fall off.




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