Deck 9: Stochastic Effects and Late Tissue Reactions of Radiation in Organ Systems

Question 1

What is the mean value of the radiation doubling equivalent dose for humans,as determined from studies of the children of the atomic bomb survivors of Hiroshima and Nagasaki?

A)1.00 Sv
B)1.56 Sv
C)3.00 Sv
D)5.67 Sv

Answer 1

1.56 Sv

Question 2

Among the atomic bomb survivors,the number of leukemia victims has _______________ since the late 1940s and early 1950s.However,the occurrence rates of other radiation-induced malignancies have continued to ___________since the late 1950s and early 1960s.

A)slowly declined;escalate
B)increased rapidly;decrease
C)increased slowly;decrease
D)rapidly declined;decrease

Answer 2

slowly declined;escalate

Question 3

Which of the following are sources of low-level radiation exposure?
1)X-rays and radioactive materials used for diagnostic purposes.
2)Employment-related exposure in medicine and industry.
3)Natural background radiation.

A)1 and 2 only
B)1 and 3 only
C)2 and 3 only
D)1,2,and 3

Answer 3

1,2,and 3

Question 4

Which of the following late effects caused by exposure to ionizing radiation is considered to be most important?

A)Cataract formation
B)Embryologic or birth defects
C)Cancer
D)None;all are considered to be of equal importance.

Question 5

When a prediction is made that the number of excess cancers rises as the natural incidence of cancer increases with advancing age in the population,the risk is considered to be

A)absolute.
B)excess.
C)quadratic.
D)relative.

Question 6

Existing data on radiation-induced genetic effects in humans

A)prove conclusively that radiation causes major genetic effects.
B)prove conclusively that radiation causes only minor genetic effects.
C)are both contradictory and inconclusive.
D)prove conclusively that radiation does not cause genetic effects.

Question 7

After the Chernobyl disaster in 1986,an attempt was made to prevent thyroid cancer in Poland and some other countries,resulting from the accidental overdose of iodine-131._______________ was administered to children as a substitute to block the gland's uptake of iodine-131.

A)Potassium bromide
B)Sodium chloride
C)Sodium bicarbonate
D)Potassium iodide

Question 8

The human body can incorporate radium into bone because it is chemically similar to

A)calcium.
B)potassium.
C)phosphorus.
D)sodium.

Question 9

What do agents such as specific chemicals,viruses,and ionizing radiation have in common?

A)Nothing
B)They can increase the frequency of mutations in only those members of the population who are already genetically impaired.
C)They are all mutagens that may increase the frequency of mutations.
D)They always cause spontaneous abortions during the first trimester of pregnancy.

Question 10

Some mutations in genetic material occur spontaneously,without a known cause.In humans,a hereditary disorder is present in approximately _________ of all live births in the United States.

A)10%
B)20%
C)25%
D)30%

Question 11

In which of the following human populations is the risk for causing a radiation-induced cancer not directly measurable?
1)All patients in diagnostic radiology subjected to a radiation dose below 0.1 Sv
2)Chernobyl radiation accident victims living in contaminated villages
3)Atomic bomb survivors

A)1 only
B)2 only
C)3 only
D)2 and 3 only

Question 12

In general,laboratory experiments with mice prove that cataracts may be induced with doses of ionizing radiation as low as

A)0.1 Gyt.
B)0.01 Gyt.
C)0.5 Gyt.
D)0.05 Gyt.

Question 13

Genetic effects from exposure to ionizing radiation occur as a result of radiation-induced damage to the DNA molecule in which of the following?
1)Sperm of a man
2)Ova of a woman
3)Somatic cells of men and women

A)1 only
B)2 only
C)3 only
D)1 and 2 only

Question 14

To assess the magnitude and severity of late effects on the exposed population from the 1986 nuclear power station accident at Chernobyl

A)follow-up is not necessary because the radiation received by the entire exposed population was fatal.
B)minimal follow-up is only necessary because the exposed population did not receive sufficient radiation exposure to cause severe late effects.
C)short-term follow-up studies are necessary.
D)long-term follow-up studies are necessary.

Question 15

Epidemiologic studies are of significant value to radiobiologists who use the information from these studies to formulate dose-response curves for making predictions of the risk of ____________ in human populations exposed to low levels of ionizing radiation.

A)cancer
B)cataract formation
C)genetic effects
D)spontaneous abortions

Question 16

During the preimplantation stage of development,the fertilized ovum divides and forms a ball-like structure containing undifferentiated cells.If this structure is irradiated with a dose in the range of 0.05 to 0.15 Gyt which of the following will result?

A)Congenital abnormalities
B)Delayed bone growth
C)Embryonic death
D)Microcephaly

Question 17

During the 1950s and 1960s,the Navajo people of Arizona and New Mexico who mined uranium for fuel for nuclear weapons and power plants developed lung cancer years after their exposure.This provides an example of which of the following?

A)Early tissue reactions
B)Late stochastic effects
C)Late tissue reactions
D)Late genetic effects

Question 18

Mutations in genes and DNA that occur at random as natural phenomena are called

A)carcinogenic mutations.
B)sporadic mutations.
C)spontaneous mutations.
D)stochastic mutations.

Question 19

Radiation-induced abnormalities are caused by unrepaired damage to

A)all stem cells in the human body.
B)DNA molecules in the sperm or ova of an adult.
C)epithelial cells in the human body.
D)somatic cells in the human body.

Question 20

Radiation-induced cataracts in humans follow a ______ dose-response relationship.

A)nonthreshold,nonlinear
B)nonthreshold,linear
C)threshold,linear
D)threshold,nonlinear

Question 21

Genetic mutations at the molecular level are called

A)chromatid mutations.
B)chromosome mutations.
C)molecular mutations.
D)point mutations.

Question 22

The term linear nonthreshold relationship implies that the biologic response to ionizing radiation is

A)directly proportional to the dose all the way down to levels approaching zero.
B)inversely proportional to the dose all the way down to levels approaching zero.
C)directly proportional to the square of the dose all the way down to levels approaching zero.
D)inversely proportional to the square of the dose all the way down to levels approaching zero.

Question 23

Radium decays with a half-life of

A)8 days.
B)50 years.
C)500 years.
D)1622 years.

Question 24

Studies showed that postpartum patients treated with ionizing radiation for relief of mastitis are a group of individuals in whom the results of radiation exposure to healthy breast tissue via scattered radiation indicate that radiation

A)can cause breast cancer.
B)cannot cause breast cancer.
C)can cause breast enlargement.
D)can cause breast shrinkage.

Question 25

Currently,evidence of radiation-induced hereditary effects has not been observed in persons employed in diagnostic imaging or in persons undergoing radiologic examinations.Even with this information,it is still recommended that
1)gonadal shielding be effectively used.
2)all radiation exposure be maintained as low as reasonably achievable (ALARA).
3)alternative procedures be substituted for x-ray procedures whenever diagnostic information must be obtained.

A)1 only
B)2 only
C)1 and 2 only
D)3 only