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Radiation Therapy in Pediatric Oncology Flashcards

7 cards from real CPHON practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. What is the standard SI unit used to measure absorbed radiation dose in radiation therapy?

    Answer: Gray (Gy)

    The Gray (Gy) is the SI unit of absorbed radiation dose, defined as 1 joule of energy absorbed per kilogram of tissue.

  2. Which type of radiation therapy delivers radiation from a source placed directly inside or adjacent to the tumor?

    Answer: Brachytherapy

    Brachytherapy places a radioactive source inside or near the tumor, delivering a high local dose while limiting exposure to surrounding healthy tissue.

  3. Which pediatric brain tumor most commonly requires craniospinal irradiation as part of its treatment?

    Answer: Medulloblastoma

    Medulloblastoma carries a high risk of leptomeningeal dissemination via cerebrospinal fluid, making craniospinal irradiation a standard component of treatment.

  4. What is the primary advantage of proton therapy over conventional photon radiation in pediatric oncology patients?

    Answer: Reduced exit dose and significantly less radiation to healthy surrounding tissues

    Protons deposit maximum energy at the Bragg peak and produce minimal exit dose, dramatically reducing radiation exposure to healthy tissues beyond the tumor—critical in growing children.

  5. According to the CTCAE grading scale, which finding characterizes grade 2 radiation dermatitis?

    Answer: Moderate to brisk erythema with patchy moist desquamation in skin folds

    Grade 2 radiation dermatitis is defined by moderate to brisk erythema with patchy moist desquamation, primarily confined to skin folds.

  6. Which of the following is an acute side effect of radiation therapy directed to the head and neck region in a pediatric patient?

    Answer: Mucositis

    Mucositis is an acute side effect of head and neck radiation that typically appears within the first 1–2 weeks of treatment due to injury to rapidly dividing mucosal cells.

  7. What is the most appropriate nursing recommendation for managing radiation-induced fatigue in a school-age child?

    Answer: Schedule important activities during peak energy periods and encourage light exercise as tolerated

    Energy conservation strategies combined with light physical activity during periods of highest energy best manage radiation-induced fatigue without causing deconditioning.