Question 1

TJC quality assurance focuses on performance measurement, which is based on the comparison of processes with which of the following?

Accepted Answer

A)  Outcomes to quality indicators 
B)  Peer review to data 
C)  Aspects of care to survey results 
D)  Care environment to outcomes 
A)  Outcomes to quality indicators 
B)  Peer review to data 
C)  Aspects of care to survey results 
D)  Care environment to outcomes A

Question 2

Dr.D.F.Deming's 14 principles of management emphasize which of the following?

Accepted Answer

A)  Employee participation in a "customer-responsive" environment 
B)  Short-term goals and strong management 
C)  Individual performance, rather than teamwork 
D)  Setting of thresholds 
E)  Both a and b 
F) Both c and d 
A)  Employee participation in a "customer-responsive" environment 
B)  Short-term goals and strong management 
C)  Individual performance, rather than teamwork 
D)  Setting of thresholds 
E)  Both a and b 
F) Both c and d A

Question 3

TJC's indicator measurement system (IM system)focuses primarily on which of the following?

Accepted Answer

A)  Acute inpatient care 
B)  Quality indicators 
C)  Electronic data 
D)  Peer review 
A)  Acute inpatient care 
B)  Quality indicators 
C)  Electronic data 
D)  Peer review A

Question 4

This federal agency has as its scope of responsibility the regulation of nuclear reactors; medical, academic, and industrial uses of nuclear materials; and the transport, storage, and disposal of nuclear materials and waste.

Accepted Answer

A)  NRC 
B)  EPA 
C)  DOT 
D)  FDA 
A)  NRC 
B)  EPA 
C)  DOT 
D)  FDA

Question 5

The ASRT have developed practice standards for radiation therapists.They are divided into what three sections?

Accepted Answer

A)  Cognitive, affective, and psychomotor standards 
B)  Clinical, quality, and professional performance standards 
C)  Education, professional self-assessment, and ethical behavior standards 
D)  Patient care, treatment delivery, and Total Quality Management (TQM)standards 
A)  Cognitive, affective, and psychomotor standards 
B)  Clinical, quality, and professional performance standards 
C)  Education, professional self-assessment, and ethical behavior standards 
D)  Patient care, treatment delivery, and Total Quality Management (TQM)standards

Question 6

Which organization guides specific radiation oncology staff in the development of a quality assurance (QA)program as it relates to treatment planning and delivery?

Accepted Answer

A)  ACR 
B)  NRC 
C)  AAPM 
D)  ASRT 
A)  ACR 
B)  NRC 
C)  AAPM 
D)  ASRT

Question 7

The output constancy of all electron energies on the linear accelerator are recommended to be checked ________________.

Accepted Answer

A)  daily 
B)  twice weekly 
C)  once weekly 
D)  once Monthly 
A)  daily 
B)  twice weekly 
C)  once weekly 
D)  once Monthly

Question 8

Among continuous improvement methods, the system of Six Sigma focuses on improving processes by _______________________________.

Accepted Answer

A)  emphasizing quality control procedures that are routinely performed, documented, and evaluated 
B)  emphasizing speed and efficiency 
C)  eliminating defects in the process through precision and accuracy 
D)  continuous statistical assessment of data being collected 
A)  emphasizing quality control procedures that are routinely performed, documented, and evaluated 
B)  emphasizing speed and efficiency 
C)  eliminating defects in the process through precision and accuracy 
D)  continuous statistical assessment of data being collected

Question 9

Components of a quality improvement (QI)plan in radiation oncology incorporate evaluation, assessment, identification, data collection, and annual review of items ultimately affecting patient care.Which of the following is the key player in the QI plan?

Accepted Answer

A)  QI officer 
B)  QI committee 
C)  Medical director 
D)  Radiation oncology team 
A)  QI officer 
B)  QI committee 
C)  Medical director 
D)  Radiation oncology team

Question 10

In general, the major components of a QI plan include which of the following?

Accepted Answer

A)  Evaluation of patterns 
B)  Assessment of individual clinical events 
C)  Action to be taken to resolve problems 
D)  Weekly meeting of QI committee 
E)  a, b, and d 
F) a, b, and c 
A)  Evaluation of patterns 
B)  Assessment of individual clinical events 
C)  Action to be taken to resolve problems 
D)  Weekly meeting of QI committee 
E)  a, b, and d 
F) a, b, and c

Question 11

Which of the following regulatory agencies is dedicated to improving the quality of care in health care settings and also requires every radiation oncology department to have its own dedicated QI plan?

Accepted Answer

A)  ANSI 
B)  TJC 
C)  NCQA 
D)  NRC 
A)  ANSI 
B)  TJC 
C)  NCQA 
D)  NRC

Question 12

A QI plan has a(n)_____________ that verifies that all aspects of the radiation oncology process meet national, state, institutional, or departmental quality standards and have a mechanism to institute change if necessary.

Accepted Answer

A)  audit mechanism 
B)  oversight committee 
C)  action plan 
D)  support staff 
A)  audit mechanism 
B)  oversight committee 
C)  action plan 
D)  support staff

Question 13

A daily quality assurance check for the computed tomography (CT)simulator is to check the CT number accuracy for which of the following?

Accepted Answer

A)  Lead 
B)  Water 
C)  Air 
D)  Bone 
A)  Lead 
B)  Water 
C)  Air 
D)  Bone

Question 14

The recommended frequency for checking the audio-visual system in the treatment room is _______________.

Accepted Answer

A)  daily 
B)  weekly 
C)  monthly 
D)  yearly 
A)  daily 
B)  weekly 
C)  monthly 
D)  yearly

Question 15

X-ray output was calibrated during commissioning as 1.0 cGy/MU.During monthly quality assurance checks, the output is calibrated as 1.3 cGy/MU.This monthly output measurement is _____________________.

Accepted Answer

A)  outside of tolerance limits but no action is required 
B)  within tolerance limits and no action is required 
C)  outside of tolerance limits and action is required 
D)  not required until the annual quality assurance routine 
A)  outside of tolerance limits but no action is required 
B)  within tolerance limits and no action is required 
C)  outside of tolerance limits and action is required 
D)  not required until the annual quality assurance routine

Question 16

The tolerance for light/radiation field coincidence on the linear accelerator is _____ mm.

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4 
A)  1 
B)  2 
C)  3 
D)  4

Question 17

Peer review plays a part in several QA programs in radiation oncology.Select the program(s)listed here that incorporate peer review as part of QA.

Accepted Answer

A)  Weekly chart review 
B)  Weekly film review 
C)  Current patient case review 
D)  New patient planning conference 
E)  All of the above 
A)  Weekly chart review 
B)  Weekly film review 
C)  Current patient case review 
D)  New patient planning conference 
E)  All of the above

Question 18

Appropriate use of CQI assists the health care organization in responding to all except which of the following?

Accepted Answer

A)  Increased competition 
B)  Escalating costs 
C)  Quality concerns 
D)  Development of individual performance 
A)  Increased competition 
B)  Escalating costs 
C)  Quality concerns 
D)  Development of individual performance

Question 19

What term is defined as "planned or systematic actions necessary to provide adequate confidence that a product or service will satisfy given requirements for quality"?

Accepted Answer

A)  Quality audit 
B)  QA 
C)  Quality control 
D)  Quality indicator 
A)  Quality audit 
B)  QA 
C)  Quality control 
D)  Quality indicator

Question 20

In the mid-1980s, the Occupational Safety and Health Administration (OSHA)mandated a policy on __________________.

Accepted Answer

A)  biohazard disposal procedures 
B)  preventing injuries 
C)  mold room procedures 
D)  blood-borne pathogens 
A)  biohazard disposal procedures 
B)  preventing injuries 
C)  mold room procedures 
D)  blood-borne pathogens

Exam 19: Quality Improvement in Radiation Oncology

TJC quality assurance focuses on performance measurement, which is based on the comparison of processes with which of the following?

Dr.D.F.Deming's 14 principles of management emphasize which of the following?

TJC's indicator measurement system (IM system)focuses primarily on which of the following?

This federal agency has as its scope of responsibility the regulation of nuclear reactors; medical, academic, and industrial uses of nuclear materials; and the transport, storage, and disposal of nuclear materials and waste.

The ASRT have developed practice standards for radiation therapists.They are divided into what three sections?

Which organization guides specific radiation oncology staff in the development of a quality assurance (QA)program as it relates to treatment planning and delivery?

The output constancy of all electron energies on the linear accelerator are recommended to be checked ________________.

Among continuous improvement methods, the system of Six Sigma focuses on improving processes by _______________________________.

Components of a quality improvement (QI)plan in radiation oncology incorporate evaluation, assessment, identification, data collection, and annual review of items ultimately affecting patient care.Which of the following is the key player in the QI plan?

In general, the major components of a QI plan include which of the following?

Which of the following regulatory agencies is dedicated to improving the quality of care in health care settings and also requires every radiation oncology department to have its own dedicated QI plan?

A QI plan has a(n)_____________ that verifies that all aspects of the radiation oncology process meet national, state, institutional, or departmental quality standards and have a mechanism to institute change if necessary.

A daily quality assurance check for the computed tomography (CT)simulator is to check the CT number accuracy for which of the following?

The recommended frequency for checking the audio-visual system in the treatment room is _______________.

X-ray output was calibrated during commissioning as 1.0 cGy/MU.During monthly quality assurance checks, the output is calibrated as 1.3 cGy/MU.This monthly output measurement is _____________________.

The tolerance for light/radiation field coincidence on the linear accelerator is _____ mm.

Peer review plays a part in several QA programs in radiation oncology.Select the program(s)listed here that incorporate peer review as part of QA.

Appropriate use of CQI assists the health care organization in responding to all except which of the following?

What term is defined as "planned or systematic actions necessary to provide adequate confidence that a product or service will satisfy given requirements for quality"?

In the mid-1980s, the Occupational Safety and Health Administration (OSHA)mandated a policy on __________________.

Cancer: An Overview

The Ethics and Legal Considerations of Cancer Management

Principles of Pathology

Overview of Radiobiology

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Infection Control in Radiation Oncology Facilities

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Introduction to Radiation Therapy Physics

Aspects of Brachytherapy

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Electron Beams in Radiation Therapy

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