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RAD B : 8-9
| Question | Answer |
|---|---|
| "soma" is _ for what? | greek; "body" |
| _ effects depends on absorbed dose | somatic |
| radiation of germ cells that has effects on future generations | genetic effects |
| in tissue reactions: as the dose increases the severity _ | increases (example: sun exposure) |
| what are some biological effects from early tissue reactions | nausea, fatigue, erythema, epilation (hair loss), blood disorders, intestinal disorders (damage to epithelial tissue), fever, desquamation (shedding of outer layer of skin) |
| what is acute radiation syndrome (ARS) | radiation sickness, usually doses of 6 rad or more in a short period of time |
| what are the three dose-related syndromes for ARS | 1. hematopoietic syn 2. gastrointestinal syn 3. cerebrovascular syn |
| hematopoietic syndrome is sometimes called | bone marrow syndrome |
| hematopoietic syndrome is absorbed dose of | 1-10 Gy (100-1000 rads) |
| because RBC, WBC, & platelets are destroyed with hematopoietic syndrome what consequences can we expect to see | infection, hemorrhage, anemia |
| what is the recovery for pts whom get 1-2 Gy (hematopoietic) | 3-6 weeks, with bone marrow transplant |
| what are the symptoms of gastrointestinal syndrome | severe nausea, vomiting, diarrhea, fever, loss of appetite, lethargy, anemia, leukopenia |
| what is the exposure for gastrointestinal syndrome | 6-10 Gy |
| what is typically the lasting effect of gastro syn | death within 3-10 days |
| the exposure for cebrovascular syn is | 50 Gy or more |
| what are the symptoms of cerbrovascular syn | nervousness, confusion, diarrhea, loss of vision, burning sensation, stupor, agitation |
| what is the timeline of death for cerebrovascular syndrome | death in a few hours to 2-3 days |
| what are the four stages of ARS | 1. prodromal 2. latent 3. manifest illness, 4. Recovery or death |
| how many people were hospitilized with ARS from Chernobyl | 203 |
| damage to tissues used to estimate radiation dose | biologic dosimetry |
| the amount of dose where 50% of the population will not survive after a 30 days period | lethal dose : LD 50/30 |
| for adult humans the estimated dose is | 3-4 Gy |
| dose response curve | review graph representation** |
| what is the threshold for exposure having no fatalities | 1 Gy |
| cells contain _ _ which allow the cell to recover | repair enzymes |
| _ cells have a better prospect for recovery | oxygenated |
| because radiation is cumulative, approximately _ % of the radiation induced damage will be irreparable, whereas the remaining _ % may be repaired over time | 10, 90 |
| organ and tissue response to radiation exp depends on what three things | 1. radiosensitivity 2. reproductive characteristics 3. growth rate |
| what tissues suffer immediate consequences from high exposure | skin, reproductive organs, bone marrow |
| what are the three layers of the skin | epidermis (outer layer) dermis (middle layer) hypodermis (subcutaneous layer) |
| accessory structures of the skin include | hair follicles, sensory receptors, sebaceous glands, sweat glands |
| radiodermatitis | cancerous lesions, reddening of the skin |
| desquamation | shedding of the skin (moist first the dry) |
| epilation | - loss of hair (alopecia) : temporary or permanent - exposure to follicles |
| Grenz rays | -used to treat ringworm - if done to the head can result in alopecia of the scalp -10-20 kVp |
| what studies seen today can still result in effects on the seen | cardiovascular or therapeutic IR procedures |
| what is the effects on men and women reproductive systems | - men: depress sperm cell - women: supress or delay menstruation |
| hematologic effects = | whole body dose as low as .25 Gy which can depress blood cell production |
| what are the types of cells in the hematopoietic system | lymphocytes, neutrophils, granulocytes, thrombocytes, ertythrocytes |
| the hematopoietic system consists of | bone marrow, circulating blood, lymphoid organs |
| cells in the hematopoietic system all develop from a single precursor cell called | pluripotential stem cell |
| study of cell genetic with emphasis on cell chromosomes | cytogenetics |
| chromosome map- consists of photograph of nucleus | karyotype |
| phase of cell division in which chromosome damage can be evaluated | metaphase |
| effects that are random | stochastic |
| radiation induced damage at the cellular level that may lead to measurable somatic and hereditary damage ---- LATER | late effects |
| what are examples of late biologic damage in late effects | cataracts, leukemia, genetic mutations |
| non linear dose response curves refer to | - curve in the line |
| linear dose response | - straight line |
| for stochastic effects: the probability is _ proportional to dose | directly |
| for tissue reactions the probability and severity are _ proportional to dose | directly |
| no conclusive proof exxisits that low-level ionizing radiation exposure belwo _ causes signgificant increase in malignancy | 0.1Gy |
| carninogenesis is a _ effect | stochastic |
| cataractogenesis is a _ effect | tissue |
| stages of gestation in humans | - preimplantation (0-9 day) - organogenesis (10 days to 12 w) - fetal stage (12- 40 w _ |
| when is the embryo the most radiosensitive | during the first trimester |
| t/f there is no such thing as a 100% safe gonadal radiation dose | true |
| the radiaiton dose that causes the number of spontaneous mutation occuring in a given generation to increase to two times their original dose | doubling dose concept |
| doing genetic effects have a threshold dose | no |
| what is the mean value for the doubling dose concept | 1.56 Sv |