RTPM Detailed Study Questions with Elaborate Exam

RTPM Detailed Study Questions with Elaborate Exam 1. Typical Design PM Responsibilities: - ANSWER -Review expression of interest for client. -Perform a user needs analysis. -Perform site surveys and meet with client. -Generate preliminary design submittals. -Respond to/incorporate client comments. -Prepare final bid documents/RFP and engineer's cost estimate. -Issue final RFP package to client. -Client makes RFP available to potential bidders. 2. Typical Implementation/Installation TPM Responsibilities: - ANSWER Review client RFP and associated documents. -Perform site surveys. -Organize and submit bidders questions to client. -Organize and submit final proposal/bid documents to client. -Client awards contract and gives contractor notice to proceed. -Contractor mobilizes. -Project implementation begins. 3. Risk Breakdown Structure - ANSWER Categories checklist. 4. Qualitative Risk Analysis - ANSWER Subjective ranking w/ expert judgment. 5. Quantitative Risk Analysis - ANSWER Statistical/mathematical impact modeling. 6. Chemotherapy common side effects - ANSWER Physical pain, Extravasation, Systemic effects 7. Cytotoxic agents include 2 types - ANSWER Vesicant: severe & irreversible damage, resulting in necrosis; Irritant: local inflammation, unlikely to cause permanent damage 8. Extravasation injury depends on - ANSWER Type, Concentration & Quantity (Leakage & Involuntary injection) Need adequate guideline, training & correct treatment 9. Central/ Hickman - ANSWER Allow for multiple administration, single insertion under anesthesia & painless during infusion 10. Skin reaction in increasing severity - ANSWER Erythema, Moist desquamation, Epilation, Radiation necrosis, Pigmentation, Telangiectasia 11. Acute radiation dermatitis Grade I and Grade II - ANSWER Grade I: Faint erythema, dry desquamation Grade II: Moderate erythema, patchy moist desquamation 12. Acute radiation dermatitis Grade III and Grade IV - ANSWER Grade III: Moist desquamation, bleeding Grade IV: Necrosis/ ulceration, spontaneous bleeding 13. Management of acute radiation dermatitis - ANSWER Irradiated area: 1) Medicated cream 2) Mild soap + water 3) No hair remover 4) Avoid sun exposure & swimming 5) Deodorant and electric shaver ok 6) Maintain hygiene, clean & dry 14. Bolus effect - ANSWER Things on skin should not be applied before radiation Tx A bolus effect Increase radiation dose to epidermis 15. Skin care recommendation - ANSWER 1) Protect fro sun exposure 2) No hot water but dryer on cool setting 3) Avoid skin friction and rubbing by wear loose-fitting cotton cloth 16. Radiation sickness - ANSWER Diversion of O2 and Nutrition supply to malignant cells Accumulation of lactate from tumour lysis Lead to fatigue, NV, Anorexia 17. "Crisis in life" phases - ANSWER Shock (Dx), Reaction (Tx), Work through (Rehab), Reorientation (Recovery) 5D: distance, dependence, disability, disfigurement, death 18. Challenges in oncology patients - ANSWER 1) Normalization of distress 2) Pathoplastic effects 3) Stage-specific stressors & responses 4) Multidisciplinary teams & fragmentation of care 5) Perceived time constraints 19. How stress is associated with immunosuppression - ANSWER Stress- Stimulation of adrenocortical secretion- Increased serum glucocorticoid- Activation of sympathetic nervous system- Release of catecholamines (increase infection risk & lower speed of recovery) 20. Four emotional stages of cancer - ANSWER Time of Dx Rx End of Tx to rebuild Transition & Exploration New life/ End of life (Bad feeling: life-threatening disease, pain & discomfort, frightening experience, change of life-style) 21. Stress from surgery, chemo, RT - ANSWER Surgery: disfigurement, pain Chemo: unpleasant experience, SE RT: fear to radiation, potential SE 22. What is distress - ANSWER When stress exceeds ability to cope