You are a fourth year medical student midway through your radiation oncology elective. Today has been rather quiet, so it has given you a chance to corner your favourite radiation oncologist (Dr. Ruffledrop), and chat a bit. Dr. Ruffledrop has been quite pleased with your progress, but wants to know if you really understand the fundamentals of radiation oncology. She asks you which phase of the cell cycle is easiest to cause a double stranded DNA break with radiation. You answer:

Dr. Ruffledrop is pleased with your answer. Of course, it is never enough to get one answer correct… You begin discussing the concept of fractionation, and she is quick to ask you about the fundamental mechanisms of radiation therapy. Specifically, which of the following is NOT one of the 4R’s. You answer:

Ok, I see you understand the principles of radiation therapy, Dr. Ruffledrop admits. Now let’s see if you are familiar with the specific types of radiation therapy. Say we have a 74 year old male with prostate cancer and we insert radioactive pellets into the tumor, what would you call that form of therapy? You answer:

Impressive, impressive admits Dr. Ruffledrop. Ok, let's discuss treatment intent a bit. Say we had a 74 year old female with breast cancer who received radiation therapy and then hormonal therapy after. How would you describe the hormone therapy as it compares to the radiation therapy. You answer:

Dr. Ruffledrop claps her hands in glee. Well aren’t you just a radiation oncologist in the making! How about one final question, and if you get it coffee is on me. You feel kinda guilty, as you read through the Radiation Oncology Basics Module on LearnOncology and know what’s coming. But hey, free coffee is free coffee. Dr. Ruffledrop then asks “what is the most common form of radiation used for treatment of cancer”? You answer:

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