Alliance - Credentialing Quiz for Z4099

Home > ACOSOG > Credentialing Quiz for Z4099

Your Name*

Institiution Name*

Institiution CTEP ID*

(US site example: NC010, Non-US site example: 11030)

Your E-Mail Address*

Today's Date*

SURGEON INSTRUCTIONS:Please complete the quiz and click Submit. Note: A score of 75% or above must be obtained to be approved for brachytherapy.

1. The method of brachytherapy for Z4099 uses I-125 seeds imbedded in a polyglactin suture. What is the range of the radiation from the seeds?*

2. Which of the following is correct when using the mesh technique?*

	The radiation seeds are removed from the leaded rings and sutured onto a marked grid on the marlex mesh
	All sutures are placed on the marked grid on the marlex mesh. Each suture is then advanced bringing the I-125 seeds out of the leaded rings
	Brachytherapy is required if a site is registered as a "brachytherapy site"
	A grid is marked on a vicryl mesh. Stab incisions are made to facilitate placement of the I-125 seeds

3. Which of the following is true regarding the use of brachytherapy for this protocol if the patient is randomized to sublobar resection?*

	Brachytherapy is required for all patients
	Brachytherapy is used at the discretion of the treating surgeon
	Brachytherapy is required if a site is registered as a "brachytherapy site"
	Brachytherapy is only required if a close wedge resection (< 1cm margin) is undertaken

4. Regarding the operation performed, which of the following statements is true?*

	Only lymph nodes > 1cm on the short axis on CT or positive by PET scan should be biopsied
	Lymph node sampling should be performed in all cases
	If positive N1 lymph nodes are identified at operation, the patient should be withdrawn from the study
	Touch-prep should be performed of the staple line after cutting the wedge specimen