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25 Cards in this Set
- Front
- Back
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Describe the importance of the Radiation Medical Examination
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2001
establish baseline results 2011 establish presence of cancer |
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Pre-Placement Examination (PE)
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Radiation workers prior to assignment
Personnel that have already recieved a TE upon re-entry Personnel who have exceeded 500mrem/yr |
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Re-examination (RE)
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Preformed on workers that continure in the rad field
5yrs up to age 50 2yrs 50-60 yr 60+ no later than 1 month after exp date |
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Situational Examination (SE)
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When individual has exceeded the radiation protection standard
Upon inhalation or ingestion of radioactive material exceeding 50% of ALI When deemed necessary by the physician |
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Termination Examination (TE)
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Upon seperation, termination of their acctive duty
no earlier than 6mo prior to termination of their duties |
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What are the 4 types of RME's?
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PE, RE, SE and TE
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Describe the medical conditions that may be related to ionizing radiation exposure that are emphasized during the RME
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2001
determining the existence of malignant and premalignant lesions other conditions that could be related to radiation exposure 2011 establish weather or not cancer is present deleted precancerous lesions as a disqualifying condition |
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Define cancer and other related terms
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a term for disease in which abnormal cells divide without control and aggressivley migrate or are transported to the organs of the host
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define hematuria
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the presence of red blood cells or blood in the urine above lab specified values
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define anemia
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a medical condition in which the body does not have enough healthy red blood cells
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tumor
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abnormal mass of tissue that result when cells divide more than they should and do not die when they should
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hyperplasia
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an abnormal increase in the number of cells in an organ or tissue
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neoplasia
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Abnormal and uncontrolled cell growth that alters normal function of the host tissue, physiology or function
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Radiobioassay
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the measurement of the amount or concentration of radionuclide material in the body
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list the components of a RME
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medical history
physical exam special study |
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Describe medical conditions that may be cause for rejection or disqualification
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per P-5055 (Feb 2011)
History of cancer history of radiation therapy history of polycythemia vera history of leukemia abnormal lab results that could be related to cancer open lesions or wounds internal deposited radioneuclides >50% ALI/yr |
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State the standards for lab values conducting a RME
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2001
abnormal CBC POS heme must be <5RBC/HPF on microscopic HPF 2011 abnormal WBC or HCT POS heme < or =3 RBC/HPF |
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Describe who may conduct the RME
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physicians, nurse practitioners or physician assistants who have recieved BUMED-approved radiation health training
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Describe the required entries for specified portions of the RME per NAVMED P-5055
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Medical history
speacial studys focused physical exam abnormal findings cd or ncd (basis of determination) |
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Describe the filing requirements of the RME, laboratory reports, pathology reports, radiobioassay results and consultaion reports
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RME filed on top of section 3
Lab, path radiobioassay section 4 consultaions section 2 |
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List the items or conditions that make a RME deficient
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missing or incomplete data on:
history speacial studies physical exams |
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describe the approved methods for correcting a deficient RMW
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imformation will be added to the deficient examination in the summary of abnormal finding block
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Explain all the requirements for reporting the results of a RME to the REAB
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any finding of cancer
history of radiation exposure intake in excess of 50% ALI allegations that the mebers condition was caused by radiation |
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List the required items to be submitted to the REAB
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Copy of Completed RME
Copy of the supporting documentation directly relating to the condition Transmittal letter |
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Describe the filing requirements for REAB packages and the REAB letter from BUMED
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File all documents into their proper locations:
RME in sec 3 lab and path reports in sec 4 Spec/consultant notes in sec 2 File the BUMED letter on top on the RME for the disqual condition |
