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CAMRT Radiation Therapy National Certification Examination — Information & Free Practice

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Exam Review

About CAMRT Radiation Therapy National Certification Examination

CAMRT Radiation Therapy National Certification Examination · CA

Key exam facts

Exam questions
Total questions: 185.

Topics covered

The authority publishes percentage ranges for each content area. The practice percentages below use the midpoint of each range, normalized to 100%; they are not exact percentages published by the authority. Practice question counts may differ slightly because of rounding.

  • Professional, Communicator and Collaborator — Official range: 5–10% (Practice allocation: 7.46%)

    • Comply with federal and provincial legislation and regulations.
    • Maintain privacy and confidentiality in accordance with legislation.
    • Ensure ongoing informed consent to procedures.
    • Practice within provincial regulatory or national association code of ethics.
    • Practice within limits of professional knowledge, skills and judgement.
    • Respect the dignity, privacy and autonomy of the patient.
    • Maintain professional boundaries.
    • Use professional judgement and critical thinking to reach decisions.
    • Provide care in an unbiased manner.
    • Demonstrate sensitivity to the diversity of individuals.
    • Provide care in a culturally safe manner.
    • Establish trust with patients and their families.
    • Explain complex and technical matters related to medical radiation technology to the level of the respondent's understanding.
    • Provide appropriate information about procedures to patients and support persons and verify understanding.
    • Adapt communication strategies to enhance interaction with patients and support persons.
    • Respond to questions from patients and support persons or direct them to appropriate resources.
    • Identify clinically relevant details and respond.
    • Provide accurate and timely updates to the care team, as appropriate.
    • Maintain accurate and complete written and electronic documentation.
    • Advise patients of necessary pre- and post-procedure care instructions.
    • Demonstrate understanding of the roles of healthcare team members.
    • Share MRT expertise with other healthcare professionals.
    • Ensure appropriate transfer of care.

  • Care Provider — Official range: 10–20% (Practice allocation: 14.93%)

    • Verify patient identity.
    • Transport and transfer patients safely.
    • Use immobilization devices, as appropriate.
    • Ensure proper function of assistive devices and equipment provided by the facility.
    • Recognize and respond to medical emergencies.
    • Review clinical history provided relative to ordered procedure and address discrepancies.
    • Verify appropriateness of the procedure.
    • Assess patient for contraindications to procedure and respond.
    • Assess and respond to patient condition.
    • Monitor patient throughout procedure and respond as necessary.
    • Adapt positioning and/or protocol in response to patient condition and clinical environment.
    • Enhance patient comfort.
    • Provide patient interventions, as appropriate.
    • Recognize and adapt to individual patient needs.
    • Employ routine practices and additional precautions for infection prevention and control.
    • Employ appropriate procedure for patients with compromised immunity.
    • Apply standardized procedures for handling and disposing of sharps and contaminated and biohazardous materials.
    • Provide education related to procedure, risks and safe practices.
    • Provide an open and secure environment in which the patient can confide.
    • Provide education regarding management of expected treatment/procedure side effects.
    • Provide education on health and nutrition.
    • Develop and implement individualized patient care plan.
    • Refer patient to supportive services, where appropriate.
    • Adjust patient’s care using accepted assessment methods.

  • Integrate safe work principles and procedures into practice. — Official range: 10–20% (Practice allocation: 14.93%)

    • Use protective devices, equipment, and apparel.
    • Use proper body mechanics.
    • Ensure a safe working environment.
    • Adapt safety practices according to equipment type.
    • Apply ALARA principle.
    • Apply knowledge of radiation effects and risks.
    • Monitor personal radiation exposure and respond.
    • Recognize and respond to radiation emergencies.
    • Use radiation detection devices.
    • Recognize and respond to facility emergencies.

  • Manage a variety of imaging and treatment systems. — Official range: 5–10% (Practice allocation: 7.46%)

    • Incorporate knowledge of established radiation therapy modalities.
    • Conduct quality assurance tests using appropriate equipment.
    • Operate radiation therapy planning equipment.
    • Operate radiation therapy treatment equipment.
    • Describe basic principles of brachytherapy treatment equipment.
    • Assess and respond to variances in the performance of radiation therapy equipment.
    • Use digital networking and archiving system.

  • Manage individual care plans. — Official range: 3–12% (Practice allocation: 7.46%)

    • Conduct weekly quality assurance on individual care plans.
    • Assess images for pathology and conditions impacting care.

  • Develop optimal strategy for radiation therapy pre-treatment procedures. — Official range: 5–15% (Practice allocation: 9.95%)

    • Determine optimal patient position and immobilization.
    • Construct and/or use custom immobilization devices.
    • Determine optimal imaging acquisition parameters.
    • Appraise results of pre-treatment procedures.
    • Perform reference-marking procedure to patient and custom immobilization devices.

  • Design optimal radiation therapy plans. — Official range: 5–10% (Practice allocation: 7.46%)

    • Perform multi-modality image fusion as required.
    • Verify appropriate delineation of target volumes.
    • Validate dose and fractionation based on radiobiological and clinical oncology principles.
    • Contour appropriate structures.
    • Create beam arrangements consistent with dose-limiting practices and equipment limitations.
    • Apply protocol requirements for clinical trials as required.
    • Employ beam-modification devices and techniques in order to optimize distribution.
    • Perform manual calculations for treatment procedures.
    • Produce beam modification devices.
    • Modify plan during treatment course as required.
    • Evaluate dosimetric treatment plans.
    • Appraise treatment plans for brachytherapy.

  • Deliver prescribed radiation therapy; Integrate clinical principles into practice; Administer substances required for clinical procedures — Official range: 24–37% (Practice allocation: 30.35%)

    • Confirm readiness for treatment.
    • Reproduce planned patient treatment position.
    • Select appropriate imaging for procedure.
    • Prepare imaging devices.
    • Acquire images.
    • Assess optimized images for patient position, isocenter localization, and volume match.
    • Make treatment decisions based on results of image assessment and protocols.
    • Employ motion management procedures and devices as required.
    • Justify the decision to implement treatment.
    • Administer prescribed radiation therapy.
    • Justify appropriate treatment for malignant, non-malignant, and benign conditions.
    • Apply knowledge of clinical oncology concepts to diseases and conditions.
    • Apply knowledge of the effects of pharmacologic agents as they relate to therapeutic procedures.
    • Apply knowledge of cross-sectional/relational anatomy and physiology as they relate to clinical procedures.
    • Apply knowledge of pathophysiology as it relates to clinical procedures.
    • Apply knowledge of radiobiology.
    • Apply knowledge of radiation physics.
    • Apply knowledge of other imaging and therapeutic modalities.
    • Perform venipuncture.
    • Prepare contrast agents.
    • Recognize and respond to adverse reactions.
    • Apply knowledge of the effects of contrast agents.
    • Administer contrast agents via appropriate route.
    • Assist with the administration of pharmaceuticals.

How to prepare

Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.

These independent practice questions are not actual exam items and do not guarantee a passing result.

Frequently asked questions

How many questions are on the exam?

Total questions: 185.

Official sources and references

Confirm current exam arrangements with the exam provider.