MCQs On the Topic of Radio physics and Radiotherapy | RRB, SSC, AIIMS | Radiology Notes

MCQs On the Topic of Radio physics and Radiotherapy Practice Question :




1. In new generation image intensifiers, the input screen is made of _____ and the output screen is made of ___ 

A. Zinc cadmium sulfide, cesium iodide
B. Zinc cadmium sulfide, zinc cadmium sulfide
C. Cesium iodide, cesium iodide
D. Cesium iodide, zinc cadmium sulfide


2. Typical X-ray tube currents for an image intensifier system range from to mA.

A. 15 
B. 50 100
C. 100 200
D. 200500

 
3. The primary barrier of an image intensifier fluoroscope is the _ .

A. Tabletop
B. Patient
C. Image intensifier input phosphor
D. Image intensifier tube housing


4. Film badges measure or can measure:

A. All external ionizing radiation
B. All internal and external ionizing radiation
C. External x, gamma and hard beta radiation
D. External alpha, beta, gamma and x radiation

 
5. Surface coils in MRI are used to:

A. Select the slice to be imaged
B. Produce and de~t RF signals
C. Prevent excess heating during scanning.
D. Improve the homogeneity of magnetic fields


6. Shim coils are used to:

A. Select the slice to be imaged
B. Produce and detect RF signals
C. Prevent excess heating during scanning
D. Improve the homogeneity of magnetic fields


7. Gradient coils are used to:
A. Select the slice to be imaged
B. Produce and detect RF signals
C. Prevent excess heating during scanning
D. Improve the homogeneity of magnetic fields


8. Super conducting magnets:

A. Use super conducting coils
B. Must be maintained at a low temperature
C. Have current flowing continuously with no electrical
resistance
D. Have/ do all of the above


9.The detector in CT unit that gives off a flash of light when
irradiated is:

A. Solid state
B. Gas filled
C. A scintillation
D. All of the above


10.The patient support table in CT:

A. Is made of low attenuating material
B. Moves the patient through the X-ray beam
C. Indexing must be accurate within 1 mm
D. Is/ does all of the above


11.The AEC detector in mammography is located:

A. In front of the cassette
B. Behind the cassette
C. Above the patient's breast
D. Can be placed any where


12. Mammography tubes have _anodes and _filters:

A. Tungsten; molybdenum
B. Molybdenum; molybdenum
C. Molybdenum; aluminum
D. Aluminum; molybdenum


13. X-ray filtration filters out:

A. Low energy electrons
B. High energy electrons
C. Low energy X-ray
D. High energy X-ray


14. An auto transformer function as an:

A. Line-voltage compensator
B. kV or ~ selector
C. Filament transformer
D. Automatic exposure controller


15. A transformer with more turns in its secondary winding than in its primary winding would be expected to:

A. Increase the voltage and decrease amperage
B. Increase the voltage and increase amperage
C. Decrease the voltage and decrease amperage
D. Decrease the voltage and increase amperage


16. Chiba needle is used to perform the procedure of:

A. HSG
B. MCU
C. RGU
D. PTC


17. Calcium tungstate, used in intensifying screens produces primarily __ light.

A. Ultraviolet
B. Blue
C. Green t
D. Yellow


18. Which is not associated with components of Linear accelerator:

A. Klystron
B. Waveguide
C. Circulator
D. Source capsule


19. F-18 is associated with:

A. PET
B. SPECT
C. Gamma Camera
D.- None of the above


20. Backing layer of an ultrasound transducer is usually made up of:

A. Mixture of aluminum and epoxy resin
B. Mixture of tungsten powder in epoxy resin
C. Rubber
D. All the above


21. Characteristic X-rays may be produced by the interaction of ____ and target material:

A. Proton
B. Electrons
C. Neutron
D. Nucleus


22. For the instant measurement of dose, the apparatus used is:

A. Film badge
B. TLD
C. Pocket dosimeter
D. None of these


23. The recommended led equivalent of lead apron is:

A. 0.5 mm
B. 1 mm
C. 2mm
D. 5mm


24. Additional aluminum filter are used in radiography, for:

A. Dose reduction
B. Sharpness
C. Resolution
D. None of these

25. Rectifiers used in X-ray circuit are placed:

A. Before HT transformer
B. After HT transformer
C. Both A and B
D. None of these


26. Lead filter of film badge is used for measurement of:

A. Alpha rays
B. Betarays
C. Gamma rays
D. X-ray


27. Filter used in mammography is made up of:

A. Lead
B. Aluminum
C. Copper
D. Molybdenum


28. Usually the Betatron used to accelerate the electrons:

A. 1-lOKV
B. 4-20MV
C. 1-100 Volt
D. 20-40MV


29. Stereotactic biopsy can be done with:

A. CT
B. MRI
C. Gamma rays
D. X-ray equipment)


30. Lead goggles are used during the procedure:

A. CT
B. Fluoroscopy
C. MRI
D. Radiography

31. The modern Radiation detector used in CT is:

A. Sodium iodide
B. Xenon
C. Ceramic based gadolinium compound. 
D. ZnCdS


32. Exposure from internal uptake of radionuclide is monitored
through:

A. Film badge
B. TLD
C. Pocket dosimeter
D. Bioassays


33. The radiological procedure performed with the help of laryngoscope is:

A. PTC
B. ERPC
C. RGU
D. Laryngography


34. Characteristics X-ray may be produced by the interaction of __and target material.

A. Protons
B. Electrons
C. Neutrons
D. Heavy rains B


35. The largest single source of population radiation exposure from man made source is:

A. Nuclear power plant
B. Atomic bomb test product
C. Medical use of X-rays
D. Radio and television

36. The section of the digestive tract that is least sensitive to
radiation:

A. Esophagus
B. Stomach
C. Lower intestine
D. Colon


37. The maximum whole body dose detectable by a routine blood court rem:

A. 0.5
C. 10
B. 2
D. 100


38. Calcium tungstate, used by intensifying screen produce primarily light:

A. Ultraviolet
C. Green
B. Blue
D. Yellow


39. Latest annual maximum whole body effective dose limit for radiation workers:

A. 20mSv
C. lOOmSv
B. S0rnSv
D. lmSv


40. To differential between muscle and fat use:

A. 100 kVp to take advantage age of both photoelectric effect
B. Medicine kVp to take advantage of both photoelectric and Crompton
C. High kVp to take advantage of compton effect
D. High kVp to ta\e advantage of Photo electric effect


41. A full CT scan of the skull delivery a dose to the mid time of approximately:

A. 03
B. 3
C. 3
D. 30

42. A 0.5 mm protective lead apron will afford approximately-times increase in protection as with 0.25 mm apron:

A. 0.25
B. 2
C. 0.5
D. 4


43. The minimum distance that an operator shall stand from a mobile X-ray unit during exposure is-fat:

A. lm
B. 2m •
C. 3m
D. 4m


44. CT number of a water is:

A. -100
B. -50
C. 0
D. 1000


45. The CT number of fat is:

A. -1000
B. -50
C. 0
D. 1000


46. The CT number of bone is:

A. -1000
B. -50
C. 0
D. 1000


47. Which of the fo1lowing is not a form of electromagnetic radiation:

A. Microwave
B. Ultrasound
C. Infrared
D. X-ray

48. The kVp range used for mammography:

A. 20to25kVp
B. 25 to 35 kVp
C. 35 to 40 kVp
D. 60 to 90 kVp


49. Compression of the breast during mammography:

A. Reduces patient motion
B. Reduces scatter
C. Reduces patient dose
D. Does all of the above


50. The thickness of a CT slice is controlled by the:

A. Target angle
B. Filament size .
C. Patient thickness
D. Adjustable collimators


51. Which of the following is most suitable radioisotope for treating hyperthyroidism:

A. 1231
C. 1271
B. 1251
D. 1311


52. Which of the following is used for external beam radiotherapy of cancer:

A. Radium - 226
B. Cobalt :.. 60
C. Strontium - 89
D. Iodine - 131


53. Which of the following has the maximum penetrating power?

A. Alpha particle
B. Beta particle
C. Gamma photon
D. Positron particle

54. Which of the following changes are recommended in X-ray
factors for increased contrast in heavy built patient:

A. Increased Ma
B. Increased kV
C. Increased exposure time
D, Increased developing time


55. Craniospinal irradiation treatment is advised in which of the following:

A. Juvenile astrocytoma
B. Oligodendroglioma •
C. Medulloblastoma
D. Hemangiosarcoma


56. Prophylactic craniospinal irradiation treatment is recommended for all of the following except:

A. Medulloblastoma
B. Hodgkin's disease
C. Acute lymphoid leukemia
D. Small cell carcinoma of lung


57. Which of the following is used in MRI to form images?

A. X-rays
B. Ultrasound waves
C. Magnetic field
D. Radionuclide agents


58. NMR is based on the resonance of which of the following particle?

A. Proton
B. Neutron
C. Electron
D. Positron


59. All of the following may be used for interstitial brachytherapy
except:

A. . Cobalt- 60
B. Gold -198
C. Iridium -192
D. Cesium - 137


60. Acoustic. shadowing seen during US is due to which of the following mechanism?

A. Reflection
B. Refraction
C. Absorption
D. Adsorption


61. Technetium labeled RBC are used for evaluation of which of the following?

A. Hepatobiliary lesions
B. Splenic lesions
C. Pancreatic lesions
D. Pulmonary embolism


62. Which of the following is the most radiosensitive stage of cell cycle?

A. S
B. Gl
C. Early G2
D. LateG2


63. Basic mechanism utilized in killing the tumor cells in radiotherapy is:

A. Coagulation of proteins
B. DNA damage
C. Ionization
D. Necrosis


64. Highest field strength MR equipment available in the market for clinico diagnostic purposes is:

A. I.OT . 
B. 1.5T
C. 3.0T 
D. 5.0T


65. Which of the following ion scatters the X-rays most?

A. Hydrogen
B. Calcium
C. Lead
D. Aluminum C


66. Earliest skin manifestation of the radiation therapy:

A. Erythema
R. Dermatitis
C'. NPrrnsis
D. Hyperpigmentation


67. Gamma rays are harmful to the tissue because of their action:

A. Coagulation
B. Ionization
C. Linear acceleration
D. Magnetization


68. Which of the following is not true regarding lymphoma?

A. Lymphangiography is not useful for evaluation of nodes above
the L2 level
B. Gallium scanning is best for Hodgkin's than non-Hodgkin
lymphoma
C. Gallium scanning is not useful if the lesion is more than 4 cm
D. There is no significant benefit of lymphangiography over CT


69. Which of the following isotopes is used for RAIU:

A. 1123 
B. 1125
C. 1131 
D. 1132


70. Which of the following tumors is least radiosensitive ?

A. Ewing's Sarcoma
B. Osteosarcoma
C. Wilm' s Tumor
D. Neuroblastoma


71. Following are the indications for post operative radiation therapy in a case of carcinoma endometrium except -

A. Myometrial invasion of more than half thickness
B. Positive lymph nodes
C. Endocervical involvement
D. Enlarged uterine cavity


72. 1 gray equals -

A. 100rads
C. 10000 rads
It is a unit of beam intensity or radiation dose.
B. 1000rads
D. 10rads


73. Which of the following is the most radiosensitive phase of cell cycle-

A. G2M 
B. G2
C. S 
D. Gl


74. Most radioresistant tumor among the following is -

A. Synovial sarcoma
B. Osteosarcoma
C. Malignant fibrous histiocytoma
D. Embryonal rhabdomyosarcoma


75. The ½ life of 1131 is

A. 8Hours
B. 2Days
C. 5.2 Days
D. 8 Days
E. 12Days


76. The ½ life of Co60 is

A. 2.6 years ..
B. 5.2 years
C. 8 years
D. 3200 years
E. 60 years

 
77. Radioactive substance used for intracavitary irradiation in carcinoma cervix is

A. Co60
B. Cesium
C. Iridium
D. 1131
E. Strontium


78. Which of the following is not ioninsing

A. Beta irradiation
B. Alpha radiation
C. Gamma radiation
D. UV radiation
E. Neutron radiation

79. Substance which offer preferential radioprotection to tissue is/are

A. Cysteine-
B. Thiophosphate WR 2721
C. Metronidazole
D. A and b are correct
E. Only c is correct

  
80. The half life of 1-131

A. 4Hours
C. 6 Days
B. 4 Days
D. 8 Days

 
81. Radiation protection shields are made up of

A. Copper
B. Silver
C. Lead
D. Tin


82. The most radiosensitive tissue is

A. Brain
B. Bone marrow
C. Thyroid
D .. Liver

83. The least radio sensitive tissue is

A. Nervous tissue
B. Bone
C. Kidney
D. Thyroid


84. Radiation mediates its effects by-

A. Denaturation of DNA
B. Ionization of the molecules
C. Protein coagulation
D. Osmolysis of cells


85. Nowadays radium is not used in the Rx of cancer because

A. It decays faster and needs frequent replacement
B. It decays into daughter radon which isaa constant hazard
C. It is a very long half life
D. It is a very unstable element


86. First sign after radiation Rx is -

A. Erythema 
B. Necrosis
C. Burns
D. Deep ulcer


87. The amount of radiation absorbed is measured by-

A. Rad
B. Gray
C. Rem
D. Curie

88. Least affected by radiation -

A. GIT 
B. Gonads
C. Cartilage 
D. Lymphocytes


89. Not used for Brachytherapy

A. Cobalt
C. Radon·
Radon is a very long half life.
B. Cesium
D. All

 
90. Used in.both teletherapy and brachytherapy

A. Cobalt 
B. Radium
C. Iridium 
D. Palladium


91. Prophylactic intracranial irradiations are given in -

A. Small cell Ca of lung
B. All
C. Lymphoma
D. Retinoblastoma

 
92. Mantle irradiation is used in -

A. Leukaemia
B. Hodgkin's disease
C. Chest secondaries from some cancers
D. Neuroblastoma


93. During radiotherapy the Buccal Mucosa exhibits radiation reaction before skiq, due to -

A. Rapid cellular tum-over in bone
B. Slow cellular turn -over in blood vessel
C. Rapid cellular tum-over in skin
D. Rapid cellular tum-over in mucosa


94. One gray of radiation is equal to

A. 1 Rad
C. 100 rad
B. 10Rad
D. 1000rad

 
95. Common isotopes used in interstitial and mould therapy are the
following except -

A. lridium192
B. Cobalt60
C. Caseium137 •
D. Gold198
E. Phosphorow,32


96. Hyperfractionation radiotherapy is used in the management of -

A. Lung cancer
B. Breast cancer
C. Seminoma
D. Ovarian cancer


97. Intraoperative radiotherapy is used for

A. Pancreatic Cancer
B. Ovarian Cancer
C. Thyroid Cancer
D. Seminoma


98. In permanent implantation which of the following is used -

A. Gold -198
B. Cesium
C. Cobalt
D. Iridium

99. Tc-half life is -

A. 2hours
C. 6Hours
B. 4Hours
D. 8Hours


100. Which of the following is a naturally occurring. radioactive substance in the body in small quantities

A. Radium 226
B. Bismuth 60
C. Iodine 131
D. Potassium 40


ANSWER : 

1-D, 2-A, 3-D, 4-C, 5-B, 6-D, 7-A, 8-D, 9-A, 10-D,11-B, 12-B, 13-C, 14-B, 15-A, 16-D, 17-B, 18-D, 13-C, 14- B, 15-A, 16-D, 17-B, 18-D,19-A, 20-B, 21-B, 22-C, 23-A, 24-A, 25-B, 26-C, 27-D, 28-D, 29-A, 30-B, 31-D, 32-D, 33-D, 34-B, 35-C, 36-B, 37-C, 38-B, 39-A, 40-A, 41-C, 42-A, 43-B, 44-C, 45-B, 46-D, 47-B, 48-B, 49-D, 50-D, 51-D, 52-B, 53-C, 54-A, 55-C, 56-B, 57-C 58-A 59-A, 60-A&C, 61-B, 62-D, 63-C, 64-C, 65-A, 66-A, 67-B, 68-B, 69-A, 70-B, 71-D, 72-A, 73-A, 74-C, 75-D, 76-B, 77-B, 78-D, 79-D, 80-D, 81-C, 82-B, 83-B, 84-A , 85-B, 86-A, 87-A&B, 88-C, 89-C, 90-A&C, 91-A, 92-B, 93-D, 94-C, 95-E, 96-A, 97-A, 98-A, 99-C, 100-D.

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