Tuesday, October 1, 2013

FRCR Oncology Part 1: Physics MCQs 1 (18 questions)



1. Beta particles:
A. do contribute to patient absorbed dose
B. before coming to rest may travel in tissue for several millimetres
C. increase atomic number by one
D. change mass number in the nucleus
E. are emitted from the nucleus

2. Electron capture:
A. occurs in neutron poor radionuclides
B. results in the emission of characteristic X-rays
C. the atomic number remains the same
D. the atomic mass number remains the same
E. 123I decays wholly by electron capture

3. The isotopes of an element have:
A. identical atomic numbers
B. identical atomic mass numbers
C. identical physical properties
D. identical chemical properties
E. the same density

4. Radioactivity:
A. a radionuclide is an atom with an unstable nucleus
B. the activity of a radionuclide is the number of decays per hour
C. unit of activity is the Becquerel
D. radioactivity is a stochastic process
E. the daughter product is always radioactive


5. An increase in kilovoltage across an X-ray tube is associated with:
A. a shortening of average wavelength of the X-ray spectrum
B. a relative increase in emitted X-ray intensity
C. an increase in penetration of the beam
D. a decrease in the half value layer of the beam
E. an increase in average frequency of the X-ray spectrum

6. The photoelectric effect in radiography:
A. occurs about 70–80% of the time
B. is the interaction of a photon and a bound electron
C. occurs more frequently as the photon energy increases
D. interacts with the L-shell normally
E. is a pure absorption process in biological materials

7. Regarding Compton interactions:
A. the scattered photon carries all the energy
B. all scatter is in a forward direction
C. they are responsible for 50% of interactions at 30 keV in soft tissues
D. the probability of interaction per mm length is proportional to the tissue density
E. the probability of interaction is proportional to the electron density

8. In a rotating anode X-ray tube:
A. the anode is composed of a disc of pure tungsten for general radiography
B. the rotor has a blackened surface to increase radiation heat loss
C. an induction motor with a stator coil is used
D. the rotor bearings are lubricated with thin mineral oil
E. the molybdenum anode stem is designed to allow maximum heat conduction

9. In radiography the quality of the beam is changed by increasing:
A. focus film distance
B. tube kilovoltage (kV)
C. exposure time
D. tube current (mA) with fixed kV
E. tube filtration

10. The amount of scattered radiation reaching the film in diagnostic X-ray imaging can be reduced by using:
A. an air gap
B. a grid
C. beam collimation in the X-ray assembly to reduce field size
D. increased X-ray beam filtration
E. an increased tube potential between cathode and anode

11. Regarding deterministic effects of ionising radiation:
A. a threshold must be exceeded before an effect is observed
B. cataract induction is an example
C. the probability of a deterministic radiation effect is inversely proportional to dose
D. the severity of effect increases with radiation dose
E. genetic effects are somatic effects

12. The duties of an employer under Ionising Radiation Regulations (IRR) (1999):
A. to ensure a Radiation Protection Adviser (RPA) advises the employer on the designation of controlled areas
B. to consult a RPA over the design of new installations
C. to set down local rules for the use of ionising radiation at work
D. to appoint a Radiation Protection Supervisor (RPS) where local rules are required
E. to ensure all persons to be classified, have a medical examination

13. Concerning IRR (1999):
A. it is the responsibility of the employee to monitor and maintain the safety of equipment
B. a controlled area is one in which doses are likely to exceed 30% of any dose limit for employees over 18 years of age
C. dose limits are irrelevant when defining a supervised area
D. controlled and supervised areas are defined in the systems of work
E. local rules allow non-classified persons to enter a controlled area

14. Regarding statutory responsibilities:
A. the IRR (1999) are governed by the principle of as low as reasonably achievable
B. IRMER (2000) lays down measures on the health protection of individuals against the dangers of ionising radiation in relation to medical exposure
C. radioisotopes can only be administered by someone who holds a certificate of adequate training
D. an administration of radioactive substances advisory committee (ARSAC) licence is granted to the health authority or trust
E. crown immunity exempts all NHS hospitals in the UK from the regulations governing the storage of radioactive materials
Qs
15. Concerning personal doses:
A. workers who receive less than 30% of a dose limit cannot be classified
B. a nurse who works permanently in an X-ray department is usually classified
C. the radiation dose records of a classified worker must be kept for 2 years
D. personal monitoring badges must be worn by all unclassified radiologists performing fluoroscopy
E. the as low as reasonably practicable (ALARP) principle applies to occupational dose as well as patient dose

16. Regarding radiation doses to patients and staff:
A. under IRR (1999) the effective dose limit for members of the public is 1 mSv per annum
B. a patient may receive approximately 4 mSv effective dose from an AP pelvis examination
C. comforters and carers may receive 5 mSv over 5 years
D. a member of staff may have to be classified if their effective dose looks likely to exceed 1 mSv per year
E. the fatal cancer risk for an effective dose of 2 mSv is approximately 1 in 500,000 weighted over a population aged 18–60

17. Regarding radiation dose to patients and members of the public:
A. the effective dose for a positron emission tomography (PET) head scan with
18F-FDG is 5mSv
B. the effective dose limit to the public is 1 mSv per annum
C. the background radiation dose is approximately 6_Sv per day
D. medical exposures contribute approximately 0.3 mSv on average per capita annually to UK collective dose
E. the entrance surface dose of a chest radiograph is 0.03mGy
CQs
18. Radiopharmaceuticals used for diagnostic imaging should ideally:
A. emit photons with an energy greater than 300 keV
B. have a physical half-life of more than 4 days
C. decay to a stable state
D. be a pure gamma emitter
E. be stable in vivo