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RADIOTHERAPHY- PAGE 1


RADIOTHERAPHY MCQs- PAGE 1

1:-SI unit of dose equivalent is
 A:-Roentgens
 B:-Gray
 C:-Rad
 D:-Sievert
Ans: D

2:-Primary radiation barrier materials used include
 A:-Concrete
 B:-Lead
 C:-Steel
 D:-Any of the above
Ans: D

3:-Personal monitoring devices include all EXCEPT
 A:-Geiger Muller counter
 B:-Film badges
 C:-TLD badges
 D:-Pocket dosimeters
Ans: A

4:-X-ray radiation monitoring instruments include all EXCEPT
 A:-Ionization chamber
 B:-Geiger Counter
 C:-Neutron rem counter
 D:-Photographic film
Ans: C

5:-Therapeutic range of electrons is given by depth of ____ depth dose.
 A:-70%
 B:-90%
 C:-80%
 D:-85%
Ans: B

6:-Field shaping is done by all EXCEPT
 A:-Custom blocking
 B:-Wedge filters
 C:-Independent jaws
 D:-Multi leaf collimators
Ans: B

7:-In linear accelerator, photon beam passes from the source till the exit from gantry head in the order
 A:-Primary collimator → ion chamber → filter → MLC
 B:-Primary collimator → filter → ion chamber → MLC
 C:-Primary collimator → MLC → filter → ion chamber
 D:-Filter → primary collimator → MLC → ion chamber
Ans: B

8:-Gating is a newer technique used in the treatment of
 A:-Ca rectum
 B:-Ca tongue
 C:-Ca lung
 D:-Ca ovary
Ans: C

9:-Electronic Portal Imaging Device (EPID) in radiotherapy is used for
 A:-Treatment planning
 B:-Treatment verification
 C:-CT simulation
 D:-Conversional simulation
Ans: B

10:-All head and neck malignancies have the same nodal staging in TNM system except in __________ cancer.
 A:-Buccal mucosa
 B:-Oropharynx
 C:-Tongue
 D:-Nasopharynx
Ans: D

11:-Radiation reactions in head and neck radiation include all EXCEPT
 A:-Mucositis
 B:-Skin pigmentation
 C:-Bleeding per vaginum
 D:-Dry mouth
Ans: C

12:-Total external beam radiation dose given in the treatment of cancer cervix stage III is
 A:-25 Gy
 B:-35 Gy
 C:-45 Gy
 D:-65 Gy
Ans: C

13:-Which is the oncologic emergency treated with radiation ?
 A:-Tumour lysis syndrome
 B:-Superior venacaval obstruction
 C:-Polymyositis
 D:-None of the above
Ans: B

14:-Post mastectomy radiation is given by
 A:-4 field box technique
 B:-Tangential fields
 C:-Lateral parallel pair
 D:-None of the above
Ans: B

15:-Radiation treatment is given for the following non-malignant brain condition
 A:-Astrocytoma
 B:-Encephalitis
 C:-Glioblastoma
 D:-Craniopharyngioma
Ans: D

16:-The following radiation fields are used in the treatment of lymphoma EXCEPT
 A:-Mantle field
 B:-Inverted Y field
 C:-Dog leg field
 D:-Pencil beam field
Ans: D

17:-Craniospinal irradiation is primarily used in the treatment of
 A:-Craniopharyngioma
 B:-Vertebral metastasis
 C:-Medulloblastoma
 D:-Multiple myeloma
Ans: C

18:-Scalp hair loss occurs in the following conditions EXCEPT
 A:-Cranial irradiation
 B:-Chemotherapy
 C:-Both 1 & 2
 D:-Pelvic irradiation
Ans: D

19:-Multiple punched-out lesions in skull X-ray is characteristically seen in
 A:-Non-Hodgkin's lymphoma
 B:-Hodgkin's disease
 C:-Soft tissue sarcoma
 D:-Multiple Myeloma
Ans: D

20:-The phenomenon in which light continues to emit for sometime even after the radiation exposure has ended is called
 A:-Fluorescence
 B:-Quantum mottle
 C:-Phosphorescence
 D:-None
Ans: C
​21:-Radioactivity was first described by
 A:-Roentgen
 B:-Becquerel
 C:-Joseph Lister
 D:-Khorana
Ans: B

22:-Lymphatic drainage of anal canal is to
 A:-Inguinal lymph nodes
 B:-External iliac lymph nodes
 C:-Internal iliac lymph nodes
 D:-Para aortic lymph nodes
Ans: A

23:-What is the main mode of heat transfer in rotating anode X-ray tube ?
 A:-Conduction
 B:-Convention
 C:-Radiation
 D:-All the above
Ans: C

24:-The plane that divides the body into right and left halves
 A:-Median sagittal plane
 B:-Coronal plane
 C:-Axial plane
 D:-Mid-axillary plane
Ans: A

25:-Half-life of Cobalt-60 is
 A:-6.26 years
 B:-5.67 years
 C:-5.26 years
 D:-6.67 years
Ans: C

26:-Most common histopathology in head and neck carcinoma is
 A:-Squamous cell carcinoma
 B:-Adenocarcinoma
 C:-Lymphoma
 D:-Melanoma
Ans: A

27:-Lymphatics from tonsil drain into
 A:-Mediastinal lymph nodes
 B:-Jugulodigastric lymph nodes
 C:-Submental lymph nodes
 D:- Lower deep cervical lymph nodes
Ans: B

28:-Which of the following is NOT a deterministic effect of radiation ?
 A:-Skin erythema
 B:-Sterility
 C:-Carcinogenesis
 D:-Fetal abnormality
Ans: C

29:-Most common histopathology of carcinoma breast is
 A:-Adenocarcinoma
 B:-Infiltrating duct carcinoma
 C:-Lobular carcinoma
 D:-Squamous cell carcinoma
Ans: B

30:-In which projection, is the central ray incident on the position aspect and emerges from the anterior aspect of the body ?
 A:-Posteroanterior projection
 B:-Anteroposterior projection
 C:-Lateral projection
 D:-Oblique projection
Ans: A

31:-Orthopantomogram is taken to rule out lesion in
 A:-Mandible
 B:-Maxilla
 C:-Facial bone
 D:-Skull
Ans: A

32:-Which of the following substance produces Piezo Electric Effect ?
 A:-Quartz
 B:-Gadolium Oxy Sulphide
 C:-Sodium Iodide (Thalium Activated Crystals)
 D:-Sodium Chloride
Ans: A

33:-The process by which electrons are emitted from a X-ray cathode filament
 A:-Ionization
 B:-Photoconduction
 C:-Thermo luminescence
 D:-Thermionic emission
Ans: D

34:-Superficial X-ray therapy include X-rays of potentials ranging from
 A:-5 to 50 kilovolt
 B:-50 to 150 kilovolt
 C:-100 to 150 kilovolt
 D:-150 to 300 kilovolt
Ans: B

35:-PET scan is
 A:-Positive Emission Tomography
 B:-Positron Emission Tomography
 C:-Pulsatile Emission Tomography
 D:-None of the above
Ans: B

36:-The bed of stomach is NOT formed by ____________ normally.
 A:-Left Kidney
 B:-Left suprarenal gland
 C:-Splenic vein
 D:-Tail of pancreas
Ans: A

37:-Unity film speed is
 A:-`Gy^(-1)`
 B:-`R^(-1)`
 C:-`mS^(-1)`
 D:-`S^(-1)`
Ans: B

38:-Maximum dose region in Cobalt-60 teletherapy lies at _________ cm from the surface.
 A:-0.1 cm
 B:-1 cm
 C:-5 cm
 D:-0.5 cm
Ans: D

39:-The ability to demonstrate closely placed structures in the subject as separate entities in the image is
 A:-Resolution
 B:-Brightness
 C:-Contrast
 D:-None
Ans: A

40:-In Cobalt-60 machine, which ray is used for external beam radiotherapy ?
 A:-Alpha ray
 B:-Beta ray
 C:-Gamma ray
 D:-Protons
Ans: C

41:-Lymphatics of breast drain into
 A:-Posterior intercostal lymph node
 B:-Axillary lymph node
 C:-Internal mammary lymph node
 D:-All of the above
Ans: D

42:-Contrast is more with screen film combination than direct X-ray exposure because
 A:-X-ray to light conversion efficiency is more
 B:-X-ray absorption efficiency is more
 C:-Screen is more sensitive to high energy radiation
 D:-Screen is more sensitive to low energy radiation
Ans: C

43:-Most common histopathology in cancer cervix is
 A:-Squamous cell carcinoma
 B:-Adenocarcinoma
 C:-Lymphoma
 D:-Melanoma
Ans: A

44:-Geometric unsharpness can be reduced by
 A:-Reducing focal spot size
 B:-Increasing object-image distance
 C:-Decreasing focus-image distance
 D:-Using tube with large focal spot size
Ans: A

45:-IMRT refers to
 A:-Intensive Modulated Radiotherapy
 B:-Intensity Modulated Radiotherapy
 C:-Image Modulated Radiotherapy
 D:-None of the above
Ans: B

46:-Most vascular part of bone is
 A:-Epiphysis
 B:-Metaphysis
 C:-Diaphysis
 D:-Epiphyseal cartilage
Ans: B

47:-`(cd//m2)/(mR//sec)` is
 A:-Brightness gain
 B:-Minification gain
 C:-Conversion factor
 D:-Flux gain
Ans: C

48:-Which interaction of X-rays is the basis of radiographic contrast between bone and soft tissues ?
 A:-Photoelectric effect
 B:-Contrast scattering
 C:-Compton scattering
 D:-Pair production
Ans: A

49:-The name of invisible image formed as a result of exposure to radiation which later becomes visible during photographic development
 A:-Latent image
 B:-Photographic image
 C:-Fog
 D:-Fixing
Ans: A

50:-In conventional radiation therapy, daily fraction dose given will be
 A:-1 to 1.5 Gy
 B:-1.8 to 2 Gy
 C:-2 to 2.8 Gy
 D:-None of the above
Ans: B

51:-_________ is the beam modifying device used for tilt of isodose curves from normal position.
 A:-Wedge
 B:-Diaphragm
 C:-Collimator
 D:-Cerrobend blocks
Ans: A

52:-Lymphatics from uterus drain to all except
 A:-External iliac lymph nodes
 B:-Internal iliac lymph nodes
 C:-Inguinal lymph nodes
 D:-Mesenteric lymph nodes
Ans: D

53:-Inherent filtration of X-ray tube is equivalent to
 A:-<0.5 mm Al
 B:-0.5-1 mm Al
 C:-1.5 mm Al
 D:-2.5 mm Al
Ans: B

54:-__________ is the cheapest and most commonly used imaging modality in the initial staging of Hodgkin's disease.
 A:-CT scan
 B:-MRI scan
 C:-Ultrasonogram
 D:-PET scan
Ans: A

55:-Which of the following layers of the film contain silver halide crystals ?
 A:-Super coat
 B:-Base
 C:-Adhesive layer
 D:-Emulsion
Ans: D

56:-Enteroclysis is used in the evaluation of
 A:-Hepatobiliary system
 B:-Fallopian tubes
 C:-Small bowel
 D:-Thecal sac
Ans: C

57:-___________ is a tissue equivalent material placed close to skin surface.
 A:-Orfit shell
 B:-Bolus
 C:-Vaclock
 D:-Cone
Ans: B

58:-Cancer cervix staging following is
 A:-TNM staging
 B:-GTNM staging
 C:-FIGO staging
 D:-None of the above
Ans: C

59:-The concentration of detectable hydrogen nuclei in a biological tissue is termed as
 A:-Spin density
 B:-Electron density
 C:-Spin echo
 D:-Gyromagnetic ratio
Ans: A

60:-Safe light used in dark room is related to film sensitive region of visible light as
 A:-Low intensity
 B:-Low volt
 C:-Low frequency
 D:-Low wavelength
Ans: C

61:-The ability of X-ray film or film-screen combination system to define an edge is
 A:-Resolution
 B:-Sharpness
 C:-Speed
 D:-Radiographic mottle
Ans: B

62:-Commonest site from which nasopharyngeal carcinoma arises is
 A:-Torus tubaris
 B:-Fossa of Rossenmuller
 C:-Posterior pharyngeal wall
 D:-Basisphenoid
Ans: B

63:-Radiation source used in HDR brachytherapy
 A:-`226_(Ra)`
 B:-`60_(Co)`
 C:-`137_(Cs)`
 D:-`199_(Ir)`
Ans: D

64:-The process by which exposed silver halide crystals are converted to metallic silver is called
 A:-Development
 B:-Fixing
 C:-Rinsing
 D:-Drying
Ans: A

65:-The speed of intensifying screen increases with all the following except
 A:-Large crystal size
 B:-Thick phosphor layer
 C:-Reflective layer
 D:-Absorptive layer
Ans: D

66:-Film fog is caused by
 A:-Increased development of exposed silver halide crystals
 B:-Reduced development of exposed silver halide crystals
 C:-Development of unexposed silver halide crystals
 D:-Removal of unexposed silver halide crystals
Ans: C

67:-Translate-rotate tube technology with multiple detectors is used in
 A:-Fourth generation CT scan
 B:-Third generation CT scan
 C:-First generation CT scan
 D:-Second generation CT scan
Ans: D

68:-Typical effective dose with a chest X-ray postero-anterior view is
 A:-0.02 millisievert
 B:-2 millisievert
 C:-10 millisievert
 D:-100 millisievert
Ans: A

69:-Uterus and fallopian tubes are assessed by
 A:-Micturating cystourethrography
 B:-Intravenous urethrography
 C:-Hysterosalpingography
 D:-Myelography
Ans: C

70:-Sialogram is used to study
 A:-Salivary glands
 B:-Spinal cord
 C:-Small intestine
 D:-Blood vessel
Ans: A

71:-Which of the following is an ionic contrast medium ?
 A:-Iopamidol
 B:-Iohexol
 C:-Iopromide
 D:-Ioxaglate
Ans: D

72:-Which is NOT true regarding mammography ?
 A:-The generator must be able to maintain a very accurate Kvp in the range of 25-35 Kvp
 B:-The X-ray tube has certain special design features, including a beryllium window and a molybdenum target
 C:-Focal spot is very large
 D:-The tube filter is 0.03 mm of molybdenum or 0.5 aluminium equivalent to absorb X-rays below the optimum Kvp range
Ans: C

73:-Stenver's view is used to assess
 A:-Sella
 B:-Mandible
 C:-Greater tuberosity of humerus
 D:-Petrous temporal bone
Ans: D

74:-Xiphisternal joint is at the level of
 A:-`6^(th)` thoracic vertebra
 B:-`9^(th)` thoracic vertebra
 C:-`1^(st)` lumbar vertebra
 D:-`3^(rd)` lumbar vertebra
Ans: B

75:-Lordotic view is used to demonstrate
 A:-Exaggerated lumbar lordosis
 B:-Para nasal sinuses
 C:-Lung apices
 D:-Middle lobe collapse
Ans: D

76:-In a postero-anterior view (PA view) of chest
 A:-Cardiac shadow is magnified
 B:-Scapula is projected over upper lobes
 C:-Appears more diffusely opaque if overpenetrated
 D:-Is adequate if 8-10 posterior ribs are seen above diaphragm
Ans: D

77:-The activator commonly used with rare earth phosphor gadolinium oxysulphide is
 A:-Terbium
 B:-Lanthanum
 C:-Niobium
 D:-Thulium
Ans: A
78:-Auto transformer works on the principle of
 A:-Self induction
 B:-Mutual induction
 C:-Ohms law
 D:-Joules law
Ans: A

79:-Radioactivity first discovered by
 A:-William Conrad Roentgen
 B:-Madam Curie
 C:-Henry Becquerel
 D:-Charles Rutherford
Ans: C

80:-X-rays were discovered in the year
 A:-1985
 B:-1895
 C:-1589
 D:-1986
Ans: B

81:-Use of intensifying screen results
 A:-Lower patient dose
 B:-Increase radiographic contrast
 C:-All of the above
 D:-None of the above
Ans: C

82:-In a rotating anode x-ray tube the anode having an Area "A" is tilted to an angle of 10 degree. Then the effective focal area will be
 A:-A sin10
 B:-A × 20
 C:-A – 20
 D:-A cos20
Ans: A

83:-________ is a double emulsion film ?
 A:-Mammographic film
 B:-Duplicating film
 C:-Subtraction film
 D:-Dental film
Ans: D

84:-Which of the following is not used as a phosphor in the intensifying screens used for radiography ?
 A:-Calcium tungstate
 B:-Zinc sulphide
 C:-Gadolinium
 D:-Aluminum
Ans: D

85:-The speed of intensifying screen is affected by
 A:-Phosphor composition
 B:-Crystal size
 C:-Presence of reflective layer
 D:-All of the above
Ans: D

86:-_________ is not an ingredient of developing solution.
 A:-Hydroquinone
 B:-Sodium Carbonate
 C:-Potassium bromide
 D:-Hypo
Ans: D

87:-Chrome alum is used as a ________ in fixer solution.
 A:-Fixing agent
 B:-Preservative
 C:-Hardener
 D:-Acid medium
Ans: C

88:-Which of the following is not a reason for the fog formation in x-ray films ?
 A:-Exposure to light
 B:-Exposure to x-rays or radionuclide
 C:-Outdated film
 D:-Static electricity due to friction between film and other objects
Ans: D

89:-Streaking in x-ray film caused by the following
 A:-Bending of film
 B:-Failure to agitate the film in developer
 C:-Water droplets on the surface of film
 D:-Formation of air bubbles in the developer
Ans: B

90:-For female patients of reproductive age non urgent abdomen and pelvic radiographs should be taken
 A:-Within 10 days following menstrual period
 B:-10 to 20 days interval following menstrual period
 C:-20 to 30 days interval following menstrual period
 D:-There is no such restriction
Ans: A

91:-Reason for unsharpness in a radiographic image is
 A:-Movement
 B:-Focal spot size
 C:-Use of screen
 D:-All of the above
Ans: D

92:-Unequal magnification of different portions of same object in a radiograph is called
 A:-Crossover
 B:-Distortion
 C:-Unsharpness
 D:-Fog
Ans: B

93:-Most important factor for radiographic contrast is
 A:-KVp
 B:-mA
 C:-mAs
 D:-Focus to film distance
Ans: A

94:-Anal atresia in Neonates can be diagnosed by
 A:-Lateral decubitus view
 B:-AP supine
 C:-Invertogram
 D:-Abdomen AP erect
Ans: C

95:-Delineation of contour and cavity of uterus and tubal potency and can be established by
 A:-Nephrotomography
 B:-Hysteriosalpingography (HSG)
 C:-KUB examination
 D:-None of the above
Ans: B

96:-Small lesions and mucosal lining are more clearly visible in _______ radiography.
 A:-Single contrast method
 B:-Double contrast method
 C:-No contrast
 D:-None of the above
Ans: B

97:-The radiographic examination of choice to demonstrate the whole of the small bowel from duodenal flexture to ileocaceal valve is
 A:-Barium Meal Follow through
 B:-Hyptonic Dudenography
 C:-Conventional barium meal
 D:-None of the above
Ans: A

98:-The radiographic investigation of lacrimal system is
 A:-Arthography
 B:-Cholangiography
 C:-Sialography
 D:-Dacryocystography
Ans: D

99:-The photo conductor used in Xeroradiography is
 A:-Amorphous Selenium
 B:-Sodium Iodine
 C:-Calcium Tungstate
 D:-Molybdenum
Ans: A

100:-​True statement regarding the radiography of cervical spine is
 A:-No tube angulations required in the AP view
 B:-The tube is angled 5 to 10 degree cephaled
 C:-A short focus to film distance required for lateral projection
 D:-None of the above
Ans: B
​
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