ABmE/Chapter 2/Read MCQs
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Chapter 2 ยท MCQ Read Mode

Biomaterials

ABME02ยท96 Total MCQs
Question 1 of 96Introduction to Biomaterials and Biocompatibility

Biocompatibility is best defined as the ability of a material to:

AMatch the mechanical properties of bone
BResist corrosion in all body fluids
CProduce no host response whatsoever
DPerform with an appropriate host response in a specific application
Answer is hidden
Question 2 of 96Introduction to Biomaterials and Biocompatibility

A material that forms a direct chemical bond with bone tissue is described as:

ABioinert
BBioactive
CBioresorbable
DBiotolerant
Answer is hidden
Question 3 of 96Introduction to Biomaterials and Biocompatibility

The direct structural and functional connection between living bone and the surface of a load-bearing implant is called:

AOsseointegration
BOssification
COsteoconduction
DOsteoinduction
Answer is hidden
Question 4 of 96Introduction to Biomaterials and Biocompatibility

Which surface analysis technique provides elemental composition together with the chemical bonding state of the outermost few nanometres?

AScanning electron microscopy
BX-ray photoelectron spectroscopy (XPS/ESCA)
CContact angle goniometry
DStylus profilometry
Answer is hidden
Question 5 of 96Introduction to Biomaterials and Biocompatibility

A low water contact angle on a biomaterial surface indicates that the surface is:

AHydrophobic with low surface energy
BMechanically rough
CHydrophilic with high surface energy
DElectrically conductive
Answer is hidden
Question 6 of 96Introduction to Biomaterials and Biocompatibility

The technique that gives three-dimensional surface topography at nanometre resolution and can operate in liquid is:

AAuger electron spectroscopy
BX-ray diffraction
CATR-FTIR
DAtomic force microscopy
Answer is hidden
Question 7 of 96Introduction to Biomaterials and Biocompatibility

Which of the following is the principal disadvantage of ceramics as load-bearing biomaterials?

ABrittleness and low fracture toughness
BRapid corrosion in body fluid
CLow compressive strength
DPoor wear resistance
Answer is hidden
Question 8 of 96Introduction to Biomaterials and Biocompatibility

The mismatch in elastic modulus between a metallic implant and bone leads to:

AImproved osseointegration
BIncreased bone density around the implant
CReduced corrosion
DStress shielding and bone resorption around the implant
Answer is hidden
Question 9 of 96Introduction to Biomaterials and Biocompatibility

Which class of biomaterial carries the specific risk of disease transmission and batch-to-batch variability?

AAlumina ceramic
BStainless steel
CNatural or biologically derived materials
DPolyethylene
Answer is hidden
Question 10 of 96Introduction to Biomaterials and Biocompatibility

Surface analysis is emphasised over bulk analysis in biomaterials because:

ACells and proteins interact only with the outermost few nanometres
BBulk analysis is more expensive
CThe bulk of an implant is never loaded
DSurfaces are easier to sterilise
Answer is hidden
Question 11 of 96Introduction to Biomaterials and Biocompatibility

The series of international standards governing the biological evaluation of medical devices is:

AISO 9001
BISO 13485
CISO 14001
DISO 10993
Answer is hidden
Question 12 of 96Introduction to Biomaterials and Biocompatibility

A limitation common to most electron- and ion-based surface techniques when applied to biomaterials is that they:

ARequire vacuum, so the hydrated surface must be dried or frozen
BHave poor lateral resolution
CDestroy the bulk of the sample
DCannot detect metals
Answer is hidden
Question 13 of 96Introduction to Biomaterials and Biocompatibility

Which property would be considered the single most important requirement for a material used in a blood-contacting catheter?

AHaemocompatibility - resistance to thrombus formation
BOsteoconductivity
CHigh elastic modulus
DHigh compressive strength
Answer is hidden
Question 14 of 96Metals and Natural Materials

The letter L in 316L stainless steel indicates:

ALow carbon content, to prevent sensitisation
BLight weight
CLongitudinal grain orientation
DLow nickel content
Answer is hidden
Question 15 of 96Metals and Natural Materials

Which implant alloy has an elastic modulus closest to that of cortical bone?

A316L stainless steel
BTantalum
CTi-6Al-4V
DCo-Cr-Mo alloy
Answer is hidden
Question 16 of 96Metals and Natural Materials

The corrosion resistance of titanium implants is due to:

AIts high nickel content
BIts low density
CA spontaneously formed, self-repairing titanium dioxide passive film
DIts hexagonal crystal structure alone
Answer is hidden
Question 17 of 96Metals and Natural Materials

Placing a stainless steel bone plate with titanium screws risks:

AStress shielding only
BImproved passivation of both metals
CGalvanic corrosion at the plate-screw interface
DReduced fatigue strength of the screws only
Answer is hidden
Question 18 of 96Metals and Natural Materials

Corrosion occurring in the oxygen-depleted, acidified space beneath a screw head is called:

APitting corrosion
BUniform corrosion
CCrevice corrosion
DIntergranular corrosion
Answer is hidden
Question 19 of 96Metals and Natural Materials

Nitinol is used in self-expanding stents because of its:

AHigh elastic modulus
BBioresorbability
CFerromagnetic behaviour
DShape memory and superelasticity
Answer is hidden
Question 20 of 96Metals and Natural Materials

In the collagen triple helix, which amino acid must occupy every third position?

ALysine
BProline
CGlycine
DHydroxyproline
Answer is hidden
Question 21 of 96Metals and Natural Materials

A deficiency of vitamin C weakens collagen because vitamin C is required for:

AHydroxylation of proline and lysine residues
BFormation of peptide bonds
CRemoval of telopeptides
DSynthesis of glycine
Answer is hidden
Question 22 of 96Metals and Natural Materials

The collagen type found predominantly in hyaline cartilage is:

AType III
BType II
CType IV
DType I
Answer is hidden
Question 23 of 96Metals and Natural Materials

Glutaraldehyde crosslinking of a bioprosthetic heart valve improves durability but has the drawback of:

AResidual cytotoxicity and a tendency to promote calcification
BIncreasing immunogenicity sharply
CMaking the tissue water-soluble
DRemoving all mechanical strength
Answer is hidden
Question 24 of 96Metals and Natural Materials

Which glycosaminoglycan is non-sulphated and is not covalently attached to a protein core?

AHyaluronic acid
BKeratan sulphate
CHeparin
DChondroitin sulphate
Answer is hidden
Question 25 of 96Metals and Natural Materials

The ability of articular cartilage to resist compressive load derives principally from:

AThe tensile strength of type I collagen
BIts high mineral content
CIts low permeability to oxygen
DWater drawn in by the fixed negative charge of proteoglycans
Answer is hidden
Question 26 of 96Metals and Natural Materials

Heparin is used to coat blood-contacting devices because it:

APromotes bacterial adhesion
BIs a bioactive ceramic
CIncreases surface roughness
DIs strongly negatively charged and potentiates antithrombin III
Answer is hidden
Question 27 of 96Polymers, Ceramics, Glasses and Composites

The polymer used as the bearing surface in total hip and knee replacements is:

APolytetrafluoroethylene
BPolymethyl methacrylate
CPolyurethane
DUltra-high molecular weight polyethylene
Answer is hidden
Question 28 of 96Polymers, Ceramics, Glasses and Composites

Polymethyl methacrylate bone cement presents which particular hazard during implantation?

AFerromagnetic heating in MRI
BImmediate bacterial colonisation
CA strongly exothermic polymerisation and toxic residual monomer
DRapid hydrolytic degradation
Answer is hidden
Question 29 of 96Polymers, Ceramics, Glasses and Composites

Which polymer degrades in vivo by hydrolysis and is therefore used for resorbable sutures and fixation pins?

APEEK
BSilicone
CPolylactic acid / polyglycolic acid
DPTFE
Answer is hidden
Question 30 of 96Polymers, Ceramics, Glasses and Composites

The glass transition temperature is important in selecting a medical polymer because it determines:

AIts radiopacity
BIts molecular weight
CWhether the polymer is glassy or rubbery at body temperature
DIts degree of crosslinking
Answer is hidden
Question 31 of 96Polymers, Ceramics, Glasses and Composites

Expanded PTFE is preferred to solid PTFE for vascular grafts because it:

AIs porous, allowing tissue ingrowth
BIs bioresorbable
CIs stronger in tension
DConducts electricity
Answer is hidden
Question 32 of 96Polymers, Ceramics, Glasses and Composites

Ceramics are described by Weibull statistics rather than a single strength value because:

AThey corrode unpredictably
BTheir modulus varies with temperature
CTheir strength is governed by the size and distribution of flaws
DThey are ductile before failure
Answer is hidden
Question 33 of 96Polymers, Ceramics, Glasses and Composites

The Ca/P molar ratio of stoichiometric hydroxyapatite is:

A1.67
B1.5
C1.0
D2.0
Answer is hidden
Question 34 of 96Polymers, Ceramics, Glasses and Composites

Bioglass 45S5 bonds to bone because in body fluid it:

AReleases antibiotics
BCrystallises into alumina
CForms a carbonated hydroxyapatite layer on its surface
DBecomes electrically charged
Answer is hidden
Question 35 of 96Polymers, Ceramics, Glasses and Composites

Which material is used for the leaflets and components of mechanical heart valves because of its thromboresistance and wear resistance?

A316L stainless steel
BUHMWPE
CAlumina
DPyrolytic carbon
Answer is hidden
Question 36 of 96Polymers, Ceramics, Glasses and Composites

Zirconia is tougher than alumina principally because of:

AIts lower density
BIts higher hardness
CTransformation toughening at the crack tip
DIts metallic bonding
Answer is hidden
Question 37 of 96Polymers, Ceramics, Glasses and Composites

For a unidirectional fibre composite loaded along the fibre direction, the modulus is given by:

AThe Hall-Petch relation
BThe inverse rule of mixtures
CThe Weibull modulus
DThe rule of mixtures, Ef Vf + Em Vm
Answer is hidden
Question 38 of 96Polymers, Ceramics, Glasses and Composites

Increasing the filler content of a dental restorative composite principally serves to:

AMake the material resorbable
BRaise strength and reduce polymerisation shrinkage
CIncrease the curing time
DImprove translucency only
Answer is hidden
Question 39 of 96Polymers, Ceramics, Glasses and Composites

A carbon-fibre-reinforced PEEK bone plate is attractive compared with a stainless steel plate because it is:

AFully bioresorbable
BElectrically conductive
CMuch cheaper to manufacture
DRadiolucent with a stiffness closer to that of bone
Answer is hidden
Question 40 of 96Thin Films, Grafts and Coatings

The principal purpose of surface modification of a biomaterial is to:

AReduce the cost of manufacture
BIncrease the strength of the implant
CAlter the biological response while preserving the bulk mechanical properties
DMake the implant radiopaque
Answer is hidden
Question 41 of 96Thin Films, Grafts and Coatings

A plasma is best described as:

AA fully ionised liquid
BA crystalline solid with free electrons
CA quasi-neutral, partially ionised gas containing electrons, ions and radicals
DA neutral gas at high pressure
Answer is hidden
Question 42 of 96Thin Films, Grafts and Coatings

In a cold (non-thermal) plasma:

AAll species are at the same high temperature
BThere are no free electrons
CThe ions are hotter than the electrons
DThe electrons are highly energetic while the gas remains near room temperature
Answer is hidden
Question 43 of 96Thin Films, Grafts and Coatings

Treating a polymer surface with an oxygen plasma generally:

AIncreases wettability by introducing polar oxygen-containing groups
BDeposits a metallic film
CRemoves all surface roughness
DMakes the surface hydrophobic
Answer is hidden
Question 44 of 96Thin Films, Grafts and Coatings

A plasma using a fluorine-containing gas such as CF4 is used to make a surface:

AElectrically conductive
BStrongly hydrophilic
CHydrophobic with low friction
DBioresorbable
Answer is hidden
Question 45 of 96Thin Films, Grafts and Coatings

The loss of hydrophilicity of a plasma-treated polymer surface over the following days is called:

ASintering
BDelamination
CHydrophobic recovery or ageing
DPassivation
Answer is hidden
Question 46 of 96Thin Films, Grafts and Coatings

Hydroxyapatite is most commonly applied to a titanium hip stem by:

AElectroplating
BPlasma spraying
CIon implantation
DDip coating in molten HA
Answer is hidden
Question 47 of 96Thin Films, Grafts and Coatings

Ion implantation is attractive as a surface treatment because it:

AProduces a very thick coating rapidly
BCreates a graded modified layer with no distinct interface to delaminate
CWorks equally well inside narrow lumens
DRequires no vacuum system
Answer is hidden
Question 48 of 96Thin Films, Grafts and Coatings

Which surface property would be deliberately maximised for the porous region of a cementless hip stem?

AHydrophobicity, to repel water
BElectrical conductivity
CRoughness and porosity, to promote bone ingrowth
DSmoothness, to reduce friction
Answer is hidden
Question 49 of 96Thin Films, Grafts and Coatings

Grafting polyethylene glycol chains onto a device surface is done principally to:

ARaise the melting point
BResist protein adsorption and cell adhesion
CPromote calcium phosphate deposition
DIncrease the hardness of the surface
Answer is hidden
Question 50 of 96Thin Films, Grafts and Coatings

Plasma-enhanced chemical vapour deposition is preferred to conventional CVD for polymer substrates because it:

AGives better line-of-sight coverage
BAllows film deposition at much lower temperatures
CRequires no precursor gas
DProduces thicker coatings
Answer is hidden
Question 51 of 96Thin Films, Grafts and Coatings

A practical limitation shared by most plasma surface treatments is that they:

APermanently alter the bulk modulus
BCannot be applied to metals
CAre line-of-sight and treat the interior of narrow lumens poorly
DAlways leave toxic residues
Answer is hidden
Question 52 of 96Thin Films, Grafts and Coatings

A silane coupling agent is used to:

ABond an organic polymer or biomolecule to an inorganic oxide surface
BPolish a ceramic bearing
CSterilise a heat-sensitive device
DIncrease the density of a metal
Answer is hidden
Question 53 of 96Biologically Functional Materials

The tripeptide sequence most widely grafted onto biomaterial surfaces to promote cell adhesion is:

ARGD (arginine-glycine-aspartic acid)
BEDTA
CATP
DGAG
Answer is hidden
Question 54 of 96Biologically Functional Materials

Which immobilization method is the simplest and mildest but suffers from leaching of the biomolecule?

AMicroencapsulation
BCrosslinking
CPhysical adsorption
DCovalent bonding
Answer is hidden
Question 55 of 96Biologically Functional Materials

Covalent immobilization of an enzyme has the principal disadvantage that:

AIt cannot be used in a bioreactor
BIt requires a magnetic support
CHarsh coupling conditions may denature the enzyme or block its active site
DThe enzyme leaches rapidly
Answer is hidden
Question 56 of 96Biologically Functional Materials

Entrapping cells in calcium alginate beads has which main limitation?

AInability to form beads at physiological pH
BChemical modification of the cells
CDiffusional limitation of substrate and product transport
DComplete loss of cell viability
Answer is hidden
Question 57 of 96Biologically Functional Materials

Microencapsulation of pancreatic islet cells in a semipermeable membrane is designed to:

AConvert the cells into a biosensor
BKill the cells slowly for controlled release
CIncrease the mechanical strength of the islets
DAllow glucose and insulin exchange while excluding immune cells and antibodies
Answer is hidden
Question 58 of 96Biologically Functional Materials

The binding pair most commonly exploited for orientated affinity immobilization is:

ABiotin and streptavidin
BGlucose and glucose oxidase
CCollagen and elastin
DSodium and chloride
Answer is hidden
Question 59 of 96Biologically Functional Materials

A polyethylene glycol spacer arm is introduced between a support and an immobilized enzyme in order to:

AMake the support conductive
BRestore mobility and reduce steric hindrance, preserving activity
CIncrease the weight of the support
DSterilise the surface
Answer is hidden
Question 60 of 96Biologically Functional Materials

In a classic glucose biosensor, the immobilized biological recognition element is:

AStreptavidin
BAn anti-glucose antibody
CCollagen
DGlucose oxidase
Answer is hidden
Question 61 of 96Biologically Functional Materials

Which support material is essential when the transducer of a biosensor is electrochemical?

APolystyrene
BAgarose gel
CA conductive material such as gold, platinum or carbon
DControlled-pore glass
Answer is hidden
Question 62 of 96Biologically Functional Materials

Crosslinking enzymes to one another with glutaraldehyde without a support has the drawback of:

AComplete solubility of the product
BRequirement for a magnetic field
CConsiderable loss of activity and poor mechanical properties
DVery high cost of the reagent
Answer is hidden
Question 63 of 96Biologically Functional Materials

The main reason for immobilizing heparin on the surface of a dialysis membrane is to:

AReduce thrombus formation locally without systemic anticoagulation
BSterilise the membrane
CImprove mechanical strength
DIncrease the membrane pore size
Answer is hidden
Question 64 of 96Biologically Functional Materials

Correct orientation is particularly critical when immobilizing an antibody because:

AAntibodies are electrically charged
BThe antigen-binding Fab regions must remain exposed and accessible
CAntibodies cannot bind covalently
DAntibodies denature at neutral pH
Answer is hidden
Question 65 of 96Biologically Functional Materials

Compared with releasing a growth factor into the tissue, immobilizing it on a scaffold offers the advantage of:

AFaster clearance from the body
BGreater solubility
CElimination of the need for a scaffold
DKeeping the signal localised and prolonged, avoiding systemic effects
Answer is hidden
Question 66 of 96Tissue-Device Interactions

The very first event to occur when a biomaterial is implanted in tissue is:

AAdsorption of proteins onto the surface
BArrival of neutrophils
CFormation of a fibrous capsule
DFusion of macrophages into giant cells
Answer is hidden
Question 67 of 96Tissue-Device Interactions

The Vroman effect describes the:

ASequential displacement of early adsorbed proteins by later ones of higher affinity
BHardening of bone cement
CLoss of antibiotic efficacy in a biofilm
DContraction of a fibrous capsule over time
Answer is hidden
Question 68 of 96Tissue-Device Interactions

Which adsorbed plasma protein most strongly promotes platelet adhesion to a device surface?

AAlbumin
BFibrinogen
CHaptoglobin
DTransferrin
Answer is hidden
Question 69 of 96Tissue-Device Interactions

The histological hallmark of the foreign body reaction is the presence of:

APlasma cells only
BMultinucleated foreign body giant cells
CNeutrophil abscesses
DOsteoblasts
Answer is hidden
Question 70 of 96Tissue-Device Interactions

A thick fibrous capsule around an implanted glucose sensor is a problem chiefly because it:

ASterilises the implant site
BPromotes osseointegration
CIncreases the electrical output of the sensor
DLimits diffusion of glucose to the sensor, causing drift and failure
Answer is hidden
Question 71 of 96Tissue-Device Interactions

Late aseptic loosening of a total hip replacement is most often caused by:

AGalvanic corrosion of the stem
BBacterial biofilm in every case
CFracture of the ceramic head
DOsteolysis driven by polyethylene wear particles
Answer is hidden
Question 72 of 96Tissue-Device Interactions

Healthy vascular endothelium resists thrombosis partly by secreting:

ATissue factor and von Willebrand factor
BFibrinogen and factor XII
CProstacyclin and nitric oxide
DThromboxane A2 and ADP
Answer is hidden
Question 73 of 96Tissue-Device Interactions

Cells attach to the extracellular matrix and to RGD-modified surfaces through receptors called:

ASelectins
BAquaporins
CIntegrins
DConnexons
Answer is hidden
Question 74 of 96Tissue-Device Interactions

Regenerated cellulose haemodialysis membranes were largely abandoned because they:

AAre mechanically too strong
BCannot remove urea
CDissolve in blood
DActivate complement strongly through the alternative pathway
Answer is hidden
Question 75 of 96Tissue-Device Interactions

Phosphorylcholine coatings improve blood compatibility because they:

AMimic the outer leaflet of the natural cell membrane and resist protein adsorption
BIncrease surface roughness
CAre strongly positively charged
DRelease antibiotics continuously
Answer is hidden
Question 76 of 96Tissue-Device Interactions

The concept that host tissue cells and bacteria compete to colonise an implant surface is known as:

AThe race for the surface
BThe Vroman effect
CFrustrated phagocytosis
DThe foreign body reaction
Answer is hidden
Question 77 of 96Tissue-Device Interactions

Bacteria within a mature biofilm are difficult to eradicate mainly because:

AThey mutate into viruses
BThey are killed only by heat
CThey cannot be cultured
DThe polymeric matrix limits antibiotic penetration and many cells are dormant
Answer is hidden
Question 78 of 96Tissue-Device Interactions

The organism most classically associated with biofilm infection of catheters and prosthetic devices is:

AMycobacterium tuberculosis
BEscherichia coli
CClostridium tetani
DStaphylococcus epidermidis
Answer is hidden
Question 79 of 96Digital Electronics

How many NOT gates are required to build a 2:1 Multiplexer?

A1
B2
C3
D4
Answer is hidden
Question 80 of 96Digital Electronics

How many 2-input NAND gates are contained in a standard 7400 TTL IC?

A2
B3
C4
D8
Answer is hidden
Question 81 of 96Digital Electronics

In TTL logic, what is the input voltage range for a logic LOW (active LOW level)?

A0 V to 0.8 V
B0 V to 1.5 V
C2 V to 5 V
D0.8 V to 2 V
Answer is hidden
Question 82 of 96Digital Electronics

When an invalid BCD code (1010โ€“1111) is detected and auto-corrected, what value is added?

A0110 (6)
B0001 (1)
C1010 (10)
D0100 (4)
Answer is hidden
Question 83 of 96Digital Electronics

What is the terminal (reset) state of a MOD-10 (decade) counter?

A1010
B1001
C1000
D0111
Answer is hidden
Question 84 of 96Digital Electronics

What is the minimum number of flip-flops (memory blocks) required to build a MOD-6 ripple counter?

A2
B3
C4
D6
Answer is hidden
Question 85 of 96Digital Electronics

An SR flip-flop is also called a:

AMonostable multivibrator
BBistable multivibrator
CAstable multivibrator
DSchmitt trigger
Answer is hidden
Question 86 of 96Digital Electronics

A JK flip-flop with J = 1 and K = 1 is clocked at 20 kHz. What is the output waveform and its frequency?

ASine wave at 20 kHz
BSquare wave at 20 kHz
CSine wave at 10 kHz
DSquare wave at 10 kHz
Answer is hidden
Question 87 of 96Digital Electronics

What is the duty cycle of an ideal astable multivibrator?

A25%
B50%
C75%
D100%
Answer is hidden
Question 88 of 96Digital Electronics

Which of the following is NOT a valid operation of flip-flops?

ASet
BReset
CToggle
DMultiply
Answer is hidden
Question 89 of 96Digital Electronics

The TRAP interrupt in 8085 microprocessor is:

AEdge-triggered only
BLevel-triggered (high level)
CMaskable
DSoftware interrupt
Answer is hidden
Question 90 of 96Digital Electronics

Small-Scale Integration (SSI) refers to ICs with how many transistors?

ALess than 10
B10โ€“99
C100โ€“999
D1000+
Answer is hidden
Question 91 of 96Digital Electronics

In VHDL, a signal that represents a bus (multi-bit connection) is declared as:

AVariable
BSignal
CConstant
DGeneric
Answer is hidden
Question 92 of 96Digital Electronics

In VHDL, the primary design unit that represents a hardware block's interface (ports and generics) is called:

AArchitecture
BPackage
CComponent
DEntity
Answer is hidden
Question 93 of 96Digital Electronics

The shadow mask technique is used in:

ALCD panels
BCRT displays
COLED displays
DPlasma screens
Answer is hidden
Question 94 of 96Digital Electronics

Left-shifting an unsigned binary number by 1 bit is equivalent to:

ADividing by 2
BMultiplying by 2
CAdding 1
DSubtracting 1
Answer is hidden
Question 95 of 96Digital Electronics

The expression x << 3 is equivalent to:

Ax ร— 8
Bx ร— 3
Cx + 3
Dx / 8
Answer is hidden
Question 96 of 96Digital Electronics

Which logic gate is commonly used for parity checking and overflow detection?

AAND
BOR
CXOR
DNAND
Answer is hidden
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