Question 1 of 78X-ray Equipment
The continuous spectrum of X-rays produced when electrons are decelerated by the target nuclei is called:
ACharacteristic radiation
BBremsstrahlung
CCompton scattering
DCoherent scattering
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Question 2 of 78X-ray Equipment
Approximately what percentage of the kinetic energy of the electrons striking the anode is converted into X-rays?
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Question 3 of 78X-ray Equipment
The maximum photon energy in an X-ray beam produced at 100 kVp is:
A10 keV
B50 keV
C100 keV
D1,000 keV
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Question 4 of 78X-ray Equipment
The line focus principle allows an X-ray tube to have:
AA lower filament current
BA smaller anode angle with no heel effect
CHigher X-ray production efficiency
DA large actual focal spot for heat loading but a small effective focal spot for resolution
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Question 5 of 78X-ray Equipment
The anode heel effect results in radiation intensity that is:
AUniform across the field
BLower on the cathode side of the field
CLower on the anode side of the field
DGreatest at the centre only
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Question 6 of 78X-ray Equipment
The principal advantage of a rotating anode over a stationary anode is:
ALower cost of manufacture
BElimination of the heel effect
CA much higher tube rating because heat is spread over a large focal track
DHigher efficiency of X-ray production
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Question 7 of 78X-ray Equipment
Doubling the mAs while keeping kVp constant will:
ADouble the energy of each photon
BIncrease penetration without affecting dose
CDouble the number of photons and the patient dose
DHalve the exposure time required
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Question 8 of 78X-ray Equipment
Total filtration of at least 2.5 mm aluminium equivalent is required above 70 kVp in order to:
ARemove low-energy photons that would increase skin dose without contributing to the image
BIncrease the total beam intensity
CReduce the heat load on the anode
DImprove subject contrast
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Question 9 of 78X-ray Equipment
The half-value layer of an X-ray beam is a measure of its:
AField size
BQuantity
CQuality (penetrating power)
DFocal spot size
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Question 10 of 78X-ray Equipment
Subject contrast in a radiograph arises principally from differences in:
APair production
BCoherent scattering
CCompton scattering, which is independent of atomic number
DPhotoelectric absorption, which varies with the cube of atomic number
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Question 11 of 78X-ray Equipment
A grid with a ratio of 12:1 compared with one of 5:1 will:
AHave no effect on the exposure required
BRemove more scatter but require more accurate alignment and more dose
CEliminate the need for collimation
DRemove less scatter and need less dose
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Question 12 of 78X-ray Equipment
The use of a radiographic grid becomes appropriate when the body part exceeds about:
A50 cm in thickness
B2 cm in thickness
C30 cm in thickness
D10 cm in thickness
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Question 13 of 78X-ray Equipment
Radiation-induced cancer is classified as which type of biological effect?
ADeterministic, with a threshold dose
BStochastic, with no threshold dose
CDeterministic, with no threshold
DNot a radiation effect at all
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Question 14 of 78Computed Tomography
The Hounsfield unit value of water is defined as:
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Question 15 of 78Computed Tomography
A region of interest on a CT image measures -100 HU. The tissue is most likely:
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Question 16 of 78Computed Tomography
Increasing the window width on a CT display will:
AReduce the displayed contrast
BIncrease the brightness only
CIncrease the displayed contrast
DAlter the reconstructed data permanently
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Question 17 of 78Computed Tomography
In a third-generation CT scanner:
AOnly the tube rotates within a stationary detector ring
BThe tube translates and rotates with a single detector
CThe tube and the detector array rotate together around the patient
DThere are no moving parts
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Question 18 of 78Computed Tomography
A concentric ring artefact on a CT image is characteristic of:
APatient motion
BA mis-calibrated detector element in a third-generation scanner
CBeam hardening
DPartial volume averaging
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Question 19 of 78Computed Tomography
The technology that made continuous-rotation helical scanning possible is the:
AImage intensifier
BSlip ring
CBow-tie filter
DXenon detector
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Question 20 of 78Computed Tomography
Pitch in helical CT is defined as:
ARotation time divided by slice thickness
BTable movement per rotation divided by the beam collimation
CTube current multiplied by time
DDetector width divided by matrix size
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Question 21 of 78Computed Tomography
Compared with simple back-projection, filtered back-projection:
AApplies a convolution kernel to each projection to remove the characteristic blurring
BRequires fewer projections
CUses no computer
DProduces higher patient dose
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Question 22 of 78Computed Tomography
Iterative reconstruction is increasingly used in CT principally because it:
AAllows equivalent image quality at a reduced radiation dose
BIs computationally simpler than filtered back-projection
CRemoves the need for contrast medium
DEliminates the need for a detector array
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Question 23 of 78Computed Tomography
If the mAs is quadrupled in a CT acquisition, image noise will be:
ADoubled
BHalved
CQuadrupled
DUnchanged
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Question 24 of 78Computed Tomography
Cupping artefact and dark streaks between two dense bones are caused by:
ABeam hardening
BPartial volume averaging
CDetector drift
DAliasing
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Question 25 of 78Computed Tomography
Assigning an intermediate Hounsfield value to a voxel that contains two different tissues is called:
AQuantum mottle
BPartial volume averaging
CPhoton starvation
DBeam hardening
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Question 26 of 78Computed Tomography
The CT dose descriptor that accounts for the length of the region scanned is:
ACTDIvol
BBucky factor
CDose-length product
DEffective focal spot
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Question 27 of 78Magnetic Resonance Imaging
The nucleus imaged in routine clinical MRI is:
ACarbon-13
BSodium-23
CHydrogen (a single proton)
DPhosphorus-31
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Question 28 of 78Magnetic Resonance Imaging
The Larmor frequency of protons in a 1.5 tesla magnet is approximately:
A128 MHz
B1.5 MHz
C42.58 MHz
D64 MHz
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Question 29 of 78Magnetic Resonance Imaging
T1 relaxation is defined as the time taken for the longitudinal magnetisation to recover to:
A100 % of its final value
B63 % of its final value
C50 % of its final value
D37 % of its initial value
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Question 30 of 78Magnetic Resonance Imaging
A T2-weighted image is produced using:
AA long TR and a short TE
BA long TR and a long TE
CA short TR and a long TE
DA short TR and a short TE
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Question 31 of 78Magnetic Resonance Imaging
On a T1-weighted image, cerebrospinal fluid appears:
ADark
BAbsent
CBright
DThe same as grey matter
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Question 32 of 78Magnetic Resonance Imaging
Which sequence is used to suppress the signal from cerebrospinal fluid and reveal periventricular lesions?
AGradient echo
BSTIR
CTime-of-flight
DFLAIR
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Question 33 of 78Magnetic Resonance Imaging
The MRI sequence that detects acute cerebral infarction within minutes of onset is:
AMR spectroscopy
BProton density imaging
CT1-weighted spin echo
DDiffusion-weighted imaging
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Question 34 of 78Magnetic Resonance Imaging
Spatial localisation in MRI is achieved by:
AUsing a lead grid
BCollimating the radiofrequency beam
CRotating the magnet around the patient
DApplying magnetic field gradients so that resonance frequency varies with position
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Question 35 of 78Magnetic Resonance Imaging
The central region of k-space predominantly determines the image's:
AFine spatial detail and edges
BField of view
CContrast and overall signal
DSlice thickness
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Question 36 of 78Magnetic Resonance Imaging
Gadolinium-based contrast agents make enhancing tissue appear bright on T1-weighted images because they:
AIncrease proton density
BLengthen T2 relaxation
CEmit their own radiofrequency signal
DShorten the T1 relaxation time of adjacent water protons
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Question 37 of 78Magnetic Resonance Imaging
Gadolinium contrast should be used with particular caution in patients with:
AMild asthma
BControlled hypertension
CIron deficiency anaemia
DSevere renal impairment, because of nephrogenic systemic fibrosis
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Question 38 of 78Magnetic Resonance Imaging
A 180 degree refocusing pulse is used in a spin echo sequence in order to:
ASuppress the fat signal
BCancel dephasing caused by static field inhomogeneity and measure true T2
CSelect the slice
DIncrease the signal-to-noise ratio directly
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Question 39 of 78Magnetic Resonance Imaging
The most serious immediate physical hazard in the MRI environment is:
AUltraviolet emission from the coils
BElectric shock from the patient table
CThe projectile effect of ferromagnetic objects in the always-on static field
DIonising radiation from the gradients
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Question 40 of 78Ultrasonography
The speed of sound assumed by a diagnostic ultrasound machine in soft tissue is:
A3,500 m/s
B1,540 m/s
C1,540 km/s
D330 m/s
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Question 41 of 78Ultrasonography
An echo returns 13 microseconds after the pulse was transmitted. The reflecting interface lies at a depth of approximately:
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Question 42 of 78Ultrasonography
Coupling gel is essential in ultrasound scanning because:
AA tissue-air interface reflects almost all the ultrasound energy
BGel prevents the transducer overheating
CGel reduces the Doppler angle
DGel increases the frequency of the beam
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Question 43 of 78Ultrasonography
Increasing the transducer frequency from 3 MHz to 10 MHz will:
AImprove resolution but reduce depth of penetration
BImprove both resolution and penetration
CReduce resolution and improve penetration
DHave no effect on either
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Question 44 of 78Ultrasonography
The backing (damping) block behind the piezoelectric element serves to:
AFocus the beam electronically
BShorten the pulse and improve axial resolution
CGenerate the Doppler shift
DMatch the impedance to tissue
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Question 45 of 78Ultrasonography
Axial resolution in ultrasound is equal to:
AHalf the spatial pulse length
BThe beam width
CThe pulse repetition frequency
DThe wavelength multiplied by the depth
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Question 46 of 78Ultrasonography
Bright echoes appearing deep to a fluid-filled cyst are an example of:
AMirror image artefact
BPosterior acoustic enhancement
CReverberation
DAcoustic shadowing
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Question 47 of 78Ultrasonography
Which imaging mode displays the motion of a structure along a single line against time?
AB-mode
BPower Doppler
CA-mode
DM-mode
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Question 48 of 78Ultrasonography
The Doppler shift is zero when the angle between the ultrasound beam and the direction of blood flow is:
A45 degrees
B0 degrees
C90 degrees
D60 degrees
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Question 49 of 78Ultrasonography
For accurate quantitative velocity measurement in Doppler ultrasound, the angle of insonation should be kept below:
A80 degrees
B45 degrees is the maximum permitted
C60 degrees
D90 degrees
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Question 50 of 78Ultrasonography
Aliasing in pulsed-wave Doppler occurs when the Doppler shift exceeds:
ATwice the pulse repetition frequency
BThe Nyquist limit multiplied by four
CThe transmitted frequency
DHalf the pulse repetition frequency
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Question 51 of 78Ultrasonography
Power Doppler differs from colour Doppler in that it:
ARequires no transducer
BIs more sensitive to slow flow but gives no direction or velocity information
CMeasures higher velocities without aliasing and shows direction
DWorks only at 90 degrees
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Question 52 of 78Ultrasonography
The mechanical index displayed on an ultrasound machine indicates the likelihood of:
AAliasing
BAcoustic shadowing
CCavitation
DTissue heating
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Question 53 of 78Digital Imaging
In a digital image, the number of grey levels available is determined by the:
AField of view
BBit depth
CPixel pitch
DMatrix size
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Question 54 of 78Digital Imaging
Computed radiography uses an imaging plate made of:
ASilver halide emulsion
BPhotostimulable barium fluorohalide doped with europium
CAmorphous selenium
DCaesium iodide on amorphous silicon
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Question 55 of 78Digital Imaging
In a computed radiography reader, the imaging plate is scanned by a red laser and emits:
AAn electrical charge directly
BBlue light proportional to the original X-ray exposure
CX-rays of lower energy
DInfrared heat
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Question 56 of 78Digital Imaging
Direct conversion digital radiography detectors use:
AA photostimulable phosphor plate
BA xenon ionisation chamber
CCaesium iodide coupled to photodiodes
DAmorphous selenium, which converts X-rays straight into electrical charge
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Question 57 of 78Digital Imaging
The principal workflow advantage of DR over CR is that DR:
AProduces the image within seconds without a separate reading step
BRequires no computer
CCan be retrofitted to any existing unit
DUses cheaper detectors
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Question 58 of 78Digital Imaging
Dose creep in digital radiography refers to:
AScatter reaching the detector
BA gradual rise in exposures because over-exposure no longer darkens the image
CAccumulated dose to the radiographer
DLeakage radiation from the tube housing
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Question 59 of 78Digital Imaging
Detective quantum efficiency describes how well a detector:
ARemoves scattered radiation
BResists mechanical damage
CConverts incident X-ray quanta into useful image information
DStores images for archiving
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Question 60 of 78Digital Imaging
In digital subtraction angiography, the mask image is:
AAn image acquired before contrast arrives, subtracted from the contrast-filled image
BA lead mask placed over the patient
CA filter in the X-ray beam
DThe last image in the series
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Question 61 of 78Digital Imaging
The universal standard governing the format and exchange of medical images is:
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Question 62 of 78Digital Imaging
Which system holds patient scheduling, worklists and radiology reports rather than the images themselves?
ARIS
BDICOM
CPACS
DThe modality
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Question 63 of 78Digital Imaging
A DICOM file differs from an ordinary image file in that it also contains:
AA copy of the hospital database
BA header of patient, study and acquisition metadata
CThe radiologist's signature only
DA compressed audio track
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Question 64 of 78Digital Imaging
A major practical benefit of PACS in a country with difficult geography such as Nepal is:
AElimination of the need for radiographers
BRemoval of the need for contrast media
CTeleradiology, allowing images to be reported remotely
DReduction of patient radiation dose to zero
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Question 65 of 78Digital Imaging
Diagnostic display monitors in a PACS must be calibrated to:
AThe DICOM grey-scale standard display function
BThe ambient room temperature
CThe HL7 specification
DThe manufacturer's default brightness
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Question 66 of 78Basics of Radioisotope Imaging
The unit of radioactivity, equal to one disintegration per second, is the:
ABecquerel
BGray
CSievert
DRoentgen
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Question 67 of 78Basics of Radioisotope Imaging
Which radionuclide accounts for the great majority of diagnostic nuclear medicine studies?
AIodine-131
BFluorine-18
CThallium-201
DTechnetium-99m
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Question 68 of 78Basics of Radioisotope Imaging
Technetium-99m is obtained in the hospital by elution of a generator containing:
AGallium-68
BCobalt-60
CMolybdenum-99
DIodine-131
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Question 69 of 78Basics of Radioisotope Imaging
The photon energy emitted by technetium-99m is:
A140 keV
B364 keV
C511 keV
D80 keV
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Question 70 of 78Basics of Radioisotope Imaging
Which type of radiation is of no use for imaging because it is stopped within a fraction of a millimetre of tissue?
AAlpha particles
BX-rays
CAnnihilation photons
DGamma rays
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Question 71 of 78Basics of Radioisotope Imaging
The two photons detected in PET are produced by:
AIsomeric transition of the nucleus
BAnnihilation of a positron with an electron, giving 511 keV photons at 180 degrees
CElectron capture
DBremsstrahlung in the detector
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Question 72 of 78Basics of Radioisotope Imaging
PET has much higher sensitivity than SPECT principally because it:
AUses longer-lived radionuclides
BUses electronic coincidence detection instead of a lead collimator
CHas a larger crystal
DUses higher activities of radiopharmaceutical
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Question 73 of 78Basics of Radioisotope Imaging
The commonest PET radiopharmaceutical, a glucose analogue trapped inside metabolically active cells, is:
AF-18 fluorodeoxyglucose
BTc-99m MDP
CTl-201 chloride
DI-131 sodium iodide
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Question 74 of 78Basics of Radioisotope Imaging
The component of a gamma camera that determines its spatial resolution and rejects photons not travelling in the required direction is the:
ACollimator
BPhotomultiplier tube
CSodium iodide crystal
DPulse height analyser
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Question 75 of 78Basics of Radioisotope Imaging
The scintillation crystal of a conventional gamma camera is made of:
AAmorphous selenium
BCaesium iodide on silicon
CThallium-doped sodium iodide
DLead zirconate titanate
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Question 76 of 78Basics of Radioisotope Imaging
The pulse height analyser in a gamma camera is used to:
ACollimate the incoming photons
BReject scattered photons falling outside the selected energy window
CDetermine the position of each event
DAmplify the light from the crystal
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Question 77 of 78Basics of Radioisotope Imaging
If a radionuclide has a physical half-life of 6 hours and a biological half-life of 3 hours, its effective half-life is:
A9 hours
B4.5 hours
C3 hours
D2 hours
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Question 78 of 78Basics of Radioisotope Imaging
The principal advantage of hybrid PET/CT over PET alone is that the CT provides:
AA longer-lived radionuclide
BA higher count rate from the tracer
CElimination of the need for a cyclotron
DAnatomical localisation and an attenuation map for correction
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