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1.

In a hypothetical radioactive material, the total number of active photons are 20000 and the decay constant is found out to be 4.916 X 10^-17 per second. How much of the material will be left in a 100 years? (1 year = 365 days. Leap year is not assumed in the calculations)(a) 1589.99999(b) 19,999.9999(c) 19.999999(d) 123.99999This question was addressed to me during an online interview.The question is from Diathermy, Measurement of Radiation, Dose and its Calculations topic in division Radiation Therapy of Clinical Science

Answer»

The correct choice is (b) 19,999.9999

Explanation: N = N0 e ^-λt where N = particles left after DECAY, N0 is the original number of particles, t is the TIME DURATION and λ is the decay constant. Thus, putting the values in the FORMULA, we GET :

N = 20000 * e^(- (4.916* 10^-17) * 365*100*24*60*60)= 19999.99999.

2.

Since there is a tumour, we can ensure that there will be oxygen present.(a) True(b) FalseI got this question by my school teacher while I was bunking the class.This interesting question is from Radiation Therapy in portion Radiation Therapy of Clinical Science

Answer»

Correct choice is (a) True

To elaborate: For a tumour to keep growing, it needs OXYGEN and FOOD. Otherwise, the tumour will die out. Initially, the tumour takes in oxygen and nutrients from the surrounding or the same CELLS which causes necrosis. As it spreads out, it finally comes in contact with blood vessels which ensures that the tumour receives blood which PROVIDES it with oxygen and nutrients. Thus, the oxygen LEVELS in the tumour regions are higher than normal.

3.

The machine used for radiotherapy is called as _________(a) Therapeutic X-Ray machine(b) Linear Accelerator(c) Diathermy Machine(d) Radioactive Ultrasound MachineI had been asked this question in homework.Asked question is from Radiation Therapy in section Radiation Therapy of Clinical Science

Answer»

Correct answer is (b) Linear Accelerator

Best EXPLANATION: Linear accelerator, ALSO CALLED as linac is used to destroy the cancer cells with the help of radiations. Higher and more sophisticated versions can destroy at the surface level itself and use electrons RATHER than photons. The linac used the photons and the electrons to damage the DNA of the cancerous cells. Non cancerous cells are able to repair their DNA but the cancerous cells FAIL to do so.

4.

Between the oesophagus and lungs, lungs are more sensitive to radiations.(a) True(b) FalseI have been asked this question in an online interview.Query is from Radiation Therapy topic in section Radiation Therapy of Clinical Science

Answer» RIGHT option is (B) False

Explanation: Oesophagus has more RAPIDLY dividing CELLS as compared to the lungs so the oesophagus is more susceptible to RADIATIONS. However, even the lungs are susceptible to the radiations but since their cells divide more slowly, they rank below oesophagus in sensitivity.
5.

If the half life is found to be 100 msec, what is the decay constant?(a) 693 per second(b) 24948 per hour(c) 0.1155 per minute(d) 59875.2 per dayThe question was asked in class test.Asked question is from Diathermy, Measurement of Radiation, Dose and its Calculations topic in chapter Radiation Therapy of Clinical Science

Answer»

Correct option is (b) 24948 per hour

Explanation: HALF LIFE is and decay constant are related by t ^1/2 = ln2/λ

t ^1/2 = 0.693/λ

Since the half life is given in SECONDS, appropriate conversions are used for hours, minutes and day. By this, we GET:

λ = 0.693*3600/t^1/2 = 249480 per hour.

6.

What is the relation between 1 Rad, 1 Rem and 1 R?(a) 1 Rad ≈ 1.5 Rem ≈ 1000 R(b) 1 Rad ≈ 10 Rem ≈ 1.8 R(c) 1 Rad ≈ 1 Rem ≈ 1 R(d) 1 Rad ≈ 10 Rem ≈ 100 RThe question was posed to me during an interview for a job.I need to ask this question from Diathermy, Measurement of Radiation, Dose and its Calculations in chapter Radiation Therapy of Clinical Science

Answer»

Right option is (c) 1 Rad ≈ 1 Rem ≈ 1 R

Easy EXPLANATION: All three UNITS have almost the same values and they all are units and doses of radiations. Rad stands for radiation absorbed dose and it measures the radiation absorbed by the tissues of the body. Rem is radiation equivalent and it measures the biological DAMAGE caused by DIFFERENT types of radiation.R is for Roentgens and is used as a UNIT for X – Rays.

7.

Which of the following pair of scattering is important for therapeutic purposes?(a) Coherent and Pair Production(b) Photoelectric and Disintegration(c) Compton and Photoelectric(d) Pair Production and DisintegrationThis question was posed to me by my school principal while I was bunking the class.I want to ask this question from Radiation Therapy in portion Radiation Therapy of Clinical Science

Answer»

Right choice is (d) Pair Production and Disintegration

Explanation: In pair production, an INCOMING photon of 1.02 MeV REACTS with the nucleus and disintegrates into a positron and negatron. Positron due to high energy and LOW mass gets REPELLED from the nucleus and on meeting an electron, annihilation takes place. In disintegration, a high energy photon is absorbed by the nucleus which makes it EXCITED and radioactive. To become stable again, it emits various radiations. Since both these techniques emit a large variety of radiations, they are used to destroy the cancerous cells and thus used for therapeutic purposes.

8.

What is the frequency range of the sound used for ultrasound diathermy?(a) 0.1 – 0.7 MHz(b) 0.7 – 3.3 MHz(c) 3.3 – 5 MHz(d) 5 – 15 MHzI got this question in final exam.My question is from Diathermy, Measurement of Radiation, Dose and its Calculations topic in chapter Radiation Therapy of Clinical Science

Answer»

The correct option is (b) 0.7 – 3.3 MHz

Best explanation: The ultrasound treatment can penetrate up to 2 – 5 cm deep WITHIN the SKIN to RELIEVE pain. The frequency of 0.7 – 3.3 MHz is used. If the frequency is increased, it can CAUSE excess heat CAUSING heat burns in the body and doing damage rather than therapy.

9.

When radiation therapy is done to reduce the effect of cancer, it is called as ______(a) Mutative Treatment(b) Reduction Treatment(c) Palliative Treatment(d) Genesis TreatmentThis question was addressed to me in an international level competition.The origin of the question is Radiation Therapy in portion Radiation Therapy of Clinical Science

Answer»

Correct answer is (c) Palliative TREATMENT

Explanation: This kind of treatment is done to reduce the EFFECT and symptoms of CANCER in the body. For eg, treating the cancerous cells in the oesophagus to ALLOW the person to swallow better and EAT properly. It is done in the spinal region to stop the impingement of the nerves and reduce pain.

10.

For what all purposes is diathermy principal used?(a) Surgical and Therapeutic(b) Therapeutic and Diagnostic(c) Diagnostic and surgical(d) Diagnostic and rehabilitativeI got this question in an interview.The question is from Diathermy, Measurement of Radiation, Dose and its Calculations in section Radiation Therapy of Clinical Science

Answer»

Correct answer is (a) Surgical and THERAPEUTIC

The explanation is: Diathermy is a PROCESS by which the body is treated by the electromagnetic WAVES or waves of high frequency. These waves beyond CERTAIN frequencies have heating effects and can help in easing the pain in the body. This type of diathermy is used for therapeutic purposes. When the heat is increased and concentrated at a point, it can cause cutting action by boiling and BURNING the cells. This type of diathermy is used for surgical purposes.

11.

What radiations occur when the electrons are used in radio therapy?(a) Ionizing Radiations(b) Gamma Rays(c) Bremsstrahlung Radiation(d) Infrared RaysThis question was addressed to me during an interview for a job.My question is from Radiation Therapy in portion Radiation Therapy of Clinical Science

Answer»

Right CHOICE is (c) Bremsstrahlung Radiation

The best I can explain: When an electron moves towards the body, it has charge and energy. On collision with the body, it RELEASES some of its energy and CHANGES its DIRECTIONS. This released energy is given out as radiation. This is Bremsstrahlung Radiation.

12.

Which of the following is used to measure the biological damage caused by radiation?(a) Curie(b) Rem(c) Rad(d) RoentgensI have been asked this question in exam.My question is from Diathermy, Measurement of Radiation, Dose and its Calculations in portion Radiation Therapy of Clinical Science

Answer»

The CORRECT option is (b) Rem

For explanation I would say: Rem is also a forming unit of radiation. It is used to MEASURE the amount of exposure to radiation the person has had and determine if it is WITHIN safe limits or beyond it. If the safety limits have been crossed, the person must stay away from the radiology area for a SPECIFIC period of TIME of quit working there altogether.

13.

There are two cells, one with OER as 2.5 and other as 7. Which cell is more sensitive to radiation?(a) The cell with OER 2.5(b) The Cell with OER 7(c) Both the cells(d) Insufficient dataI had been asked this question by my college director while I was bunking the class.This key question is from Radiation Therapy in division Radiation Therapy of Clinical Science

Answer»

Right OPTION is (a) The cell with OER 2.5

Best explanation: The cells that have a lower OER are more sensitive to radiation. This is because a higher amount of DOSAGE is required to DESTROY the cell in hypoxic condition as COMPARED to the amount of dosage required to do the same damage in oxygenated condition.

14.

In the cardiovascular system, which is more affected by the radiations?(a) Capillaries(b) Artery(c) Vein(d) Cardiac MusclesThis question was posed to me in a national level competition.Question is taken from Radiation Therapy topic in portion Radiation Therapy of Clinical Science

Answer»

Correct answer is (a) CAPILLARIES

Best explanation: Same as other tissues, the capillaries which have fast dividing CELLS are more SUSCEPTIBLE to radiations. The cardiac MUSCLES, arteries, and veins are more STABLE as they are mature cells and so are not so easily damaged.

15.

Which of the following pair of scattering is important for diagnostic purposes?(a) Coherent and Compton(b) Photoelectric and Pair Production(c) Compton and Photoelectric(d) Pair Production and DisintegrationI had been asked this question by my college director while I was bunking the class.My doubt is from Radiation Therapy topic in section Radiation Therapy of Clinical Science

Answer»

The correct answer is (c) Compton and Photoelectric

The EXPLANATION is: In Compton effect, an INCOMING photon transfers a part of the energy to the outermost electron and then scatters off. The electron may get ejected from its shell and come out and is CALLED the Compton electron. In the photoelectric effect, the incoming photon comes and removes the electron and ceases to exist. This photoelectron interacts with the various atoms and atomic particles by ionizing, energizing etc. The energies given off in these processes is recorded and used for DIAGNOSTIC purposes.

16.

With what energy must the radiation be given to image a bone of thickness 5 cm which has covering of skin of thickness of 2 cm on the both sides and the emerging intensity of the X – Ray is 200MeV. (impedance for bone = bfor skin = s )(a) 2000e^9(b) 200e^(4s + 5b)(c) 20/e(d) 2eThe question was posed to me during an interview.Question is taken from Diathermy, Measurement of Radiation, Dose and its Calculations topic in chapter Radiation Therapy of Clinical Science

Answer» CORRECT choice is (B) 200e^(4s + 5b)

The explanation is: The formula GOES like : I = I0e^(-μt) where I is the final radiation, I0 is the initial radiation, μ is the impedance and t is the thickness. Since we know the emerging radiation, by using back processing formula, we get 200e^(4s+5b).
17.

In heat wave diathermy, the maximum power given out is 500 W and the maximum voltage possible is 4000V. Thus, what is the highest resistance that heat wave diathermy machine can deal with?(a) 3.2 K ohm(b) 32 K ohm(c) 320 K ohm(d) 3200 K ohmI had been asked this question in unit test.I'd like to ask this question from Diathermy, Measurement of Radiation, Dose and its Calculations in chapter Radiation Therapy of Clinical Science

Answer» RIGHT option is (b) 32 K ohm

For explanation: The simple formula for power, VOLTAGE and RESISTANCE is USED. P = V2/R

R = V2/P

R = 40002/500

R = 32 K ohm.
18.

Beyond what dose is the cerebral system shows signs of failure?(a) 25 – 200 rad(b) 200 – 600 rad(c) 600 – 1000 rad(d) > 1000 radThe question was asked during an internship interview.This question is from Diathermy, Measurement of Radiation, Dose and its Calculations in chapter Radiation Therapy of Clinical Science

Answer»

The correct choice is (d) > 1000 rad

To explain I would SAY: Various studies show that more MATURE a cell, higher is its RESISTANCE to radiations. Nerve cells and muscle cells show high resistance to radioactivity. Nerve cells once generated, they stay for a long period of time. Thus, they are highly mature cells and so provide high resistance to the radioactivity.

19.

The process of destroying cancer cells with the help of radiation is ________(a) radiotherapy(b) physiotherapy(c) uroplasty(d) rehabilitationThis question was addressed to me by my college professor while I was bunking the class.The question is from Radiation Therapy topic in chapter Radiation Therapy of Clinical Science

Answer»

The correct choice is (a) radiotherapy

The best I can EXPLAIN: Radiotherapy is the process by which the cancerous cells of the BODY are KILLED. They USE radiations mostly X – Rays and sorts. Sometimes, chemotherapy and radiotherapy are combined together. Chemotherapy uses DRUGS to reduce the activity of the cancerous cells while the radiotherapy destroys them.

20.

What role does oxygen play?(a) It causes a damage to the DNA(b) It oxygenates the cells that have undergone necrosis(c) It regulates the work of free radicals(d) It reduces the tumour sizeThe question was posed to me in homework.My query is from Radiation Therapy in chapter Radiation Therapy of Clinical Science

Answer»

Correct choice is (C) It regulates the work of free radicals

The best I can explain: When radiation STRIKES the cells, it ionizes the water molecules and they break into H and OH ions. These ions are CHARGED with energy due to the radiations and they attack the DNA of the cancerous cells and damages them. In the presence of OXYGEN, this process is accelerated and also the damage inflicted on the DNA is brought under control. The oxygen reacts with the free hydrocarbon particles and fills up the gaps in DNA allowing it to recover properly.

21.

The two known units of radioactivity and the relation between the two are _______(a) Curie and Becquerel 1 Ci = 3.7 x 1010 Bq(b) Curie and Becquerel 1 Bq = 3.7 x 1010 Ci(c) Curie and Roentgens1 Ci = 1000 R(d) Roentgen and Becquerel1 R = 1000 BqThis question was posed to me during an online exam.My enquiry is from Diathermy, Measurement of Radiation, Dose and its Calculations in section Radiation Therapy of Clinical Science

Answer» RIGHT choice is (a) CURIE and Becquerel 1 Ci = 3.7 x 1010 Bq

For explanation: Curie and Becquerel SIGNIFY the AMOUNT of disintegration of the radioactive substance in a unit time. Curie was an older unit and had a very high value which was not feasible for ELEMENTS with lower activity. Thus, Becquerel unit was created which is one disintegration per second.
22.

The types of therapeutic diathermy machines that exist are ___________(a) Short wave, micro wave and ultrasound(b) Short wave, ultrasound and cold compress(c) Cold compress, microwave and electrical impulse(d) Electrical impulse, microwave and ultrasoundI got this question by my school teacher while I was bunking the class.Question is from Diathermy, Measurement of Radiation, Dose and its Calculations topic in section Radiation Therapy of Clinical Science

Answer»

Right choice is (a) Short wave, micro wave and ultrasound

The explanation: Shortwave diathermy USES the infrared heat waves to treat the patient while microwaves go inside the body and produce heat for treatment. Ultrasound ALSO produces SOUND waves which TRAVEL in the body, produce heat and cause HEALING.

23.

What precaution is used in diathermy?(a) the patient is made to lie on a soft pillow(b) pads are used for grounding and completing the circuit(c) the patient is made to drink a large number of fluids(d) wooden blocks are used for groundingThis question was addressed to me in quiz.This intriguing question originated from Diathermy, Measurement of Radiation, Dose and its Calculations in portion Radiation Therapy of Clinical Science

Answer»

The correct answer is (b) pads are USED for GROUNDING and completing the circuit

The best I can explain: Diathermy machines produce electromagnetic waves and the current used to produce these waves is huge. In case of any accidents, the person on whom diathermy is being performed and the one who is PERFORMING it, both can GET severely injured. Thus, electrode gel and pads are both used for diathermy, surgical and therapeutic.

24.

Why are the fast dividing cells more easily targeted?(a) Due to the high protein and carbohydrate content of the cells(b) Due to the higher energy of the cells(c) Due to the low energy of the cells(d) Due to the high oxygen content of the cellsThis question was posed to me in homework.Asked question is from Radiation Therapy topic in division Radiation Therapy of Clinical Science

Answer» CORRECT answer is (b) DUE to the HIGHER ENERGY of the cells

To ELABORATE: If a cell is fast dividing, then it produces and consumes higher energy. Radiations are also a form of energy, they are electromagnetic waves and have the ability to ionize and penetrate. Thus, a high energy cell my end up absorbing the radiations and then end up suffering damage.
25.

What is the oxygen effect?(a) Detrimental effect of oxygen in presence of therapeutic radiations(b) A positive effect of oxygen in absence of therapeutic radiations(c) Enhancement effect of oxygen in presence of therapeutic radiation(d) Presence of oxygen during radiation treatmentThis question was posed to me by my school principal while I was bunking the class.I want to ask this question from Radiation Therapy topic in division Radiation Therapy of Clinical Science

Answer»

Correct choice is (c) Enhancement effect of oxygen in presence of therapeutic radiation

The explanation is: When the RADIATIONS are used to destroy the cancerous cells, they INFLICT a CERTAIN amount of DAMAGE on the cells at a certain dosage. The same amount of damage is inflicted upon them at a lower dosage in the presence of oxygen. This is called Oxygen effect. It is calculated as a ratio between the damage done in hypoxic conditions to the damage in oxygen conditions.

26.

Which of the diathermy machine is good for deep tissue healing?(a) short wave(b) ultrasound(c) cold compress(d) electrical impulseI had been asked this question by my school principal while I was bunking the class.My doubt stems from Diathermy, Measurement of Radiation, Dose and its Calculations topic in section Radiation Therapy of Clinical Science

Answer»

Right choice is (a) short wave

To explain I WOULD SAY: The short wave diathermy produces heat by sending in infrared waves. These waves are produced by the plates or COILS that are placed around the area to be treated. These heat waves can travel deeper into the body than the waves produced by microwave diathermy or ultrasound diathermy.

27.

What surgical functions are performed by the diathermy machine?(a) cutting, coagulation, fulguration(b) cutting, fulguration(c) cutting, coagulation(d) coagulation, fulgurationI had been asked this question in an interview.The doubt is from Diathermy, Measurement of Radiation, Dose and its Calculations in portion Radiation Therapy of Clinical Science

Answer»

Correct option is (a) cutting, coagulation, FULGURATION

For explanation I would say: Cutting happens when the heat is given is so high that the cell burns and is separated. This causes the incision to be formed, hence cutting. Coagulation happens when the cytoplasm is heated so MUCH that it boils and JOINS together. Fulguration is a PROCESS in which the heat is applied and a spread out action takes place. It COVERS a larger area.

28.

Which of the following cells have a low resistance to radiations?(a) Lymphocytes, Spermatogonia, Erythroblasts, Intestinal crypt cells(b) Megakaryocytes, embryo, pancreatic cells, Intestinal crypt cells(c) Lymphocytes, Spermatogonia, hepatic cells, nephrons(d) Megakaryocytes, neurons, cardiac cells, Intestinal crypt cellsThe question was asked in examination.Origin of the question is Radiation Therapy topic in chapter Radiation Therapy of Clinical Science

Answer» CORRECT choice is (a) Lymphocytes, Spermatogonia, Erythroblasts, Intestinal crypt cells

To elaborate: ACCORDING to the researches done, the more mature a cell, higher is its RESISTANCE to the radiations. Thus, Lymphocytes, Spermatogonia, Erythroblasts, Intestinal crypt cells, which are all fast dividing cells with a SMALLER life TIME, they are highly sensitive to radiation, i.e. they have low resistance to radiation.