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FRCR Part 1 - MCQ Paper 1

Submitted by John Holemans and Sheila Rankin

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1. 

The following statements are true when using a gamma camera with a parallel hole colimator:

TFD
a.

Increasing hole size increases sensitivity

b.

Increasing the number of holes decreases sensitivity

c.

Increasing hole diameter decreases resolution

d.

Typically the resolution is about 7mm

e.

Typically the sensitivity is about 10%

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2. 

Concerning radionuclides:

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a.

The physical half-life of Technetium- 99m is 13 hours

b.

The energy of the principal photon emission of Technetium-99m is 140keV

c.

Thallium-201 is produced in a generator

d.

The half life of Krypton-81m is 13 seconds

e.

Gallium-67 decays by isomeric transition

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3. 

Concerning ultrasound

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a.

The decibel is a measure of the absolute intensity of an ultrasound beam

b.

The direction of oscillation of the tissue is perpendicular to the direction of transmission of the resultant waveform

c.

The amount of attenuation of an ultrasound beam is inversely proportional to its frequency

d.

Lateral or azimuthal resolution can be improved by using focused tranducers

e.

Intensity of an ultrasound beam can be expressed as watts/m2

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4. 

Concerning CT scanning:

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a.

Noise can be reduced by narrowing slice thickness

b.

In spiral (helical) CT a subject is moved incrementally through a continuously rotating gantry

c.

The Hounsfield number of fat is -100 to -60

d.

The field size is the product of the matrix size and pixel width

e.

Spatial resolution improves as the pixel size gets smaller

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5. 

Concerning MRI

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a.

The gyromagnetic ratio is constant for all materials

b.

Precession frequency is proportional to magnetic field strength

c.

Water has a long T2 and a short T1

d.

A typical range for T1 is 300-2000 ms

e.

Paramagnetic substances lengthen relaxation times of surrounding protons

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6. 

The following affect the quality of the continuous spectrum of an X-ray beam:

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a.

kVp

b.

Z (atomic number of target)

c.

mA (tube current)

d.

Filtration

e.

Waveform

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7. 

The following statements are true concerning Compton scatter

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a.

It is due to an interaction with "free" electrons

b.

Scattered photons must pass in a forward direction

c.

Probability is inversely proportional to the photon energy (E) cubed

d.

The recoil electron may pass in any direction

e.

Scattered photons are easily removed by filters

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8. 

Double contrast examination of the upper gastro-intestinal tract

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a.

Requires a high density barium suspension, e.g. 150-200 % W/V

b.

Requires a low viscosity barium suspension

c.

Requires 800-1000ml of gas to adequately distend the stomach

d.

Demonstration of the areae gastricae in the stomach is a criterion of good coating

e.

In the supine projection, the duodenum usually overlaps the distal antrum and pylorus

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9. 

Concerning intravascular contrast media

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a.

The osmolalities of all conventional ionic water-soluble media are 4-7 times the osmolality of blood

b.

Conventional monomeric ionic contrast media have a ratio of three iodine atoms to two dissolved particles in solution

c.

The incidence of adverse reactions to intravenous injections is about one-third of that following intra-arterial injections

d.

Gadolinium-DPTA crosses the intact blood-brain barrier

e.

The use of a test dose is recommended in individuals at risk of a reaction

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10. 

The following statements are true concerning skull radiographs

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a.

In the 30deg fronto-occipital (Townes) view, the beam direction is angled 30deg towards the head (cephalad) relative to the baseline

b.

In trauma, the lateral should be performed with a horizontal beam

c.

In the 20deg occipito-frontal view, the radiographic baseline should be 20deg to the film

d.

In the submento-vertex (SMV) view the radiographic baseline is parallel to the film

e.

The radiographic baseline is at 90deg to the auricular line

TFD

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