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Tribhuvan University
Institute of Medicine
Maharajgunj Medical
Campus
Question Nepal
Maharajgunj, Bank Kathmandu,
Bachelor2017
of Science
Tribhuvanin University Acknowledgement(s):
Medical Imaging Technology Rohit Pandit
Institute of Medicine BamshadeepThapaliya
(B.Sc. MIT)
Maharajgunj Medical Campus Leena Shrestha
Dorik Lal Yadav
Maharajgunj,
Year- I Kathmandu, Nepal Prajana Shrestha
Bibek Sharma
2017 Year Bhawan Thapa Magar
-Karun Bhattarai Keshav Shah
Ritu Panta
B.Sc. MIT
10th Batch
0 |EP Pa A
D g eR T M E N T OF RADIOLOGY AND MEDICAL IMAGING TUTH
Bachelor Level – B.Sc. MIT / First Year/ IOM Time:- 3hrs.
Human Anatomy- Basic Health Science I FM :80
Page | 1
4. Name the organs of the female genital tract. Describe briefly on female external
genitalia. (3+5)
5. Mention the extent of different parts of pharynx. (skull to C6) Describe briefly on
oropharynx.(upto C3) (3+5)
6. Write short notes on: (5*8)
a) Arterial supply of heart.
b) Diaphragm
c) Spleen
d) Pleura
e) Extrahepatic biliary apparatus
f) Ureter
g) Suprarenal gland
h) Aorta
Spleen :-
CSF Circulation :-
Figure: frontal section of the skull with arrows showing the flow of cerebrospinal fluid.
Page | 3
Cerebrospinal fluid is a clear, slightly alkaline fluid and is secreted into each
ventricle of the brain by choroid plexuses. These are vascular areas where there is a
proliferation of blood vessels surrounded by ependymal cells in the lining of ventricle
walls. CSF passes back into the blood through tiny diverticula of arachnoid mater, called
arachnoid villi (arachnoid granulations), which project into the venous sinuses. The
movement of CSF from the subarachnoid space to venous sinuses depends upon the
difference in pressure on each side of the walls of the arachnoid villi, which act as one-
way valves. When CSF pressure is higher than venous pressure, CSF is pushed into the
blood and when the venous pressure is higher the arachnoid villi collapse, preventing the
passage of blood constituents into the CSF. There may also be some reabsorption of
CSF by cells in the walls of the ventricles.
From the roof of the fourth ventricle CSF flows through foramina into the
subarachnoid space and completely surrounds the brain and spinal cord. There is no
intrinsic system of CSF circulation but its movement is aided by pulsating blood vessels,
respiration and changes of posture.
CSF is secreted continuously at a rate of about 0.5 mL per minute, i.e. 720 mL per
day. The volume remains fairly constant at about 150 mL, as absorption keeps pace with
secretion. CSF pressure may be measured using a vertical tube attached to a lumbar
puncture needle inserted into the subarachnoid space above or below the 4th lumbar
vertebra. If the brain is enlarged by, eg, haemorrhage or tumour, some compensation is
made
by a reduction in the amount of CSF. When the volume of brain tissue is reduced, such
as in degeneration or atrophy, the volume of CSF is increased.
Functions:- a) Supports and protects the brain and spinal cord by maintaining a uniform
pressure around these vital structures and acting as a cushion or shock absorber between
the brain and the skull.
b) keeps the brain and spinal cord moist and there may be exchange of nutrients and
waste products between CSF and the interstitial fluid of the brain.
Page | 4
Year: - 2068 <Basic Science I Human Anatomy>
1. Describe briefly on general connective tissue. (10)
2. Classify bones with appropriate examples. Describe the parts of a long bone and its
blood supply. (6+4)
3. Describe skin and its appendages. (10)
4. List the organs of GIT. Mention the gross and microscopic features of liver. (3+4+3)
5. List the organs of female reproductive system. Describe briefly on uterus. (3+7)
6. Describe briefly the chambers of heart and its blood supply. (4+6)
7. Write short notes on:
a) Pleural cavity
b) Spinal cord
c) Typical thoracic vertebra
d) Diaphragm
Page | 5
3. Describe briefly on aorta and name its branches. (5)
4. Describe briefly on the structure and function of spleen. (5)
5. Describe briefly on the structure and extent of spinal cord. (5)
6. Describe briefly on the structure and function of stomach. (5)
7. Describe briefly on the structure and function of testis. (5)
8. List the organs of respiratory system. Describe briefly on the features of lungs.(4+6)
9. Define ANS. List the characteristics features of sympathetic nervous system. (5)
10. Write short notes on: (5*4)
a) Chambers of heart.
b) Blood Lung Barrier
c) CSF Circulation
d) Simple Epithelium
Page | 6
Some imp. Questions
1. Classify epithelium, mention its distribution and function. (3+3+2)
2. Name the endocrine glands present in our body. Briefly describe pituitary gland.
(3+5)
3. Name the parts of CNS. Briefly describe central hemisphere. (3+5)
4. Describe briefly the structure and function of kidney. (6+2)
5. Enumerate different parts of the nephron and mention its function. (8)
6. Discuss briefly on pancreas and its functions. (8)
7. Define ANS. List the functions of sympathetic and parasym NS. (8)
8. Expln spermatogenesis & mention the components of spermatic cord(8)
9. Mention the differences between cardiac & smooth muscle and list on types of
epithelium with examples. (8)
10. Enumerate main arteries of the body. (8)
11. Classify joints with appropriate examples & mention their functions.
12. Enumerate different parts of respiratory system.
13. Define hepatic lobule. Mention the function of liver.
14. Enumerate different endocrine glands & and their secretions.
15. Classify synovial joints with appropriate examples.
16. Explain how CSF circulation takes place.
17. Mention the composition of gastric juice, cell responsible for the production of the
juice and function of the gastric juice.
18. Mention the parts of duodenum, location of major duodenal papilla and importance
of sphincter of oddi.
19. Mention the hepatic lobule and portal fraid.
20. Explain spermatogenesis.
21. Explain menstrual cycle and endomentrial changes that occur during the different
phases of menstrual cycle.
22. Describe morphology of skin. Describe briefly its appendages and their functions.
(4+4)
23. Briefly describe the Haversian system of a bone. Mention the functions of bone.
Briefly mention the function of parathyroid gland on bone modeling. (3+3+2)
Page | 7
24. Mention the parts & layers of uterus. Mention hormonal relations and endometrial
changes of menstrual cycle. (4+4)
25. Classify nervous system. Describe the structure of brain. (2+4)
26. List the names of cranial nerves with their types & site of orgin. Show the important
functional cortical areas of brain and their function with diagram. (3+3)
27. Describe a typical spinal nerve. Draw the cross-section of spinal cord at mid-
thoracic level. (3+3)
28. Enumerate the functions of hypothalamus. Describe the blood supply of brain. (3+3)
29. Write down the types of gland with examples.
30. Describe histological features of skeletal muscle.
31. Give an account of structural differences between small & large intestine
32. Explain the conducting system of heart.
33. Mention differences between sympathetic and parasympathetic NS.
34. Write about the hormones involved in regulation of menstruation.
35. Mention blood supply of liver. Draw a well-labeled diagram of liver lobule and list
the tributaries of portal vein.
36. List the mixed cranial nerves & mention the pathway through which CSF flows.
37. Mention briefly the gross and microscopic features of kidney.
38. List the pathway serially through which spermatozoa travels to come out of urethra
and mention the components of spermatic cord.
39. Write short notes on:
a) Para-nasal Sinuses f) Lacrimal apparatus
b) Superficial Veins g) Meninges
c) Diaphragm h)Functions of liver
d) Conducting system of heart i) CSF circulation
e) Nephron
※※※
Page | 8
Bachelor Level – B.Sc. MIT / First Year/ IOM Time:- 3hrs.
Human Physiology- Basic Health Science II FM :80
Page | 11
3. Define micturition reflex. Describe the role of collecting duct, loop of Henle and vasa
recta in establishing and maintaining medullary interstitial hypertonicity.
(2+2+2+2+2)
4. Define respiratory dead space. Explain the factors governing gas exchange at lungs.
(2+8)
5. Define physiology. Describe the scope of physiology in BSc.MIT. (2+8)
6. Define pain. Explain the ionic basis of resting membrane potential of a nerve fiber.
(2+8)
7. Define motor unit. Explain the functional properties of skeletal muscle and smooth
muscle. (2+8)
8. Write short notes on: (2*5)
a) Dark adaptation
b) Tetany
c) Acromegaly
d) Muscle tone
e) Referred pain
9. Define cell. Write the function of cell membrane. (2+8)
Page | 12
10. Define enteroinsular axis. List the actions of insulin.
11. Define hormone. List the hormone secreted by major endocrine glands.
12. Define cardiac output. List the properties of cardiac muscle. Explain the factors
influencing cardiac output.
13. Define tidal volume. List the non-respiratory functions of respiratory tract.
14. Write briefly about the process of digestion and absorption of food in Small
intestine.
15. Explain briefly the mechanism of urine formation.
16. Mention the components of alveocapillary membrane. Explain how the exchange of
gases takes place between the alveoli and the capillary blood.
17. Define shock & write the stages of shock.
18. Write short notes on : (3 marks each)
a) Isotonic solution i) ECG
b) Osmosis j) Diffusion
c) Blood pressure k) Pulse
d) Menstrual cycle l) Contraception
e) Fetal hemoglobin m) Functions of blood
f)7 functions of kidney n) Cardiac output and factors affecting cardiac output
g) Alveolar ventilation o) Lung volumes
h) Action potential p) Bohr’s effect
※※※
Page | 13
Bachelor Level – B.Sc. MIT / First Year/ IOM Time:- 3hrs.
Basic Radiation Physics III FM :80
Page | 14
Year: - 2072 <Basic Radiation Physics>
1. a) State Fleming’s right hand rule. Calculate the induced emf produced when a rod is
moved in a strong magnetic field. (4+8)
b) A self quenched GM counter operates at 1kV and has a wire of diameter 0.2mm.
The radius of the cathode is 2cm and the tube has a guaranteed life time of 109
counts. What is the max. radial field and how long will the counter last if it is used
on an average of 30hrs per week at 3000 counts/min (consider 50weeks in a year)
(4)
2. a) Describe PN junction diode and its biasing. How bridge rectifier is constructed
using PN junction diode to yield full wave rectified output. (6+6)
b) Given,
e=1.6x10-19C, m=9.1x10-31Kg, h=6.6x10-34Js, Eo=8.85x10-12F/m, C=3x108 m/s
Calculate the diameter of first Bohr’s orbit in a hydrogen atom. (4)
3. a) Describe different types of phenomena that occurs when radiation passes through
different types of media. (12)
b) How long does it take for 60% of a sample of Radon to decay? (T1/2 = 3.8days)
(4)
4. a) Describe the basic principle of radiation measurement. Write down drawbacks of a
free air ionization chamber. Describe the construction and working of
Thimble(2+2+8)
b) Define 1 atomic mass unit ,amu. Show that 1 amu is equivalent to 931 MeV
energy. (4)
5. Explain in brief (any four) (4*4)
a) Ultrasound and its application
b) Properties of gamma radiation
c) Exponential law and mass absorption coefficient
d) Half value thickness and lead equivalent
e) Conversion of a galvanometer to an ammeter and voltmeter
Page | 15
Year: - 2071 <Basic Radiation Physics>
1. a) Derive the relation for impedance of a series LR circuit and hence calculate the
total power loss during one complete cycle. (4+8)
b) A step up transformer possessing 85% efficiency has turns ratio of 50:1 for
primary current and voltage 2.5A rms and 220V rms respectively. Calculate
secondary voltage and secondary current. (4)
2. a) Describe the construction and working of a photomultiplies. Describe its
application. (4+8)
b) Calculate the circumference of 1st Bohr’s orbit from following given data: (4)
e=1.6x10-19C, m=9.1x10-31Kg, h=6.6x10-34Js, Eo=8.85x10-12F/m, C=3x108 m/s
3. a) Explain the basic principle of measurement of radiation. Describe the
construction and working of a condenser chamber. (4+8)
b) Consider an x-ray tube which produces an exposure of 20 roentgen in 60sec at a
point 0.5m from the focus of the tube when working with applied voltage of 100
kVp and tube current 15mA. How long would it take to produce an exposure of 100
roentgen at a point 0.4m from the focus when the tube is working at 80kVp and 5
mA? (4)
4. a) Explain the different types of processes occurring when radiation passes through
a medium. (12)
b) From the following data for isotopic masses:
7 6 1
3Li = 7.016004μ 3Li = 6.015125μ 0n =1.008665μ
Calculate the binding energy of a neutron in joules (4)
5. Write in brief (any four): (4*4)
a) Differences between AC & DC
b) Bragg’s Law
c) Biasing of a junction diode
d) Radio-isotopes and its applications
e) Processes of generation and reception of Ultrasound.
Page | 16
Year: - 2070 <Basic Radiation Physics>
1. a) State and explain Fleming’s right hand rule. Calculate the magnitude of induced emf
generated due to motion of a coil in a magnetic field. (4+8)
b) A condenser ionization chamber is assumed to be made from a cylindrical chamber of
10cm length and 6cm diameter. The cylinder contains air (ρ= 1.293 kgm-3). The capacity
of the condenser is found to be 20nF when measured. It is charged fully to be 200V before
exposure and after exposure of x-ray, voltage measured is found to be 75V. Calculate the
exposure of x-ray in roentgen. (4)
2. a) Describe PN junction diode. How it is used to produce a full wave rectified output with
π filter? (4+8)
b) Light rays of frequencies 5.4x1014Hz and 6.6x1014Hz when shined on a metal surface
produces electrons of maximum KE of 1.2x10-19J and 2.0x10-19J respectively. Calculate the
Plank’s constant. (4)
3. a) Starting from basic assumption of Bohr’s theory, calculate the total energy of electron
in hydrogen atom. (2+10)
b) While constructing a tank circuit of an oscillator inductor of 10mH and capacitor 500pF
are used. Calculate the frequency it produces. (4)
-λ
4. a) Describe the phenomena of radioactive decay. Prove the relation N=N oe t where the
symbols have their usual meaning. Define half life and relate it with decay const. (3+6+3)
b) A monochromatic x-ray of when exposed on a crystal with interplanar spacing 0.136nm
at glancing angle 34.5° produces 1st order diffraction. Calculate the wave length of x-ray 4
5. Write in brief (any four) : (4*4)
a) Technique of measurement of high voltage by potential divider method
b) Thermo luminescence dosimeter (TLD)
c) X-ray spectra
d) Half value thickness and lead equivalent
e) Ultrasound and its application.
Page | 18
b) A 50V and 50Hz AC is connected to a 40Ω resistance and in series with a
solenoid having inductance 0.2H. The potential difference between the ends of the
resistance is found to be 20V. Calculate the resistance of the solenoid. (4)
4. a) Describe the method for the production of controlled x-ray. Write down the
properties and uses of x-ray. (6+6)
b) The initial no. of atoms in radioactive elements are 6.0*1020 and its half life is
10hrs. Calculate the no of atoms decayed in 30 hrs. (4)
5. Describe in brief (any four) (4*4)
a) Ultrasound and its applications
b) Condenser chamber dosimeter
c) Excitation and ionization potential
d) Preparation of P-type semiconductor
e) Artificial Radioactivity
f) Biological changes produced by x-ray.
Page | 19
4. a) Explain the law of radioactive decay and prove that half life of radioactive
element is inversely proportional to decay constant (λ ). (12)
b) Ground state energy of hydrogen is -13.6eV. Calculate the ionization potential(4)
5. Write in brief (any four) (4*4)
a) P-type semi conductor
b) Potential divider to measure high voltage
c) Application of radio-isotope in nuclear medicine
d) Ultrasound and its generation
e) Differences between AC and DC
f) Photoelectric effect and its application as photomultiplier.
Page | 20
5. a) Describe the construction and working of thimble ionization chamber. Write down
its merit over free air ionization chamber. (12)
b) The mass of 17Cl35 is 34.9800 amu; masses of neutron and proton are 1.008665 &
1.007825 amu respectively. Calculate the BE per nucleons. (4)
OR
Write short notes on any four. (4*4)
a) Radio-isotope and its use in nuclear medicine.
b) Potential divider circuit and its application to measure high voltage.
c) Construction and use of cold cathode gas filled diode
d) Thermoluminiscence dosimeter (TLD)
e) Production of ultrasound
f) Types of x-ray spectrum
Page | 21
Bachelor Level – B.Sc. MIT / First Year/ IOM Time:- 3hrs.
Radiographic Equipment IV FM :80
Page | 22
6. Explain the following in brief:
a. Space charge effect
b. High frequency Generator
7. What are the important features of mobile x-ray equipment? Explain functioning of
a capacitor discharge type of mobile unit.
8. Write short notes on:
a) Mammography x-ray tube
b) Conventional Tomography
Page | 24
Bachelor Level – B.Sc. MIT / First Year/ IOM Time:- 3hrs.
Radiographic Photography V FM :80
Page | 25
5. List the advantages of using intensifying screen and compare detective quantum
efficiency (DQE) and conversion efficiency (CE) of Calcium Tungstate and rare
earth phosphors. Explain intensification factor and quantum mottle. (10)
6. Briefly explain: (5*2)
a) Ideal storage condition of x-ray sensitive materials
b) Automatic film processing
7. Explain characteristics curve of radiographic film with a labeled diagram.
8. Write short notes on( Any two) (5*2)
a) Michael theory of latent image formation
b) Factors of radiographic film unsharpness
c) Gamma of radiographic film
Page | 26
d) Developing temperature in manual processing
8. Write the following: (2.5*4)
a) Ideal condition of film storage.
b) Film stock control and film ordering method
c) Exposure selection for different speed x-ray film
d) The layout of a well equipped ideal dark room.
Page | 27
3. Define the characteristics curve of an x-ray film and describe the features of
characteristics curve, mention its importance in radiography. (2+8+2)
4. Explain the intensifying screen and mention the different types of intensifying
screen and their significance. ( 5+5+2)
5. What is image contrast in diagnostic radiography and explain the factors affecting
the following: 3+(3*3)
a) Contrast
b) Density
c) Sharpness
6. What do you understand by automatic processor? Describe the 90 second cycle
automatic processor. (2+10)
7. Write short notes on (any two)
a) Dry film processing
b) Manual processing
c) X-ray film cassettes
Page | 28
b. Single screen radiography (3)
c. Intensification factors (IF) (3)
d. X-ray film cassettes (5)
e. Checking cassette for light leakage (5)
f. A method of recording patient identification on a radiograph (5)
6. Write the effects of following on the exposure factors: (2*8)
a. Kilovoltage (kV)
b. Milliampere second (mAs)
c. Focal spot size
d. Filtration
e. Focus to film distance
f. Collimation
g. Tabletop attenuation
h. Use of grid
Page | 29
Year:-2066 <Radiographic Photography>
1. Describe the components of both side coated radiographic film with neat and clean
diagram. (10)
2. a)Explain the function of an automatic film processor. (8)
b)What is the role of replenishments system in an automatic processor? (6)
3. List radiographic factors that affect film contrast. (5)
4. List radiographic factors that affect film density. (5)
5. Explain suitable method of proper radiograph identification. (8)
6. How do intensifying screen reduce patient dose? (6)
7. What are the four basic components of an intensifying screen? Explain withdiagram.
8. What are the methods which can be used to reduce the possibility of motion? (6)
9. Describe the photostimulable imaging process (Computed Radiography,CR) (10)
10. Discuss the radiological technologist’s role in image production and evaluation. (8)
Page | 30
Bachelor Level – B.Sc. MIT / First Year/ IOM Time:- 3hrs.
Radiographic Technique VI FM :80
Page | 32
d) Hip joint AP view
e) Cervical spine (2-7) AP view
Page | 33