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MULTIPLE CHOICE
1. A biologic reaction is produced by 4 Gyt of a test radiation. It takes 16 Gyt of 250-kVp x-rays
to produce the same biologic reaction. What is the relative biologic effectiveness (RBE) of the
test radiation?
a. 2
b. 4
c. 8
d. 12
ANS: B REF: 133
4. Which of the following means the loss or change of a nitrogenous base in the DNA chain?
a. Aneuploidy
b. Bleb
c. Free radical
d. Mutation
ANS: D REF: 138
5. While passing through a human cell, an x-ray photon interacts with and inactivates the cell’s
master molecule. What is the consequence for the cell?
a. Loss of all intracellular fluid
b. Increased pressure on the cell membrane leading to immediate rupture
c. Disruption of cell chemistry only
d. Death
ANS: D REF: 134
6. Which of the following curves illustrates the radiation sensitivity of a particular type of cell?
a. Epidemiologic data curve
b. Extrapolation curve
c. Dose-response curve
d. Survival curve
ANS: D REF: 146
10. _________ of the effects of x-radiation and gamma in macromolecules of living systems (in
vivo) occur as a result of indirect action.
a. None
b. Very few
c. Some
d. Most
ANS: D REF: 137
11. The normal white blood cell count for an adult ranges from:
a. 1000 to 5000/mm3 of blood.
b. 3000 to 6000/mm3 of blood.
c. 5000 to 10,000/mm3 of blood.
d. 7000 to 15,000/mm3 of blood.
ANS: C REF: 150
12. One micron (m) = __________.
a. 10–6 m
b. 10+6 m
c. 10–3 m
d. 10+3 m
ANS: A REF: 130
13. A periodic blood count is not recommended as a method for monitoring occupational
radiation exposure because:
1. biologic damage from ionizing radiation cannot be determined from a blood test.
2. biologic damage has already been sustained when an irregularity is seen in the blood count.
3. a traditional blood count is a relatively insensitive test that is unable to indicate exposures
of less than 10 cGy.
a. 1 only
b. 2 only
c. 3 only
d. 2 and 3 only
ANS: D REF: 150
14. Based on current data, which of the following would be considered a safe radiation dose for
the gonads of both males and females?
a. 5 Gyt
b. 3 Gyt
c. 1 Gyt
d. 0 Gyt
ANS: D REF: 152
15. Which of the following statements is true concerning patients who receive radiation exposure
from a routine radiographic procedure such as a chest x-ray?
a. Patients are expected to sustain appreciable damage to either the blood or the
blood-forming organs as a consequence of the examination.
b. Patients are not expected to sustain appreciable damage to either the blood or the
blood-forming organs as a consequence of the examination.
c. Patients are expected to sustain some damage to either the blood or the
blood-forming organs as a consequence of the examination.
d. Patients are expected to sustain total damage to either the blood or the
blood-forming organs as a consequence of the examination, resulting in fatality.
ANS: B REF: 150
19. Direct action may occur after exposure to any type of radiation, but it is much more likely to
happen after exposure to:
a. low-LET radiation such as x-rays.
b. low-LET radiation such as gamma rays.
c. high-LET radiation such as alpha particles.
d. nonionizing radiation such as microwaves.
ANS: C REF: 153
20. As LET increases, the ability of ionizing radiation to cause biologic effects:
a. also generally increases until it reaches a maximal value.
b. decreases considerably.
c. decreases slightly.
d. remains constant, not increasing or decreasing.
ANS: A REF: 147
23. Which of the following tissues contain cells that do not divide?
1. Epithelial tissue
2. Muscle tissue
3. Nervous tissue in an adult
a. 1 and 2 only
b. 1 and 3 only
c. 2 and 3 only
d. 1, 2, and 3
ANS: C REF: 151
24. Which of the following is a scavenger type of white blood cell that fights bacteria?
a. Granulocytes
b. Lymphocytes
c. Neutrophils
d. Thrombocytes
ANS: A REF: 150
25. If bone marrow cells have not been destroyed by exposure to ionizing radiation, they can:
a. become insensitive to future exposures from ionizing radiation.
b. overpopulate and become radioresistant.
c. remain in circulating blood indefinitely.
d. repopulate after a period of recovery.
ANS: D REF: 149