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113 questions
Physics/Paper 4/Medical Physics
CAIEA-Level9702-a · Paper 4

Medical Physics

113 questions· page 1 of 12

Q102025 May/Jun·P444 partsMedium-Easy
(a)

Describe how the piezoelectric crystal in a transducer generates ultrasound waves for use in medical diagnosis.

(b)(i)

State what is meant by specific acoustic impedance.

(b)(ii)

Describe how α\alpha depends on the relative values of Z1Z_1 and Z2Z_2.

(c)

A parallel ultrasound beam of intensity I0I_0 enters a region of soft tissue. After passing a distance of 2.1 cm2.1\ \text{cm} through this tissue, the intensity of the ultrasound is 0.62I00.62I_0.

Calculate the linear attenuation coefficient μ\mu of ultrasound in the soft tissue. Give a unit with your answer.

μ\mu = ______ unit ______

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Q102025 Oct/Nov·P414 partsEasy
(a)

Define specific acoustic impedance.

(b)

Explain how ultrasound waves are detected by a piezoelectric crystal.

(c)(i)

Calculate the intensity reflection coefficient for ultrasound incident on a water–steel boundary.

intensity reflection coefficient = ______

(c)(ii)

Explain, without calculation, what is likely to happen when ultrasound is incident on a body tissue–water boundary.

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Q102025 Oct/Nov·P425 partsEasy
(a)

State what is meant by contrast in an X-ray image.

(b)(i)

Show that the intensity of the X-rays emerging in region B is 0.13I00.13I_{0}.

(b)(ii)

Determine the linear attenuation coefficient μ\mu of material Q.

μ\mu = ______ cm1\text{cm}^{-1}

(b)(iii)

Use the information in (b)(i) to suggest why the X-rays emerging from the structure form an image that has poor contrast.

(c)

Explain how X-rays are used in computed tomography (CT) scanning to produce a three-dimensional image of an internal structure.

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Q102025 Oct/Nov·P434 partsEasy
(a)

Define specific acoustic impedance.

(b)

Explain how ultrasound waves are detected by a piezoelectric crystal.

(c)(i)

Calculate the intensity reflection coefficient for ultrasound incident on a water–steel boundary.

intensity reflection coefficient = ______

(c)(ii)

Explain, without calculation, what is likely to happen when ultrasound is incident on a body tissue–water boundary.

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Q92024 Feb/Mar·P426 partsMedium-Easy
(a)(i)

Calculate the minimum wavelength of the X-rays that are produced.

wavelength = ______ m\text{m}

(a)(ii)

The melting points of two metals are given in Table 9.1.

Table 9.1

metalmelting point / C^\circ\text{C}
copper1090
tungsten3420

Suggest why the metal target is made from tungsten rather than copper.

(b)

An X-ray beam is incident normally on a sample of soft tissue and bone as shown in Fig. 9.1.

Data for the two materials are given in Table 9.2.

Table 9.2

mediumlinear attenuation coefficient μ/cm1\mu / \text{cm}^{-1}specific acoustic impedance Z/106 kg m2 s1Z / 10^6 \text{ kg m}^{-2} \text{ s}^{-1}
soft tissue0.221.7
bone3.07.8

The total thickness of soft tissue is xx. The total thickness of bone is also xx.

The incident intensity of the X-ray beam is I0I_0. The transmitted intensity of the X-ray beam is 13%13\% of the incident intensity.

Determine xx, in cm.

xx = ______ cm\text{cm}

(c)(i)

Define the specific acoustic impedance of a medium.

(c)(ii)

Use data from Table 9.2 to calculate the percentage of the intensity of ultrasound that is transmitted at a boundary between soft tissue and bone.

percentage transmitted = ______ %\%

(c)(iii)

The ultrasound is now incident on the sample of soft tissue and bone shown in Fig. 9.1.

Suggest two reasons why the transmitted intensity through the sample is less than the answer in (c)(ii).

1 ______
2 ______

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Q102024 May/Jun·P423 partsMedium-Easy
(a)

Describe how reflected ultrasound pulses may be used to obtain diagnostic information about internal structures.

(b)(i)

Define specific acoustic impedance of a medium.

(b)(ii)

Table 10.1 shows some data for water and for glass.

Table 10.1

density / kg m3\text{kg m}^{-3}speed of sound / m s1\text{m s}^{-1}
water10001420
glass25004560

Determine the intensity reflection coefficient for ultrasound that is incident on a water–glass boundary.

intensity reflection coefficient = ______

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Q82023 May/Jun·P415 partsEasy
(a)(i)

Show that the specific acoustic impedance of gel is 1.68×106 kg m2s11.68 \times 10^6\ \text{kg m}^{-2} \text{s}^{-1}.

(a)(ii)

Complete Table 8.1 by calculating the missing values to three significant figures. Use the space below for any working that you need.

(b)(i)

an air–tissue boundary

intensity reflection coefficient = ______

(b)(ii)

a gel–tissue boundary.

intensity reflection coefficient = ______

(c)

Use your answers in (b) to explain why gel is applied to the skin during ultrasound scanning.

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Q102023 May/Jun·P424 partsEasy
(a)(i)

State the name of the charged particles that are accelerated by the applied p.d.

(a)(ii)

Explain how X-rays are produced at the metal target.

(a)(iii)

Calculate the minimum wavelength of X-rays produced when the applied p.d. is 5.80 kV5.80\ \text{kV}.

wavelength = ______ m\text{m}

(b)

X-rays pass through a medium that has an attenuation coefficient of 1.4 cm11.4\ \text{cm}^{-1}.

Calculate the percentage of the X-ray energy that is absorbed by a 2.8 cm2.8\ \text{cm} thickness of this medium.

percentage absorbed = ______ %\%

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Q82023 May/Jun·P435 partsEasy
(a)(i)

Show that the specific acoustic impedance of gel is 1.68×106 kg m2s11.68 \times 10^6\ \text{kg m}^{-2} \text{s}^{-1}.

(a)(ii)

Complete Table 8.1 by calculating the missing values to three significant figures. Use the space below for any working that you need.

(b)(i)

an air–tissue boundary

intensity reflection coefficient = ______

(b)(ii)

a gel–tissue boundary.

intensity reflection coefficient = ______

(c)

Use your answers in (b) to explain why gel is applied to the skin during ultrasound scanning.

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Q102023 Oct/Nov·P413 partsMedium-Easy
(a)

Complete Table 10.1 to state, for each type of wave:

  • the method of production of the wave
  • whether the wave that is detected and used to form the image is the wave that has been absorbed, reflected or transmitted by the internal body structure.

Table 10.1

ultrasoundX-rays
method of production
detected wave (absorbed, reflected or transmitted)
(b)(i)

For one type of wave passing through tissue, the wave has 72% of its initial intensity after it has passed through 6.2 cm6.2\ \text{cm} of the tissue.

Calculate the linear attenuation coefficient μ\mu of the tissue for this wave.

μ\mu = ______ cm1\text{cm}^{-1}

(b)(ii)

Another wave of the same type as in (b)(i) passes through 9.3 cm9.3\ \text{cm} of the same tissue.

Calculate the percentage of the initial intensity of the wave that is attenuated by the tissue.

percentage attenuated = ______ %

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