Radiation Physics Board Practice Questions

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524 Terms

1
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A student asks what the atomic number Z counts. What is the answer?

The number of protons in the nucleus

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What does the mass number A represent?

Protons plus neutrons

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A nuclide has A = 131 and Z = 53. How is its neutron number found?

N = A − Z

4
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Which change turns an atom into a different element?

A change in the number of protons

5
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What are protons and neutrons together called?

Nucleons

6
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A technologist reads the notation ¹²³₅₃I. What do the superscript and subscript show?

Mass number (top) and atomic number (bottom)

7
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Which electron shell has the highest binding energy?

The K shell

8
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Why is electron binding energy written as a negative number?

Energy must be supplied to remove the electron

9
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An atom loses one electron. What does it become?

A positive ion

10
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What is the removal of an orbital electron from an atom called?

Ionization

11
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How do the masses of protons and neutrons compare with the electron?

About 2,000 times heavier than an electron

12
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About how much smaller is the nucleus than the whole atom?

About 10,000 times smaller (10⁻¹² vs 10⁻⁸ cm)

13
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Which particle carries no electrical charge?

Neutron

14
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Up to about Z = 20, what proton-to-neutron balance do stable nuclei have?

About equal numbers of protons and neutrons

15
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Above about Z = 20, what do stable nuclei need?

More neutrons than protons

16
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Why do heavier nuclei need extra neutrons to stay stable?

Neutrons add nuclear binding without adding proton repulsion

17
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Which quantity best predicts stability when comparing isotopes of one element?

Binding energy per nucleon

18
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Where does nuclear binding energy come from?

The mass defect converted to energy (E = mc²)

19
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C-12 and C-13 are stable. Adding one more neutron gives C-14. What is C-14?

Radioactive (too many neutrons)

20
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A nucleus has too many neutrons. Which decay is expected?

Beta-minus decay

21
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A nucleus has too many protons. Which decay modes are expected?

Positron decay or electron capture

22
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A very heavy nucleus (such as Ra-223) is unstable. Which decay mode is typical?

Alpha decay

23
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A nucleus is in an excited metastable state. How does it usually release its extra energy?

Gamma emission (isomeric transition)

24
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What is the rest-mass energy of an electron?

0.511 MeV

25
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Why are PET annihilation photons always 511 keV?

Each equals the rest-mass energy of an electron or positron

26
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In E = mc², what is c?

The speed of light (3 × 10⁸ m/s)

27
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About what fraction of an atom's mass is in the nucleus?

More than 99%

28
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A student says the atom is 'mostly solid'. What is the best correction?

The atom is mostly empty space around a tiny nucleus

29
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A technologist reviews ¹³¹₅₃I on a package label. How many protons does it have?

53

30
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A student says two atoms with 53 protons can be different elements. What is the correct reply?

No; 53 protons always means iodine

31
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A student asks why a positron emitter must have at least 1.022 MeV available. What is the answer?

Twice the 0.511 MeV electron rest mass is needed

32
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A technologist sees the notation Tc-99. What does the 99 represent?

The mass number (protons + neutrons)

33
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A nucleus contains 43 protons and 56 neutrons. What is its mass number?

99

34
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A physicist describes an atom gaining an extra electron. What does it become?

A negative ion

35
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A physicist explains the 'mass defect.' What is it?

The mass lost when nucleons bind, released as binding energy

36
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I-123 and I-131 are both iodine. What relationship do they share?

Isotopes (same Z, different N)

37
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Mo-99 and Tc-99 both have A = 99 but different Z. What are they?

Isobars

38
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Tc-99m and Tc-99 have the same Z and A but different energy states. What are they?

Isomers

39
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Two nuclides have the same number of neutrons but different numbers of protons. What are they?

Isotones

40
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A student uses a letter trick for the iso words. Which pairing is correct?

isotoNe = same Neutrons

41
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What does the 'm' in Tc-99m stand for?

Metastable

42
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Tc-99m decays to Tc-99. Which decay process is this?

Isomeric transition

43
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Which pair are isotopes?

C-12 and C-14

44
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Which nuclide is an isotone of Tc-99 (Z = 43, N = 56)?

Mo-98

45
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In beta-minus decay, the parent and daughter keep the same A. What are parent and daughter?

Isobars

46
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Besides gamma emission, how else can a metastable nucleus such as Tc-99m de-excite?

Internal conversion

47
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Positron decay and electron capture each turn a proton into a neutron. Are parent and daughter isotopes?

No; Z changes, so they are isobars

48
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Alpha decay changes Z by −2 and A by −4. How are parent and daughter related?

They are different elements and not isobars

49
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A generator contains Mo-99 that decays to Tc-99m. Are Mo-99 and Tc-99m isotopes?

No; they are different elements with the same mass number

50
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A student must identify the pair with the same neutron number. Which pair is it?

C-14 and O-16

51
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A student uses the letter trick for isobar. Which number stays the same?

Mass number (A)

52
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A pharmacist describes In-111 and In-113m as having the same Z but different A. What are they?

Isotopes

53
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A technologist sets up a Tc-99m scan. What are its physical half-life and main photon energy?

6.02 hours and 140 keV

54
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A Mo-99/Tc-99m generator arrives Monday. Its weekly yield depends on Mo-99's half-life. What is it?

66 hours

55
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Which photon energies are associated with the Mo-99 parent?

740 and 780 keV

56
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A patient is scheduled for an I-123 thyroid scan. What are its half-life and photon energy?

13.2 hours and 159 keV

57
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By which decay mode does I-123 decay?

Electron capture

58
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A patient receives I-131 therapy. What are its half-life and main gamma energy?

8.02 days and 364 keV

59
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By which decay mode does I-131 decay?

Beta-minus decay

60
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A patient is scheduled for a Ga-67 infection scan. What is its half-life?

About 78 hours

61
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Which photon energies does Ga-67 emit?

93, 184 and 296–300 keV

62
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A patient receives In-111 labeled WBCs. What are the half-life and photon energies?

2.8 days, 171 and 245 keV

63
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A patient is scheduled for Tl-201 cardiac imaging. What is its half-life?

About 73 hours

64
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Which photons are mainly used to image Tl-201?

Mercury characteristic x-rays at 69–83 keV

65
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By which decay mode does Tl-201 decay?

Electron capture

66
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A patient is scheduled for a Xe-133 ventilation study. What are its half-life and photon energy?

About 5.3 days and 81 keV

67
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By which decay mode does Xe-133 decay?

Beta-minus decay

68
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A patient receives F-18 FDG. What is the physical half-life of F-18?

About 110 minutes

69
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A cardiac PET team must start imaging within minutes of a Rb-82 infusion. What half-life drives this?

About 75–76 seconds

70
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What is the half-life of Sr-82, the parent in the Rb-82 generator?

About 25–25.5 days

71
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A Ga-68 DOTATATE dose is labeled at 9:00, and the technologist must inject promptly. What half-life is the reason?

About 68 minutes

72
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A patient is scheduled for Y-90 radioembolization (SIRT). What is the half-life of Y-90?

About 64 hours

73
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How is a pure beta emitter like Y-90 imaged after therapy?

Through bremsstrahlung x-rays (or a PET surrogate)

74
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A patient receives Lu-177 therapy. What are its half-life and usable gamma?

About 6.7 days with a 208 keV gamma

75
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A bone-pain patient receives Sr-89 and asks how long it stays radioactive. What is its physical half-life?

About 50.5 days

76
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What kind of emitter is Sr-89?

A pure beta emitter

77
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A patient with prostate cancer bone metastases receives Ra-223. What does it emit?

Alpha particles

78
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A Ra-223 dose is shipped from the vendor several days before treatment. What half-life does the shipping schedule depend on?

About 11.4 days

79
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What are the half-life and photon energy of Co-57, used for camera floods?

About 271 days and 122 keV

80
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The hot lab's dose calibrator accuracy source is Cs-137. What are its half-life and photon energy?

About 30 years and 662 keV

81
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Which decay mode do PET radionuclides such as F-18, Ga-68 and Rb-82 use?

Positron (beta-plus) emission

82
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A question pairs 135/167 keV with I-123. What is the trap?

Those energies belong to Tl-201; I-123 is 159 keV

83
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Which group decays by electron capture?

I-123, Ga-67, In-111 and Tl-201

84
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Which group decays by beta-minus?

I-131, Y-90, Lu-177 and Sr-89

85
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A technologist chooses an energy window and collimator. Which property guides that choice?

The principal photon energy of the isotope

86
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Which isotope has the shortest physical half-life?

Rb-82

87
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Which isotope has the longest physical half-life of these?

Sr-89

88
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Why is Tc-99m an ideal imaging isotope?

A single 140 keV gamma, minimal particulate emission and a 6-hour half-life

89
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A technologist sets the camera window for I-131 imaging. What photopeak is used?

364 keV

90
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An In-111 WBC study is acquired with only a 171 keV window. What is the effect?

Fewer counts, because the 245 keV photons are not collected

91
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Post-therapy SPECT is ordered to confirm Lu-177 PSMA uptake. Which photopeak window is used?

208 keV

92
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A Co-57 flood source (T½ about 271 days) is 1 year old. About what fraction of its original activity remains?

About 40%

93
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A Co-57 flood sheet (T½ about 271 days) is 2 years old. What should the technologist expect?

Longer flood times; about 15% of the original activity remains

94
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A department buys a Cs-137 reference source. Why does it need little decay correction from month to month?

Its half-life is about 30 years

95
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A board question pairs 245 keV with Ga-67. What is the error?

245 keV belongs to In-111; Ga-67 is 93/184/296–300 keV

96
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A technologist chooses between I-123 and I-131 for a diagnostic thyroid scan with low dose. Which property favors I-123?

No beta emission and a shorter half-life

97
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How can Y-90 microsphere distribution be imaged with PET?

Through Y-90's very small positron (internal pair production) branch

98
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Why is staff exposure from a Ra-223 therapy patient low?

Alpha range is micrometers, and the administered activity is very small

99
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A camera protocol lists windows at 93, 184 and 296–300 keV. Which isotope is the study using?

Ga-67

100
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A lung ventilation study uses a gas imaged at 81 keV. Which isotope is it?

Xe-133