← Foundation MCQs

⚛️ Physics MCQs

100 questions • Q1–50 Moderate • Q51–100 Very Difficult • 30 Clinical/Scenario-based • Tap “Answer” for explanation.

Moderate

Q1. A 2 kg body accelerates at 3 m/s². What net force acts on it?

A. 6 NB. 1.5 NC. 5 ND. 9 N
Correct: A. 6 N

Explanation: F = ma = 2 × 3 = 6 N.

Key Concept / Clinical Relevance: Newton’s second law

Moderate

Q2. A car increases its speed from 10 to 20 m/s in 5 s. Its average acceleration is:

A. 1 m/s²B. 2 m/s²C. 5 m/s²D. 6 m/s²
Correct: B. 2 m/s²

Explanation: a = Δv/Δt = 10/5 = 2 m/s².

Key Concept / Clinical Relevance: Kinematics

Moderate

Q3. Which quantity is conserved in an isolated collision even when kinetic energy is not?

A. VelocityB. ForceC. MomentumD. Acceleration
Correct: C. Momentum

Explanation: Total linear momentum is conserved in every isolated collision.

Key Concept / Clinical Relevance: Conservation of momentum

Moderate

Q4. A 10 N force moves an object 4 m in its own direction. Work done is:

A. 2.5 JB. 14 JC. 400 JD. 40 J
Correct: D. 40 J

Explanation: W = Fs cos 0° = 10 × 4 = 40 J.

Key Concept / Clinical Relevance: Work

Moderate

Q5. If the speed of a body doubles, its kinetic energy becomes:

A. 4 timesB. 2 timesC. 8 timesD. unchanged
Correct: A. 4 times

Explanation: Kinetic energy is proportional to v².

Key Concept / Clinical Relevance: Kinetic energy

Moderate

Q6. For uniform circular motion, centripetal acceleration is directed:

A. TangentiallyB. Toward centreC. Away from centreD. Along velocity
Correct: B. Toward centre

Explanation: Centripetal acceleration v²/r always points toward the centre.

Key Concept / Clinical Relevance: Circular motion

Moderate

Q7. The pressure at depth h in a static liquid of density ρ, above atmospheric contribution, is:

A. ρg/hB. gh/ρC. ρghD. ρh/g
Correct: C. ρgh

Explanation: Hydrostatic gauge pressure is ρgh.

Key Concept / Clinical Relevance: Fluid statics

ModerateClinical / Scenario

Q8. A patient receives IV fluid from a bag raised higher above the vein. Why does flow tend to increase?

A. Fluid density fallsB. Viscosity becomes zeroC. Venous pressure must riseD. Hydrostatic pressure head increases
Correct: D. Hydrostatic pressure head increases

Explanation: Raising the bag increases ΔP = ρgh and therefore the driving pressure for flow.

Key Concept / Clinical Relevance: Hydrostatic pressure in IV infusion

Moderate

Q9. According to Poiseuille’s law, flow through a cylindrical tube is most sensitive to changes in:

A. RadiusB. LengthC. Pressure onlyD. Density
Correct: A. Radius

Explanation: Laminar flow varies with the fourth power of radius.

Key Concept / Clinical Relevance: Poiseuille flow

Moderate

Q10. Reynolds number is most useful for estimating the tendency toward:

A. Radioactive decayB. Turbulent flowC. RefractionD. Heat radiation
Correct: B. Turbulent flow

Explanation: Higher Reynolds number increases the likelihood of turbulence.

Key Concept / Clinical Relevance: Fluid dynamics

Moderate

Q11. Surface tension tends to make a liquid surface:

A. Maximise areaB. Increase volume indefinitelyC. Minimise areaD. Eliminate pressure
Correct: C. Minimise area

Explanation: Surface tension minimizes surface area.

Key Concept / Clinical Relevance: Surface tension

Moderate

Q12. Young’s modulus is the ratio of:

A. Strain/stressB. Force/area onlyC. Energy/timeD. Stress/strain
Correct: D. Stress/strain

Explanation: Within the elastic limit, Young’s modulus = longitudinal stress/strain.

Key Concept / Clinical Relevance: Elasticity

Moderate

Q13. Heat transfer through direct molecular interaction in a stationary solid is mainly:

A. ConductionB. ConvectionC. RadiationD. Evaporation
Correct: A. Conduction

Explanation: Conduction transfers thermal energy through microscopic interactions without bulk flow.

Key Concept / Clinical Relevance: Heat transfer

ModerateClinical / Scenario

Q14. A febrile patient loses heat when sweat evaporates from skin. The principal physical mechanism is:

A. Conduction into skinB. Latent heat of vaporisationC. Nuclear radiationD. Compression heating
Correct: B. Latent heat of vaporisation

Explanation: Evaporation requires latent heat, which is taken from the body and cools it.

Key Concept / Clinical Relevance: Thermoregulation

Moderate

Q15. At constant temperature, Boyle’s law states that for a fixed amount of gas:

A. P ∝ VB. P/T = constantC. PV = constantD. V/T = constant
Correct: C. PV = constant

Explanation: For an isothermal ideal gas process, pressure is inversely proportional to volume.

Key Concept / Clinical Relevance: Gas laws

Moderate

Q16. The first law of thermodynamics is fundamentally a statement of conservation of:

A. ChargeB. MomentumC. Mass onlyD. Energy
Correct: D. Energy

Explanation: Energy added as heat is partitioned into change in internal energy and work.

Key Concept / Clinical Relevance: Thermodynamics

Moderate

Q17. Entropy of an isolated system undergoing a spontaneous irreversible process generally:

A. IncreasesB. DecreasesC. Remains exactly zeroD. Becomes negative
Correct: A. Increases

Explanation: The second law requires total entropy not to decrease for an isolated system.

Key Concept / Clinical Relevance: Entropy

ModerateClinical / Scenario

Q18. During quiet inspiration, alveolar pressure briefly becomes slightly subatmospheric because:

A. Lung volume decreasesB. Thoracic volume increasesC. Airway resistance becomes zeroD. Gas temperature doubles
Correct: B. Thoracic volume increases

Explanation: Expansion increases gas volume and lowers alveolar pressure, drawing air inward.

Key Concept / Clinical Relevance: Pressure–volume relationship in ventilation

Moderate

Q19. Coulomb force between two point charges varies with separation r as:

A. rB. 1/rC. 1/r²D. r²
Correct: C. 1/r²

Explanation: Coulomb’s law gives F ∝ 1/r².

Key Concept / Clinical Relevance: Electrostatics

Moderate

Q20. Electric potential difference is energy transferred per unit:

A. CurrentB. ResistanceC. PowerD. Charge
Correct: D. Charge

Explanation: Voltage is work or energy per coulomb.

Key Concept / Clinical Relevance: Electric potential

Moderate

Q21. Two identical resistors R connected in parallel have equivalent resistance:

A. R/2B. 2RC. RD. R²
Correct: A. R/2

Explanation: 1/Req = 1/R + 1/R = 2/R.

Key Concept / Clinical Relevance: Parallel circuits

Moderate

Q22. A 12 V source drives 2 A through a resistor. Its resistance is:

A. 10 ΩB. 6 ΩC. 14 ΩD. 24 Ω
Correct: B. 6 Ω

Explanation: R = V/I = 12/2 = 6 Ω.

Key Concept / Clinical Relevance: Ohm’s law

ModerateClinical / Scenario

Q23. An ECG records voltage differences at the body surface. If electrode contact resistance rises markedly, the tracing is most likely to show:

A. Improved signal qualityB. Higher cardiac outputC. More noise/artifactD. Faster conduction velocity
Correct: C. More noise/artifact

Explanation: Poor electrode contact raises impedance and increases susceptibility to noise and artifact.

Key Concept / Clinical Relevance: Biomedical electrical measurement

Moderate

Q24. A capacitor stores energy primarily in its:

A. Magnetic fieldB. Mechanical motionC. MassD. Electric field
Correct: D. Electric field

Explanation: Energy in a capacitor is stored in the electric field between conductors.

Key Concept / Clinical Relevance: Capacitance

Moderate

Q25. The magnetic force on a stationary electric charge is:

A. ZeroB. MaximumC. qED. Always centripetal
Correct: A. Zero

Explanation: Magnetic force q(v × B) is zero when v = 0.

Key Concept / Clinical Relevance: Magnetism

Moderate

Q26. Faraday’s law relates induced emf to the rate of change of:

A. Electric resistanceB. Magnetic fluxC. MassD. Temperature
Correct: B. Magnetic flux

Explanation: An emf is induced when magnetic flux through a circuit changes.

Key Concept / Clinical Relevance: Electromagnetic induction

Moderate

Q27. The rms voltage of a sinusoidal AC supply with peak voltage V₀ is:

A. V₀B. V₀/2C. V₀/√2D. √2V₀
Correct: C. V₀/√2

Explanation: For a sinusoid, Vrms = Vpeak/√2.

Key Concept / Clinical Relevance: Alternating current

ModerateClinical / Scenario

Q28. A defibrillator stores electrical energy before discharge. The component chiefly responsible is a:

A. Transformer onlyB. Diode onlyC. ResistorD. Capacitor
Correct: D. Capacitor

Explanation: A charged capacitor can rapidly release stored electrical energy during defibrillation.

Key Concept / Clinical Relevance: Defibrillator physics

Moderate

Q29. Sound intensity is proportional to the square of the wave’s:

A. AmplitudeB. Frequency onlyC. Wavelength onlyD. Period
Correct: A. Amplitude

Explanation: For a given medium, intensity is proportional to amplitude squared.

Key Concept / Clinical Relevance: Wave intensity

Moderate

Q30. Doppler frequency shift is produced primarily by:

A. Diffraction onlyB. Change in source–observer relative motionC. Total internal reflectionD. Polarisation
Correct: B. Change in source–observer relative motion

Explanation: Relative motion changes the observed frequency.

Key Concept / Clinical Relevance: Doppler effect

Moderate

Q31. The refractive index n of a medium is defined as:

A. v/cB. cvC. c/vD. c+v
Correct: C. c/v

Explanation: n = speed of light in vacuum divided by speed in the medium.

Key Concept / Clinical Relevance: Refraction

Moderate

Q32. A lens of focal length +0.5 m has optical power:

A. +0.5 DB. −2 DC. +5 DD. +2 D
Correct: D. +2 D

Explanation: P = 1/f(m) = 1/0.5 = +2 D.

Key Concept / Clinical Relevance: Lens power

ModerateClinical / Scenario

Q33. A myopic eye is commonly corrected using a:

A. Diverging lensB. Converging lensC. Cylindrical lens in every caseD. Plane mirror
Correct: A. Diverging lens

Explanation: A concave/diverging lens shifts the far-point image onto the retina.

Key Concept / Clinical Relevance: Optics of refractive error

Moderate

Q34. Total internal reflection requires light to travel:

A. From lower to higher refractive index at any angleB. From higher to lower refractive index above the critical angleC. Only through vacuumD. Perpendicular to every interface
Correct: B. From higher to lower refractive index above the critical angle

Explanation: TIR occurs from optically denser to rarer medium when incidence exceeds the critical angle.

Key Concept / Clinical Relevance: Fibre optics

Moderate

Q35. The resolving power of an optical system generally improves when wavelength:

A. IncreasesB. Equals zero onlyC. DecreasesD. Does not matter
Correct: C. Decreases

Explanation: Diffraction-limited resolution improves at shorter wavelength.

Key Concept / Clinical Relevance: Optical resolution

Moderate

Q36. In the photoelectric effect, increasing light frequency above threshold primarily increases the emitted electron’s maximum:

A. Number onlyB. MassC. ChargeD. Kinetic energy
Correct: D. Kinetic energy

Explanation: Kmax = hf − work function.

Key Concept / Clinical Relevance: Photoelectric effect

Moderate

Q37. The energy of a photon is:

A. hc/λB. hλ/cC. cλ/hD. h/(cλ)
Correct: A. hc/λ

Explanation: Photon energy E = hf = hc/λ.

Key Concept / Clinical Relevance: Quantum physics

ModerateClinical / Scenario

Q38. A radiograph is made with a higher tube voltage (kVp). The X-ray beam generally becomes:

A. Less penetratingB. More penetratingC. Non-ionisingD. Monochromatic
Correct: B. More penetrating

Explanation: Higher kVp increases photon energies and beam penetrability.

Key Concept / Clinical Relevance: X-ray physics

Moderate

Q39. Half-life is the time required for the number of undecayed radioactive nuclei to fall to:

A. 75%B. 25%C. 50%D. 10%
Correct: C. 50%

Explanation: By definition, one half-life reduces the undecayed population to one-half.

Key Concept / Clinical Relevance: Radioactivity

Moderate

Q40. Which radiation has the greatest mass among these?

A. Gamma rayB. X-rayC. Beta particleD. Alpha particle
Correct: D. Alpha particle

Explanation: An alpha particle is a helium nucleus with two protons and two neutrons.

Key Concept / Clinical Relevance: Nuclear radiation

Moderate

Q41. The SI unit of absorbed radiation dose is:

A. GrayB. SievertC. BecquerelD. Coulomb
Correct: A. Gray

Explanation: The gray is one joule of ionising radiation energy absorbed per kilogram.

Key Concept / Clinical Relevance: Radiation dosimetry

ModerateClinical / Scenario

Q42. During diagnostic ultrasound, a strong echo occurs at a tissue boundary mainly when there is a large difference in:

A. Electric chargeB. Acoustic impedanceC. RadioactivityD. Temperature
Correct: B. Acoustic impedance

Explanation: Reflection increases with acoustic impedance mismatch across an interface.

Key Concept / Clinical Relevance: Ultrasound physics

Moderate

Q43. Increasing ultrasound frequency generally produces:

A. Worse resolution and more penetrationB. No change in resolutionC. Better resolution but less penetrationD. Infinite penetration
Correct: C. Better resolution but less penetration

Explanation: Higher frequency shortens wavelength, improving resolution but increasing attenuation.

Key Concept / Clinical Relevance: Ultrasound trade-off

Moderate

Q44. In pulse oximetry, oxygen saturation is estimated using differential absorption of approximately:

A. Ultraviolet and X-raysB. Gamma and radio wavesC. Green light onlyD. Red and infrared light
Correct: D. Red and infrared light

Explanation: Oxy- and deoxyhaemoglobin absorb red and infrared wavelengths differently.

Key Concept / Clinical Relevance: Pulse oximetry

Moderate

Q45. MRI primarily detects signals from nuclei with magnetic moments, clinically dominated by:

A. Hydrogen protonsB. Calcium ionsC. Electrons in ironD. Carbon dioxide molecules
Correct: A. Hydrogen protons

Explanation: Hydrogen is abundant in water and fat and has a strong MR signal.

Key Concept / Clinical Relevance: MRI fundamentals

ModerateClinical / Scenario

Q46. A patient moves during an MRI acquisition. The most direct image consequence is:

A. Ionising radiation burnB. Motion artifact/ghostingC. Higher CT numberD. Doppler aliasing
Correct: B. Motion artifact/ghosting

Explanation: Motion during spatial encoding produces misregistration and ghosting artifacts.

Key Concept / Clinical Relevance: MRI artifacts

Moderate

Q47. CT attenuation is commonly expressed using:

A. DioptresB. DecibelsC. Hounsfield unitsD. Teslas
Correct: C. Hounsfield units

Explanation: CT numbers are reported in Hounsfield units relative to water.

Key Concept / Clinical Relevance: CT physics

Moderate

Q48. PET imaging detects pairs of photons produced after:

A. Alpha decayB. Nuclear fissionC. Ultrasound reflectionD. Positron–electron annihilation
Correct: D. Positron–electron annihilation

Explanation: Annihilation produces two approximately 511-keV photons emitted nearly opposite each other.

Key Concept / Clinical Relevance: PET physics

ModerateClinical / Scenario

Q49. A pulse oximeter gives an unexpectedly low reading in a patient with cold, poorly perfused fingers. The most relevant physical limitation is:

A. Weak pulsatile optical signalB. Excess X-ray attenuationC. High acoustic impedanceD. Nuclear spin saturation
Correct: A. Weak pulsatile optical signal

Explanation: Low peripheral perfusion reduces the pulsatile arterial component required for reliable photoplethysmography.

Key Concept / Clinical Relevance: Pulse oximetry limitations

Moderate

Q50. For laminar blood flow, halving vessel radius while all else remains constant changes flow to approximately:

A. 1/2B. 1/16C. 1/4D. 1/8
Correct: B. 1/16

Explanation: Poiseuille’s law gives Q ∝ r⁴; (1/2)⁴ = 1/16.

Key Concept / Clinical Relevance: Hemodynamics

Very Difficult

Q51. A projectile is launched at speed u at 45° on level ground without air resistance. Its range is:

A. u²/2gB. 2u²/gC. u²/gD. ug
Correct: C. u²/g

Explanation: R = u² sin2θ/g; at 45°, sin90° = 1.

Key Concept / Clinical Relevance: Projectile motion

Very DifficultClinical / Scenario

Q52. A 70 kg patient lies on a mattress. If the effective contact area doubles while weight is unchanged, average interface pressure becomes:

A. TwiceB. Four timesC. UnchangedD. Half
Correct: D. Half

Explanation: Pressure = force/area, so doubling area halves average pressure.

Key Concept / Clinical Relevance: Pressure injury biomechanics

Very Difficult

Q53. For a rigid body with moment of inertia I and angular speed ω, rotational kinetic energy is:

A. ½Iω²B. IωC. I²ω/2D. ½I²ω
Correct: A. ½Iω²

Explanation: Rotational kinetic energy is ½Iω².

Key Concept / Clinical Relevance: Rotational dynamics

Very DifficultClinical / Scenario

Q54. Blood flows through a stenosis whose radius is 60% of the original. Under ideal Poiseuille conditions and unchanged ΔP, flow becomes approximately:

A. 36%B. 13%C. 21.6%D. 60%
Correct: B. 13%

Explanation: Q scales as r⁴; 0.6⁴ = 0.1296, about 13%.

Key Concept / Clinical Relevance: Stenosis and Poiseuille law

Very Difficult

Q55. For steady incompressible flow, the continuity equation implies that when cross-sectional area decreases, mean velocity:

A. Decreases proportionallyB. Remains fixedC. IncreasesD. Becomes zero
Correct: C. Increases

Explanation: A₁v₁ = A₂v₂, so velocity rises as area falls.

Key Concept / Clinical Relevance: Continuity equation

Very Difficult

Q56. Bernoulli’s principle predicts that, at the same height in ideal streamline flow, a region of higher fluid velocity has:

A. Higher static pressureB. Identical pressure alwaysC. Zero kinetic energyD. Lower static pressure
Correct: D. Lower static pressure

Explanation: Along a streamline, increased kinetic-energy density is associated with reduced static pressure.

Key Concept / Clinical Relevance: Bernoulli principle

Very DifficultClinical / Scenario

Q57. Across a severe arterial stenosis, Doppler velocity rises from 1 to 4 m/s. Using the simplified Bernoulli relation ΔP ≈ 4v², the estimated gradient is:

A. 64 mmHgB. 16 mmHgC. 32 mmHgD. 80 mmHg
Correct: A. 64 mmHg

Explanation: At v = 4 m/s, ΔP ≈ 4 × 16 = 64 mmHg.

Key Concept / Clinical Relevance: Doppler haemodynamics

Very Difficult

Q58. Laplace’s law for a spherical interface gives pressure difference ΔP proportional to:

A. TrB. T/rC. r/TD. 1/(Tr)
Correct: B. T/r

Explanation: For a sphere ΔP = 2T/r.

Key Concept / Clinical Relevance: Laplace law

Very Difficult

Q59. Two alveoli have equal surface tension but radii r and 2r. Without surfactant, the smaller alveolus has internal pressure:

A. Half as largeB. The sameC. Twice as largeD. Four times as large
Correct: C. Twice as large

Explanation: For an alveolus approximated as a sphere, P ∝ 1/r.

Key Concept / Clinical Relevance: Alveolar stability

Very DifficultClinical / Scenario

Q60. Pulmonary surfactant particularly stabilises small alveoli because it:

A. Raises surface tension most in small alveoliB. Eliminates gas pressureC. Makes air incompressibleD. Lowers surface tension, especially as alveoli become smaller
Correct: D. Lowers surface tension, especially as alveoli become smaller

Explanation: Concentrated surfactant at low lung volumes lowers surface tension and reduces collapse tendency.

Key Concept / Clinical Relevance: Surfactant physics

Very Difficult

Q61. For a gas mixture, Dalton’s law states total pressure equals:

A. Sum of partial pressuresB. Product of partial pressuresC. Mean molecular weightD. Osmotic pressure
Correct: A. Sum of partial pressures

Explanation: The total pressure of an ideal gas mixture is the sum of component partial pressures.

Key Concept / Clinical Relevance: Partial pressures

Very Difficult

Q62. At constant temperature, compressing an ideal gas to half its volume changes pressure to:

A. HalfB. DoubleC. Four timesD. Unchanged
Correct: B. Double

Explanation: Boyle’s law gives P₁V₁=P₂V₂.

Key Concept / Clinical Relevance: Gas compression

Very DifficultClinical / Scenario

Q63. During positive-pressure ventilation, increasing tidal volume without changing airway resistance most directly increases the pressure needed to overcome:

A. Electrical impedanceB. Magnetic fluxC. Elastic loadD. Optical attenuation
Correct: C. Elastic load

Explanation: Greater volume displacement increases elastic recoil pressure according to compliance.

Key Concept / Clinical Relevance: Ventilator mechanics

Very Difficult

Q64. If lung compliance is 40 mL/cmH₂O and a 400 mL tidal volume is delivered quasi-statically, the elastic pressure change is approximately:

A. 5 cmH₂OB. 16 cmH₂OC. 40 cmH₂OD. 10 cmH₂O
Correct: D. 10 cmH₂O

Explanation: ΔP = ΔV/C = 400/40 = 10 cmH₂O.

Key Concept / Clinical Relevance: Compliance

Very Difficult

Q65. For diffusion across a membrane, Fick’s law predicts transfer rate increases with:

A. Surface areaB. Membrane thicknessC. Inverse concentration gradientD. Molecular size alone
Correct: A. Surface area

Explanation: Diffusion rate is proportional to area and gradient and inversely proportional to thickness.

Key Concept / Clinical Relevance: Fick’s law

Very DifficultClinical / Scenario

Q66. A patient develops pulmonary edema that doubles effective diffusion distance. If all other factors remain constant, gas diffusion rate is expected to:

A. DoubleB. HalveC. QuadrupleD. Remain unchanged
Correct: B. Halve

Explanation: Fick’s law makes diffusion inversely proportional to membrane thickness.

Key Concept / Clinical Relevance: Gas diffusion

Very Difficult

Q67. A capacitor of 100 μF charged to 200 V stores approximately:

A. 0.2 JB. 1 JC. 2 JD. 20 J
Correct: C. 2 J

Explanation: E = ½CV² = 0.5 × 100×10⁻⁶ × 40000 = 2 J.

Key Concept / Clinical Relevance: Capacitor energy

Very Difficult

Q68. In an RC circuit, the time constant is:

A. R/CB. 1/RCC. R+CD. RC
Correct: D. RC

Explanation: The characteristic charging/discharging time constant is τ = RC.

Key Concept / Clinical Relevance: RC circuits

Very DifficultClinical / Scenario

Q69. A defibrillator with capacitance 200 μF is charged to 1000 V. Stored energy is:

A. 100 JB. 10 JC. 50 JD. 200 J
Correct: A. 100 J

Explanation: E = ½CV² = 0.5 × 200×10⁻⁶ × 10⁶ = 100 J.

Key Concept / Clinical Relevance: Defibrillator energy

Very Difficult

Q70. The impedance of an ideal capacitor in AC has magnitude:

A. 2πfCB. 1/(2πfC)C. 2πf/CD. C/(2πf)
Correct: B. 1/(2πfC)

Explanation: Capacitive reactance Xc = 1/(2πfC).

Key Concept / Clinical Relevance: AC impedance

Very Difficult

Q71. A transformer ideally changes voltage according to the ratio of:

A. ResistancesB. FrequenciesC. Turns in secondary to primaryD. Core masses
Correct: C. Turns in secondary to primary

Explanation: Vs/Vp = Ns/Np for an ideal transformer.

Key Concept / Clinical Relevance: Transformers

Very DifficultClinical / Scenario

Q72. An isolation transformer in medical equipment principally reduces risk by:

A. Increasing radiation doseB. Amplifying ECG voltageC. Creating DC from ACD. Breaking direct conductive connection to mains
Correct: D. Breaking direct conductive connection to mains

Explanation: Galvanic isolation limits hazardous current paths between mains and patient circuits.

Key Concept / Clinical Relevance: Electrical safety

Very Difficult

Q73. For a charged particle moving perpendicular to a uniform magnetic field, the magnetic force does:

A. No workB. Positive work continuouslyC. Negative work continuouslyD. Work only at low speed
Correct: A. No work

Explanation: Magnetic force is perpendicular to velocity, changing direction but not speed.

Key Concept / Clinical Relevance: Lorentz force

Very Difficult

Q74. Lenz’s law determines the induced current direction so that its magnetic effect:

A. Enhances the flux changeB. Opposes the flux changeC. Is unrelated to fluxD. Always points north
Correct: B. Opposes the flux change

Explanation: The induced response opposes the change that produced it.

Key Concept / Clinical Relevance: Lenz’s law

Very Difficult

Q75. In MRI, the Larmor angular frequency ω₀ is proportional to:

A. 1/B₀B. B₀² onlyC. B₀D. Gradient slew rate only
Correct: C. B₀

Explanation: ω₀ = γB₀.

Key Concept / Clinical Relevance: Larmor precession

Very DifficultClinical / Scenario

Q76. Moving from a 1.5 T to a 3 T MRI scanner approximately does what to proton Larmor frequency?

A. Halves itB. Quadruples itC. Leaves it unchangedD. Doubles it
Correct: D. Doubles it

Explanation: Larmor frequency is directly proportional to static field strength.

Key Concept / Clinical Relevance: MRI field strength

Very Difficult

Q77. T1 relaxation describes recovery of:

A. Longitudinal magnetisationB. Transverse coherenceC. Gradient strengthD. X-ray attenuation
Correct: A. Longitudinal magnetisation

Explanation: T1 is spin-lattice recovery of longitudinal magnetisation.

Key Concept / Clinical Relevance: MRI relaxation

Very Difficult

Q78. T2 relaxation describes decay of:

A. Longitudinal magnetisation onlyB. Transverse magnetisation due to spin-spin dephasingC. Proton numberD. Static magnetic field
Correct: B. Transverse magnetisation due to spin-spin dephasing

Explanation: T2 is the time constant of transverse spin-spin dephasing.

Key Concept / Clinical Relevance: MRI relaxation

Very DifficultClinical / Scenario

Q79. A spin-echo sequence uses a 180° pulse primarily to reduce signal loss from:

A. True T2 interactionsB. Proton densityC. Static field inhomogeneity dephasingD. Longitudinal recovery
Correct: C. Static field inhomogeneity dephasing

Explanation: The 180° refocusing pulse reverses dephasing from static field variations, yielding T2 rather than T2*.

Key Concept / Clinical Relevance: MRI spin echo

Very Difficult

Q80. In diagnostic ultrasound, axial resolution is improved most directly by:

A. Longer spatial pulse lengthB. Lower sound speedC. Higher beam widthD. Shorter spatial pulse length
Correct: D. Shorter spatial pulse length

Explanation: Axial resolution is approximately half the spatial pulse length.

Key Concept / Clinical Relevance: Ultrasound resolution

Very Difficult

Q81. Doppler aliasing in pulsed-wave ultrasound occurs when Doppler shift exceeds:

A. Nyquist limitB. The acoustic impedanceC. Attenuation coefficientD. Critical angle
Correct: A. Nyquist limit

Explanation: The maximum unambiguous sampled frequency is half the pulse repetition frequency.

Key Concept / Clinical Relevance: Doppler aliasing

Very DifficultClinical / Scenario

Q82. A Doppler study shows aliasing at high blood velocity. Which change can raise the Nyquist limit?

A. Decrease PRFB. Increase PRFC. Increase wavelength onlyD. Set Doppler angle to 90°
Correct: B. Increase PRF

Explanation: Nyquist limit = PRF/2; increasing PRF increases the measurable shift before aliasing.

Key Concept / Clinical Relevance: Pulsed Doppler

Very Difficult

Q83. For Doppler ultrasound, measured frequency shift approaches zero when the beam-flow angle approaches:

A. 0°B. 30°C. 90°D. 60°
Correct: C. 90°

Explanation: Doppler shift contains cosθ; cos90° = 0.

Key Concept / Clinical Relevance: Doppler angle

Very Difficult

Q84. Acoustic impedance Z is the product of tissue density and:

A. FrequencyB. Wavelength squaredC. Attenuation onlyD. Sound speed
Correct: D. Sound speed

Explanation: Z = ρc.

Key Concept / Clinical Relevance: Acoustic impedance

Very DifficultClinical / Scenario

Q85. At a soft-tissue–air interface, ultrasound transmission is poor chiefly because of:

A. Large acoustic impedance mismatchB. Minimal impedance mismatchC. Identical sound speedsD. No reflection
Correct: A. Large acoustic impedance mismatch

Explanation: The large impedance difference causes strong reflection, which is why coupling gel is used.

Key Concept / Clinical Relevance: Ultrasound coupling

Very Difficult

Q86. The minimum resolvable separation of two point objects due to diffraction is approximately proportional to:

A. NA/λB. λ/NAC. λ×NA²D. 1/(λNA)
Correct: B. λ/NA

Explanation: Resolution limit scales with wavelength divided by numerical aperture.

Key Concept / Clinical Relevance: Diffraction limit

Very Difficult

Q87. In optical fibres, increasing the numerical aperture generally increases the:

A. Critical wavelength onlyB. Photon energyC. Acceptance angleD. Speed of light in vacuum
Correct: C. Acceptance angle

Explanation: Higher numerical aperture permits a wider cone of accepted rays.

Key Concept / Clinical Relevance: Fibre optics

Very DifficultClinical / Scenario

Q88. An endoscope uses optical fibres to transmit light around bends primarily by:

A. Compton scatteringB. Photoelectric absorptionC. Nuclear resonanceD. Total internal reflection
Correct: D. Total internal reflection

Explanation: Light remains guided within the core through repeated total internal reflection.

Key Concept / Clinical Relevance: Endoscopy optics

Very Difficult

Q89. For X-ray photons in diagnostic imaging, photoelectric absorption probability increases strongly with:

A. Higher atomic number and lower photon energyB. Lower atomic numberC. Higher photon energy onlyD. Lower density only
Correct: A. Higher atomic number and lower photon energy

Explanation: Photoelectric interaction rises steeply with atomic number and falls with photon energy.

Key Concept / Clinical Relevance: X-ray interactions

Very Difficult

Q90. Compton scattering depends primarily on the material’s:

A. Atomic number to the fourth powerB. Electron densityC. Magnetic susceptibility onlyD. Optical refractive index
Correct: B. Electron density

Explanation: In the diagnostic range, Compton probability is mainly related to electron density.

Key Concept / Clinical Relevance: Compton effect

Very DifficultClinical / Scenario

Q91. After iodinated contrast is administered for CT, vessels appear more attenuating chiefly because iodine:

A. Eliminates Compton scatterB. Produces ultrasoundC. Has a relatively high atomic numberD. Lowers photon energy to zero
Correct: C. Has a relatively high atomic number

Explanation: Iodine’s high atomic number increases X-ray attenuation, especially photoelectric absorption.

Key Concept / Clinical Relevance: CT contrast physics

Very Difficult

Q92. The Hounsfield unit of water is defined as approximately:

A. −1000B. −100C. +1000D. 0
Correct: D. 0

Explanation: Water is the reference at 0 HU; air is about −1000 HU.

Key Concept / Clinical Relevance: CT numbers

Very Difficult

Q93. If CT slice thickness is reduced while other factors are unchanged, partial-volume averaging generally:

A. DecreasesB. IncreasesC. Becomes infiniteD. Is unrelated
Correct: A. Decreases

Explanation: Thinner slices contain fewer mixed tissues and reduce partial-volume effects.

Key Concept / Clinical Relevance: CT spatial resolution

Very DifficultClinical / Scenario

Q94. A small lesion adjacent to dense bone is obscured on thick CT slices but becomes visible on thinner reconstructions. The key improvement is reduced:

A. Larmor frequencyB. Partial-volume averagingC. Radioactive decayD. Doppler shift
Correct: B. Partial-volume averaging

Explanation: Thinner slices reduce averaging of different tissues within a voxel.

Key Concept / Clinical Relevance: CT partial-volume effect

Very Difficult

Q95. Radioactive activity measured in becquerels represents:

A. Absorbed joules/kgB. Biological weightingC. Disintegrations per secondD. Photon energy in eV
Correct: C. Disintegrations per second

Explanation: 1 Bq equals one nuclear transformation per second.

Key Concept / Clinical Relevance: Radioactivity units

Very DifficultClinical / Scenario

Q96. A staff member steps from 1 m to 2 m from an approximately point-like radiation source. Ignoring scatter, exposure rate becomes about:

A. DoubleB. HalfC. One-eighthD. One-quarter
Correct: D. One-quarter

Explanation: Inverse-square behavior gives I₂/I₁=(1/2)²=1/4.

Key Concept / Clinical Relevance: Radiation safety

Very DifficultClinical / Scenario

Q97. A PET tracer emits a positron. Before annihilation, positron travel in tissue contributes chiefly to:

A. A limit on spatial resolutionB. Improved spatial resolutionC. Higher MRI signalD. Doppler aliasing
Correct: A. A limit on spatial resolution

Explanation: Positron range separates decay from annihilation location and blurs spatial localisation.

Key Concept / Clinical Relevance: PET resolution

Very DifficultClinical / Scenario

Q98. A pulse oximeter may display a misleading saturation in carbon monoxide poisoning because conventional two-wavelength devices cannot reliably distinguish:

A. Water from plasmaB. Oxyhaemoglobin from carboxyhaemoglobinC. Sodium from potassiumD. Venous from arterial pressure
Correct: B. Oxyhaemoglobin from carboxyhaemoglobin

Explanation: Standard pulse oximetry has limited spectral discrimination and may count carboxyhaemoglobin as oxyhaemoglobin.

Key Concept / Clinical Relevance: Optical spectroscopy limitations

Very DifficultClinical / Scenario

Q99. A mechanically ventilated patient has a capnogram with a sloping expiratory plateau. From a physical measurement standpoint, this most directly reflects:

A. X-ray attenuationB. Electrical capacitanceC. Nonuniform emptying and gas mixingD. Magnetic resonance
Correct: C. Nonuniform emptying and gas mixing

Explanation: Unequal time constants and heterogeneous exhalation produce a rising alveolar plateau.

Key Concept / Clinical Relevance: Capnography waveform physics

Very DifficultClinical / Scenario

Q100. A patient with marked polycythaemia has increased blood viscosity. Under otherwise comparable conditions, vascular resistance tends to:

A. DecreaseB. Become zeroC. Be independent of viscosityD. Increase
Correct: D. Increase

Explanation: Laminar resistance is directly proportional to viscosity.

Key Concept / Clinical Relevance: Blood viscosity and resistance