X-ray Technician MCQs Free PDF Download 2026 new mcqs

 

Question1:-For heavier nuclei, stability requires :

A:-Fewer neutrons than protons

B:-Equal neutrons and protons

C:-More neutrons than protons

D:-No neutrons

Correct Answer:- Option-C

Question2:-The half-life of cobalt-60 is approximately 5.26 years. Its mean life is

approximately :

A:-3.5 years

B:-5.26 years

C:-7.6 years

D:-10 years

Correct Answer:- Option-C

Question3:-A generator operating at 100 kV and 500 mA has a capacity of :

A:-5 kW

B:-50 kW

C:-500 kW

D:-0.5 kW

Correct Answer:- Option-B

 0.01 (1%)?

Question4:-For a tungsten target (Z = 74), what voltage is required to get

efficiency

A:-100 kV

B:-150 kV

C:-200 kV

D:-250 kV

Correct Answer:- Option-B

Question5:-Added filtration results in a beam with :

A:-Lower energy

B:-Higher average energy

C:-No energy change

D:-Reduced penetration

Correct Answer:- Option-B

Question6:-The ions considered in exposure are :

A:-Both positive and negative together

B:-Only neutral atoms

C:-Ions of one sign only

D:-Only electrons

Correct Answer:- Option-C

Question7:-The special unit of equivalent dose is :

A:-Gray (Gy)

B:-Sievert (Sv)

C:-Roentgen (R)

D:-Becquerel (Bq)

Correct Answer:- Option-B

Question8:-Kerma measures

A:-Ionization in air

B:-Energy transferred to charged particles

C:-Energy absorbed in tissue only

D:-Energy absorbed in air only

Correct Answer:- Option-B

Question9:-The TLD material developed and used by BARC for Personnel

Monitoring Service is

A:-LiF : Dy

B:-LiF : Mn

C:-CaSO4 : Dy

D:-CaSO4 : Mn

Correct Answer:- Option-C

Question10:-Photoelectric effect results a small changes in Z result in large

change in absorption due to its

A:-Z dependence

B:-1/Z dependence

C:-Z2 dependence

D:-Z3 dependence

Correct Answer:- Option-D

Question11:-At which vertebral level is the manubriosternal joint usually found?

A:-T2 - T3

B:-T4 - T5

C:-T6 - T7

D:-T8 - T9

Correct Answer:- Option-B

Question12:-Which carpal bone lies in the proximal row on the radial side?

A:-Lunate

B:-Scaphoid

C:-Triquetrum

D:-Pisiform

Correct Answer:- Option-B

Question13:-The obturator foramen is formed by

A:-Ilium and Sacrum

B:-Pubis and Ischium

C:-Ilium and Pubis

D:-Sacrum and Coccyx

Correct Answer:- Option-B

Question14:-The main function of the pectoral girdle is to :

A:-Protect the heart

B:-Attach the upper limb to the axial skeleton

C:-Support the lower limb

D:-Aid in digestion

Correct Answer:- Option-B

Question15:-The lymphatic system plays an important role in :

A:-Digestion

B:-Respiration

C:-Defense against pathogens

D:-Bone formation

Correct Answer:- Option-C

Question16:-The respiratory center is located in the :

A:-Cerebrum

B:-Cerebellum

C:-Medulla oblongata

D:-Spinal cord

Correct Answer:- Option-C

Question17:-Which gland is the largest salivary gland?

A:-Sublingual gland

B:-Submandibular gland

C:-Parotid gland

D:-Buccal gland

Correct Answer:- Option-C

Question18:-Which enzyme is present in the stomach and contributes to chyme

formation?

A:-Amylase

B:-Lipase

C:-Pepsin

D:-Trypsin

Correct Answer:- Option-C

Question19:-Which pancreatic hormone is secreted by beta (

A:-Glucagon

B:-Insulin

C:-Somatostatin

D:-Pancreatic polypeptide

Correct Answer:- Option-B

Question20:-Which valve closes at the beginning of systole?

A:-Aortic valve

B:-Pulmonary valve

) cells?

C:-Mitral valve

D:-Both mitral and tricuspid

Correct Answer:- Option-D

Question21:-The test to determine adequate filtration of an X ray beam is by

measuring

A:-Exposure output

B:-Half Value Layer (HVL)

C:-Kilovoltage (kV)

D:-Patient exposure

Correct Answer:- Option-B

Question22:-When the distance from the X ray source is doubled, the beam

intensity is

A:-Reduced by half

B:-Increased by half

C:-Reduced by one fourth

D:-Increased by one fourth

Correct Answer:- Option-C

Question23:-X rays were discovered by

A:-Madam Curie

B:-Henri Bequerel

C:-Roentgen

D:-Hounsfield

Correct Answer:- Option-C

Question24:-In intravenous urography (IVU) the first image taken after contrast injection is

A:-Urogram

B:-Nephrogram

C:-Pyelogram

D:-Venogram

Correct Answer:- Option-B

Question25:-Ball Catcher's view is

A:-Both hands lateral

B:-Both hands anterior oblique

C:-Both hands posterior oblique

D:-Both hands PA view

Correct Answer:- Option-C

Question26:-Anterior superior iliac spine is related to which part of the body ?

A:-Knee

B:-Skull

C:-Chest

D:-Hip

Correct Answer:- Option-D

Question27:-In radiography, Water’s projection is used to image

A:-Sacroiliac joint

B:-Paranasal sinuses

C:-Mastoid air cells

D:-Patella

Correct Answer:- Option-B

Question28:-In radiography, the radiographic base line is

A:-Interpupillary line

B:-Infraorbital line

C:-Orbitomeatal line

D:-Auricular line

Correct Answer:- Option-C

Question29:-The following are properties of X rays, EXCEPT

A:-Ionise gases

B:-Electrically neutral

C:-Highly penetrating invisible rays

D:-Can be focussed by lens

Correct Answer:- Option-D

Question30:-A developer solution for manual processing contain all the following, EXCEPT

A:-Sodium sulphite

B:-Sodium thiosulphate

C:-Sodium Carbonate

D:-Metol

Correct Answer:- Option-B

Question31:-In a film badge, the filter used for detecting neutrons is

A:-Lead

B:-Copper

C:-Cadmium

D:-Plastic

Correct Answer:- Option-C

Question32:-Regarding Computed tomography (CT), table movement per gantry

rotation is called

A:-Voxel

B:-Window level

C:-Pixel

D:-Pitch

Correct Answer:- Option-D

Question33:-Effective shielding material for beta radiation is

A:-Lead

B:-Paper

C:-Perspex

D:-Copper

Correct Answer:- Option-C

Question34:-Thermoluminiscent dosimeter (TLD) to measure effective body dose should

be worn

A:-Inside the lead apron stomach position

B:-Outside the lead apron chest position

C:-Outside the lead apron stomach position

D:-Inside the lead apron chest position

Correct Answer:- Option-D

Question35:-The effective dose from a PA chest examination is typically

A:-0.02 mSv

B:-2 mSv

C:-0.2 mSv

D:-20 mSv

Correct Answer:- Option-A

Question36:-The radiographic procedure to visualise intracranial vessels is called

A:-Perfusion scintigraphy

B:-Myelography

C:-Cisternography

D:-Cerebral angiography

Correct Answer:- Option-D

Question37:-The CT number of water is

A:--1000 HU

B:-+ 1000 HU

C:-0 HU (zero HU)

D:-100 HU

Correct Answer:- Option-C

Question38:-The regulatory board for radiation installations in India is

A:-Bhabha Atomic Research Centre

B:-Atomic Energy Regulatory Board

C:-Board of Radiation and Isotope Technology

D:-Indian Association of Medical Physicists

Correct Answer:- Option-B

Question39:-DEXA is used for

A:-CT scan

B:-MRI

C:-Cardiac catheterisation

D:-Bone Mineral Densitometry

Correct Answer:- Option-D

Question40:-In MRI , TR and TE are expressed in

A:-Minutes

B:-Seconds

C:-Milli seconds

D:-Microseconds

Correct Answer:- Option-C

Question41:-Which principle of medical ethics ensures that the patient is the primary

decision-maker in their own care?

A:-Beneficence

B:-Justice

C:-Respect for Autonomy

D:-Non-maleficence

Correct Answer:- Option-C

Question42:-According to AERB, what is the annual radiation dose limit for occupational

workers, averaged over five consecutive years?

A:-1 mSv

B:-5 mSv

C:-10 mSv

D:-20 mSv

Correct Answer:- Option-D

Question43:-According to AERB guidelines, where is the safest place for a technologist

to store their TLD badge after completing their routine work?

A:-On the X-ray control panel

B:-Inside the X-ray installation room

C:-In a radiation-free area outside the X-ray room

D:-In the darkroom

Correct Answer:- Option-C

Question44:-In a radiology department, who bears the ultimate responsibility for

obtaining informed consent, even if the task is delegated to a technologist?

A:-The referring physician

B:-The radiologist

C:-The hospital administrator

D:-The lead technologist

Correct Answer:- Option-B

Question45:-Which fundamental principle of radiation protection states that all

exposures should be kept as low as reasonably achievable (ALARA)?

A:-Justification

B:-Optimization

C:-Limitation

D:-Accountability

Correct Answer:- Option-B

Question46:-A common gap in radiotherapy delivery in resource-limited settings is:

A:-Excess availability of machines

B:-Lack of trained personnel

C:-Overuse of imaging

D:-High patient compliance

Correct Answer:- Option-B

Question47:-Which ethical principle is most important while taking informed consent?

A:-Justice

B:-Autonomy

C:-Non-maleficence

D:-Confidentiality

Correct Answer:- Option-B

Question48:-When a patient is anxious before treatment, the best initial approach is to:

A:-Ignore the anxiety

B:-Increase sedation immediately

C:-Delay treatment indefinitely

D:-Provide clear explanation and reassurance

Correct Answer:- Option-D

Question49:-In Image-Guided, Radiotherapy, the main advantage is:

A:-Reduced treatment cost

B:-Real-time verification of target position

C:-Elimination of planning CT

D:-No need for immobilization

Correct Answer:- Option-B

Question50:-The typical energy range of megavoltage beams used in external

beam radiotherapy is :

A:-50 — 150 kVp

B:-200 — 400 kVp

C:-1 — 25 MV

D:-100 — 200 MeV

Correct Answer:- Option-C

 

Question51:-The SI unit of absorbed dose is

A:-Roentgen

B:-Gray

C:-Sievert

D:-Curie

Correct Answer:- Option-B

Question52:-Which of the following is used as the source in a conventional

telecobalt unit?

A:-Iridium - 192

B:-Cesium - 137

C:-Cobalt - 60

D:-Iodine - 125

Correct Answer:- Option-C

Question53:-The "D-max" (Depth of maximum dose) for a 6 MV photon beam is

approximately

A:-0.5 cm

B:-1.5 cm

C:-2.5 cm

D:-3.0 cm

Correct Answer:- Option-B

Question54:-The half-life of Cobalt-60 is approximately :

A:-30 years

B:-5.26 years

C:-74 days

D:-1600 years

Correct Answer:- Option-B

Question55:-Inverse square law states

A:-Dose

B:-Dose

C:-Dose

distance

1/distance2

distance2

D:-Dose independent

Correct Answer:- Option-B

Question56:-The half-value layer (HVL) is the thickness of material required to

reduce the beam intensity by

A:-25%

B:-50%

C:-75%

D:-100%

Correct Answer:- Option-B

Question57:-Thermoluminescent Dosimeters (TLD) commonly use which material?

A:-Silver bromide

B:-Lithium Fluoride (LIF)

C:-Silicon

D:-Lead

Correct Answer:- Option-B

Question58:-Isocenter is defined as

A:-The center of the tumor

B:-The intersection point of the gantry, collimator and couch axes

C:-The point of maximum dose

D:-The surface of the patient

Correct Answer:- Option-B

Question59:-The target in a high-energy Linear Accelerator is typically made of :

A:-Copper

B:-Tungsten

C:-Aluminum

D:-Lead

Correct Answer:- Option-B

Question60:-Branchytherapy "High Dose Rate" (HDR) usually refers to a dose rate

of

A:-> 12 Gy/hour

B:-< 2 Gy/hour

C:-5 Gy/year

D:-1 Gy/day

Correct Answer:- Option-A

Question61:-Which of the following is a common screening test for Cervical Cancer?

A:-Mammography

B:-PSA test

C:-Pap Smear

D:-Colonoscopy

Correct Answer:- Option-C

Question62:-The biological mechanism by which cancer spreads from the primary site to

distant organs is:

A:-Mitosis

B:-Metastasis

C:-Apoptosis

D:-Hypertrophy

Correct Answer:- Option-B

Question63:-Which of the following is a radio-resistant tumor?

A:-Seminoma

B:-Osteosarcoma

C:-Lymphoma

D:-Small cell lung cancer

Correct Answer:- Option-B

Question64:-Etiology of Mesothelioma is strongly linked to:

A:-Tobacco

B:-Alcohol

C:-Asbestos exposure

D:-High fat diet

Correct Answer:- Option-C

Question65:-The term “Adjuvant Radiotherapy” refers to treatment given:

A:-Before surgery

B:-During surgery

C:-After the primary treatment (like surgery)

D:-Instead of surgery

Correct Answer:- Option-C

Question66:-The "TNM" staging system is maintained by:

A:-WHO

B:-AJCC/UICC

C:-Red Cross

D:-UNESCO

Correct Answer:- Option-B

Question67:-The anatomical landmark 'Carina' is located at the level of:

A:-C4

B:-T4-T5

C:-T10

D:-L1

Correct Answer:- Option-B

Question68:-The ‘Sentinel Lymph Node’ is:

A:-The largest node in the body

B:-The first node to receive lymphatic drainage from a tumor

C:-A node in the groin only

D:-A node that is never cancerous

Correct Answer:- Option-B

Question69:-The most common histological type of Head and Neck cancers is:

A:-Adenocarcinoma

B:-Squamous Cell Carcinoma

C:-Small Cell Carcinoma

D:-Sarcoma

Correct Answer:- Option-B

Question70:-Which virus is strongly associated with Nasopharyngeal Carcinoma?

A:-HPV

B:-Epstein-Barr Virus (EBV)

C:-HIV

D:-Hepatitis B

Correct Answer:- Option-B

Question71:-D0 represents the dose required to reduce the surviving fraction of cells to

____________ % of cells.

A:-63%

B:-50%

C:-0%

D:-37%

Correct Answer:- Option-D

Question72:-Intensity Modulated Radiotherapy differs from 3DCRT because:

A:-It uses higher energy beams

B:-It modulates beam intensity across the field

C:-It does not require planning

D:-It is less precise

Correct Answer:- Option-B

Question73:-The most aggressive form of Thyroid cancer is

A:-Papillary Thyroid Cancer

B:-Follicular Thyroid Cancer

C:-Medullary Thyroid Cancer

D:-Anaplastic Thyroid Cancer

Correct Answer:- Option-D

Question74:-According to AJCC 9th edition, Ca breast cT3 represents

A:-Size of the lesion more than or equal to 2 cm

B:-Size of the lesion is less than 2 cm

C:-Tumour size more than 5 cm

D:-Tumour size more than 4 cm

Correct Answer:- Option-C

Question75:-The 4 Rs of Radiobiology include all except

A:-Repair

B:-Regeneration

C:-Reassortment

D:-Reoxygenation

Correct Answer:- Option-B

Question76:-Example for a high LET radiation

A:-X-ray

B:-Alpha particle

C:-Electron

D:-Gamma rays

Correct Answer:- Option-B

Question77:-Conventional fractionation in radiotherapy means

A:-1.3 Gy

B:-2 Gy

C:-3 Gy

D:-4 Gy

Correct Answer:- Option-B

Question78:-The primary purpose of fractionation in radiotherapy is to:

A:-Increase tumour hypoxia

B:-Reduce normal tissue damage

C:-Eliminate all tumour cells instantly

D:-Avoid use of high-energy beams

Correct Answer:- Option-B

Question79:-Short-course radiotherapy schedule for rectal cancer

A:-20 Gy/5 fractions

B:-25 Gy/5 fractions

C:-30 Gy/10 fractions

D:-50 Gy/25 fractions

Correct Answer:- Option-B

Question80:-The commonest site of metastasis in carcinoma of the prostate is

A:-Lung

B:-Brain

C:-Liver

D:-Bone

Correct Answer:- Option-D

Question81:-The Imaging technique most useful for soft tissue delineation in brain

radiotherapy is

A:-MRI scan

B:-CT scan

C:-PET scan

D:-X-ray

Correct Answer:- Option-A

Question82:-The target volume that includes setup uncertainties and internal organ

motion added to the CTV is

A:-GTV

B:-CTV

C:-PTV

D:-ITV

Correct Answer:- Option-C

Question83:-Following radiation exposure, the skin reaction after 2 to 3 weeks is

A:-Fibrosis

B:-Necrosis

C:-Erythema

D:-Ulceration

Correct Answer:- Option-C

Question84:-Which immobilisation device is commonly  used in head and neck

radiotherapy?

A:-VacLoc

B:-Thermoplastic mould

C:-Breast board

D:-Belly board

Correct Answer:- Option-B

Question85:-Radiation myelopathy is injury to which organ?

A:-Spleen

B:-Skin

C:-Parotid

D:-Spinal cord

Correct Answer:- Option-D

Question86:-A field technique with a lateral parallel opposed lateral beam arrangement

is commonly used in

A:-Larynx

B:-Oesophagus

C:-Breast

D:-Prostate

Correct Answer:- Option-A

Question87:-An X-ray Machine which can reproduce radiation treatment conditions is

called

A:-Cyclotron

B:-Magnetron

C:-Linear accelerator

D:-Simulator

Correct Answer:- Option-D

Question88:-The Primary treatment for locally advanced cervical cancer is

A:-Surgery alone

B:-Concurrent chemoradiation

C:-Chemotherapy alone

D:-Immunotherapy alone

Correct Answer:- Option-B

Question89:-Half-life of lridium-192 is

A:-6 hours

B:-74 days

C:-9 hours

D:-5 years

Correct Answer:- Option-B

Question90:-The technique of delivering radiotherapy where the gantry continuously

rotates while modulating beam intensity is

A:-IMRT

B:-2 D RT

C:-Hyperfractionated RT

D:-VMAT

Correct Answer:- Option-D

Question91:-Which of the following techniques uses daily imaging to verify patient

positioning before  treatment?

A:-Conventional Radiotherapy

B:-Image-Guided Radiotherapy

C:-Orthovoltage therapy

D:-Teletherapy without imaging

Correct Answer:- Option-B

Question92:-The main purpose of immobilization devices in radiotherapy is to:

A:-Reduce cost

B:-Improve patient comfort only

C:-Ensure reproducibility of treatment position

D:-Decrease machine time

Correct Answer:- Option-C

Question93:-Which of the following is a basic principle of radiation protection?

A:-Increase exposure time

B:-Decrease distance from source

C:-Use shielding

D:-Avoid documentation

Correct Answer:- Option-C

Question94:-The unit of absorbed radiation dose is:

A:-Sievert (Sv)

B:-Gray (Gy)

C:-Becquerel (Bq)

D:-Coulomb (C)

Correct Answer:- Option-B

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