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Past Questions

MHMS • 2026 • Paper-IV (Technical Paper - II)

The main treatment modalities for head and neck cancers include:

A) Surgery, Radiotherapy, Chemotherapy
B) Immunotherapy only
C) Hormonetherapy and radiotherapy
D) Physical therapy only
Option A is correct: Surgery, Radiotherapy, Chemotherapy.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Which effect may appear many years after radiation exposure?

A) Stochastic effect
B) Deterministic effect
C) Thermal effect
D) Mechanical effect
Option A is correct: Stochastic effect.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The mediastinum is the space between the:

A) Two lungs
B) Two kidneys
C) Two kidneys and liver
D) Two intestines
Option A is correct: Two lungs.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Which of the following tumors is highly radiosensitive?

A) Lymphomas
B) Chondrosarcoma
C) Melanoma
D) Osteosarcoma
Option B is correct: Chondrosarcoma.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Malignant tumors are characterized by:

A) Well-circumscribed borders
B) Slow growth
C) Invasion, metastasis, and cellular atypia
D) Capsule formation
Option B is correct: Slow growth.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The working principle of a TLD is based on:

A) Photoelectric effect
B) Thermoluminescence
C) Radiology and radiotherapy
D) Personnel radiation monitoring
Option C is correct: Radiology and radiotherapy.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Direct effect of radiation occurs when radiation interacts with:

A) water molecule
B) DNA molecule
C) cytoplasm
D) proteins
Option C is correct: cytoplasm.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Which of the following tumors is considered highly curable with modern therapy?

A) Pancreatic adenocarcinoma
B) Hodgkin lymphoma
C) Glioblastoma multiforme
D) Melanoma
Option B is correct: Hodgkin lymphoma.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The most common pathway for metastasis is:

A) Lymphatic spread
B) Hematogenous spread
C) Direct invasion
D) Implantation
Option B is correct: Hematogenous spread.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Acute reactions to radiation typically involve:

A) Slow-growing tissues
B) Rapidly dividing tissues
C) Nervous tissue
D) Cartilage only
Option A is correct: Slow-growing tissues.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Fine Needle Aspiration Cytology (FNAC) is most useful for:

A) Determining tumor stage
B) Examining cells to diagnose tumors or lumps
C) Measuring tumor size
D) Planning radiotherapy dose
Option B is correct: Examining cells to diagnose tumors or lumps.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Which machine requires stronger shielding due to higher energy photons?

A) Diagnostic X-ray
B) Telecobalt unit
C) Linear accelerator
D) Ultrasound
Option D is correct: Ultrasound.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The hinge angle is defined as:

A) Angle between two radiation beams
B) Angle between wedge surface and beam axis
C) Angle between patient surface and beam axis
D) Angle between two isodose curves
Option C is correct: Angle between patient surface and beam axis.
MHMS • 2026 • Paper-IV (Technical Paper - II)

A static wedge is:

A) A motorized moving wedge
B) A fixed metal wedge placed in the beam
C) A computer-generated wedge
D) A bolus material
Option B is correct: A fixed metal wedge placed in the beam.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The part of the cell that controls all cellular activities is:

A) Cytoplasm
B) Nucleus
C) Ribosome
D) Mitochondria
Option B is correct: Nucleus.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Which of the following radicals is commonly produced in radiolysis of water?

A) Hydroxyl radical
B) Sodium radical
C) Calcium radical
D) Iron radical
Option A is correct: Hydroxyl radical.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The first step in cancer management is usually:

A) Radiotherapy
B) Chemotherapy
C) Diagnosis and staging
D) Palliative care
Option B is correct: Chemotherapy.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The main cause of cervical cancer is infection with:

A) HPV
B) EBV
C) HIV
D) Hepatitis virus
Option A is correct: HPV.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The main treatment for leukemia is:

A) Chemotherapy
B) Radiotherapy
C) Bone marrow transplant
D) All of the above
Option D is correct: All of the above.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The most common malignant eye tumor in children is:

A) Melanoma
B) Retinoblastoma
C) Glioma
D) Lymphoma
Option B is correct: Retinoblastoma.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The most common histological type of oropharyngeal cancer is:

A) Adenocarcinoma
B) Squamous cell carcinoma
C) Sarcoma
D) Lymphoma
Option B is correct: Squamous cell carcinoma.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Tumors originating from nerve sheath cells are:

A) Schwannomas
B) Adenomas
C) Sarcomas
D) Osteomas
Option A is correct: Schwannomas.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Ethical responsibility means:

A) Following moral principles in professional practice
B) Only following doctors’ orders without question
C) Breaking hospital rules
D) Sharing patient information freely for research
Option A is correct: Following moral principles in professional practice.
MHMS • 2026 • Paper-IV (Technical Paper - II)

GTV (Gross Tumor Volume) refers to:

A) Microscopic tumor spread
B) Visible or palpable tumor mass
C) Normal tissue around tumor
D) Organ motion area
Option B is correct: Visible or palpable tumor mass.
MHMS • 2026 • Paper-IV (Technical Paper - II)

According to the Law of Bergonié and Tribondeau, cells are more radiosensitive if they:

A) are highly differentiated
B) divide rapidly
C) are mature
D) are large
Option B is correct: divide rapidly.
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