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Past Questions

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

The risk of infection is highest when there is:

A) Needle stick injury
B) Eye contact
C) Speaking to patient
D) Walking in ward
Option B is correct: Eye contact.
MHMS • 2026 • Paper-IV (Technical Paper - II)

According to the Inverse Square Law, if distance from the source is doubled, radiation intensity becomes:

A) Two times
B) Half
C) One-fourth
D) Four times
Option C is correct: One-fourth.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Somatic effects of radiation occur in:

A) The exposed individual only
B) Future generations
C) Plants only
D) Animals only
Option A is correct: The exposed individual only.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Calibration in radiotherapy is mainly performed to ensure:

A) Faster treatment delivery
B) Accurate radiation dose output
C) Overdose or underdose to the patient
D) Protect patient and staff safety
Option B is correct: Accurate radiation dose output.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The effectiveness of radiation therapy depends mainly on:

A) Radiation dose
B) Oxygen level
C) Cell type
D) All of the above
Option D is correct: All of the above.
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.
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)

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 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)

Which type of lung cancer is more radioresistant?

A) Small cell lung carcinoma
B) Non-small cell lung carcinoma
C) Adenocarcinoma of the lung
D) Squamous cell carcinoma of the lung
Option B is correct: Non-small cell lung carcinoma.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The main purpose of quality assurance (QA) in radiotherapy is to:

A) Reduce the number of treatment sessions
B) Ensure safe, accurate, and consistent delivery of radiation
C) Replace fractionation
D) Only check patient positioning
Option B is correct: Ensure safe, accurate, and consistent delivery of radiation.
MHMS • 2026 • Paper-IV (Technical Paper - II)

If one HVL of a material reduces radiation intensity to 50%, two HVLs will reduce it to:

A) 25%
B) 50%
C) 75%
D) 10%
Option A is correct: 25%.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The door of a teletherapy bunker usually shields against:

A) Primary beam
B) Secondary radiation
C) Ultrasound waves
D) Magnetic fields
Option C is correct: Ultrasound waves.
MHMS • 2026 • Paper-IV (Technical Paper - II)

A standard electrometer is usually connected with:

A) Ionization chamber
B) Linear Accelerator
C) Surgery monitoring devices
D) Thermometer
Option A is correct: Ionization chamber.
MHMS • 2026 • Paper-IV (Technical Paper - II)

VMAT can deliver treatment in:

A) One or multiple arcs
B) Only one direction
C) Only two beams
D) No rotation
Option A is correct: One or multiple arcs.