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Past Questions — 2026

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

A dose of 200 cGy is prescribed at depth. Dose rate at surface = 100 cGy/min, PDD = 80%. What is the treatment time? (Treatment time = Dose/(Dose rate x PDD))

A) 2 min
B) 2.5 min
C) 3 min
D) 3.5 min
Option B is correct: time=200/(100×0.80)=2.5 minutes.
MHMS • 2026 • Paper-IV (Technical Paper - II)

3D-CRT stands for:

A) Three Diamensional Computed Radiotherapy
B) Three Diamensional Conformal Radiotherapy
C) Three Diamensional Controlled Radiotherapy
D) Three Diamensional Cancer Radiotherapy
Option B is correct: Three Diamensional Conformal Radiotherapy.
MHMS • 2026 • Paper-IV (Technical Paper - II)

According to radiation safety guidelines, shielding must ensure that:

A) Dose limits are not exceeded
B) Radiation exposure increases
C) Machines work faster
D) Patients receive maximum dose
Option A is correct: Dose limits are not exceeded.
MHMS • 2026 • Paper-IV (Technical Paper - II)

A Multi-Leaf Collimator (MLC) is mainly used in which technique?

A) Conventional radiotherapy
B) Conformal radiotherapy
C) Orthovoltage therapy
D) Brachytherapy
Option C is correct: Orthovoltage therapy.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The three basic principles of radiation protection recommended by the International Commission on Radiological Protection are:

A) Justification, Optimization, Dose Limitation
B) Imaging, Diagnosis, Treatment
C) Time, Distance, Speed
D) Measurement, Calculation, Therapy
Option A is correct: Justification, Optimization, Dose Limitation.
MHMS • 2026 • Paper-IV (Technical Paper - II)

According to radiation safety, exposure to radiation is:

A) Directly proportional to time
B) Inversely proportional to time
C) Independent of time
D) Always constant
Option A is correct: Directly proportional to time.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The main target of radiation damage in the cell is:

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

An example of deterministic effect is:

A) Skin erythema
B) Genetic mutation
C) Cancer
D) Leukemia
Option A is correct: Skin erythema.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Beam quality is mainly determined by:

A) Machine brand
B) Beam energy
C) Field size only
D) Fraction number
Option C is correct: Field size only.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Pyriform fossa is part of the:

A) Oropharynx
B) Hypopharynx
C) Nasopharynx
D) Larynx
Option B is correct: Hypopharynx.
MHMS • 2026 • Paper-IV (Technical Paper - II)

A radiotherapy technologist may face legal action if:

A) They perform duties responsibly
B) They cause harm due to negligence
C) They follow safety procedures
D) They maintain records
Option A is correct: They perform duties responsibly.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The main lymphatic drainage of the breast is to:

A) Inguinal lymph nodes
B) Axillary lymph nodes
C) Pelvic lymph nodes
D) Cervical lymph nodes
Option B is correct: Axillary lymph nodes.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Treatment time in Telecobalt therapy mainly depends on:

A) Prescribed dose
B) Dose rate of the machine
C) Field size and depth factors
D) All of the above
Option B is correct: Dose rate of the machine.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Occupancy factor is important because:

A) People may stay in adjacent areas
B) Radiation intensity changes
C) Machines produce more radiation
D) Patients require longer treatment
Option B is correct: Radiation intensity changes.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Spinal cord tumors may be classified as:

A) Intramedullary
B) Extramedullary
C) Extradural
D) All of the above
Option D is correct: All of the above.
MHMS • 2026 • Paper-IV (Technical Paper - II)

In any radiation emergency situation, the technologist should:

A) Inform the doctor immediately
B) Inform the RSO immediately
C) Leave the department
D) Continue routine work
Option B is correct: Inform the RSO immediately.
MHMS • 2026 • Paper-IV (Technical Paper - II)

During radiotherapy treatment, the technologist should:

A) Leave the patient unattended without monitoring
B) Monitor the patient through camera and intercom
C) Stay inside the treatment room
D) Turn off machines
Option B is correct: Monitor the patient through camera and intercom.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Histopathologic classification of tumors is primarily based on:

A) Tumor size
B) Cell of origin and microscopic appearance
C) Patient age
D) Radiation sensitivity
Option C is correct: Patient age.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Which isotope was historically used in brachytherapy but is now rarely used due to safety concerns?

A) Radium-226
B) Iridium-192
C) Cesium-137
D) Cobalt-60
Option A is correct: Radium-226.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Empathy in patient care means:

A) Ignoring patient emotions
B) Understanding and sharing patient feelings
C) Doing the procedure quickly without explaining
D) Avoiding conversation
Option B is correct: Understanding and sharing patient feelings.
MHMS • 2026 • Paper-IV (Technical Paper - II)

IMRT helps to:

A) Increase radiation exposure to normal tissue
B) Reduce dose to surrounding healthy organs
C) Avoid radiation treatment
D) Increase patient movement
Option B is correct: Reduce dose to surrounding healthy organs.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Planning Target Volume (PTV) is created to:

A) Include tumor only
B) Compensate for setup errors and patient movement
C) Reduce tumor size
D) Replace treatment planning
Option B is correct: Compensate for setup errors and patient movement.
MHMS • 2026 • Paper-IV (Technical Paper - II)

Asepsis means:

A) Presence of micro-organisms
B) Absence of disease-causing microorganisms
C) Using only antibiotics for treatment
D) Growth of bacteria
Option A is correct: Presence of micro-organisms.
MHMS • 2026 • Paper-IV (Technical Paper - II)

A deterministic effect of radiation has:

A) A threshold dose
B) No threshold dose
C) No biological effect
D) No relation with dose
Option A is correct: A threshold dose.
MHMS • 2026 • Paper-IV (Technical Paper - II)

The wedge angle is defined as the angle between:

A) Central axis and beam edge and the patient surface
B) Isodose curve (usually 50%) and a line perpendicular to the beam axis.
C) Two treatment beams
D) Surface and central axis
Option B is correct: Isodose curve (usually 50%) and a line perpendicular to the beam axis..