CAIE A-Level Physics A2 24 Medical Physics Questions

Practise analysing diagnostic ultrasound, X-ray imaging, CT and PET using their physical principles, calculations, image formation and clinical trade-offs.

Syllabus
2028–2030
Course
Physics 9702
Level
A2

Exam points

  • explain and calculate ultrasound generation, reflection, impedance and attenuation in medical diagnosis
  • explain X-ray production, image contrast, attenuation and minimum-wavelength calculations
  • interpret CT image construction and compare its diagnostic trade-offs with single X-ray imaging
  • explain tracer-based PET from ?? decay through annihilation and opposing gamma detection
  • calculate annihilation photon energy and interpret detector data as tissue images

Question 1

[Maximum number: 5]

Fluorine-18 (918 F)\left({ }_{9}^{18} \mathrm{~F}\right) is a radioactive nuclide that is used as a tracer in positron emission tomography (PET scanning). Fluorine-18 decays to a nuclide of oxygen ( O ) according to

918 F⟶PQX+8RO. { }_{9}^{18} \mathrm{~F} \longrightarrow{ }_{P}^{Q} \mathrm{X}+{ }_{8}^{R} \mathrm{O} \text {. }

Question (a)

(a)

State what is meant by a tracer.

[ 1 ]

Question (b)

(b)

Explain how the radioactive decay of fluorine-18 results in the emission from the body of the gamma-ray photons that are detected during a PET scan.

[ 2 ]

Question (c)

(c)

Explain how the detection of the gamma-ray photons is used to produce an image of the tissue being examined.

[ 2 ]

Question 2

[Maximum number: 2]

Positron emission tomography (PET scanning) involves the detection of gamma-radiation in order to identify the position of origin of positrons in the body.

Positrons are not naturally present in the body.

Explain how positrons come to be present in the body during PET scanning.

Question 3

[Maximum number: 8]

Question (a)

(a)

Positron emission tomography (PET scanning) makes use of a tracer containing a radioactive material that decays by positron emission.

[ 3 ]

Question (i)

(i)

State what is meant by a tracer.

[ 2 ]

Question (ii)

(ii)

State the name of the particles that are emitted from the body and detected by the detectors during PET scanning.

[ 1 ]

Question (b)

(b)

Explain how the particles in (a)(ii) are created from positrons.

[ 3 ]

Question (c)

(c)

Positrons can be artificially created by a process in the laboratory that is the reverse of the process in (b). This process creates both a positron and an electron moving at the same speed in opposite directions.

Suggest why two of the particles in (a)(ii) are needed to create one positron.

[ 2 ]

Question 4

[Maximum number: 2]

In medical diagnosis, X-rays may be used to produce a single X-ray image or may be used in computed tomography (CT scanning).

Suggest an advantage and a disadvantage of CT scanning compared with single X-ray imaging for diagnosis.
advantage:
disadvantage:

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