1. 2nd Generation LINAC 5. The IEC document addresses categories of safety A.

Patient positioning and immobilization

1. Isocentric Units issues. B. Integration with imaging systems like MRI
2. Built between 1962-1982 1. Electrical and CT
2. Mechanical C. Energy range adjustments for material
A. 1 is true 3. Radiation penetration
B. 2 is true 4. Chemical D. Use of Intensity-Modulated Radiation
C. Both are true Therapy (IMRT)
D. Neither are true
A. 1&2 only
12. What is the primary function of the injector magnet
B. 1,2, 3 only
and beam transport system in a linear accelerator
2. What type of radiation is used to accelerate C. 2&3 only
(linac)?
electrons in an accelerator? D. AOTA
A. Radio Frequency
B. Microwaves 6. These devices generate the high-frequency waves A) To accelerate the electron beam
C. X-rays needed to speed up the electrons. B) To focus and steer the electron beam
D. Gamma Rays A. RF Power Source into the linac
B. Accelerating Waveguide C) To produce X-rays for radiation therapy
C. Magnet Systems D) To monitor the electron beam quality
3. Combines dual energy capabilities with intensity
modulation techniques
1. 4th Gen LINAC 7. Xray Target purpose:
2. 5th Gen LINAC A. The Energy Provider 13. What is the process by which electrons are
B. Turning Electrons into X-rays grouped into small bunches in the electron injection
A. 1 is true C. The Speed Booster process?
B. 2 is true
C. Both are true
8 This produces electrons that will later be used for A) Thermionic emission
D. Neither are true
treatment. B) Pre-bunching using RF fields
A. Machine Gun C) Magnetic injection
1. Medical linear accelerator (LINAC)
B. Accelerating Gun D) Acceleration
a. commonly used for internal beam radiation
C. Electron Gun
treatments for patients with cancer.
b. delivers low-energy x-rays or electrons to 14. What is one of the challenges and limitations
9. Which component of a linear accelerator (LINAC) is
the region of the patient’s tumor. associated with the operation of the injection system
responsible for generating the necessary microwave
energy for particle acceleration? in a linac?
A. Only A is true
A. Electron Gun
B. only B is true
B. Beam Transport System A) Beam instability
C. Both are true
C. RF Power Source B) Electron gun performance
D. Neither is true
D. Collimators C) Magnetic field uniformity
D) All of the above
4. Who operates the Medical linear accelerator 10. Why is collimation important in the configuration of
(LINAC) equipment? a medical LINAC?
1. Radiation oncologist A. It increases the speed of electron 15. What is the main function of RF power in an MRI
2. Medical physicist acceleration machine?
3. Radiation therapist B. It ensures accurate targeting of the
radiation dose A. To generate X-rays for imaging
A. 1&2 only C. It generates the microwave energy needed B. To excite hydrogen protons for signal
B. 1&3 only for acceleration detection
C. 2&3 only D. It prevents system overheating C. To cool the MRI scanner
D. 1,2 and 3 D. To produce ultrasound waves
11. Which of the following is a key configuration
consideration for industrial applications of LINACs?
16. Why is RF ablation preferred over traditional B. Klystrons function as RF amplifiers, 27. It refers to the manipulation and guiding of high-
surgery for treating tumors? requiring an input RF signal to amplify, energy electron beams through a series of
while magnetrons generate microwaves electromagnetic fields in various applications.
A. is non-invasive and does not require independently. A. electron beam transport
anesthesia C. Magnetrons are employed in higher energy B. beam collimation
B. It destroys cancerous cells with heat accelerators (greater than 6 MeV), while C. dose monitoring system
while minimizing damage to healthy klystrons are used for lower energy D. radiofrequency power generation system
tissue accelerators.
C. It uses radiation to shrink tumors D. Klystrons generate microwaves by utilizing 28. The goal of electron beam transport.
D. It requires open surgery for effectiveness a magnetic field and resonant cavities, A. used in blocking scattered radiation
while magnetrons require an input RF B. uses a maximize exposure technique in
signal to amplify. order to achieve specific results
17. Which of the following is a major challenge of C. controls the direction, focus, and
using RF power in MRI, and what is a solution for it? intensity of the beam to achieve specific
22. What do waveguides do in LINACs?
results
A. issue heating; Automated RF power A. Generate microwaves
D. uses high dose calculations and treatment
control B. Transport microwaves
planning to achieve specific results
B. Signal distortion; Increasing RF power C. Amplify signals
levels D. Inject electrons
29. Electron beam transport wants achieve a specific
C. MRI noise; Using higher RF frequencies result using specific combinations, which of the
D. Slow imaging; Reducing RF shielding 23. What do magnetrons generate? following is not a part of those combinations?
A. RF signals I. Electromagnetic Fields
18. Which component of a LINAC helps accelerate B. Microwaves II. Beam Optics
electrons? C. Electron beams III. Vacuum Chamber
A. Target D. Magnetic fields IV. Beam Diagnostics
B. Collimator V. Photon emission
C. Accelerating waveguide 24. Is a highly advanced machine used primarily in
D. Cooling system radiation therapy to treat cancer through high energy
A. II and II
X-rays?
B. V only
A. Linac
19. What type of wave structure is commonly used in C. I, II, III
B. Power Supply
a high-energy LINAC? D. III only
C. auxiliary system
A. Traveling wave structure
B. Standing wave structure 30. Which component helps shape and refine the
C. Both a and b 25. It typically uses water to dissipate heat? radiation beam before it reaches the patient?
D. None of the above A. Ion chamber
A. Linac B. Waveguide
20. What is the main purpose of phase velocity control B. Cooling System C. Collimators
in a LINAC accelerating waveguide? C. Power Supply D. Electron gun
A. To synchronize the electron speed
with the traveling electromagnetic wave 26. This system ensure the delivery of the correct 31. What is the purpose of the flattening filter in a
B. To cool down the accelerating structure dose of radiation to the target tissue? LINAC?
C. To generate high-energy photons A. To increase the intensity of the X-ray beam
D. To reduce beam scattering B. To spread out and make the X-ray beam
A. Linac
B. Cooling system more uniform
21. Which of the following statements about C. To block unwanted radiation
magnetrons and klystrons is true? D. To help cool down the LINAC components
A. Magnetrons function as RF amplifiers, C. Dosimetry System
requiring an input RF signal to amplify,
while klystrons generate microwaves 32. What is the main difference between photon
independently. therapy and electron therapy in LINAC treatment?
 A. Photon therapy penetrates deeper, while I. Primary Collimator – maybe constructed of C. To diagnose cancer using ionization
electron therapy is used for superficial lead and tungsten and it defines the beam chamber
tumors shape D. To measure patient vital signs during
B. Electron therapy is used for deep-seated II. Secondary Collimator – it is a continuously therapy
tumors, while photon therapy treats surface- movable x ray collimator and is made up of
level tumors lead and tungsten blocks
43.) Which component of LINAC dose monitoring
C. Both photon and electron therapies
system is primarily responsible for ensuring that the
penetrate the body equally
A. I prescribed radiation dose is delivered accurately?
D. Photon therapy does not require an X-ray
B. II A. Multi-leaf collimator
target
C. None of the above B. Beam shaping filter
D. All of the above C. Ionization chamber
D. Gantry
38. What is used to replace the beam blocks and
33.What type of radiation therapy is associated with a
consists of fine tungsten that moves independently of
medical linear accelerator (linac)? 44.) How does a LINAC dose monitoring system
one another?
A. Internal radiation therapy ensure patient safety?
A. Primary Collimator
B. Chemotherapy A. By continously measuring the radiation
B. Flattening Filter
C. External-beam radiation therapy dose and stopping the beam if the dose
C. Secondary Collimator
D. Immunotherapy exceeds limits
D. Multileaf Collimator
B. By increasing the energy of the X-ray beam
34. What effect causes the production of x-rays in a for deeper penetration
39.) Used to define the field size and shape, which
linac? C. By aligning the patient automatically without
can be rectangular or circular depending on the
A. The Doppler effect technician input
treatment area.
B. The photoelectric effect D. By reducing the treatment time significantly
A. Bulos
C. The Compton effect
B. Electron Applicator
D. The Bremsstrahlung effect
C. Isodose curve
D. Isodose Chart
35. What does the tungsten target do in a linac?
A. Produces x-rays
40.)Typically, the electron beam central axis depth
B. Filters radiation
dose curve exhibits a?
C. Cools the machine
A. High surface dose
D. Focuses the beam
B. low surface dose
C. both are true
36. Which of the following is correct about primary
D. both are false
collimators?
I. Minimizes leakage of scatter radiation
II. Produces a cone shaped beam on one end 41.) It is a special radiotherapeutic technique in which
of the opening a rotational electron beam is used to treat superficial
III. collimator jaws restrict the beam in ‘X’ and tumour volumes that follow curved surfaces.
‘Y’ direction using four jaws A. Electron Arc Therapy
IV. defines the largest available circular field B. Pencil beam algorithm
size C. Abuted photon
D. Targeted Molecular therapy
A. I,II, III,
42.) What is the main function of a LINAC in radiation
B. I, III, IV
therapy?
C. I, II, IV
A. To image tumors using X-rays
D. I, II, III, IV
B. To deliver high energy radiation to treat
cancer
37. Which of the following is correct?