You are allowed ten minutes before the start of the examination to acquaint yourself with the instructions below and to read the question paper. Do not write anything until the invigilator informs you that you may start the examination. You will be given five minutes at the end of the examination to complete the front of any answer books used. ________________________________________________________________ June 2000 DE 4018 2 Answer Books THE UNIVERSITY OF READING Part III Examination in Science Physics Unit 3/PH/L1 PHYSICS IN MEDICINE 1½ Hours ________________________________________________________________ Answer TWO Questions • Describe, using suitable diagrams, the operation of a typical x-ray tube. Page 2 (4 marks) Discuss the effect of the following on the spectrum emitted from an • • • • x-ray tube Increasing the tube voltage Increasing the tube current Increasing the atomic number of the target Replacing the x-ray transparent window on the tube with an aluminium sheet.(8 marks) In an x-ray image of a broken arm bone, the contrast between bone and soft tissue for x-rays from a tube with a particular voltage is found to be 0.9. Using suitable estimates and given that 3% of x-rays are transmitted through the soft tissue, calculate the absorption coefficient of bone. (6 marks) Measurement of the dose received at the exit (ie, lower) surface of the skin in regions where x-rays have only passed through soft tissue shows this to be 10-4 Gy. Estimate the doses received at the entrance surface of the skin and at the exit surface of the skin below the bone. (2 marks) 2 (a) A typical motor nerve axon is a myelinated fibre with short, unmyelinated sections known as nodes of Ranvier. Explain the functions of the myelin sheath and the nodes of Ranvier. (4 marks) Estimate the speed of a nerve pulse in a typical motor nerve axon. (6 marks) (Some of the following data for a typical axon may be useful: Resistivity = 2 m, Capacitance per unit area of nerve membrane = 5 x 10-5 Fm-2, Radius of axon core = 1 m, Distance between nodes of Ranvier = 1 mm) 2 (b) An axon, is bounded by a membrane. The K+ concentration inside the axon is 165 moles / m3 and outside it is 8 moles / m3. Inside the axon the potential is 90 mV with respect to the outside. In which directions are the K+ ion flows due to the electric field and due to diffusion? Which is the greater? State any assumptions you make. You may need the following: For a body at 37o C the Nernst equation, when equilibrium is established, can be written in the form VOUT - VIN = 60 log10 (XIN/ XOUT) where X is the mole fraction of K+ ions, V the electric potential and the subscripts IN and OUT refer respectively to inside and outside the membrane.(10 marks) DE 4018 Page 3 3. Explain the basic principles of the echo technique used in ultrasound imaging. What gives rise to losses in the echo signal? Why is a jelly used between the patient and piezoelectric transducer? (12 marks) Explain the A-mode, B-mode and M-mode ultrasound techniques. (8 marks) (End of Question Paper) DE 4018