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Medical Physics

  • 19 subtopics
  • 83 things to know
  • Paper 3, section B
  • Paper 3 Section B, one optional topic of five

What Medical Physics covers

Medical physics is one of the five optional topics, sat on Paper 3. It applies optics, sound and radiation physics to the body: how the eye and ear work and how their defects are corrected, then the imaging techniques built on ultrasound, X-rays, magnetic resonance and gamma emission.

Where it is assessed

Paper 3, section B

One optional topic, chosen from five.

Check the AQA specification ↗

The 19 subtopics

Each one has its own page.

What you need to know

Answer each one before you reveal it.

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Key term

Where does light refract in the eye, and where do the rays converge for a distant object?

Process

How does the lens change shape for near objects, and what image forms on the retina?

Key term

Why do cones fail in dim light, and which receptors dominate night vision?

Numbers

How does peak spectral sensitivity shift at night, and how does photodetection begin?

Process

How does the convergence of multiple rods onto one bipolar cell affect sensitivity?

Numbers

At approximately what wavelength do short wavelength cones have their peak sensitivity?

Numbers

How is the power of a lens calculated, and what is focal length?

Numbers

What do the symbols in P = 1/f mean, and what sign do converging and diverging lenses take?

Numbers

What is linear magnification, and what units must focal length be in for dioptres?

Numbers

What is myopia, and how does the lens equation rearrange for image distance?

Numbers

How is the corrective power found, and what image does a diverging lens form?

Key term

In an astigmatism prescription, what does the cylindrical power (cyl) correct for?

Numbers

How is pressure amplification in the middle ear calculated, and why does it occur?

Numbers

How does the eardrum respond to sound, and what do the ossicles do?

Numbers

What is the structure of the cochlea, and how does the stapes create pressure waves?

Key term

What type of cells in the cochlea act as sensory receptors for hearing?

Process

How do hair cells in the cochlea generate nerve signals?

Numbers

What is sound intensity, and how does perception relate to the actual value?

Numbers

What unit is sound intensity in, and how is intensity level in decibels calculated?

Numbers

What does I₀ represent, what does each 10 dB step correspond to, and what is the intensity level of a 1.0 × 10⁻⁵ W m⁻² sound?

Numbers

How do the dB and dBA scales differ, and what does 0 dB correspond to?

Process

What damage does prolonged loud noise cause, and how does it show on an audiogram?

Process

How does age-related hearing loss appear on tests, and which frequencies suffer most?

Numbers

What distinctive feature on an equal loudness curve suggests damage from excessive noise exposure rather than age?

Key term

What does an ECG record, how large are the signals, and why must they be amplified?

Process

What do the QRS complex and the T wave represent, and why is the QRS larger?

Key term

State the correct order of the main features in a normal ECG waveform

Numbers

How is acoustic impedance defined, and what unit does it take?

Numbers

What determines how much ultrasound reflects at a boundary?

Numbers

How is depth found in an A-scan, and what is a B-scan?

Evaluation

State three practical advantages of ultrasound imaging equipment

Key term

Why is ultrasound imaging unsuitable for examining the lungs or structures behind bone?

Process

At what angle must light strike the core-cladding boundary for total internal reflection?

Key term

What is a coherent fibre bundle, and why is one needed to carry an image?

Process

How does endoscopy avoid open surgery, and what does that mean for recovery?

Key term

Why can flexible endoscopes navigate curved paths through the body?

Numbers

What do the gradient coils do, and what produces the main magnetic field?

Process

How are protons excited during a scan, and what happens when the pulse stops?

Key term

Why is hydrogen the element exploited in MR scanning?

Numbers

What sets the maximum photon energy in an X-ray tube?

Numbers

Why does the minimum wavelength carry the highest energy, and what makes up the spectrum?

Process

How are characteristic X-rays produced, and what sets their photon energy?

Process

Why is a rotating anode used, and what controls beam intensity?

Key term

What is the purpose of placing an aluminium filter in the X-ray beam?

Process

If the tube current is increased, what happens to the maximum photon energy of the X-ray beam?

Key term

What does each layer of a flat panel detector do?

Process

How does a flat panel detector improve on photographic film?

Key term

What is contrast enhancement, and why does barium sulfate work as a contrast agent?

Key term

What is the role of the input phosphor screen in an image intensifier?

Key term

What do the electron focusing electrodes do in an image intensifier?

Numbers

How does X-ray intensity change through a material, and what unit does μ take?

Numbers

What do the symbols in I = I₀e⁻μx mean, and how is the mass attenuation coefficient defined?

Numbers

What is half-value thickness, and how does it relate to the attenuation coefficient?

Key term

What is the physical basis for contrast in X-ray imaging?

Evaluation

What do reconstruction algorithms do, and what detail advantage does CT offer?

Key term

Why is a monochromatic beam preferred, and where are the detectors placed?

Evaluation

How do the dose and cost of CT compare with a plain X-ray, and what risk follows?

Key term

How can three-dimensional images of anatomy be generated from CT data?

Numbers

Why is technetium-99m suited to imaging, and what is its half-life?

Numbers

What radiation does iodine-131 emit, and what is its half-life?

Numbers

What are the half-life and gamma energies of indium-111, and what is it used for?

Numbers

What makes a good medical tracer, and how is technetium-99m produced?

Numbers

Why is a generator used on site rather than delivering technetium-99m directly?

Numbers

What determines physical half-life, and what processes give the biological one?

Numbers

How does effective half-life compare with the other two, and what formula links them?

Numbers

What is the formula for effective half-life, and what do its terms represent?

Key term

What is the collimator made of, and which gamma rays does it let through?

Process

Which component converts gamma photons to light, and what detects that light?

Process

What are dynodes, and how are their potentials arranged?

Key term

What typical gain can a photomultiplier tube achieve?

Key term

In a gamma camera, which component is positioned closest to the patient?

Process

What energy do therapeutic X-rays use, and what damage do they cause in cells?

Evaluation

Why is the source rotated around the patient, and why are cancer cells more vulnerable?

Numbers

How do high-energy therapeutic X-rays compare with diagnostic X-rays in terms of penetration and dose distribution?

Key term

What radiation do implants emit, and over what distance is it absorbed?

Evaluation

What is brachytherapy, and why do these implants pose little external hazard?

Process

How available, fast and costly is X-ray imaging?

Numbers

Why do cost and scan duration matter when comparing imaging methods?

Evaluation

How do CT scan times compare with plain X-rays, and what justifies the extra cost?

Evaluation

Why is MRI ruled out for some patients, and how does its cost compare?

Process

Why is PET scanning expensive, why is its availability limited, and why does it need a cyclotron?

Evaluation

What long-term health risk is associated with repeated exposure to ionising radiation from medical imaging?

Key term

What thermal effect can occur in tissues during MRI scanning?

Take Medical Physics further

The same content, four other ways.

Commonly confused

Pairs that lose marks when they are blurred together.

  • Absorbed dose vs Equivalent dose

    Absorbed dose: energy deposited per unit mass. Equivalent dose: energy deposition weighted for radiation type.

  • Ultrasound A-scan vs Ultrasound B-scan

    Ultrasound A-scan: one-dimensional echo-amplitude display. Ultrasound B-scan: two-dimensional brightness image.

  • Computed tomography vs Magnetic resonance imaging

    Computed tomography: cross-sectional imaging using multiple X-ray projections. Magnetic resonance imaging: imaging using nuclear resonance in magnetic fields.

Questions from this topic

Each one with the model answer underneath.

  1. 1

    Which structure in the eye provides the majority of the refractive power?

    Model answer

    The cornea provides most of the refractive power.

  2. 2

    What is the role of the lens in the eye's optical system?

    Model answer

    The lens adjusts focus for objects at different distances by fine-tuning the refraction of light.

  3. 3

    Where does the image form in the eye after light has been refracted?

    Model answer

    The image forms on the retina.

  4. 4

    At which surface does light first undergo significant refraction when entering the eye?

    Model answer

    Light is first refracted at the cornea surface.

  5. 5

    After passing through the cornea, where does light undergo further refraction before reaching the retina?

    Model answer

    Light is further refracted at the surfaces of the lens.

  6. 6

    In a ray diagram of the eye viewing a distant object, what do the incident parallel rays represent?

    Model answer

    Parallel rays represent light from a distant object, where the rays are effectively parallel due to the large object distance.

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Medical Physics revision questions

What does Medical Physics cover in AQA A-Level Physics?
19 subtopics: physics of vision, defects of vision and their correction using lenses, ear as a sound detection system, sensitivity and frequency response, defects of hearing, simple ecg machines and the normal ecg waveform, ultrasound imaging, fibre optics and endoscopy, magnetic resonance (mr) scanner, the physics of diagnostic x-rays, image detection and enhancement, absorption of x-rays, ct scanner, imaging techniques, half-life, gamma camera, use of high-energy x-rays, use of radioactive implants and imaging comparisons. Each one has its own page with questions and model answers.
How is Medical Physics organised?
By the AQA 7408 specification, subtopic by subtopic, so it matches the order you are taught it in.

Every question in Medical Physics, on a schedule.

Attempt a question from memory, write the correct version, then attempt it again. Levo records the jump between your first attempt and your last, and brings each question back on the day you are due to forget it.

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