Topic 1 - Radiation and Treatment Flashcards

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1
Q

What are x-rays used for in medicine

A

High energy EM waves that get absorbed by dense materials like bone and metal. This makes them good to take x-ray photographs that can be used to diagnose bone fractures. CAT scans

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2
Q

How do CAT scans work?

A

use x-rays to produce an image of a 2D slice through the body. They use intense beams of x-rays that are strongly ionising. They can be used to see soft tissue as well as bones.

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3
Q

What is an endoscope?

A

reflects visible light along optical fibres and can be used to see inside the patient to investigate problems without invasive surgery.

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4
Q

What frequency is ultrasound

A

above 20 kHz

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5
Q

What makes ultrasound safer than using x-ray and other ionising radiation

A

It isn’t ionising

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6
Q

What are the uses of Ultrasound

A

Breaking down kidney stones Pre-natel scanning of a foetus Measuring speed of blood flow

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7
Q

How does ultrasound break down kidney stone

A

Kidney stones are hard masses that can block the urinary track and be extremely painful. An ultrasound beam concentrates high energy waves at the stone and turns it into sand like particles, these pass out of the body in urine and is good because it doesn’t require surgery and is relatively painless.

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8
Q

How is ultrasound used for pre natal scanning

A

Ultrasound imaging can be used to diagnose soft tissue problems and to perform prenatal scans of a foetus. The sound waves are reflected off the different tissue boundaries and the times and distributions of the echoes are processed by a computer to form an image on the screen.

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9
Q

How is ultrasound used to measure the speed of blood flow

A

because it works in real time it can show things changing and moving which makes it useful for investigating problems with blood flow particularly in heart and liver. special ultrasound machines can measure the speed of the blood flow and identify any blockages in the veins and arteries.

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10
Q

What is radiation

A

radiation is energy that originates from a source

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11
Q

What does the intensity of radiation depend on?

A

Distance from the source and what it is passing through.

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12
Q

What is radiation absorbed by?

A

Unless passing through a vacuum some radiation is absorbed by the medium its passing through. The more dense the medium the more radiation will be absorbed, decreasing the intensity

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13
Q

What is the unit of intensity?

A

W/m2

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14
Q

What is refraction

A

Change in direction due to a change in speed. When waves slow down the bend towards the normal, when they speed up they move away.

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15
Q

What are the two types of lens

A

covering (convex) and diverging (concave)

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16
Q

What do converging lenses do to light?

A

they make the light converge (come together) to focus at the focal point.

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17
Q

What does a diverging lens do to light?

A

it makes the rays of light diverge (spread out)

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18
Q

Where is the focal point of a diverging lens?

A

it is the point where rays hitting the lens parallel to the axis appear to come from, so behind the lens

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19
Q

What are the three rules for refraction in a converging lens?

A

An incident ray parallel to the axis refracts through the lens and passes through the focal point on the other side.

An incident ray passing through the focal point before entering the lens will refract through the lens and travel parallel to the axis.

An incident ray passing through the centre of the lens carries on in the same direction.

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20
Q

How can you use a ray diagram to find the position and size of an image through a converging lens

A

draw line from top of object that is parallel to axis to centre of lens then connect it to focal point and carry it on. Draw another line from top of object to middle of lens then carry it on until it crosses the other line. This is the top of the image.

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21
Q

What are the three rules for refraction in a diverging lens

A

An incident ray parallel to the axis refracts through the lens, and travels in line with the focal point (so it appears to have come away from the focal point)

An incident ray passing towards the focal point refracts through the lens and travels parallel to the axis

An incident ray passing through the centre of the lens carries on in the same direction

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22
Q

how do you draw a ray diagram for an image through a diverging lens

A

draw a line from the top of the object to the centre of the lens parallel to the axis. Draw another ray from the top of the object going through the centre of the lens. The incident ray thats parallel to the axis is refracted so appears to have come from the focal point, so draw a line to the focal point. The ray passing through the middle doesn’t bend. Mark where the rays meet and this is the top of the image. If the object is not on the axis then do the same for the bottom of the object.

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23
Q

Is the image produced by a diverging lens real or virtual

A

virtual

24
Q

Does a powerful lens have a short or long focal length

A

short

25
Q

What is the power of a lens measured in

A

Dioptres (D)

26
Q

In the lens equation 1/f = 1/u + 1/v what do f, u and v stand for

A

f = focal length u = object distance v = image distance

27
Q

What is the iris?

A

Coloured part of eye Made of muscles that control the size of the pupil so determine how much light is let in.

28
Q

What is the cornea?

A

Transparent ‘window’ with a convex shape. Refracts light as it comes into the eye

29
Q

What is the lens in an eye

A

Transparent, bi-convex, flexible disc behind the iris attached by the suspensory ligaments to the ciliary muscles. Focuses light onto the retina.

30
Q

What is the retina

A

covered in light sensitive cells which detect light and send signals to the brain.

31
Q

what is the optic nerve

A

bundle of sensory neurones at back of eye that carries impulse from eye to brain

32
Q

What is the pupil

A

a small opening in the iris that lets light into the eye

33
Q

what are ciliary muscles

A

muscle that surrounds the lens to make it change shape to focus light onto the retina. When they contract the muscle becomes a more spherical shape.

34
Q

which two parts of the eye focus light

A

the cornea and the lens. the cornea has a fixed power but the lens can change its focusing power by changing shape.

35
Q

What is the far point

A

the furthest distance that the eye can focus on comfortably, for most people that is infinity.

36
Q

What is the near point

A

the closest distance that the eye can focus on. For the average adult that is around 25cm

37
Q

What happens with short sightedness

A

Short sighted people can’t focus on images that are far away so their near point is closer than infinity. Images of distant objects are focused in front of the retina. This happens because the cornea/lens is too powerful, the eyeball is too long, or the ciliary muscles can’t relax enough.

38
Q

What happens with long sightedness

A

Long sighted people can’t focus clearly on near objects because their near point is further away than usual. Images are focused behind the retina. This happens because the cornea/lens are too weak, the eyeball is too short, the ciliary muscles can’t contract enough to change the shape of the lens. It often occurs with old age because the lens becomes stiffer or the ciliary muscles become weaker.

39
Q

How do you correct short sightedness

A

a diverging lens with its focal point at the eyes faulty far point so objects at infinity seem to be in focus

40
Q

how do you correct long sightedness

A

a converging lense is used to produce a virtual image of objects 25cm away at the eyes near point. this means close objects now seem to be in focus at the near point.

41
Q

What are the methods to correct sight

A

glasses, contact lenses or laser eye surgery

42
Q

How do contact lenses work?

A

the cornea does most of the focusing in the eye and when it is the wrong shape it can be too weak or too powerful, and can be responsible for both long and short sight. Contact lenses sit on top of the cornea and are shaped to compensate for the fault, they can be converging or diverging.

43
Q

how does laser eye surgery work

A

a laser can be used to vaporise tissue, changing the shape of the cornea. Slimming it down makes it less powerful and can improve short sight. Changing the shape so that it is more powerful will improve long sight. The surgeon can precisely control how much tissue the laser takes off, completely correcting the vision.

44
Q

What are the things to consider when choosing treatment for sight problems

A

glasses are cheapest and can treat even severe eye problems, however some people find them heavy, uncomfortable, and don’t like the way they look. Can easily be changed if in need of different prescription

Contact lenses are convenient, relatively cheap, lightweight, and almost invisible. However they can be uncomfortable and sometimes fall out of your eye and cause eye infections if not looked after properly. Can easily be changed if in need of different prescription

Laser eye surgery has potential to properly fix vision so no need for glasses or contacts, however it can be expensive, there is a risk such as an infection, your eye could respond unexpectedly making your eyesight worse, not a permanent solution as eyesight may still deteriorate.

45
Q

What is refractive index.

A

Every transparent material has a refreactive index. It is a number given to it to desribe what happens to waves as they are refracted through it. Air has a refractive index of 1, glass slows waves down more so is higher (1.5 ish).

46
Q

What is snells law for going from air to glass

A

n = sin i/sin r

47
Q

What is snells law going from glass to air

A

n = sin r/sin i

48
Q

what is snells law to calculate critical angle

A

n = 1/sin c (going from air into something)

sin c = n1/n2

49
Q

what is critical angle

A

the angle for wich r=90. The light is refracted along the boundary.

50
Q

What happens if i is less than the critical angle

A

most of the light passes out but a little is internally reflected

51
Q

What happens if i is equal to the critial angle

A

the emerging ray comes out along the surface, theres quite a bit of internal reflection

52
Q

What happens if i is more than the critical angle

A

total internal reflection. no light comes out, it is all internally reflected.

53
Q

how do optical fibres use total internal reflection

A

optical fibres can carry visible light and can be used in medical diagnosis and communications. They work because of total internal reflection - light waves are reflected off the sides of the inner core of glass or plastic. the wave enters one end and is reflected repeatedly until it emerges at the other end. The fibre must be narrow enogh to keep the angles above the critical angle and the fibre mustn’t be bent too sharply.

54
Q

How do endoscopes work

A

an endoscope is a thin tube containing optical fibres that lets surgeons examine inside the body. They consist of two bundles of optical fibres - one to carry light to the area and one to carry an image back so it can be viewed. The image can be seen through an eyepiece of displayed as a full colour moving image on a tv screen.

55
Q

What are the advantages of using endoscopes

A

Surgeons can now perform many operations by only cutting small holes in people, this is called keyhole surgery.