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Radiology · Radiobiology: stochastic effects
Sample itemWhich of the following is a stochastic effect of ionising radiation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Radiation-induced carcinogenesis
Stochastic effects, such as cancer and heritable genetic changes, have a probability that rises with dose and no threshold, while severity does not depend on dose. Cataract, erythema and sterility are deterministic (tissue reaction) effects with thresholds. This distinction is central to dose limits.
Option by option
A. Cataract formation
Cataract has a threshold dose and is deterministic.
B. Skin erythema
Erythema appears above a threshold dose and is deterministic.
C. Radiation-induced carcinogenesis (correct)
Correct. Cancer induction is probabilistic with no threshold.
D. Radiation-induced sterility
Sterility needs a threshold gonadal dose and is deterministic.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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