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Radiology · Radiobiology: DNA damage
Sample itemWhich type of DNA damage is the most important lethal lesion caused by ionising radiation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Double-strand break
Double-strand breaks are difficult to repair accurately and are the main cause of cell death through chromosome aberrations. Single-strand breaks are readily repaired. Thymine dimers arise from UV light.
Option by option
A. Double-strand break (correct)
Correct. DNA double-strand breaks are the critical lethal event.
B. Thymine dimer from UV
Thymine dimers are UV-induced.
C. Single base methylation
Base methylation is an alkylating agent effect.
D. Purine depurination
Depurination is a spontaneous chemical lesion.
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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