Medical physics

9702 Physics · official mark-scheme answers · 30 questions

9702-2021-m-42-q08

March 2021 · Paper 42 · Question 8 · 8 marks
9702-2021-m-42-q08 official mark scheme page 9702-2021-m-42-q08 official mark scheme page
8(a)(i) at least one anticlockwise arrow and no clockwise arrows B1 8(a)(ii) (force is to the) left B1 8(a)(iii) force is the same B1 Newton’s third law (of motion) B1 or force depends on the product of the two currents © UCLES 2021 Page 15 of 19 8(b)(i) frequency of radio waves is equal to natural frequency of protons B1 resonance of protons occurs / protons absorb energy B1 8(b)(ii) in between pulses / when pulse stops B1 Any 1 from: B1 • protons de-excite • protons emit r.f. pulses • emitted (r.f.) pulse (from proton) detected Question Answer Marks

Official mark scheme pages: 15, 16 · source PDF URL

9702-2021-m-42-q11

March 2021 · Paper 42 · Question 11 · 10 marks
9702-2021-m-42-q11 official mark scheme page 9702-2021-m-42-q11 official mark scheme page
11(a)(i) electrons decelerate (on hitting target) so X-ray photons produced B1 range of decelerations B1 photon energy depends on (magnitude of) deceleration B1 11(a)(ii) hc C1 eV = λ 6.63×10 −34 ×3.0×108 C1 λ= 1.6×10 −19 ×15000 =8.3×10 −11m A1 or (C1) E = hf and c = fλ and electron energy = eV or E = hc / λ and electron energy = eV electron energy = 1.6 × 10–19 × 15000 = 2.4 × 10–15 6.63×10 −34 ×3.0×108 (C1) λ= 2.4×10 −15 λ=8.3×10 −11m (A1) 11(b)(i) μ = – gradient or ln (I / I ) = −μx C1 o (e.g. 2.08 / 10.0) = 0.21 cm–1 A1 © UCLES 2021 Page 18 of 19 11(b)(ii) ln 0.05 =−μx C1 ln0.05 A1 x = −μ e.g. x =14 cm Question Answer Marks

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9702-2021-mj-41-q04

May/June 2021 · Paper 41 · Question 4 · 5 marks
9702-2021-mj-41-q04 official mark scheme page
4 (ultrasound) pulse B1 reflected at boundaries B1 gel is used to minimise reflection at skin B1 or generated and detected by quartz crystal time delay between generation and detection gives information about depth B1 intensity (of reflected wave) gives information about nature of boundary B1 © UCLES 2021 Page 10 of 18

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9702-2021-mj-41-q11

May/June 2021 · Paper 41 · Question 11 · 7 marks
9702-2021-mj-41-q11 official mark scheme page
11(a) intensity: vary filament current/p.d. across filament B1 hardness: vary accelerating potential difference B1 11(b)(i) I = I e –μx C1 0 I = I exp(–0.92 × 9.0) A1 S 0 = 2.5 × 10–4 I 0 11(b)(ii) I = [exp(–0.92 × 6.0) × exp(–2.9 × 3.0)] I C1 C 0 = 6.7 × 10–7 I A1 0 11(c) conclusion consistent with values in (b)(i) and (b)(ii) B1 e.g. I ≫ I so good contrast S C © UCLES 2021 Page 17 of 18

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9702-2021-mj-42-q11

May/June 2021 · Paper 42 · Question 11 · 6 marks
9702-2021-mj-42-q11 official mark scheme page
11(a) to produce a 3-dimensional image of structure/body B1 11(b) X-rays (are used) B1 scanning in sections B1 scanning from many angles B1 image of each section is 2-dimensional B1 scanning repeated for many sections B1 or images of many sections combined together Question Answer Marks

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9702-2021-mj-43-q04

May/June 2021 · Paper 43 · Question 4 · 5 marks
9702-2021-mj-43-q04 official mark scheme page
4 (ultrasound) pulse B1 reflected at boundaries B1 gel is used to minimise reflection at skin B1 or generated and detected by quartz crystal time delay between generation and detection gives information about depth B1 intensity (of reflected wave) gives information about nature of boundary B1 © UCLES 2021 Page 10 of 18

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9702-2021-mj-43-q11

May/June 2021 · Paper 43 · Question 11 · 7 marks
9702-2021-mj-43-q11 official mark scheme page
11(a) intensity: vary filament current/p.d. across filament B1 hardness: vary accelerating potential difference B1 11(b)(i) I = I e –μx C1 0 I = I exp(–0.92 × 9.0) A1 S 0 = 2.5 × 10–4 I 0 11(b)(ii) I = [exp(–0.92 × 6.0) × exp(–2.9 × 3.0)] I C1 C 0 = 6.7 × 10–7 I A1 0 11(c) conclusion consistent with values in (b)(i) and (b)(ii) B1 e.g. I ≫ I so good contrast S C © UCLES 2021 Page 17 of 18

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9702-2021-on-41-q11

Oct/Nov 2021 · Paper 41 · Question 11 · 7 marks
9702-2021-on-41-q11 official mark scheme page
11(a)(i) ease with which edges can be distinguished B1 11(a)(ii) difference in degrees of blackening B1 11(b) I = I exp (–μx) C1 0 0.12 = exp (–μ × 2.3) C1 ln 0.12 = –2.3 × μ μ = 0.92 cm–1 A1 11(c) advantage: produces 3-dimensional image B1 disadvantage: (much) greater exposure to radiation B1 Question Answer Marks

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9702-2021-on-42-q11

Oct/Nov 2021 · Paper 42 · Question 11 · 7 marks
9702-2021-on-42-q11 official mark scheme page
11(a) generates ultrasound B1 detects reflected ultrasound B1 applied p.d. causes crystal to vibrate B1 or vibrations cause crystal to generate an e.m.f. 11(b)(i) product of density and speed M1 speed of ultrasound in medium A1 11(b)(ii) difference between (the specific acoustic impedances) C1 • if similar/same then reflection coefficient is zero/very low A1 • if very different then reflection coefficient is (nearly) 1 • the lower the difference means lower the reflection coefficient (any one point) © UCLES 2021 Page 17 of 19

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9702-2021-on-43-q11

Oct/Nov 2021 · Paper 43 · Question 11 · 7 marks
9702-2021-on-43-q11 official mark scheme page
11(a)(i) ease with which edges can be distinguished B1 11(a)(ii) difference in degrees of blackening B1 11(b) I = I exp (–μx) C1 0 0.12 = exp (–μ × 2.3) C1 ln 0.12 = –2.3 × μ μ = 0.92 cm–1 A1 11(c) advantage: produces 3-dimensional image B1 disadvantage: (much) greater exposure to radiation B1 Question Answer Marks

Official mark scheme pages: 15 · source PDF URL

9702-2022-m-42-q11

March 2022 · Paper 42 · Question 11 · 9 marks
9702-2022-m-42-q11 official mark scheme page 9702-2022-m-42-q11 official mark scheme page
11(a) substance containing radioactive nuclei that is introduced into the body or B1 substance containing radioactive nuclei that is absorbed by the tissue being studied 11(b)(i) a particle interacting with its antiparticle so that mass is converted into energy B1 11(b)(ii) electron(s) and positron(s) B1 11(c)(i) E = 2mc2 A1 = 2×9.11×10 −31×3.00×10 −82 = 1.64×10 −13J © UCLES 2022 Page 15 of 17 11(c)(ii) 2hc C1 λ = E 2×6.63×10 −34 ×3.00×108 = 1.64×10 −13 = 2.43 × 10 −12 m A1 11(d) Any 3 from: B3 • the two gamma photons travel in opposite directions • gamma photons detected (outside body / by detectors) • gamma photons arrive (at detector) at different times • determine location of production (of gamma) • image of tracer concentration in tissue produced Question Answer Marks

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9702-2022-mj-41-q09

May/June 2022 · Paper 41 · Question 9 · 9 marks
9702-2022-mj-41-q09 official mark scheme page
9(a)(i) electrons are accelerated (by an applied p.d.) B1 electrons hit target B1 X-rays produced when electrons decelerate B1 9(a)(ii) images of the multiple sections are combined to create a 3-D image B1 9(b)(i) I = I exp (– μx) C1 0 = I exp (– 0.89  5.6) A1 0 = 0.0068 I 0 9(b)(ii) I = I exp (– 2.4  3.4)  exp (– 0.89  3.2) C1 0 = 1.7  10–5 I A1 0 9(c) comparison of intensities or values in (b) leading to conclusion consistent with these values B1 © UCLES 2022 Page 15 of 16

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9702-2022-mj-43-q09

May/June 2022 · Paper 43 · Question 9 · 9 marks
9702-2022-mj-43-q09 official mark scheme page
9(a)(i) electrons are accelerated (by an applied p.d.) B1 electrons hit target B1 X-rays produced when electrons decelerate B1 9(a)(ii) images of the multiple sections are combined to create a 3-D image B1 9(b)(i) I = I exp (– μx) C1 0 = I exp (– 0.89  5.6) A1 0 = 0.0068 I 0 9(b)(ii) I = I exp (– 2.4  3.4)  exp (– 0.89  3.2) C1 0 = 1.7  10–5 I A1 0 9(c) comparison of intensities or values in (b) leading to conclusion consistent with these values B1 © UCLES 2022 Page 15 of 16

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9702-2022-on-42-q10

Oct/Nov 2022 · Paper 42 · Question 10 · 9 marks
9702-2022-on-42-q10 official mark scheme page
10(a)(i) introduction of tracer (into the body) M1 containing a + emitter A1 10(a)(ii) positron interacts with electron B1 (pair) annihilation occurs B1 mass of particles converted into gamma photons B1 10(b) (annihilation of electron and positron) produces two photons B1 E = ()mc2 B1 E = hf and f = c /  B1 or E = hc /   = {[2] 6.63  10–34  3.00  108} / {[2] 9.11  10–31  (3.00  108)2} B1 = 2.4(3)  10–12 m or 2.4(3) pm (full substitution and answer with unit needed) © UCLES 2022 Page 16 of 16

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9702-2023-mj-41-q08

May/June 2023 · Paper 41 · Question 8 · 8 marks
9702-2023-mj-41-q08 official mark scheme page
8(a)(i) specific acoustic impedance = 1200  1400 = 1.68  106 kg m–2 s–1 A1 8(a)(ii) density of air shown in table as 1.29 A1 speed of sound in tissue shown in table as 1540 A1 8(b)(i) intensity reflection coefficient = (Z – Z )2 / (Z + Z )2 C1 1 2 1 2 = (1680000 – 440)2 / (1680000 + 440)2 = 0.999 A1 8(b)(ii) intensity reflection coefficient = (Z – Z )2 / (Z + Z )2 A1 1 2 1 2 = (1680000 – 1680000)2 / (1680000 + 1680000)2 = 0 8(c) without gel, (almost) all of the (incident) ultrasound is reflected (from skin) B1 with gel, (almost) all of the (incident) ultrasound is transmitted (into the body) B1 © UCLES 2023 Page 14 of 16

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9702-2023-mj-42-q10

May/June 2023 · Paper 42 · Question 10 · 9 marks
9702-2023-mj-42-q10 official mark scheme page
10(a)(i) electrons B1 10(a)(ii) electrons are decelerated / stopped on impact with the target B1 (kinetic) energy lost by electrons emitted as (X-ray) photons B1 10(a)(iii) eV = hc /  C1  = (6.63  10–34  3.00  108) / (1.60  10–19  5800) C1 = 2.14  10–10 m A1 10(b) I = I exp (–x) C1 0 I / I = exp (–(1.4  2.8)) C1 T 0 = 0.020 % absorbed = (1.000 – 0.0198)  100 A1 = 98% © UCLES 2023 Page 15 of 15

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9702-2023-mj-43-q08

May/June 2023 · Paper 43 · Question 8 · 8 marks
9702-2023-mj-43-q08 official mark scheme page
8(a)(i) specific acoustic impedance = 1200  1400 = 1.68  106 kg m–2 s–1 A1 8(a)(ii) density of air shown in table as 1.29 A1 speed of sound in tissue shown in table as 1540 A1 8(b)(i) intensity reflection coefficient = (Z – Z )2 / (Z + Z )2 C1 1 2 1 2 = (1680000 – 440)2 / (1680000 + 440)2 = 0.999 A1 8(b)(ii) intensity reflection coefficient = (Z – Z )2 / (Z + Z )2 A1 1 2 1 2 = (1680000 – 1680000)2 / (1680000 + 1680000)2 = 0 8(c) without gel, (almost) all of the (incident) ultrasound is reflected (from skin) B1 with gel, (almost) all of the (incident) ultrasound is transmitted (into the body) B1 © UCLES 2023 Page 14 of 16

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9702-2023-on-41-q10

Oct/Nov 2023 · Paper 41 · Question 10 · 8 marks
9702-2023-on-41-q10 official mark scheme page
10(a) ultrasound production: vibrating quartz crystal B1 X-ray production: electrons hitting metal target B1 ultrasound detected wave: reflected B1 X-ray detected wave: transmitted B1 10(b)(i) I = I exp (–x) C1 0 ln (0.72) = –6.2 A1  = 0.053 cm–1 10(b)(ii) I / I = exp (–9.3  0.053) C1 0 ( = 0.61) percentage attenuated = 100  (1.00 – 0.61) A1 = 39% © UCLES 2023 Page 16 of 16

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9702-2023-on-42-q09

Oct/Nov 2023 · Paper 42 · Question 9 · 12 marks
9702-2023-on-42-q09 official mark scheme page
9(a)(i) material introduced into the body B1 and (position in body) can be detected or absorbed by the tissue (being studied) 9(a)(ii) X = + or e+ and P = 1 B1 Q = 0 and R = 18 B1 9(b)(i) positrons (emitted in the decay) and electrons annihilate B1 mass of particles becomes energy of gamma photons B1 9(b)(ii) arrival times of photons are processed B1 image built up of tracer concentration in the tissue B1 9(c)(i) A = N and  = ln 2 / T C1 N = n  N C1 A 2 photons produced from each decay, so R = 2    n  N A1 0 A R = (2 ln 2) nN / T (allow 0.693 for ln 2) 0 A 9(c)(ii) sketch: exponential decay curve from t = 0 to t = 2T, starting at (0, R ) and with a negative gradient of continuously B1 0 decreasing magnitude line with negative gradient passing through (T, R / 2) and (2T, R / 4) B1 0 0 © UCLES 2023 Page 14 of 15

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9702-2023-on-43-q10

Oct/Nov 2023 · Paper 43 · Question 10 · 8 marks
9702-2023-on-43-q10 official mark scheme page
10(a) ultrasound production: vibrating quartz crystal B1 X-ray production: electrons hitting metal target B1 ultrasound detected wave: reflected B1 X-ray detected wave: transmitted B1 10(b)(i) I = I exp (–x) C1 0 ln (0.72) = –6.2 A1  = 0.053 cm–1 10(b)(ii) I / I = exp (–9.3  0.053) C1 0 ( = 0.61) percentage attenuated = 100  (1.00 – 0.61) A1 = 39% © UCLES 2023 Page 16 of 16

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9702-2024-m-42-q09

March 2024 · Paper 42 · Question 9 · 13 marks
9702-2024-m-42-q09 official mark scheme page 9702-2024-m-42-q09 official mark scheme page
9(a)(i) eV = hc /  C1  = (6.63  10–34  3.00  108) / (84  103  1.60  10–19) A1 = 1.5  10–11 m 9(a)(ii) either (some) kinetic energy (of electrons) is converted to thermal energy at target B1 or some X-rays are absorbed by the target so its temperature increases (tungsten) has higher melting point so does not melt quickly / easily B1 © Cambridge University Press & Assessment 2024 Page 12 of 14 9(b) I = I exp (–t) C1 0 0.13 = [exp (–3.0x)]  [exp (–0.22x)] C1 = exp (–3.22x) x = 0.63 cm A1 9(c)(i) product of density and speed M1 speed of ultrasound in medium A1 9(c)(ii) I / I = (7.8 – 1.7)2 / (7.8 + 1.7)2 C1 R 0 = 0.41 fraction transmitted = 1.00 – 0.41 = 0.59 percentage transmitted = 59% A1 9(c)(iii) more than one boundary so more reflections B1 some ultrasound is attenuated in matter B1 Question Answer Marks

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9702-2024-mj-41-q08

May/June 2024 · Paper 41 · Question 8 · 13 marks
9702-2024-mj-41-q08 official mark scheme page
8(a) packet / quantum of energy M1 of electromagnetic radiation A1 8(b)(i) electron(s) B1 8(b)(ii) X labelled – and Y labelled + B1 8(c)(i) 0.032 MeV A1 8(c)(ii) momentum = E / c C1 momentum = (0.032 × 1.60  10–13) / (3.00  108) A1 = 1.7  10–23 N s 8(c)(iii) E = hf and  = c / f C1  = hc / E C1 = (6.63  10–34 × 3.00  108) / (0.032  1.60 × 10–13)  = 3.9  10–11 m A1 8(d) discussion of bone and soft tissue B1 discussion of different attenuation (coefficients) B1 or discussion differences in penetration / transmission / absorption transmitted intensities (by bone and tissue) are very different (leading to good contrast images) B1 © Cambridge University Press & Assessment 2024 Page 13 of 15

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9702-2024-mj-42-q10

May/June 2024 · Paper 42 · Question 10 · 7 marks
9702-2024-mj-42-q10 official mark scheme page
10(a) time gives information about depth (of boundary) B1 intensity gives information about nature of boundary B1 10(b)(i) product of density and speed M1 speed of ultrasound in medium (and density of medium) A1 10(b)(ii) Z = 1000  1420 (= 1.42  106 kg m–2 s–1) C1 water and Z = 2500  4560 (= 11.4  106 kg m–2 s–1) glass intensity reflection coefficient = (11.4 – 1.42)2 / (11.4 + 1.42)2 C1 = 0.61 A1 © Cambridge University Press & Assessment 2024 Page 16 of 16

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9702-2024-mj-43-q08

May/June 2024 · Paper 43 · Question 8 · 13 marks
9702-2024-mj-43-q08 official mark scheme page
8(a) packet / quantum of energy M1 of electromagnetic radiation A1 8(b)(i) electron(s) B1 8(b)(ii) X labelled – and Y labelled + B1 8(c)(i) 0.032 MeV A1 8(c)(ii) momentum = E / c C1 momentum = (0.032 × 1.60  10–13) / (3.00  108) A1 = 1.7  10–23 N s 8(c)(iii) E = hf and  = c / f C1  = hc / E C1 = (6.63  10–34 × 3.00  108) / (0.032  1.60 × 10–13)  = 3.9  10–11 m A1 8(d) discussion of bone and soft tissue B1 discussion of different attenuation (coefficients) B1 or discussion differences in penetration / transmission / absorption transmitted intensities (by bone and tissue) are very different (leading to good contrast images) B1 © Cambridge University Press & Assessment 2024 Page 13 of 15

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9702-2024-on-41-q09

Oct/Nov 2024 · Paper 41 · Question 9 · 10 marks
9702-2024-on-41-q09 official mark scheme page
9(a)(i) positron B1 9(a)(ii)  = ln 2 / (110  60) = 1.05  10–4 s–1 A1 9(a)(iii) N = M / (18 u) or (M in grams  N / 18) C1 A N = (2.1  10–12) / (18  1.66  10–27) or (2.1  10–9  6.02  1023) / 18 ( = 7.0  1013) A = N C1 = 1.05  10–4  7.0  1013 A1 = 7.4  109 Bq 9(b)(i) • (pair) annihilation occurs B3 • the mass of the two particles is converted into energy • two gamma photons are formed and travel in opposite directions or two gamma photons are formed and leave the body • difference in arrival times of photons (at detector) is processed Any three points, 1 mark each 9(b)(ii) with a shorter half-life: sample would (almost) fully decay before the test is complete B1 a longer half-life: exposes patient to harmful/ionising radiation unnecessarily B1 or with a longer half-life: a larger dose (of tracer) needed to produce detectable activity © Cambridge University Press & Assessment 2024 Page 14 of 15

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9702-2024-on-43-q09

Oct/Nov 2024 · Paper 43 · Question 9 · 10 marks
9702-2024-on-43-q09 official mark scheme page
9(a)(i) positron B1 9(a)(ii)  = ln 2 / (110  60) = 1.05  10–4 s–1 A1 9(a)(iii) N = M / (18 u) or (M in grams  N / 18) C1 A N = (2.1  10–12) / (18  1.66  10–27) or (2.1  10–9  6.02  1023) / 18 ( = 7.0  1013) A = N C1 = 1.05  10–4  7.0  1013 A1 = 7.4  109 Bq 9(b)(i) • (pair) annihilation occurs B3 • the mass of the two particles is converted into energy • two gamma photons are formed and travel in opposite directions or two gamma photons are formed and leave the body • difference in arrival times of photons (at detector) is processed Any three points, 1 mark each 9(b)(ii) with a shorter half-life: sample would (almost) fully decay before the test is complete B1 a longer half-life: exposes patient to harmful/ionising radiation unnecessarily B1 or with a longer half-life: a larger dose (of tracer) needed to produce detectable activity © Cambridge University Press & Assessment 2024 Page 14 of 15

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9702-2025-m-42-q09

March 2025 · Paper 42 · Question 9 · 10 marks
9702-2025-m-42-q09 official mark scheme page
9(a)(i) either: cannot predict when a (particular) nucleus will decay B1 or: cannot predict which nucleus will decay next 9(a)(ii) not affected by external / environmental factors B1 9(b) time for activity to halve B1 9(c) energy = (189  7.826) + (4  7.074) – (193  7.774) C1 = 7.03eV A1 9(d)(i) decay constant A1 9(d)(ii) decay constant / magnitude of gradient = 1.4 / 0.84 C1 half-life = ln2 / (1.4 / 0.84) A1 = 0.42ms 9(e)(i) positrons collide with electrons and annihilate B1 9(e)(ii) long enough to have time to conduct investigation, not so long as to cause patient unnecessary exposure to radiation B1 © Cambridge University Press & Assessment 2025 Page 13 of 14

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9702-2025-on-41-q10

Oct/Nov 2025 · Paper 41 · Question 10 · 8 marks
9702-2025-on-41-q10 official mark scheme page
10(a) product of density and speed M1 speed of sound in medium (and density of the medium) A1 10(b) ultrasound waves cause crystal to vibrate B1 vibrations (of crystal) cause induced e.m.f. (across crystal) B1 10(c)(i) intensity reflection coefficient= (40.4 – 1.48)2 / (40.4 + 1.48)2 C1 = 0.86 A1 10(c)(ii) Z values are very similar B1 (almost) all the ultrasound will be transmitted B1 or (almost) none of the ultrasound will be reflected © Cambridge University Press & Assessment 2025 Page 17 of 17

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9702-2025-on-42-q10

Oct/Nov 2025 · Paper 42 · Question 10 · 9 marks
9702-2025-on-42-q10 official mark scheme page
10(a) difference in degrees of blackening B1 10(b)(i) I = I exp (–x) A1 0 = I exp (– 5.8  0.35) = 0.13 I 0 0 10(b)(ii) use of exp {–(0.35  3.7)} factor C1 0.053I = I exp {–[(0.35  3.7) + 2.1]} C1 0 0  = 0.78 cm–1 A1 10(b)(iii) factor of only 2.5 between the (detected) intensities (so not good contrast) B1 10(c) (structure) scanned in (thin) sections B1 (many) scans (of each section) taken from different angles B1 scanning repeated for all sections and (data) compiled (to form 3D image) B1 © Cambridge University Press & Assessment 2025 Page 17 of 17

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9702-2025-on-43-q10

Oct/Nov 2025 · Paper 43 · Question 10 · 8 marks
9702-2025-on-43-q10 official mark scheme page
10(a) product of density and speed M1 speed of sound in medium (and density of the medium) A1 10(b) ultrasound waves cause crystal to vibrate B1 vibrations (of crystal) cause induced e.m.f. (across crystal) B1 10(c)(i) intensity reflection coefficient= (40.4 – 1.48)2 / (40.4 + 1.48)2 C1 = 0.86 A1 10(c)(ii) Z values are very similar B1 (almost) all the ultrasound will be transmitted B1 or (almost) none of the ultrasound will be reflected © Cambridge University Press & Assessment 2025 Page 17 of 17

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