GUARANTEE AND COLLATERAL AGREEMENT



                                     made by



                               MQ ASSOCIATES, INC.



                                 MEDQUEST, INC.,



                                   as Borrower



                         and certain of its Subsidiaries



                                   in favor of



                      WACHOVIA BANK, NATIONAL ASSOCIATION,

                             as Administrative Agent



                           Dated as of August 15, 2002



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                                TABLE OF CONTENTS



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SECTION 1.    DEFINED TERMS...................................................................................I

     1.1      Definitions.....................................................................................i

     1.2      Other Definitional Provisions..................................................................iv



SECTION 2.    GUARANTEE......................................................................................IV

     2.1      Guarantee......................................................................................iv

     2.2      Right of Contribution...........................................................................v

     2.3      No Subrogation..................................................................................v

     2.4      Amendments, etc. with respect to the Borrower Obligations......................................vi

     2.5      Guarantee Absolute and Unconditional...........................................................vi

     2.6      Reinstatement.................................................................................vii

     2.7      Payments......................................................................................vii



SECTION 3.    GRANT OF SECURITY INTEREST....................................................................VII



SECTION 4.    REPRESENTATIONS AND WARRANTIES...............................................................VIII

     4.1      No Other Liens...............................................................................viii

     4.2      Perfected First Priority Liens...............................................................viii

     4.3      Jurisdiction of Organization; Chief Executive Office.........................................viii

     4.4      Inventory and Equipment........................................................................ix

     4.5      Farm Products..................................................................................ix

     4.6      Investment Property............................................................................ix

     4.7      Receivables....................................................................................ix

     4.8      Contracts......................................................................................ix

     4.9      Intellectual Property...........................................................................x



SECTION 5.    COVENANTS.......................................................................................X

     5.1      Delivery of Instruments, Certificated Securities and Chattel Paper..............................x

     5.2      Maintenance of Perfected Security Interest; Further Documentation...............................x

     5.3      Investment Property.............................................................................x

     5.4      Contracts......................................................................................xi

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