Exam 1 (1-4, & 9) Flashcards
- Who was awarded the first Nobel Prize for physics in 1901, for his experimental work with radiation?
a. W. J. Morton
b. O. Walkhoff
c. W. D. Coolidge
d. W. C. Roentgen
d. Wilhelm Conrad Roentgen
(He discovered the x-ray on November 8, 1895, when he noted that a fluorescent screen near a Crookes vacuum tube began to glow when an electric current was passed through the tube.)
- Who is credited with introducing the bitewing radiograph?
a. F. W. McCormack
b. H. R. Raper
c. G. M. Fitzgerald
d. C. E. Kells
b. Howard Riley Raper
(wrote the first dental radiology textbook, Elementary and Dental Radiology, and introduced bitewing radiographs in 1925)
- Who developed the hot cathode ray tube?
a. W. D. Coolidge
b. W. A. Price
c. H. R. Raper
d. W. H. Rollins
a. William David Coolidge
(developed the shockproof hot cathode tube while working for the General Electric Company in 1913.)
- The development of radiation protection as a science is credited to:
a. A. Cieszyński.
b. W. D. Coolidge.
c. W. H. Rollins.
d. F. Mouyen.
William Herbert Rollins
(was one of the first to alert the profession to the need for radiation hygiene and protection, and is considered by many to be the first advocate for the science of radiation protection.)
- What New Orleans dentist first made practical use of x-rays in the treatment of dental patients?
a. H. R. Raper
b. G. M. Fitzgerald
c. F. Mouyen
d. C. E. Kells
d. C. Edmund Kells
(took the first dental radiograph on a living subject in the United States. He was the first to put the radiograph to practical use in dentistry. Dr. Kells made numerous presentations to organized dental groups and was instrumental in convincing many dentists that they should use oral radiography as a diagnostic tool.)
- Early researchers working in the field of radiography were not aware that continued exposure to x-rays produced accumulations of radiation effects in the body because x-rays are invisible.
a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.
a. Both the statement and reason are correct and related.
(Because x-rays are invisible, scientists and researchers working in the field of radiography were not aware that continued exposure produced accumulations of radiation effects in the body and therefore could be dangerous to both patient and radiographer.)
- The most significant advancement in the early days of radiography came in 1913 when W. D. Coolidge:
a. became the first to alert the profession of the dangers of radiation exposure and advocated for the science of radiation protection.
b. exposed a prototype of a dental radiograph, setting the stage for preventive oral health care.
c. developed a variable, high kilovoltage x-ray machine compatible with the paralleling technique.
d. introduced an x-ray tube that allowed for an x-ray output that could be predetermined and accurately controlled.
d. introduced an x-ray tube that allowed for an x-ray output that could be predetermined and accurately controlled.
(The introduction of the Coolidge tube allowed for an x-ray output that could be predetermined and accurately controlled.)
- The first dental radiograph was produced using an exposure time of:
a. 0.5 second.
b. 1 minute.
c. 5 minutes.
d. 25 minutes.
e. 1 hour.
d. 25 minutes.
(Dr. Otto Walkhoff, a German physicist, was the first to expose a prototype of a dental radiograph. This was accomplished by covering a small, glass photographic plate with black paper to protect it from light and then wrapping it in a sheath of thin rubber to prevent moisture damage during the 25 minutes that he held the film in his mouth.)
- What component of the dental x-ray machine best limits the size of the x-ray beam to the approximate size of the image receptor?
a. A pointed cone
b. An open round cylinder
c. A rectangular PID
d. A slit collimator
c. A rectangular PID
(A rectangular position indicating device (PID) limits the size of the x-ray beam that strikes the patient to the actual size of the image receptor.)
- Panoramic radiology became popular in the:
a. 1930s.
b. 1940s.
c. 1950s.
d. 1960s.
e. 1970s.
d. 1960s.
(Panoramic radiography became popular in the 1960s with the introduction of the panoramic x-ray machine.)
- Which of the following is NOT true regarding cone beam volumetric imaging?
a. It images a single selected plane of tissues.
b. It is based on computed tomography.
c. It uses less radiation than a panoramic radiograph.
d. It is designed specifically for imaging dental applications.
e. It is purported to become the gold standard for imaging certain oral conditions.
c. It uses less radiation than a panoramic radiograph.
(While cone beam volumetric imaging dedicated to dental applications produces less radiation doses than conventional CT scans, the dose is still 4 to 15 times that required for a panoramic radiograph.)
- Early dental film required long exposure times because:
a. it was hand-wrapped.
b. the emulsion was only on one side.
c. glass plates were used as the base.
d. the packets were not moisture resistant.
b. the emulsion was only on one side.
(Early film had emulsion on only one side and required long exposure times.)
- Each of the following is an advantage of digital imaging EXCEPT one. Which one is the EXCEPTION?
a. It reduces radiation over film-based radiography.
b. It eliminates the need for the darkroom and processing chemistry.
c. It allows the use of pointed cones without radiation hazards.
d. It avoids the need for disposal of hazardous materials such as lead foils from film packets.
e. It produces enhanced two- and three-dimensional images.
c. It allows the use of pointed cones without radiation hazards.
(Pointed cones are no longer acceptable because x-rays are scattered through contact with the material of pointed cones.)
- The bisecting technique was the first and earliest radiographic technique for exposing intraoral radiographs because the bisecting technique is based on the rule of isometry.
a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.
b. Both the statement and reason are correct but NOT related.
(The bisecting technique is based on the rule of isometry, but this is not the reason that it was the first and earliest radiographic technique for exposing intraoral radiographs.)
- The paralleling technique is taught in all dental assisting, dental hygiene, and dental schools because it is the technique of choice for imaging intraoral radiographs.
a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
a. Both the statement and reason are correct and related.
(Because the newer technique of paralleling improved on the older bisecting technique, it is the technique of choice and taught in all dental assisting, dental hygiene, and dental schools.)
- The rule of isometry is the basis for what dental radiographic technique?
a. Bisecting
b. Paralleling
c. Panoramic
d. Digital
e. Computed tomography
a. Bisecting
(In 1907, A. Cieszyński, a Polish engineer, applied the “rule of isometry ”to dental radiology and is credited for suggesting the bisecting technique.)
- Each of the following is a potential use of dental radiographs EXCEPT one. Which one is the EXCEPTION?
a. Diagnosing dental caries
b. Evaluating development of dentition
c. Detecting missing teeth
d. Assessing patient self-care
e. Evaluating trauma to teeth and supporting bone
d. Assessing patient self-care
(Home care is best determined during a visual clinical examination that would assess the presence of biofilms and the condition of the gingival tissues. –> Holding the film in the patient’s mouth exposes the radiographer to unnecessary radiation.)
- Producing radiographs of the teeth and/or the oral cavity is called:
a. Radiation producing.
b. Radiology.
c. Roentgenograph.
d. X-raying.
e. Radiography.
e. Radiography.
(Radiography is defined as the making of radiographs by exposing and processing x-ray film.)
- Dental assistants and dental hygienists meet an important need by providing each of the following EXCEPT one. Which one is the EXEPTION?
a. Exposing radiographs
b. Processing radiographs
c. Mounting radiographs
d. Prescribing radiographs
e. Interpreting radiographs
d. Prescribing radiographs
(Dentists have the authority and responsibility for prescribing and diagnosing conditions from dental radiographs. Dentists, dental assistants, and dental hygienists can expose, process, mount, and interpret (read) dental radiographs.)
- The positioning indicating device (PID) is sometimes called a “cone” because the PID of early dental x-ray machines was of a pointed shape.
a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.
a. Both the statement and reason are correct and related.
(Because cones were used for so many years, many still refer to the open cylinders or rectangular tubes as cones.)
- William Herbert Rollins was awarded the first Nobel Prize for physics. T/F
False.
(William Conrad Roentgen was awarded the first Nobel Prize for physics in 1901 for the discovery of the x-ray. )
- C. Edmund Kells encouraged the practical use of radiographs in dentistry. T/F
True.
(C. Edmund Kells took the first dental radiograph on a living subject in the United States. He made many presentations to organized dentistry advocating the use of dental radiographs as a diagnostic tool.)
- The radiographer should help the patient hold the image receptor in place during exposure. T/F
False.
(Continued exposure results in the accumulation of radiation effects in the body that can be dangerous to the radiographer.)
- In the early 1900s dental patients would have to be sent to hospitals or a physician’s office to have a dental radiograph exposed. T/F
True.
(It was customary to send the patient to a hospital or physician’s office on those rare occasions when dental radiographs were prescribed.)
- Early dental x-ray machines were an electrical hazard.
True.
(Dental x-ray machines manufactured before 1920 were an electrical hazard because of open, uninsulated, high-voltage supply wires.)
- Pointed cones should be used to direct radiation from the x-ray tube to the patient. T/F
False.
(Pointed cones allow x-ray scatter to reach the patient through contact with the material of the cone.)
- Dental x-ray film available today is coated with emulsion on both sides. T/F
True.
(Early x-ray films were single emulsion only and required long exposure times. Today’s films are double emulsion and require much shorter exposure times.)
- The bisecting technique is the technique of choice for intraoral radiography.
False.
(The paralleling technique is less complicated and produces better radiographs more consistently than the bisecting technique.)
- Dental radiography supplements visual and physical examination to provide a quality evaluation of a patient. T/F
True.
(Many conditions may go undetected without radiographic examination.)
- Digital imaging systems can reduce radiation dosage more than film-based radiography. T/F
True.
(Digital sensors that replace film are more sensitive to x-rays, allowing for a reduction in radiation dose, one of the biggest advantages of digital imaging over film-based radiographs.)
- A radiograph is an image produced by exposure to x-rays. T/F
True.
The definition of radiograph is an image produced on photosensitive film by exposure to x-rays.
- Computed tomography eliminates the use of radiation to produce an image. T/F
False.
(Computed tomography or CT scans deliver high radiation doses, sometimes up to 600 times more than a panoramic radiograph.)
- Digital imaging replaces the conventional dental x-ray machine. T/F
False.
(In digital radiography a sensor replaces film. The conventional dental x-ray machine is used for both digital and film-based imaging.)
- The paralleling technique is based on the rule of isometry. T/F
False.
(The bisecting technique is based on the rule of isometry.)
- The PID is used to direct the useful beam of radiation. T/F
True.
(PID stands for position indicating device, which means that the PID is used to direct the useful beam of radiation toward the patient and the image receptor.)
- X-radiation was discovered when Roentgen was working with a Crookes tube. T/F
True.
(Roentgen discovered x-radiation while working with a Crookes tube (named after William Crookes, an English chemist). The Coolidge tube is named after William David Coolidge who, while working for the General Electric Company, introduced the hot cathode tube that allowed x-ray output to be predetermined and accurately controlled.)
- Roentgen named his discovery the roentgen ray. T/F
False.
Roentgen reported his finding at a scientific meeting, he spoke of it as an x-ray because the symbol x represented the unknown. After his findings were reported and published, fellow scientists honored him by calling the invisible ray the roentgen ray.
- The x-radiation output of the Crookes tube (named after the English chemist William Crookes) could be predetermined and accurately controlled. T/F
False.
(The x-ray output of the Coolidge tube could be predetermined and accurately controlled.)
- Early scientists and researchers working in the field of radiography were not aware that continued exposure produced accumulations of radiation effects in the body. T/F
True.
(Because x-rays are invisible, scientists and researchers working in the field of radiography were not aware that continued exposure produced accumulations of radiation effects in the body, and therefore could be dangerous to both patient and radiographer.)
- In the early 1900s, it was common practice for the radiographer to help the patient hold the film in place while making the exposure. T/F
True.
(When radiography was in its infancy, it was common practice for the dentist or dental assistant to help the patient hold the film in place while making the exposure.)
- Who first determined that x-rays would play a role in dentistry?
Dr. Otto Walkhoff.
(held a small photographic plate in his mouth for a 25-minute exposure to demonstrate that radiographs of the teeth could be made.)
- Who is considered to be the first advocate for the science of radiation protection?
Dr. William Herbert Rollins.
(was one of the first to alert the profession to the need for radiation hygiene and protection.)
- Who developed the hot cathode ray tube?
William David Coolidge
(In 1913, William David Coolidge, working for the General Electric Company, designed the hot cathode tube in which the tube and high-voltage transformer were placed in an oil-filled compartment that acted as a radiation shield and electrical insulator.)
- Which radiograph displays the entire dentition and surrounding structures?
panoramic radiograph
(A panoramic radiograph displays a broad area of the mandible and maxilla on a single image receptor.)
- What is the technique of choice for intraoral radiography?
The paralleling technique
(is the technique of choice because it is less complicated and more consistently produces better radiographs than the bisecting technique.)
- In dental digital imaging systems, what replaces film?
Sensors
(are comparable to film in dimensions and nearly comparable in radiographic quality.)
- What medical imaging modality records a selected plane of tissues?
computed tomography (CT) scan
(A computed tomography (CT) scan images a single selected plane of tissues.)
- What is the name of the device that functions to direct the x-ray beam toward the patient?
position indicating device (PID)
(is used to direct the x-ray beam.)
- What is the purpose of studying the history of radiography and dental radiography?
Through familiarity with the evolution of concepts and theories, investigators gain knowledge about current practices and appreciate future advancements.
- Each of the following is a form of energy EXCEPT one. Which one is the EXCEPTION?
a. Heat
b. Water
c. Light
d. X-radiation
b. Water
(is a form of matter. Heat, light, electricity, and x-radiation are forms of energy)
- What is the maximum number of electron shells (energy levels) an atom can have?
a. 1
b. 3
c. 5
d. 7
d. 7
(The innermost shell is the K shell, followed by the L shell, and so on, up to a maximum of seven shells.)
- Each of the following is a form of ionizing radiation EXCEPT one. Which one is the EXCEPTION?
a. Cosmic rays
b. X-rays
c. Radio waves
d. Gamma rays
c. Radio waves
(Only radiation that produces ions is termed ionizing radiation.)
- Each of the following statements about electromagnetic radiations is true EXCEPT one. Which one is the EXCEPTION?
a. They have a negative electrical charge.
b. They have no mass.
c. They pass through space as particles and in a wave-like motion.
d. They have no weight.
a. They have a negative electrical charge.
(Electromagnetic radiations have no electrical charge.)
- Which of the following statements about x-rays is NOT true?
a. They travel at the speed of light.
b. They are invisible.
c. They have no mass.
d. They travel in convergent lines.
d. They travel in convergent lines.
(X-rays travel in divergent lines.)
- Which one of these is NOT a Système International (SI) unit of measurement?
a. Sievert
b. Roentgen
c. Coulombs per kilogram
d. Gray
b. Roentgen
(Roentgen is a traditional unit of measurement.)
- The Système International unit for measuring absorbed dose is the
a. Gray
b. Sievert
c. Rad
d. Rem
a. Gray
(While the rad is the unit for measuring absorbed dose in traditional units, the gray is the unit used by the SI system.)
- The greatest exposure to ionizing radiation to the population comes from
a. Medical x-rays
b. Occupational exposure
c. Dental x-rays
d. Background radiation
d. Background radiation
(Background radiation refers to that radiation which is always present in the environment. The sources of background radiation include cosmic rays from outer space, terrestrial radiations from the earth, and naturally occurring radionuclides which we inadvertently inhale or ingest.)
- The speed of a wave is its
a. Wavelength
b. Velocity
c. Frequency
d. Photon
b. Velocity
(Velocity is a measure of the speed of travel.)
- The majority of x-rays produced by dental x-ray machines are formed by:
a. Characteristic radiation
b. Radionuclide decay
c. Bremsstrahlung radiation
d. Coherent scattering
c. Bremsstrahlung radiation
(The majority of x-rays produced by dental x-ray machines are formed by general/bremsstrahlung radiation which is produced when electrons are accelerated across the tube head and abruptly stop against the tungsten target.)
- Radiation is best described as a:
a. substance that occupies space.
b. resistor of heat.
c. type of electricity.
d. movement of energy.
d. movement of energy.
Radiation is defined as the emission and movement ofenergy through space in the form of electromagnetic radiation (x- and gamma rays) or particulate radiation (alpha andbeta particles).
- The smallest particle of a substance that still retains the properties of that substance is a/an:
a. atom.
b. electron.
c. neutron.
d. molecule.
d. molecule.
A molecule is the smallest particle of a substance that retains the properties of that substance.
- The emission and movement of electromagnetic or particulate energy through space is known as:
a. ionization.
b. radiation.
c. radioactivity.
d. the formation of ion pairs.
b. radiation.
Radiation is defined as the emission and movement of energ through space in the form of electromagnetic radiation (x- and gamma rays) or particulate radiation (alpha and beta particles).
- The measure of the number of waves that pass a given point per unit of time is known as the:
a. angstrom unit.
b. wavelength.
c. frequency.
d. velocity.
c. frequency.
(Frequency is a measure of the number of waves that pass a given point per unit of time.)
- When x-rays pass through matter, which interaction results in x-rays being scattered in all directions?
a. The coherent effect
b. The photoelectric effect
c. The Compton effect
c. The Compton effect
The Compton effect causes x-rays to be scattered in all directions.
- The amount of energy deposited in the teeth or soft tissue by any type of radiation is called the:
a. exposure amount.
b. absorbed dose.
c. dose equivalent.
d. background radiation.
b. absorbed dose.
Absorbed dose is the traditional unit of measure referring to the amount of energy deposited in tissues by any type of radiation.
- The units used to measure the dose equivalent of radiation is the:
a. Gray (Gy).
b. Sieverts (Sv).
c. Coulombs per kilogram (C/kg).
d. Roentgens (R).
b. Sieverts (Sv)
Sievert is the Système International unit for measuring dose equivalent.
- The sievert and rem are units of measurement for:
a. the radiation exposure in the air.
b. the amount of energy absorbed by tissues.
c. the comparison of biological effects.
d. All of the above.
c. the comparison of biological effects.
The sievert is the Système International unit and the rem is the traditional unit of measurement for the comparison of biological effects.
- A weighting (qualifying) factor is used to determine which of the following?
a. coulombs per kilogram
b. sievert
c. roentgen
d. gray
b. sievert
“Dose equivalent” is defined as the product of the absorbed dose multiplied by a biological-effect qualifying or weighting factor. The Système International unit for measuring the dose equivalent is the sievert (Sv)
- The wavelength determines the energy and penetrating power of the radiation. The longer the wavelength, the higher the energy of the radiation.
a. The first statement is true. The second statement is false.
b. The first statement is false. The second statement is true.
c. Both statements are true.
d. Both statements are false.
a. The first statement is true. The second statement is false.
Wavelength is the distance between two similar points on two successive waves. The shorter the wavelength, the more penetrating the radiation.
- Matter is defined as the ability to do work and overcome resistance. T/F
False.
Energy is the ability to do work and overcome resistance. Energy is produced whenever the state of matter is altered.
- An atom is the smallest part of an element that still retains properties of that element. T/F
True.
If an atom is split, the resulting particles do not retain the full properties of the element.
- Electrons have a positive charge. T/F
False.
Electrons have a negative charge and are constantly orbiting the nucleus. Protons are the component of an atom that have a positive charge.
- The inner-most electron shell in an atom is the K shell. T/F
True.
There may be as many as seven shells in an atom. The innermost level is the K shell, followed by the L shell, and so on.
- Dental x-rays do not involve the use of radioactivity. T/F
True.
Dental x-rays involve the use of electromagnetic radiation and not unstable radioactive isotopes.
- X-rays travel at the speed of sound. T/F
False.
X-rays travel at the speed of light (186,000 miles per second).
- Wavelength and frequency are directly related.
False.
Wavelength and frequency are inversely related. When the wavelength is long, the frequency is low. When the wavelength is short, the frequency is high.
- X-rays make the materials they pass through radioactive.
False.
Dental x-rays have no effect on the atoms they interact with, so the irradiated materials are not made radioactive.
- The photoelectric effect is an all-or-nothing energy loss.
True.
When an x-ray imparts all of its energy to an orbital electron of an atom, the x-ray vanishes.
- The Compton effect causes x-rays to be scattered in all directions. T/F
True.
Part of the energy of a dental x-ray is transferred to an orbital electron and a new, weaker x-ray is formed that scatters in a different direction, possibly even a direction opposite to the original x-ray.
- The number of electrons in the nucleus of an element determines its atomic number. T/F
False.
The number of protons in the nucleus of an element determines its atomic number.
- Background radiation includes cosmic rays from outer space, naturally occurring radiation from the earth, and radiation from radioactive materials. T/F
True.
Background radiation is defined as ionizing radiation that is always present in our environment and includes cosmic rays from outer space, naturally occurring radiation from the earth, and radiation from radioactive materials.
- Kinetic energy is the internal energy within the atom that holds its components together. T/F
False.
Binding energy is the internal energy within the atom that holds its components together.
- The total number of protons in the nucleus of an atom determines the atomic number. T/F
True.
The number of protons in the nucleus of an element determines its atomic number.
- Energy that travels in a different direction than that of the original x-ray is collectively called “secondary radiation.” T/F
True.
Secondary radiation is radiation that travels in a direction opposite that of the original x-ray.
- The majority of x-rays produced by dental x-ray machines are formed by general (bremsstrahlung) radiation. T/F
True.
The majority of x-rays produced by dental x-ray machines are formed by general/bremsstrahlung radiation.
- The electromagnetic spectrum arranges energy types by decay rates. T/f
False.
The electromagnetic spectrum arranges energy types by wavelengths.
- X-rays of high energy and extremely short wavelengths are classified as hard radiation. T/F
True.
Hard radiation refers to x-radiation with extremely short wavelengths indicative of high energy.
- Ionizing radiation is energy that is capable of producing ions. T/F
True.
Any radiation that produces ions is called “ionizing radiation.”
- Electromagnetic radiation is propelled through space as both a particle and a wave. T/F
True.
Electromagnetic radiations display two seemingly contradictory properties. It is believed to move through space as both a particle and a wave.
- What is defined as anything that occupies space and has mass?
Matter.
The world consists of matter and energy. Matter makes up anything we can see, touch, and recognize.
- What are the positively charged particles in the nucleus of an atom called?
Protons.
Positively charged protons and neutral neutrons make up the nucleus of atoms.
- What is the term for atoms that have gained or lost electrons and electrical neutrality?
Ions.
The number of protons (positive charges) in an atom normally equals the number of electrons (negative charges). When an electron is removed from a neutral atom, it loses electrical neutrality and becomes an ion.