Exam 1 Flashcards

1
Q

anything that occupies space and has mass

A

matter

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2
Q

results when matter is altered

A

energy

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3
Q

substances made up of only one type of atom

A

elements

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4
Q

central nucleus + orbiting electrons

A

atom

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5
Q

core of atom, consists of protons and neutrons
- always positively charged

A

nucleus

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6
Q

positively charged particles

A

Protons

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7
Q

particles with no charge

A

neutrons

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8
Q

tiny, negatively charged particles
- Arranged around nucleus in orbits

A

electrons

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9
Q

pathway of electrons

A

Orbits (shells)

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10
Q

number of protons and neutrons in nucleus

A

Mass number/Atomic weight

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11
Q

number of protons in nucleus equals number of electrons in atom

A

Atomic number

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12
Q

Maximum number of shells per atom

A

7

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13
Q

1 KeV =

A

1000 eV

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14
Q

attraction between the positive nucleus and negative electrons
- Keeps electrons surrounding nucleus

A

Electrostatic force

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15
Q

amount of energy needed to remove electron from its orbit

A

Binding energy/force

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16
Q

two or more atoms joined together by chemical bonds

A

Molecules

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17
Q

sharing electrons in outermost shell

A

Covalent bonding

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18
Q

transfer of electrons

A

Ionic bonding

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19
Q

can exist as neutral or unbalanced

A

atoms

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20
Q

(unbalanced atom) atom that gains/loses an electron and becomes electrically unbalanced

A

ion

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21
Q

converting atoms into ions/production of ions, become positively or negatively charged

A

Ionization

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22
Q

result of an electron being removed from atom, positive ion + negative ion

A

Ion pair

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23
Q

emission and propagation of energy through space or substance in form of waves or particles

A

Radiation

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24
Q

process of unstable atoms undergoing spontaneous disintegration to become balanced

A

Radioactivity

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25
Q

high energy capable of producing ions

A

Ionizing radiation

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26
Q

tiny particles of matter traveling in straight lines at high speed, may be charged
- HAS mass

A

Particulate radiation

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27
Q
  • wave like motion
  • NO mass
  • Can be man-made or naturally
  • Arranged on electromagnetic spectrum
A

Electromagnetic radiation

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28
Q
  • discrete bundles of energy
  • Photons
  • No mass
  • Travel as in straight line
A

Particle concept

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29
Q
  • waves
  • Focus on wavelength, frequency, velocity
A

wave concept

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30
Q

distance between crest of waves

A

Wavelength

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31
Q

number of wavelengths in specific time period

A

Frequency

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32
Q

wave speed

A

velocity

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33
Q

o Invisible
o No mass
o No charge
o Travel in waves and straight lines
o High frequency, short wavelength
o Cannot be focused to a point
o Penetrate gases, liquid, and solids
o Absorb matter
o Interact with matter, cause ionization
o Cause certain substances to fluoresce
o Can produce image on receptor
o Causes biological change in cells

A

Characteristics of X-rays

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34
Q

what does the metal housing in the tubehead do

A

protect everything

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35
Q

what does the insulating oil in the tubehead do

A

dissipates heat

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36
Q

what does the tubehead seal do

A

makes sure insulating oil is contained

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37
Q

what does the aluminum disks do in the tubehead

A

filters out long wavelength or low frequency x-rays

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38
Q

what does the lead collimator do in the tubehead

A

restricts size of x-ray beam

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39
Q

Supply electrons necessary to generate x-rays

A

Cathode (negative)

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40
Q
  • Generates electrons
  • Creates electron cloud
A

Tungsten filament

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41
Q
  • Focusing electrons into one line
  • Electrons always floating from cathode to anode!!
A

Molybdenum cup

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42
Q
  • Convert electrons into x-rays
  • Tungsten target
  • Copper stem
A

Anode

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43
Q

needed to generate x-rays

A

electricity

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44
Q

flow of electrons through a conductor

A

Electrical current

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45
Q

electrons flow in one direction through conductor

A

Direct current

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46
Q

electrons flow in two, opposite directions

A

Alternating current

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47
Q

converting from AC to DC

A

Rectification

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48
Q

number of electrons moving through conductor

A

Amperage

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49
Q

speed of electrons moving from cathode to anode

A

Voltage

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50
Q

path of electrical current

A

Circuits

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51
Q
  • Generates source of electrons needed to produce x-rays at filament of x-ray tube
  • Controlled by mA settings
A

Filament circuit (3-5V)

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52
Q
  • Provides high voltage required to accelerate electrons from cathode to anode
  • Controlled by kV settings
A

High-voltage circuit (65,000-100,000V)

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53
Q

device used to increase or decrease voltage in an electrical circuit

A

Transformer

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54
Q

Decreases V

A

Step-down transformer

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55
Q

Increases V

A

Step-up voltage

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56
Q

Corrects minor fluctuations in current

A

Autotransformer

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57
Q

release of electrons from tungsten filament when electrical current passes through it and heats filament

A

Thermionic emission

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58
Q
  • Aka breaking or bremsstrahlung radiation
  • 70% of x-rays produced at anode
  • High speed down when passing tungsten atom
  • Hits: all kinetic energy converts to high-energy x-ray photon
  • Misses: low-energy x-ray photon
A

General radiation

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59
Q
  • 30% of x-rays
  • High-speed electron dislodges inner-shell electrons from tungsten atom
  • Causes ionization
  • Electrons rearrange, causing loss of energy and production of x-ray photons
A

Characteristic radiation

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60
Q

penetrating x-ray beam

A

Primary radiation

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61
Q

result of primary beam interacting with matter, less penetrating than primary

A

Secondary radiation

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62
Q

form of secondary, deflected x-rays after interaction with matter going in all directions; detrimental

A

Scatter radiation

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63
Q

o Passes through atom unchanged and leaves atom unchanged
o Responsible for producing densities
o Makes dental radiography possible

A

No interaction

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64
Q

o Photoelectric effect
o Photon interacts with inner shell electrons of matter
o Photon is absorbed and electron is ejected
o Ionization occurs → BAD

A

Absorption

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65
Q

o AKA modified scatter
o Compton effect
o Photon interacts with outer shell electrons of matter
o Photon loses energy but electron still ejected
o Ionization still occurs → BAD

A

Compton Scatter

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66
Q

o AKA Thompson Scatter or unmodified scatter
o Photons interact with outer shell electrons, but matter is not altered
o Photons continue to travel with no loss of energy
- Direction changes with no energy loss
o No ionization occurs

A

Coherent Scatter

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67
Q

the study of the effects of ionizing radiation on living tissue to understand the harmful effects of x-radiation

A

Radiation biology

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68
Q
  • Photoelectric effect or Compton scatter
    • Results in positive atom and dislodged negative electron
  • Ejected electron still in motion and interacts with other atoms
A

Ionization

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69
Q
  • uncharged neutral atom/molecule that exists with one single electron in its outmost shell
  • Highly reactive and unstable
A

Free radical formation

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70
Q

Cell damage can occur when ionizing radiation directly hits critical areas (cell death)

A

Direct theory (1/3)

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71
Q

X-ray photons absorbed within cell and cause formation of toxins (causing direct damage)

A

Indirect theory (2/3)

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72
Q

o Probability of occurrence increases with dose
o Severity is NOT dependent on dose
o All or none

A

Stochastic radiation effect

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73
Q

o Severity of damage dependent on dose
o Occur only after exceeding threshold
o Result of severe cell damage

A

Nonstochastic/Deterministic radiation effect

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74
Q

time to exposure to clinical signs

A

Latent period

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75
Q

time in which cellular injury occurs

A

Period of injury

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76
Q

time in which it takes for cell to repair itself

A

Recovery period

77
Q

o Total dose
o Dose rate
o Amount of tissue irradiated
o Cell sensitivity
o Age

A

Determinants for radiation injury

78
Q
  • Seen within minutes, days, or week
  • Large amount of radiation in short time
A

Short-term effects

79
Q
  • Appear after years, decades or generations
  • Small amount of radiation over long period of time
A

Long-term effects

80
Q
  • All cells except reproductive cells
  • Injury to person irradiated
  • NOT passed to offspring
A

Somatic effects

81
Q
  • Reproductive cells
  • Not seen in person irradiated
  • Passed onto future generations
A

Genetic effects

82
Q

o Blood cells
o Bone marrow
o Reproductive cells
o Intestinal mucosa
o Skin
o Lens of eyes
o Oral mucosa

A

Radiosensitive cells

83
Q

o Muscle tissue
o Nerve tissue
o Mature bone/cartilage tissue
o Salivary glands
o Thyroid glands
o Kidney
o Liver

A

Radioresistant cells

84
Q

Amount of radiation in air

A

Roentgen (R)

85
Q

Roentgen (R)

A

Exposure

86
Q

Amount of radiation absorbed by tissue

A

Radiation absorbed dose (rad)

87
Q

Radiation absorbed (rad)

A

Dose

88
Q

Measurement of the effect on tissue

A

Roentgen equivalent (in) man (rem)

89
Q

Roentgen equivalent (in) man (rem)

A

Dose Equivalent

90
Q

1 Gy =

A

100 rad

91
Q

1 Sv =

A

100 rem

92
Q

Medical radiation (medical imaging, dental imaging)

A

Synthetic

93
Q

Risk of Cancer from dental imaging

A

3/1 million

94
Q

risk of Random cancer

A

3300/1 million

95
Q

Who discovered x-rays in 1895?

A

Wilhem Roentgen

96
Q

German dentist

A

Otto Walkhoff

97
Q

Energy carried by waves/particles

A

Radiation

98
Q

high-energy radiation produced by a collision of a beam of electrons with a metal target in an x-ray tube

A

X-radiation

99
Q

energy that penetrates substances

A

X-ray

100
Q

the study of radiation in medicine

A

Radiology

101
Q

image produced on a receptor by exposure to ionizing radiation (2D image of 3D object)

A

Radiograph

102
Q

Image created via x-rays passing through teeth

A

Dental radiograph

103
Q

Art and science of making radiographs

A

radiography

104
Q

production of radiographs of teeth and adjacent structures

A

dental radiography

105
Q

person who positions, exposes, and processes dental x-ray image receptors

A

Dental radiographer

106
Q

picture of an image

A

Image

107
Q

recording medium

A

image receptor

108
Q

creation of images of dental anatomic structures for diagnostic purposes

A

dental imaging

109
Q

What houses the x-ray tube?

A

Tubehead

110
Q

What restricts size of x-ray beam?

A

Position-Indicating device (PID)

111
Q

What houses electrical wires and allows for movement?

A

extension arm

112
Q

What regulates x-ray beams?

A

Control panel

113
Q

What do we control on the control panel

A

timer
kilovoltage
milliamperage

114
Q

What makes sure PID is lined up properly?

A

Beamaliment device

115
Q

The dark/black portion of a radiograph

A

Radiolucent

116
Q

Light/white portion of radiograph

A

Radiopaque

117
Q

Overall darkness of an image

A

density

118
Q

Difference in degrees of blackness on a an image

A

Contrast

119
Q

Never intersect

A

parallel

120
Q

lines cross at some point

A

Intersecting

121
Q

cross directly in the middle

A

perpendicular

122
Q

imaginary line that dives tooth in half

A

long axis of tooth

123
Q

central portion of the primary beam of x-radiation

A

central ray

124
Q

distance between tooth and receptor

A

object receptor distance

125
Q

distance between x-ray source and receptor

A

target-receptor distance

126
Q

What x-ray equipment do we use?

A

XCP-ORA

127
Q

what are the advantages of paralleling?

A

accuracy
simplicity
duplication

128
Q

what are the disadvantages of paralleling?

A

receptor placement
discomfort

129
Q

What radiograph examines crown of maxillary and mandibular teeth?

A

bitewings (BMX)

130
Q

What radiograph examines the crown, CEJ, root apex, and surrounding areas?

A

periapicals

131
Q

What radiograph is used mainly for the diagnosis of dental caries?

A

Bitewings

132
Q

What radiograph is mainly used to detect periodontal disease, pathology, endodontic therapy, and implants?

A

Periapicals

133
Q

What radiograph examines large areas of maxilla and mandible?

A

occlusal

134
Q

disease causing microorganism

A

pathogen

135
Q

pathogens in blood

A

bloodeborne pathogens

136
Q

objects that penetrate skin

A

sharps

137
Q

waste including blood, blood products, contaminated sharps, microbiologic products

A

Infectious waste

138
Q

substance inhibiting growth of bacteria

A

Antiseptic

139
Q

chemical/physical procedure to inhibit or destroy pathogens (does not kill spores)

A

disinfect

140
Q

chemical/physical procedure to destroy all pathogens (includes resistance bacteria and spores)

A

sterilize

141
Q

absence of pathogens

A

asepsis

142
Q

contact with blood/infectious material involving skin, eye or mucous membranes resulting from procedure performed by dental professional

A

Exposure incident

143
Q

exposure from piercing or puncturing skin

A

Parenteral exposure

144
Q

standard of care designed to protect personal and patients from pathogens

A

standard precautions

145
Q

o Direct contact with
contaminants
o Indirect contact
o Direct contact with
airborne

A

routes of disease transmission

146
Q

What is the recipe for infection?

A

Susceptible host
o Pathogen
o Portal

147
Q

routine handwashing, antiseptic handwashing, antiseptic hand rub

A

methods of hand hygiene

148
Q

The sensor is oriented ______ when exposing a posterior periapicle?

A

Horizontally

149
Q

What are the three principles of paralleling technique?

A
  1. receptor has to be parallel to long axis of tooth
  2. central ray must be directed perpendicular to the long axis of tooth and receptor
  3. A beamalime device must be used to maintain parallelism
150
Q

How many mSv of radiation can an occupational exposed person be exposed to each year?

A

50 mSv

151
Q

What are the two mechanisms of radiation injury?

A

Ionization
Free radical formation

152
Q

If subject thickness is increased, how will the image appear?

A

Darker

153
Q

X-ray machines operating above 70 kVp should have how many mm of aluminum filtration?

A

2.5 mm

154
Q

What type of interaction occurs when an x-ray photon interacts with an inner shell electron and causes ionization?

A

Absorption

155
Q

An x-ray beam should be no longer than how many inches after exiting the PID?

A

2.75 inches

156
Q

Name five characteristics of x-rays.

A

Invisible
No mass
No charge
High frequency
Absorb matter

157
Q

Would a deep large dose of radiation be more likely to cause short or long term effects?

A

Short term effects

158
Q

What measurement determines the amount of radiation in the air, and what are the units?

A

Exposure
Roentgens

159
Q

What type of radiation results when the primary beam interacts with matter?

A

Secondary radiation

160
Q

What does ALARA stand for?

A

as low as reasonably achievable

161
Q

Decreasing target receptor distance will result in what to the final image?

A

Image magnification and loss of definition

162
Q

An exposure to contaminants by piercing or puncturing the skin is called what?

A

Parenteral exposure

163
Q

What measures the speed of electrons moving from cathode to anode?

A

Voltage or kilovoltage

164
Q

The central ray of the x-ray beam not being centered on the receptor will cause what error?

A

Cone cut

165
Q

What are the four critical organs?

A

Thyroid gland
bone marrow
skin
lens of eyes

166
Q

Are somatic effects seen in the person irradiated or their children?

A

person irradiated

167
Q

Who prescribes dental radiographs?

A

dentist

168
Q

How often should an adult with high caries risk get radiographs done?

A

every 6-18 months

169
Q

How often should children with low caries risk get radiographs done?

A

every 12-24 months

170
Q

What is the protection equipment of the tubehead?

A

Filters
collimators
PID

171
Q

primary beam passes through glass window, insulating oil, and tube head seal

A

Inherent filtration

172
Q

How much aluminum is in inherent filtration?

A

0.5-1.0mm

173
Q

aluminum disks between tube head seal and collimator

A

added filtration

174
Q

How many increments in added filtration?

A

0.5mm

175
Q

inherent + added filtration

A

total filtration

176
Q

What are the guidelines for less than or equal to 70 kVp of total filtration?

A

1.5mm aluminum filtration

177
Q

What are the guidelines of greater than 70 kVp of total filtration?

A

2.5mm aluminum filtration

178
Q

o Lead plate with hole or
beam
o Restricts beam size and
shape
o Reduce patient exposure
o Round or rectangular

A

Collimation

179
Q

What is the length of a short x-ray beam?

A

8 inches

180
Q

What is the length of a long x-ray beam?

A

16 inches

181
Q

protect any blood forming and reproductive tissues from scatter radiation

A

lead apron

182
Q

protects thyroid gland from scatter radiation

A

thyroid collar

183
Q

most effective method of exposure

A

digital imaging

184
Q

What is the fastest speed film?

A

F

185
Q

radiation emitted from tube head that is not the primary beam

A

leakage radiation

186
Q
  • measures amount of radiation reaching the body of radiographers
  • waist level or higher
A

personnel monitoring

187
Q

What is the maximum radiation dose per year for a non-occupationally exposed person?

A

1 mSv

188
Q

What is the maximum radiation dose per year for pregnant persons?

A

0.5 mSv