Exam 1.5: Radiation Biology, Safety, Infection Control Flashcards

1
Q

What are the three effects of radiation on atoms and molecules

A

Excitation
Ionization
Breakage of Molecular Bonds

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2
Q

What happens to an electron when it is excited by an xray photon?

A

It vibrates before returning to its normal state, releasing the energy stored from the impact as heat or light

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3
Q

How could radiation create an ion pair?

A

A high energy photon can impact an atom and eject an orbital electron creating a positive ion and a free electron….an ion pair

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4
Q

Why is molecular bond breakage the worst type of radiation damage?

A

It renders the molecules useless and can kill the organelle, which might lead to cell death

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5
Q

What free radicals are created via radiolysis of water?

A

OH* and Hesi
Can then react with water to form
HO2

H2O2

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6
Q

Besides water, what other common biological molecules can be turned into free radicals when hit with radiation

A

CO2
NO2
O2

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7
Q

What is a DIRECT effect of radiation exposure?

A

Ionization energy is placed directly into critical molecules within the cell

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8
Q

What is the critical biomolecule?

A

DNA

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9
Q

What is the INDIRECT effect of radiation exposure?

A

The water in the cell is radiolysed creating free radicals and toxic chemicals (H2O2) that then damage critical molecules like DNA and proteins

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10
Q

What is the period between the radiation exposure and the damage incurred by indirect effects?

A

Latent period

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11
Q

What are some health problems caused by the accumulative effects of radiation exposure?

A

Cancer
Cataracts
Birth defects

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12
Q

What factors of the radiation influence the radiobiological effects of radiation exposure?

A
Type of Radiation
LET (Linear Energy Transfer)
Total Dose
Penetrating ability/Quality of Beam
Local area v. Entire body
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13
Q

How do Alpha particles and X-rays compare in terms of LET?

A

Alpha particles have a High LET

X rays have a low LET

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14
Q

What host factors influence the radiobiological effects of radiation exposure

A
Species
Intrinsic resistance
Type of Tissue
Rate of cell division
Somatic Tissue vs. Genetic Tissues
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15
Q

What are the worst tissue cells to get hit with radiation?

A

Reproductive
Bone Marrow
GI Mucosa

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16
Q

What are the “best” tissue cells to get hit with radiation?

A

Muscle

Nerves

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17
Q

What are 4 Deterministic Effects

A

Erythema and Skin Ulcers
Epilation (Hair falls out by the roots)
Cataract Formation
Sterility

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18
Q

What is the term for genetic effects of radiation

A

Stochastic effects

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19
Q

What are the 4 Total Body Irradiation Syndromes

A

CNS Syndrome
GI Syndrome
Bone Marrow Syndrome
Lethal Effects

20
Q

Which syndrome requires a threshold of 50+ Grays?

A

CNS (Neurons are able to take a lot of radiation)

21
Q

What syndrome is imparted with 10-50 Grays

A

GI Syndrome

No cases of survival with doses of 10+ Grays

22
Q

How much radiation is required to acquire Bone Marrow Syndrome

A

2-10 Grays

23
Q

What percent of the average americans annual radiation comes from medical x-rays?

24
Q

What percent of the average american’s annual radiation comes from radon in the ground?

25
How much radiation is the average american exposed to in one year (in microSieverts)
3000 uSv
26
How many microsieverts is in one Panoramic Radiograph
7 uSv
27
What are the chances of increased cancer risk from a dental x-ray?
1 in 1 Million Billion
28
What is the difference between exposure and dose?
Exposure (R) is the amount of radiation coming out of the machine Dose is the amount of radiation that was absorbed by a unit mass of tissue
29
What do you need to multiply the dose by to get a effective dose measurement?
The quality of the beam. Xray multiplier = 1 Neutrons = 5 Alpha Particles = 25
30
What is the MPD for the dental team for a year?
50 mSv
31
What is filtration
Removes soft, low wavelength x-rays that will contribute to the patient's dose w/o contributing to the image
32
What do dental units operating at 70 kVp or more need in terms of filtering?
2.5 mm of aluminun
33
How does collimation help limit dose?
It restricts the beam's cross-sectional area
34
What is the size of the beam diameter limited by federal law?
7 cm
35
How does a collimator also improve the image?
Reduces fog
36
Why is a long BID preferred?
Long BID's reduce patient radiation exposure by reducing the amount of beam divergence so a smaller cross section of patient tissue is exposed per image
37
Why aren't pointed plastic cones recommended?
They produce more scatter than a rectangular collimated beam
38
Why should you NEVER hold the tubehead in order to keep it steady during an image
A small amount of leakage will always sneak out of the tube head.
39
At what angle and distance should you stand from the primary beam to reduce occupational exposure
90-135 degrees and at least 6 feet away
40
What is the PPE needed for dental radiology
Mask | Gloves
41
What should be covered with plastic wrap to prevent contamination
BID Yoke Tubehead Control Panel
42
What film speeds can be ordered pre-wrapped in bags
D E F
43
What is required for infection control in panoramic radiography?
Bite block cover or disposable bite block
44
What device can eliminate the need to cover the exposure button in plastic wrap
Foot switch
45
What must any contaminated, unwrapped items in the xray operatory be disinfected with
Quaternary ammonium spray solution Spray Wipe Spray 28 days