Keywords Flashcards
What does LATERAL mean in radiography?
An x-ray taken from the side of the patient.
Taking a temperature
Ensure thermometer is properly cleaned, center is poisonous, hold at opposite end of silver Mercury bulb. Shake until Mercury falls below 35 degrees. Place under tongue of fully conscious adult patient or armpit of a child. Keep in place for 3mins.
Read the temp at the level to which the Mercury has has written
Angina
Pt complains of tightness of the chest which can radiate across the left arm to the neck and jaw. They can also experience shortness of breath and nausea. This is due to lack of blood in the coronary artery, most often due to the narrowing of the vessel.
Precautions and drugs used for Angina
Precautions: Make sure medication is available
Use local anaesthetic with adrenaline
Keep pt more upright in chair
Drugs: GTN spray (glyceryl trinatrate) sub lingually
Coronary Thrombisis
This is a complete blockage of the coronary artery. There is no oxygen going to the heart muscle, leading to a heart attack.
Precautions and drugs used for Coronary Thrombosis
Precautions: The pt must see the GP to have an INR check (international normalised ratio). This will reduce the risk of haemorrhage.
Drugs: Anticoagulants, Heparin, Warfarin
Heart failure (attack)
This is not a disease, but it categorises many disorders such as:
- Hypertension
- Ischemic
- Heart Disease
Drugs used for this are: Aspirin, Digoxin (slows heart rate)
Precautions: To use LA without adrenaline
4 main ways X-ray photons can interact with matter
1: Absorption
2: Pure Scatter
3: Absorption and scatter
4: Transmission
Radiolucent
(Type of shadow)
Black areas are where x-ray photons have passed through the patient (no absorption) and hit the film.
Radiopaque
(Type of shadow)
White areas are where the x-ray photons have been totally absorbed by the patient.
Mixture
(Type of shadow)
Grey areas occur where there are varying areas of absorption.
Placement - explain the error and correction
Error: improper area recorded, crowns or apices cut off.
Correction: place receptor according to placement guidelines to cover structures.
Foreshortening - explain the error and the correction
Error - image shortened and smaller than the actual object length
Correction - decrease the vertical angulation of the beam
Elongation - explain the error and the correction
Error - image stretched and longer than the actual image length
Correction - increase the vertical angulation of the beam
Overlapping - explain the error and the correction needed
Error - proximal surfaces of the teeth are closed
Correction - direct the x-ray between the contacts of the teeth
Cone cutting - explain the error and the correction needed
Error - white zone where the x-ray did not strike the image receptor
Correction - center the x-ray beam over the image receptor
Under exposure - explain the error and the correction needed
Error - light or low density image
Correction - increase exposure factors, check for large patient’s size.
What does INR stand for?
International normalised ratio
Leukaemia
Increase of abnormal white blood cells (Leukocytes). Therefore the patient has reduced immunity.
Explain the Frankfort plane
A line from the tragus of the ear through the palpable bony infraorbitbal rim area is relatively parallel to the floor.
What are photons?
Photons are a type of electromagnetic radiation. They come in a wide range of energies which determine their properties.
The very low energy photons make up radio waves, whilst the photons with medium energy are visible to us as a light.
Gamma ray and x-ray photons
These have a high energy compared to other types of electromagnetic radiation. They are classified as ionising radiation.
They are the same thing, the only difference is gamma is naturally occurring and x-rays are man made.
X-ray photons can interact with matter in 4 ways. Name them and try to explain them.
Absorption- they hit the matter and their energy is absorbed.
Pure scatter - they are deflected in another direction with no loss of energy.
Absorption and scatter - they hit the matter and are deflected in another direction with loss of energy
Transmission - they pass straight through the matter without touching anything. Photons with a lot of energy will pass through the patient whereas photons with little energy stops inside the patient, known as absorption.
What does Kv stand for?
Kilovoltage
What does mA stand for?
Milli-amperes per second
Dangers of ionising radiation
Deterministic effects (tissue reactions) - in most cases a threshold does exists where no changes will take place.
Stochastic effects - may occur after any does of radiation.
Which are then divided into
Acute or immediate effects - can appear a short time after the exposure
Chronic/long time effects - can appear a long period of time after the exposure.
What is an atom?
Atoms consist of minute particles held together by electric and nuclear forces. Their dense central nucleus is made up of protons and neutrons. This nucleus is surrounded by other electrons in specific orbits or shells.
Atoms - continued
Positive or negative charge?
Protons = positive charge
Nucleus = positive charge
Electrons = negative charge
Neutrons = no charge
Terminology
What is the acronym?
DC - direct current or contrast potential
AC - rectified alternating current or pulsed potential
FsD - focus to skin distance
mA - milliamperage
Collimator - beam size and spacer cone
What does ALARP stand for?
As Low As Reasonably Practicable
Summarise what a Quality Audit means
The process of external assessment that ensures quality assurance and quality control procedures are all satisfactory, being completed regularly and working effectively.
What is Quality Assurance?
The arrangements the assure that quality control procedures are effective and they lead to relevant change and improvement.
What is Quality Control?
The specific measures for ensuring and verifying the quality of the radiographs produced.
True or false?
A register should be kept and maintained of staff training logs
True
Where should the local rules and employee written procedures be kept?
A) OPG room
B) Radiation protection file
C) Practice managers desk
Answer: B
True or false?
Solid state sensors require a list of Do’s and Don’ts available to ensure staff handle with care
False
Which type of processing is this daily check used on ‘Process cleaning through the processor at the beginning of the day to keep clean rollers’
A) Manual
B) Automatic
C) Digital
Answer: B
What type of developing requires a coin test to take place?
A) Manual
B) Automatic
C) Digital
Answer: A
How often should processing equipment be tested?
Annually
Who is responsible for a Quality Assurance programme in a dental practice?
A) Requires a named person, suitably trained
B) Eveyone in the building
C) Only the clinician who uses the x-ray machine
Answer: A
What does the acronym SLOB stand for?
A) Same Lingual Opposite Buccal
B) Sulcus Line Occlusal Buccal
C) Same Line Opposite Buccal
Answer: A
What does the word parallax mean?
The effect of an item appearing to differ in direction or position from the observer’s viewpoints.
Example: a static object may look bigger or small depending on how close you are to it.
Which tooth is most likely to require localisation due to un-eruption and ectopic positioning?
A) Mandibular canine
B) Maxillary lateral incisor
C) Maxillary canine
D) Mandibular incisor
Answer: C
How is parallax used to localise an un-erupted canine?
By imaging the tooth at two different angles, vertically and horizontally.
Why is a CBCT now more commonly used to localise teeth?
CBCT is more accurate
What anatomy should the upper standard occlusal radiograph demonstrate?
A) The nasal septum
B) The anterior maxillary teeth and the anterior maxilla
C) The posterior maxillary teeth and the anterior maxilla
D) The lower anterior teeth and the anterior mandible
Answer: B
What is a lateral radiograph?
Lateral radiographs are extra-oral images taken to view the jaw, they are taken using a dental x-ray set.
What is true lateral positioning?
The image receptor and the sagittal plane of the patient’s head are parallel to one another. The x-ray beam is vertical to them both.
What is the bimolar technique?
A) A radiograph taken to show the molars for removal.
B) The radiographic projections showing oblique lateral views of the right hand side of the jaw on different halfs.
C) A radiograph projection showing the molars of one side of the jaw.
Answer: B
True or false?
Cephalometric radiography is a reproducible radiograph of the skull and can usually be used for orthodontic treatment to assess the connection between the teeth and the jaw to the rest of the skeleton.
True
What dental specialist commonly would request a cephalometric radiograph?
A) Periodontist
B) Implantologist
C) Orthodontist
D) Maxillofacial Surgeon
Answer: C
What apparatus is used to stabilise the patient’s head during a cephalometric radiographic procedure?
A) Ear rods
B) Head brace
C) Temple holders
Answer: A
What is the most common fault seen on a panoramic radiograph?
A) Movement
B) A positioning error
C) Shadowing caused by jewellery
Answer: B
When using manual and automatic films, which of the below options could cause the image to be too dark?
A) Developer solution too cold causing underdevelopment.
B) Overexposure due to faulty timer.
C) The room being too dark.
Answer: B
How do you correct an exposure error?
Adjust the kV accordingly
What does the quality rating ‘N’ mean?
Not acceptable - errors in either patient preparation, exposure, positioning or image reconstruction which render the image diagnostically unacceptable.
What does quality rating ‘A’ mean?
Acceptable - No errors or minimal errors in either patient preparation, exposure, positioning, processing or image reconstruction and sufficient image quality to answer the clinical question.
What does DPT stand for?
A) Deep panoramic technique
B) Dental panoramic tomography
C) Dental panoramic technique
Answer: B
What is the Compton effect?
A) The radiation exposure to the patient.
B) The scattering and absorption of the x-ray.
C) The photons passing through the matter.
Answer: B
If somatic cells are affected then it is possible radiation induced malignancy:
True or false?
True
Evert exposure of ionising radiation carries the risk of causing damage:
True or false?
True
Is there a safe dose of radiation?
A) Yes
B) No
C) Maybe
Answer: B
What is The Photo-Electric Effect?
A) Pure radiation
B) Pure scatter
C) Pure absorption
Answer: C
Following DNA damage, subsequent chromosomes effects could include:
A) Only temporary damage
B) Abnormal replication
C) Cell death, Abnormal replication, failure to transference of information and only temporary damage.
D) None of the above
Answer: C