Midterm Exam Review Flashcards
Who can prescribe dental radiographs?
A dentist
What is inherent filtration of the x-ray tube?
takes place when the primary beam passes through the glass window of the x-ray tube head, the insulating oil, and the tube head seal
What is added filtration of the x-ray tube?
added aluminium disks in the path of the x-ray beam between the collimator and the tube head seal
What is total filtration?
thickness of filtration required to operate the machine ex. below 70 kV
What is a collimation device?
device used to restrict the size of the x-ray beam and limit patient exposure
what are two shapes collimation devices come in?
rectangular and circular
what shape of collimation device is more effective in minimizing patient exposure?
the rectangular collimator, reduces by 60% less
What is the position indicating device?
extension of the tube head used to direct the x-ray beam
What two shapes does the PID come in?
rectangular and round
what two lengths does the PID come in?
8 inch and 16 inch
What is the most preferred shape of a PID? why?
the rectangular, limits patients exposure similar to the rectangular collimator
which length PID gives off less exposure
the 16 inch PID
What is a thyroid collar and why is it used?
lead collar places around the neck it protects the thyroid gland.
when is a thyroid collar not recommended?
in extra oral exposures, it can obscure the image
What is a lead apron and why is it used?
flexible lead shield placed over the patients chest and lap/ used to protect the reproductive system and blood forming tissues from scatter radiation
What receptor allows for the least amount of radiation?
digital receptor
How does a beam alignment device reduce patient exposure to radiation? (2)
- it stabilizes the receptor and therefore reduces movement
- aligns the receptor precisely with the beam
To limit radiation exposure what is the optimal exposure kV setting?
60 to 80 kV
Why is proper technique so important when taking radiographs?
It limits the chances of having to retake the image and therefore reduces patients exposure
How can we as the x ray operator protect ourselves from radiation?
leave the room while radiographs are being taken
If you can not leave the room while a radiograph is being taken, how far should you stand?
six feet
how far (in degrees) should the radiographer stand from the beam?
perpendicular to the beam and 90-135 deg away
What is leakage radiation?
any radiation with the exception of the primary beam that is emitted from the dental tube head
What is a radiation monitoring badge?
device used to monitor the amount of radiation that reaches the body of the dental radiographer
how does a radiation monitoring badge work?
The radiographer wears the badge for a certain time period, the badge gets sent back to the company and then the company reports the amount of radiation found
What is the maximum permissible dose (MPD)?
maximum dose of radiation that an individual can receive in a specific period that will cause little to no harm
what is the cumulative occupational dose?
the amount of radiation a workers must not exceed in their lifetime. Measured in mSv
What is the formula for measure the cumulative occupational dose?
workers age X 10 mSv
ex. someone who is 50 years old (50 x10 mSv= 500 mSv)should not exceed 500 mSv
What does ALARA stand for? what does it mean?
As low as reasonably achievable, means that we should always be trying to keep radiation as low as possible
True or False: every patient should be evaluated individually prior to prescribing dental images?
True
True or False: The 8 inch PID is more effective than the 16-inch PID in reducing radiation exposure of the patient?
False, the 16-inch PID is more effective
True or False: Pointed cones should not be used because of increased scatter radiation?
True
True or False: The thyroid collar must be worn for both intra oral and extra oral exposures?
False, the thyroid collar may interfere with the extra oral images
True or False: if necessary, the dental radiographer may hold a receptor in the patient mouth to ensure a diagnostic image?
False, you should never hold a receptor in place while taking radiographs (exposure)
Which statement best describes the function of a filter in a dental x-ray tube head?
a. it reduces the size and shape of the beam
b. it removes low-energy x rays?
c. it removes the dose of radiation to the thyroid gland
d. it decreases the mean energy of the beam
B
Which is not a component of inherent filtration?
a. oil
b. unleaded glass window
c. a leaded PID
d. tube head seal
C
what is the most effective way of reducing patient exposure to radiations?
a. lead apron
b. fast films
c. circular pid
D. film-holding device
B
What position indicating device is most effective in reducing exposure?
a. conical
b. rectangular
c. circular
d. all are equally effective
B
Which device restricts the size and shape of the x-ray beam?
a. filter
b. collimator
c. barrier
d. film badge
B
which material is used as a collimator?
a. lead
b. aluminum
c. copper
d. all of the above
A
what describes the function of filtration?
a. increases scatter radiation
b. increases divergent rays
c. increases long wavelengths
d. reduces low-energy waves
D
What is the recommended size of the beam at the patient face?
a. 2.75 inches
b. 3.25 inches
c. 3.50 inches
d. 4 inches
A
Which term describes the dose of radiation that the body can endure with little to no chance of injury?
a. radiation limit
b. maximum permissible dose
c. occupationally exposed dose
d. ALARA
B
Which statement is true of a radiation monitoring badge?
a. it should be worn when the radiographer is undergoing x-ray exposure
b. it can be shared between employees
c. it should be worn at waist level when exposing x ray receptors
d. all of the above are true
C
What does the term radiolucent refer to? What does it look like? Example
portion of the image that is dark or black. lacks density therefore allowing the passage of the x ray beam freely (eg spaces between the teeth)
What does the term radiopaque refer to? What does it look like? Example?
portion of the image that appears light or white, structures that are dense and are able to resist the passageway of the x ray beam ex. enamel or bone
What is a diagnostic image?
an image that provides a great deal of information, with proper density and contrast and accurate shape and size.
The overall blackness or darkness of a dental image is termed ______?
density
What influences density of an image?
Exposure factors
- Kilovoltage (kV)
- Milliamperage (mA)
- exposure time
If the kilovoltage is increased, the density _____ and the image appears ______?
increases and darker
if the kilovoltage is _______ the density decreases and the image appears lighter
decreased
If the milliamperage is increased, the density is ______ and the image appears darker
increased
If the exposure time is increased, the density is _______ and the image appears darker
increased
True or False: The longer the exposure time the darker the image get?
True. Think of exposure time as a faucet, the longer the faucet is on the more water comes out
How does subject thickness affect density?
the thicker the subject the less density and therefore a lighter image
What is contrast in dental radiography?
The difference in degree of blackness between adjacent dental areas on a dental image
What kind of contrast would be an image that has very dark areas and very light areas?
high contrast
what kind of contrast would be an image that has similar shades of gray?
low contrast
What is film contrast?
characteristics of the film that influence the radiographic contrast, this is by manufacturer and cannot be changed except in film processing where development time or temperature can have an impact
What is subject contrast?
characteristics of the subject (patient) that influence radiographic contrast (size and thickness of patient tissues)
When a high kilovoltage is used ___ subject contrast results
low
when a low kilovoltage is used ___ subject contrast results
high
what can influence contrast on a dental image
kilovoltage
the range of useful densities seen on a dental image is termed the _________
scale of contrast
what is short scale contrast?
a dental image that only show two densities: areas of black and areas of white
A _______ kilovoltage range results in an image with a short scale contrast
lower
A image that exhibits a short contrast scale can also be describes having ____ contrast
high
What is long scale contrast?
a dental image that exhibits many densities or many shades of grey
True or false: A higher kilovoltage range results in an image with a long scale contrast
true
an image that exhibits a long contrast scale can also be described as having _____ contrast
low
If the operator is suspicious of finding cavities on the patients image, decreasing the kilovoltage to produce
____ scale contrast may be beneficial
short
what scale of contrast would be beneficial when looking at different levels of bone loss in periodontal diseases
long scale
Review: High kilovoltage = low contrast = _____ scale
long
Review: Low kilovoltage= High contrast= ____ scale
short
What is a stepwedge? why is it used?
device used to demonstrate short and long scale contrast. Its a layer of x rat absorbing material such as aluminium that shows the different densities that appear on the image
What is sharpness in an image?
how well the distinct outlines are shown- how well the smallest details of an object are reproduced on a dental image
What is Penumbra
defined as the unsharpness or blurring of the edges
What is magnification of an image?
refers to a radiographic image that appears larger than the actual size of the object it repersents
What is distortion of an image?
variation in the true size and shape of the object being radiographed. a distorted image does not have the same size and shape as the object being radiographed
The portion of a dental image that appears dark or black is termed:
a. dense
b. radiolucent
c. radiopaque
d. transparent
B
The portion of the dental image that appears light or white is termed:
a. radiolucent
b. radiopaque
c. dense
d. high density
B
Which appears most radiolucent on a dental image?
a. bone
b. enamel
c. dentin
d. airspace
D
Which appears most radiopaque on a dental image?
a. Bone
b. enamel
c. dentin
d, all of the above
D
The overall blackness or darkness of a dental image is termed:
a. density
b. contrast
c. subject thickness
d. diagnostic quality
A
Increasing Milliamperage (mA) will cause:
a. an increase in density: the image will appear darker
b. an increase in density: the image will appear lighter
c. a decease in density: the image will appear darker
d. a decease in density the image will appear lighter
A
Increasing kilovoltage (kV) will cause:
a. an increase in density: the image will appear darker
b. an increase in density: the image will appear lighter
c. a decease in density: the image will appear darker
d. a decease in density the image will appear lighter
A
Increasing exposure time will cause:
a. an increase in density: the image will appear darker
b. an increase in density: the image will appear lighter
c. a decease in density: the image will appear darker
d. a decease in density the image will appear lighter
A
A dental patient has thick soft tissues and dense bones to compensate for this subject thickness and to provide diagnostic density the the dental radiogrpaher may:
a. increase exposure time
b. increase mA
c. increase kV
d. all of the above
D
The difference in degrees of density between adjacent areas on a dental image is termed:
a. film contrast
b. contrast
c. subject thickness
d. diagnostic quality
B
A dental image that has many shades of gray is said to have:
a. high contrast
b. low contrast
c. high density
d. low density
B
A dental image that demonstrates very dark and very light areas is said to have:
a. high contrast
b. low contrast
c, high density
d. low density
A
The one exposure factor that has direct influence on the contrast of a dental image is:
a. kV
b. mA
c. exposure time
d. subject thickness
A
the type of contrast preferred in dental imaging is:
a. low contrast
b. long-scale contrast only
c. short scale contrast only
d. a compromise between short scale contrast and long scale contrast
D
The step-wedge is used for all of the following except?
a. to demonstrate short scale and long scale contrast
b. to monitor quality control of film processing
c. to increase the penetrating quality of the x ray beam
d. to demonstrate densities
C
The capacity of the receptor to reproduce distinct outlines of an object is termed?
a. sharpness
b. magnification
c. distortion
d. diagnostic quality
A
The unsharp or blurred edges seen on an image are termed:
a. distortion
b. umbra
c.penumbra
d. contrast
C
The geometric characteristics that refers to an image that appears larger than its actual size is termed:
a. distortion
b. detail
c. definition
d. magnification
D
A variation in the true size and shape of the object being imaged is termed:
a. magnification
b. distortion
c. sharpness
d. resolution
B