Radiology: Midterm review Flashcards
Anything that occupies space and has mass
Matter
A tiny, invisible particle that is the fundamental unit of matter
Atom
The smallest part of an element that has the properties of that element
Atom
What is the most simple Atom?
Hydrogen
Atoms are arranged in increasing atomic number on a chart known as the
PERIODIC TABLE OF THE ELEMENTS
The core of the atom
Nucleus
The number of protons and neutrons in the nucleus
Atomic weight
The number of protons inside the nucleus = the number of electrons
outside the nucleus
Atomic number
Tiny negatively charged particles that have very little mass
Electrons
Production of ions, or the process of converting an atom into ions
Ionization
___ is an atom or molecule which has lost or gained one or more electrons, making it positively or negatively charged
Ion
Stream of high speed electrons originating in an x-ray tube
Cathode ray
A
Filament & electron cloud
B
Molybdenum cup
C
Cathode (-)
D
Tube window
E
Useful x-ray beam
F
Anode (+)
G
Copper stem
H
Vacuum
I
Glass envelope
J
Tungsten target
Negative charge terminal
Cathode
A metal with a very high melting point
Tungsten
Positive charge terminal
Anode
PID
Position Indicating device
used to direct x-radiation to the client’s face
PID
Today the cones are ____ lined to prevent the escape of scatter
radiation
lead
Lead plate with a central hole that fits directly over the opening of the metal housing where the x-rays exit
Collimator
Filters out long wavelengths with poor penetration power
Aluminum filter
If the mA is set at 13, will that result in a darker or lighter image that if it were taken at 8 mA?
Darker
is the highest voltage to which the current in an x-ray machine uses during an exposure
a) Milliamperage (mA)
d) Kilovoltage Peak (Kvp)
d) Kilovoltage Peak (Kvp)
It controls the SPEED of the electrons when traveling from the CATHODE
to the ANODE as well as the WAVELENGTH
a) Milliamperage (mA)
d) Kilovoltage Peak (Kvp)
d) Kilovoltage Peak (Kvp)
When the voltage is _________, the electrons travel faster and produce hard radiation and are able to penetrate most dense structures producing a high quality picture
a) Decreased
b) Increased
Increased
If you lower the mA this will result in a _____ image.
a) darker
b) lighter
Lighter
when a high speed electron dislodges an inner shell electron from the tungsten atom and causes
Ionization
X-ray beam that is produced at the target of the anode and exits
the tubehead
a) Primary radiation
b) Secondary radiation
c) Scatter radiation
a) Primary radiation
X-radiation that is created when primary beam interacts with matter ex: soft tissues of head, cranial bones and teeth
a) Primary radiation
b) Secondary radiation
c) Scatter radiation
b) Secondary radiation
T/F: Secondary radiation is less penetrating than primary radiation
True
A form of secondary radiation
A result of an x-ray photon deflected in all directions traveling to all parts of the client’s body and to all areas of the operatory
a) Primary radiation
b) Secondary radiation
c) Scatter radiation
c) scatter radiation
takes place in photoelectric effect ie: an x-ray photon collides with an inner shell electron giving up all its energy to eject the electron from its orbit
Ionization
Compton scatter
X-ray photon collides with outer shell electron and gives up part of its energy to eject the electron from its orbit
a) Compton scatter
b) Coherent scatter
Compton Scatter
X-ray photon looses energy traveling in a different direction at a lower energy level
a) Compton scatter
b) Coherent scatter
Compton scatter
Ejected electron is known as ________ electron possessing a negative charge
a) Compton scatter
b) Coherent scatter
Compton scatter
UNMODIFIED SCATTER
a) Compton scatter
b) Coherent scatter
b) Coherent scatter
Occurs when a low energy x-ray photon interacts with an outer shell electron
a) Compton scatter
b) Coherent scatter
b) Coherent scatter
X-ray photon is “unmodified” ie: it undergoes a change in direction without a change in energy
a) Compton scatter
b) Coherent scatter
b) Coherent scatter
Electrostatic force or attraction between the positive nucleus and the negative electrons
Binding force (electrical force)
Negative charge terminal
Cathode
Tungsten filament wire (coil) is attached to the _____ pole
Cathode
Also known as “Wolfram”
Tungsten
Positive charge terminal
Anode
Mostly made up of copper COPPER ROD
Anode
Stable bite block
A device that is used to stabilize an intraoral film which is made of
styrofoam is known as:
a) beam alignment device
b) collimating device
c) uni-grip
d) stabe bite block
e) snap-a-ray-holder
Stable bite block
Restricts the size and shape of x-ray
beam thus reducing patient exposure
Collimator
PID is recommended since less divergence of x-ray beam thus
most effective in reducing client exposure
Long, rectangular
Takes place when the primary beam passes through the glass window, oil bath and tube head seal of the x-ray unit
INHERENT FILTRATION
T/F: Proper mA, kVp settings and exposure times limit the amount of x-radiation exposure received by a client
True
The dental radiographer must stand at least ____feet away at ____ to ___ degree angle to the x-ray beam
6 feet
90-135 degree
T/F: The dental radiographer must never hold a film in place for a client during x-ray exposure
True
T/F: A double sided lead apron, thyroid collar and safety glasses are
protective shields necessary for clients during extra-oral radiography
True
Dental films placed inside the mouth are termed:
a) intraoral films
b) extraoral films
c) cephalometric films
d) panoramic films
e) all of the above
Intraoral films
randomly determined; having a random
probability distribution or pattern that may be analyzed statistically but may not be predicted precisely.
STOCHASTIC
Occur as a direct function of dose
a) Stochastic effects
b) non-stochastic effects
Stochastic effects
Does not posses a dose threshold
a) Stochastic effects
b) non-stochastic effects
Stochastic effects
_______ effects that have a threshold
a) Stochastic effects
b) non-stochastic effects
non-stochastic effects
Severity of effects is not dependent on the magnitude of the absorbed dose
a) Stochastic effects
b) non-stochastic effects
a) Stochastic effects
Increase in severity as absorbed dose increases
a) Stochastic effects
b) non-stochastic effects
b) non-stochastic effects
recognizes that different materials
that receive the same exposure may not absorb the same amount of energy
Radiation Absorbed Dose
Refers to the quantity of radiation received, or the total amount of radiation energy absorbed
Radiation Absorbed Dose
T/F: MORE DAMAGE OCCURS WHEN LARGE QUANTITIES OF RADIATION ARE ABSORBED BY A TISSUE
True - because cells are not given enough time to repair
Allowing time to elapse between doses allows ______ cells to repair themselves
a) genetic
b) stomatic
b) stomatic
Undergo cell mutation ie: cannot repair themselves
a) genetic
b) stomatic
Genetic
Unit for measuring absorbtion
Gray
measures the energy produced by gamma radiation in a cubic centimeter of air
a) Gray / Rad
c) Rem / Sievert
e) Roentgen
Roentgen
measures the amount of radiation energy transferred to some mass of material, typically humans.
a) Gray / Rad
c) Rem / Sievert
e) Roentgen
Gray / Rad
is a unit that relates the dose
of any radiation to the biological effect of that dose. – different types of radiation have different effects on tissues.
a) Gray / Rad
c) Rem / Sievert
e) Roentgen
Rem / Sievert
F-speed film OR D-speed film
reduces the absorbed dose by 60% ?
F-Speed
When x-rays strike a client, ______ results
Ionization
The time that elapses between
exposure and observable clinical signs
a) Latent period
b) Injury period
c) Recovery
a) latent period
Cellular damage may result
a) Latent period
b) Injury period
c) Recovery
Injury period
Most of the damage caused by low-level radiation is repaired within the cells of the body
a) Latent period
b) Injury period
c) Recovery
Recovery
X-rays were first discovered by
Dr. Wilhelm Conrad
Roentgen on November 8, 1895
discovered that these rays could penetrate substances which were impervious to light and the first
dental radiographs were produced
a) Dr. Roentgen
b) Dr. Otto Walkoff
c) Dr. Edmund Kells
a) Dr. Roentgen
A form of energy carried by waves or stream of particles
a) Radiation
b) x-radiation
c) x-ray
Radiation
A high-energy radiation produced by the collision of a beam of electrons with a metal target in an x-ray tube
a) Radiation
b) x-radiation
c) x-ray
x-radiation
A beam of energy that has the power to penetrate substances and record image shadows on photographic film
a) Radiation
b) x-radiation
c) x-ray
X-ray
Any person who positions, exposes, and processes dental x-ray film
Dental radiographer
5 basic rules of paralleling technique
- Film placement
- Film position
- Vertical angulation
- Horizontal angulation
- Film exposure
5 Basic rules of bitewing technique
1) Film positioned to cover the prescribed area of teeth
2) Film positioned parallel to the crowns of both upper & lower teeth
3) Film stabilized when the client occludes on the bitewing tab or holder
4) Central ray of the x-ray beam directed at +10 degrees
5) Central ray of the x-ray beam directed through contact areas
6) X-ray beam centered on the film to ensure that all areas of the film are exposed
Sequence for Paralleling
- Max R canine through anteriors, down to Mand L canine & finish Mand R canine
- Q1 Pre-M, molar, Q3 Pre-M, molar
- Q2 Pre-M, molar, Q4 Pre-M, molar
Sequence for FMS
- Expose all anterior PA’s
- Expose Pre-M, molar PA’s
- Expose Bitewing
Size 0 film
Posterior primary
Size 1 film
Mixed dentition- Horizontal
Anterior permanent dentiton - Vertical
Size 2 film
Anterior & Posterior Permanent dentition - Vertical & horizontal
Size 3 film
Posterior permanent dentition - Horizontally when 8’s are present
Size 4 film
Occlusal films
Distance from the object to the film
TARGET-OBJECT DISTANCE
Distance from source of radiation to the film (receptor)
TARGET-RECEPTOR DISTANCE
When and why do we use vertical bitweings
Used to examine the level of the alveolar bone; used on clients with periodontitis
When and why do we use horizontal bitewings?
Identifies the crowns of maxillary and mandibular teeth, the interproximal areas, and the areas of crestal bone
on the same radiograph
Shallow palate
cotton rolls can be used on each side of the bite-block
Increase vertical angulation by 5-15 degrees
A small bump found on the corner of the plastic film packet which aids in the identification of the patient’s
right and left side
Identification dot
Exposure interval for clients
1 impulse occurs every 1/60 of a second
Therefore, 60 impulses occur in 1 second
Intraoral film contents
- Inner paper
- Dental film
- Inner paper wrap
- Lead foil backing
- Outer package
Extraoral film contents
- Front screen
- Screen film
- Back screen
The relationship between distance and intensity of radiation is called the
INVERSE SQUARE LAW
Processing error; _____ film appears gray and lacks detail and contrast; results in improper safelighting & light leaks in the dark room.
Fogged film
Lead-lined storage containers prevent film ___
fog
Silver halide crystals absorb x-radiation during x-ray exposure and store the energy, The stored energy within the silver halide crystals forms a pattern and creates an invisible image on the emulsion
Latent image
Why is there sometimes 2 film packages?
Duplicating films and film speeds
The larger the crystals, the ______ the film speed.
faster
FILM SPEED IS DETERMINED BY
a) size of silver halide crystals
b) thickness of the emulsion
c) radiosensitive dyes
The fastest intraoral film available
F-Speed
The slowest intraoral film
D-Speed
Overall darkness or blackness of an image
Density
Higher kvp & higher mA =
Higher the denisty
High density =
Darker film
Lower density =
Lighter film
Low kV =
High contrast
High kV =
Low contrast
High contrast =
Black & white
Low contrast =
Many shades of gray
Distance from source of radiation to the client’s skin
TARGET-SURFACE DISTANCE
Distance from source of radiation to the tooth
TARGET-OBJECT DISTANCE
Longer PID
a) Less Image Magnification
b) More Image Magnification
Less Image Magnification
Shorter PID
More Image Magnification
Increase mA =
increase in temperature =
_____________
a) More electrons
b) less electrons
more electrons
____ controls the penetrating power of the x-ray beam by controlling the number of electrons produced in the x-ray tube and the number of x-rays produced
a) mA
b) kV
mA
_____ regulates the penetrating power of the x-ray beam by controlling the speed of the electrons traveling between the cathode and the anode
a) mA
b) kV
kV
kV =
A) Quantity
B) Quality
hint KLMN
Quality
mA =
A) Quantity
B) Quality
hint KLMN
Quantity
Higher the mA =
a) lighter image
b) darker image
Darker of image
Lower the mA =
a) lighter image
b) darker image
Lighter of image
Higher the kV =
a) Darker the density, lower the contrast
b) Lighter the density, higher the contrast
Darker the density, lower the contrast
Lower the kV =
a) Darker the density, lower the contrast
b) Lighter the density, higher the contrast
Lighter the density, higher the contrast
Higher kV =
a) Short scale; high contrast
b) long scale; low contrast
Long scale contrast; low contrast
Lower kV =
a) Short scale; high contrast
b) long scale; low contrast
Short scale; high contrast
Substances made up of only 1 atom
Substance
is the unit of measurement for the electrical current
a) Milliamperage (mA)
d) Kilovoltage Peak (Kvp)
Milliamperage
: it controls the amount or quantity of the electric current entering the x-ray machine as well as the heat of the
filament wire
a) Milliamperage (mA)
d) Kilovoltage Peak (Kvp)
a) Milliamperage (mA)