Test Reviews Flashcards
1-35; 36-65; 66-95; 96-130; 131-160; 161-192; 193-226
All ionizing radiation is harmful and produces biological change in living tissues.
TRUE OR FALSE
True
- The two main mechanisms of radiation injury are ionization and free radical formation. 2. Free radical formation is an example of the indirect theory of injury.
a. both statements are true
b. both statements are false
c. statement 1 is true and statement 2 is false
d. statement 1 is false and statement 2 is true
a. both statements are true
The following is (are) true about free radical formation:
a. It is responsible for most of the damage to living tissue during radiation exposure
b. to achieve stability, free radicals may combine with molecules and produce toxins
c. Hydrogen peroxide (H2O2) is a toxin produced that causes damage to tissues
d. all of the above
e. none of the above
d. all of the above
In the sequence of radiation injury, the period between exposure to ionizing radiation and observable signs is known as:
a. the period of injury
b. the recovery period
c. the latent period
d. none of the above
c. the latent period
The amount of energy absorbed by a tissue, measured in RADs, refers to:
a. dose measurement
b. exposure measurement
c. dose equivalent (in man) measurement
a. dose measurement
All of the following are true about background radiation EXCEPT:
a. It is naturally occurring radiation we are exposed to daily
b. two main types are cosmic and terrestrial
c. medical and dental radiation are sources of background radiation
d. none of the above
c. medical and dental radiation are sources of background radiation
Which of the following could be a long-term effect of x-radiation?
a. vomiting
b. cancer
c. hair loss
d. hemorrhage
b. cancer
The type of filtration produced when the x-ray beam passes through the glass window (in the tube), insulating oil and tubehead seal is known as:
a. added filtration
b. inherent filtration
c. total filtration
d. all of the above
b. inherent filtration
Which of the following exposure factors will INCREASE patient exposure to x-radiation?
a. E-speed film rather than D-speed film
b. long-cone technique rather than short-cone technique
c. Circular collimation rather than rectangular collimation
d. high kVp (80kVp) rather than low kVp (60kVp)
c. Circular collimation rather than rectangular collimation
Which of the following is TRUE of the dose-response curve for radiation injury?
a. a threshold dose level for damage does NOT exist
b. The response of the tissues is proportional to the dose
c. it has a linear, threshold relationship
d. all of the above
e. A and B only
e. A and B only
Which of the following is NOT a factor for determining radiation injury?
a. dose rate
b. cell sensitivity
c. total dose
d. occupational exposure
e. age
d. occupational exposure
- Short-term effects of x-radiation are associated with high doses over a short period of time. 2. Long-term effects of x-radiation are associated with small doses repeated over a long period of time.
a. both statements are true
b. both statements are false
c. statement 1 is true and statement 2 is false
d. statement 1 is false and statement 2 is true
a. both statements are true
X-radiation injury to reproductive (genetic) cells:
a. is not seen in the person irradiated
b. can be repaired
c. is rarely passed on to the offspring
d. all of the above
a. is not seen in the person irradiated
Radiation therapy is often successful at destroying cancer cells, this is due to the fact that cancer cells:
a. are immature (undifferentiated) cells
b. undergo mitotic activity at a rapid pace
c. have a fast cell metabolism
d. all of the above
d. all of the above
Which of the following is NOT considered a critical organ in dentistry?
a. skin
b. thyroid gland
c. brain
d. bone marrow
c. brain
Which units are TRADITIONAL UNITS of radiation measurement?
a. Roentgen, Gray, Roentgen Equivalent in Man
b. Roentgen, Radiation Absorbed Dose, Roentgen Equivalent in Man
c. Coulombs/kilogram, Gray, Sievert
d. Roentgen, Gray, Radiation Absorbed Dose
b. Roentgen, Radiation Absorbed Dose, Roentgen Equivalent in Man
The unit(s) that measures the amount of ionization by radiation that occurs in AIR is the:
a. Roentgen
b. Gray
c. Coloumbs/kilogram
d. both A and B
e. both A and C
e. both A and C
The risk of dental radiography inducing a fatal cancer is:
a. approximately three in a million
b. more likely to occur than from spontaneous cancer formation
c. approximately the same as the risk of death from riding a bicycle 10 miles
d. all of the above
e. A and C only
e. A and C only
The FIRST important step in limiting the amount of x-radiation exposure is correctly prescribing dental radiographs. TRUE OR FALSE
True
All of the following are true about pregnancy and x-radiation exposure EXCEPT:
a. the FDA recommendations do not have to be altered
b. in a FMS (18 films) with lead apron, the uterus receives 1 REM to the uterus
c. background radiation in 9 months accounts for 225 mREMs to the uterus
d. you should avoid exposure unless needed (weigh risk to benefit)
b. in a FMS (18 films) with lead apron, the uterus receives 1 REM to the uterus
Which of the following is NOT used to focus the x-ray beam and reduce scatter?
a. lead collimators
b. Position-Indicating Device (PID)
c. aluminum disks
d. none of the above
c. aluminum disks
Which of the following is an example of a radiosensitive cell?
a. muscle cells
b. nerve cells
c. mature bone cells
d. bone marrow cells
d. bone marrow cells
When taking radiographs, for patient protection during exposure:
a. always use a lead apron and thyroid collar for intraoral films
b. protec reproductive and blood forming tissues from scatter radiation
c. don’t use a thyroid collar for panoramic films
d. all of the above
d. all of the above
The single most effective method for reducing patient’s exposure to x-radiation DURING exposure is:
a. longer PID
b. utilizing a lead apron
c. using a fast film
d. proper prescription of radiographs
c. using a fast film
All of the following are operator protection guidelines EXCEPT:
a. never hold the tubehead during x-ray exposure
b. stand at least 4 feet away from the tubehead
c. stand at a position perpendicular to the primary beam (90-135 degree angle)
d. when the adequate distance from the tubehead is not possible, a protective barrier should be used
b. stand at least 4 feet away from the tubehead
Any radiation with the exception of the primary beam that is emitted from the tubehead is:
a. background radiation
b. Compton scatter radiation
c. leakage radiation
d. photoelectric radiation
c. leakage radiation
The Consumer-Patient Radiation Health and Safety Act:
a. was enacted in 1981
b. addressed the certification of persons using radiographic equipment
c. was set by the federal government
d. all of the above
d. all of the above
The maximum accumulated dose (MAD):
a. is determined by the worker’s age
b. addresses an accumulated (lifetime) dose
c. is 0.1rems for non-occupationally exposed persons
d. both A and B
d. both A and B
Using E-speed film rather than D-speed film reduces the exposure time by at least half. TRUE OR FALSE
True
The film badge for personnel monitoring:
a. should be worn over the heart
b. should NEVER be removed
c. may be shared with personnel exposed to similar threat of radiation leakage
d. should NEVER be worn while the radiographer is undergoing x-ray exposure of their own
d. should NEVER be worn while the radiographer is undergoing x-ray exposure of their own
The purpose of the aluminum disks in the x-ray tubehead is:
a. to filter out the long wavelength x-rays
b. to focus the beam and reduce scatter radiation
c. to slow down the x-radiation and lower the energy and/or penetrating power of the x-rays
d. all of the above
a. to filter out the long wavelength x-rays
In dentistry, R=rad=rem. TRUE OR FALSE
True
What does ALARA stand for?
a. a least radiation acquired accumulated
b. aiming for lowest radiation achieved
c. as low as reasonably achievable
d. as low as radiation acheived
c. as low as reasonably achievable
A thyroid shield should NOT be used in panoramic radiography because:
a. the thyroid is not exposed to radiation
b. thyroid shield blocks radiation
c. thyroid shield interferes with image
d. both B and C
d. both B and C
Which is the best PID shape for reducing radiation exposure to the patient?
a. conical
b. round
c. rectangular
d. triangular
c. rectangular
The person who discovered x-rays while working with cathode ray tubes was:
a. W.J. Morton
b. W. H. Rollins
c. Wilhelm Roentgen
d. F. Gordon Fitzgerald
c. Wilhelm Roentgen
Of the following uses of dental radiographs, which is the primary benefit to the patient?
a. detection
b. confirmation
c. localization
d. documentation of change
a. detection
Which film size is also called the narrow anterior film?
a. Size 0
b. Size 1
c. Size 2
d. Size 3
e. Size 4
b. Size 1
The number of BWX films necessary is based on which of the following?
a. the curvature of the arch
b. the number of teeth present in the posterior areas
c. the size of film used
d. all of the above
e. A and B only
d. all of the above
Which component of x-ray film provides a stable support for the emulsion?
a. film base
b. adhesive layer
c. gelatin
d. halide crystals
a. film base
The latent image is stored by the ________ in the dental x-ray film.
a. gelatin
b. film base
c. adhesive layer
d. silver halide crystals
d. silver halide crystals
Which of the following statements about duplicating film is false?
a. it is not exposed to x-rays
b. it may be placed intraorally or extraorally
c. it is used in the darkroom
d. it is used to make copies of radiographs
b. it may be placed intraorally or extraorally
Which of the following is the correct sequence of film composition, from external to internal?
a. protective layer, film emulsion, adhesive layer, film base
b. film base, film emulsion, adhesive layer, protective layer
c. protective layer, film base, adhesive layer, film emulsion
d. protective layer, adhesive layer, film emulsion, film base
a. protective layer, film emulsion, adhesive layer, film base
The tube side of the dental film packet:
a. has the flap used to open the dental film
b. is solid white
c. should face the patient’s tongue
d. is color coded
b. is solid white
The purpose of __________ is to chemically reduce the exposed, energized silver halide crystals into black metallic silver.
a. developer
b. fixer
c. rinsing
d. washing
a. developer
Where is the BEST place a box of OPENED extraoral films be stored?
a. in a well ventilated area
b. in a cool dry area
c. in the darkroom
d. none of the above
c. in the darkroom
What is the function of the gelatin in the film emulsion?
a. suspends silver halide crystals in the film base
b. helps absorb the fixing solution
c. absorbs radiation, allowing it to come into contact with the silver halide crystals
d. provides the stable support for the film
a. suspends silver halide crystals in the film base
Which of the following components is the same in both the developer and the fixer?
a. acidifier
b. hardening agent
c. accelerator
d. preservative
d. preservative
Which of the following film packet layers protects the film from back-scatter radiation?
a. paper film wrapper
b. lead foil sheet
c. outer package wrapper
d. none of the above
b. lead foil sheet
The aggregate of _________ that make up the latent image center in the crystal.
a. film emulsion
b. bromine atoms
c. neutral silver atoms
d. gelatin
c. neutral silver atoms
Which of the following conditions contribute to faster film speed?
a. double sided emulsion
b. the presence of radiosensitive dyes
c. larger silver halide crystals
d. all of the above
d. all of the above
The film emulsion is hardened during:
a. development
b. fixation
c. drying
d. washing
b. fixation
Reticulation of the film is most commonly caused by:
a. static electricity
b. extreme temperature changes
c. insufficient fixing time
d. air bubbles
b. extreme temperature changes
The central ray of the beam should be directed perpendicular to the curve of the arch and through the contacts to help avoid:
a. cone cuts
b. elongation
c. overlap
d. forechortening
c. overlap
- Foreshortening is caused by excessive vertical angulation. 2. Elongation is caused by excessive vertical angulation.
a. both statements are true
b. both statements are false
c. statement 1 is true and statement 2 is false
d. statement 1 is false and statement 2 is true
c. statement 1 is true and statement 2 is false
During processing, unexposed silver halide crystals are removed from the film emulsion by which of the following?
a. Elon
b. Hydroquinone
c. Sodium thiosulfate
d. Potassium bromide
e. Sodium carbonate
c. Sodium thiosulfate
Which fo the following solutions is responsible for softening the emulsion during processing?
a. acetic acid
b. sodium carbonate
c. sodium thiosulfate
d. sodium sulfite
b. sodium carbonate
An unexposed radiograph will appear:
a. completely clear
b. completely dark
c. partially dark (fogged)
d. none of the above
a. completely clear
With ____________, images appear stretched and distorted.
a. film creasing
b. film bending
c. tubehead movement
d. patient movement
b. film bending
The fixing agent is commonly called?
a. clearing agent
b. gelatin agent
c. neutralizing agent
d. preservative
a. clearing agent
It is necessary to maintain an adequate distance of 4 feet or more and not exceed 2-3 min. under safelight illumination when unwrapping x-ray film for developing. TRUE OR FALSE
True
Which of the following is the largest intra-oral film?
a. size 4
b. size 3
c. size 2
d. size 1
a. size 4
The first step in =manual film processing is:
a. development
b. rinsing
c. fixation
d. washing
e. drying
a. development
An interproximal examination is ___________.
a. called a bitewing x-ray
b. used to examine in-between teeth and crestal bone
c. A and B
d. none of the above
c. A and B
A periapical examination is used to examine the ________.
a. interproximal areas
b. apex of the tooth only
c. the entire tooth
d. the crown of the tooth
c. the entire tooth
- The quality of the x-ray beam refers to the energy or penetrating power of the x-ray beam. 2. The quality of the x-ray beam is controlled by the kVp.
a. both statements are true
b. both statements are false
c. statement 1 is true and 2 is false
d. statement 1 is false and 2 is true
a. both statements are true
The overall darkness or blackness of the film is known as its:
a. opacity
b. density
c. contrast
d. shaprness
b. density
___________ refers to the number of x-rays produced and is controlled by the _________.
a. Quality; kVp
b. Quantity; kVp
c. Quality; mA
d. Quantity; mA
d. Quantity; mA
To keep the film DENSITY constant; If mA is increased, then the exposure time is decreased; if mA is decreased, then exposure time is increased. TRUE OR FALSE
True
What is the main function of changing the mA on the dental x-ray control panel?
a. wavelengths
b. speed of electron travel
c. penetrating ability of the x-ray beam
d. quantity of x-rays
e. all of the above
d. quantity of x-rays
When density of the tissues is being considered, a very low density area (tissue) will:
a. stop the x-ray completely and appear white on the radiograph
b. partially block the x-ray and appear gray
c. allow the x-rays to pass through and appear black on the film
d. none of the above
c. allow the x-rays to pass through and appear black on the film
When increasing the kVp on the control panel, which of the following is likely to occur?
a. a low contrast image
b. a radiograph with high density
c. an image with more black and white
d. all of the above
e. B and C only
d. all of the above
The measurement of force used to provide the penetrating ability of the x-ray is the:
a. amperage
b. voltage
c. velocity
d. frequency
b. voltage
A higher kilovoltage produces x-rays with:
a. greater energy levels
b. shorter wavelengths
c. more penetrating ability
d. all of the above
d. all of the above
Magnification can be caused by which of the following factors?
a. A long PID
b. a short object-film distance
c. a short target-film distance
d. all of the above
c. a short target-film distance
Which of the following are true concerning contrast?
a. short-scale (high contrast) results from a low kVp setting
b. long-scale (low contrast) can be described as having low contrast
c. long-scale contrast exhibits many densities or shades of gray
d. all of the above
e. B and C only
d. all of the above
The penumbra or fuzziness surrounding a radiographic image is used to distinguish which geometric characteristic?
a. distortion
b. magnification
c. sharpness
d. all of the above
c. sharpness
All of the following are true concerning the focal spot size EXCEPT:
a. it is found on the tungsten target of the anode
b. it is set by the manufacturer (can’t be changed)
c. the larger the focal spot area, the sharper the image appears
d. none of the above (all of the above are true)
c. the larger the focal spot area, the sharper the image appears
The target-to-surface distance:
a. is the same thing as the object-to-film distance
b. is determined by the length of the PID
c. determines the amount of distortion you will get
d. all of the above
b. is determined by the length of the PID
The x-ray beam should be directed perpendicular to the tooth and film. TRUE OR FALSE
True
The tooth structure that appears the most radiolucent on the radiograph is the:
a. enamel
b. dentin
c. cementum
d. pulp
d. pulp
When radiographs are mounted labially, which of the following accurately describes the labial mount method?
a. the embossed dot is up/convex and the viewer’s orientation is facing the patient
b. the embossed dot is down/concave and the viewer’s orientation is facing the patient
c. the embossed dot is up/convex and the viewer’s orientation if from inside the patient’s mouth
d. the embossed dot is down/concave and the viewer’s orientation is from inside the patient’s mouth
a. the embossed dot is up/convex and the viewer’s orientation is facing the patient
A high-energy radiation produced by the collision of a beam of electrons with a metal target in an x-ray tube is called?
a. radiography
b. wavelength
c. radiograph
d. x-radiation
d. x-radiation
The overall blackness of an image is termed?
a. contrast
b. density
c. overexposure
d. polychromatic
b. density
A decreased focal spot size = increased sharpness. TRUE OR FALSE
True
A radiograph that has high contrast is produced with:
a. high kilovoltage
b. low kilovoltage
c. high milliamperage
d. low milliamperage
b. low kilovoltage
The overall portion of a processed radiograph that appears light or white is termed
a. radiolucent
b. radiopaque
c. dense
d. high density
b. radiopaque
A dental patient has thick soft tissues and dense bones. To compensate for this increase in subject thickness and provide an image of diagnostic density, the dental radiographer may:
a. increase the exposure time
b. increase the milliamperage
c. increase the operating kilovoltage peak
d. any of the above
d. any of the above
Inverse square law: The intensity of radiation is inversely proportional to the square of the distance from the source of radiation. Which statement is true?
a. PID length is changed from 8 inches to 16 inches - the result of the x-ray beam is 1/4 as intense.
b. PID length is changed from 16 to 8 - the result of the x-ray beam is tripled.
c. both statements are true
d. both statements are false
a. PID length is changed from 8 inches to 16 inches - the result of the x-ray beam is 1/4 as intense.
The distances to consider when exposing dental radiographs are:
a. target to surface
b. target to object
c. target receptor distance
d. all of the above
e. none of the above
d. all of the above