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Week 8 Radiography Panoramic Imaging

Total questions: 45

Worksheet time: 30mins

Name
Class
Date
1.

This is an extraoral technique that is used to examine the maxilla and the mandible on a single projection.

(a)  

2.

Select the following purposes for panoramic imaging.

a)

Evaluate dentition and supporting structures

b)

Evaluate impacted teeth

c)

Evaluate eruption patterns, growth, and development

d)

Detect diseases, lesions, and conditions of the jaws

e)

Evaluate trauma and examine extent of large lesions

3.

The movement of the receptor and the tubehead produces an image through the process known as:

a)

Sonography

b)

Tomography

c)

Ultrasound

d)

CT-scan

4.

This is an imaging technique that allows the imaging of one layer, or section of the body while blurring the images of structures in other planes.

(a)  

5.

The pivotal point, or axis, around which the the receptor and the x-ray tubehead rotate is defined as the:

(a)  

6.

Three-dimensional curved zone in which the structures are clearly demonstrated on a panoramic image.

(a)  

7.

1. The closer the rotation center is to the teeth, the narrower the focal trough.

2. In most panoramic x-ray machines, the focal trough is narrow in the anterior region and wide in the posterior region.

a)

First statement true, second false

b)

First statement false, second true

c)

Both true

d)

Both false

8.

This type of image results when a structure lies between the receptor and the moving rotation center.

(a)  

9.

1. A real image is a "true" image because it appears in the correct anatomic location with varying degrees of sharpness and distortion.


2. Structures found within the focal trough appear sharp on the resultant image while structures outside of the focal trough appear blurred.

a)

First statement true, second false

b)

First statement false, second true

c)

Both true

d)

Both false

10.

This type of image results when an anatomic structure that is located behind the moving rotation center is penetrated twice by the x-ray beam.

(a)  

11.

This type of image results when an anatomic structure or object is located outside of the focal plane and close to the x-ray source.

(a)  

12.

The tubehead of the panoramic unit always rotates behind the patients head, while the receptor rotates in front of the patient.

a)

True

b)

False

13.

What 2 things are only required in film-based panoramic imaging?

a)

intensifying screens

b)

collimator

c)

cassette

d)

magnified screens

14.

Select the types of intensifying screens:

a)

calcium tungstate

b)

copper tungstate

c)

rare earth

d)

lead tungstate

15.

1. Calcium tungstate screens emit blue light.


2. Rare earth screens emit green light.

a)

True

b)

False

16.

1. Rare earth screens require less x-ray exposure than do calcium tungstate screens, and are considered faster.


2. Rare earth is preferred because of the less radiation exposure to the patient.

a)

First statement true, second false

b)

First statement false, second true

c)

Both true

d)

Both false

17.

The dental radiographer must complete the panoramic imaging equipment preparations before preparing the patient for exposure.

a)

True

b)

False

18.

The following are the equipment preparation steps for panoramic imaging:


1. Prepare the receptor

2. Prepare the bite-block

3. Choose exposure settings

4. Adjust machine height

a)

True

b)

False

19.

With digital imaging, an overexposed image can be corrected with the use of software, but an underexposed image cannot.

a)

True

b)

False

20.

Select the 2 most common patient preparation errors.

a)

lead apron artifact

b)

chin tipped up

c)

ghost image

d)

chin tipped down

21.

A radiopaque artifact seen on a panoramic image is produced when a thick, dense object is located outside the focal plane and close to the x-ray source. (ex: extraoral piercing)

(a)  

22.

Name the artifact.

(a)  

23.

This positioning problem will result in a radiolucent shadow that obscures anterior teeth. This area of increased darkness occurs over the maxillary anterior region, and may be mistaken for bone loss.

a)

chin tipped up

b)

chin tipped down

c)

lips not closed on bite block

d)

head turned

24.

This positioning problem will result in a dark radiolucent shadow that obscures the apices of the maxillary teeth.

a)

tongue not against palate

b)

chin tipped up

c)

chin tipped down

d)

slumped posture

25.

What type of positioning problem causes a "reverse smile line" (curved downward)?


To prevent this error, you would position the patient so the Frankfort plane is parallel to the floor.

(a)  

26.

What type of positioning problem causes a "exaggerated smile line" or "jack-o-lantern" appearance (curved upward)?

(a)  

27.

What type of positioning problem causes anterior teeth to appear "skinny" and out of focus on the image?

This is caused by being too far forward on the bite stick.

a)

head turned

b)

teeth anterior to the focal trough

c)

teeth posterior to the focal trough

d)

slumped posture

28.

What type of positioning problem causes anterior teeth to appear "fat" and out of focus on the image?

This is caused by being too far back on the bite stick.

a)

teeth anterior to the focal trough

b)

teeth posterior to the focal trough

c)

slumped posture

d)

head turned

29.

What type of positioning problem causes the ramus and the posterior teeth to become unequally magnified.


The side farthest from film: magnified (fat)


The side closest to the film: smaller

(a)  

30.

Select the advantages of panoramic imaging:

a)

Field size

b)

Simplicity

c)

Patient cooperation

d)

Minimal exposure

31.

Select the disadvantages of panoramic imaging:

a)

Image quality

b)

Focal trough limitations

c)

Distortion

d)

Equipment cost

32.

You should position the midsagittal plane of the patient perpendicular to the floor.

a)

True

b)

False

33.

The panoramic image should not be used to diagnose:

a)

caries

b)

periodontal disease

c)

periapical lesions

34.

Which of the following describes a use of a panoramic image?

a)

diagnosis of caries

b)

evaluation of periodontal disease

c)

evaluation of impacted molars

d)

evaluation of periapical disease

35.

The zone in which structures are clearly demonstrated on a panoramic image is termed:

a)

the focal trough

b)

the rotation center

c)

the ghost image

d)

the midsagittal plane

36.

Rare earth intensifying screens are recommended in panoramic imaging because:

a)

rare earth screens emit a blue light

b)

rare earth screens provide a more diagnostic image

c)

rare earth screens require less x-ray exposure for the patient

d)

the images convert faster in automatic processors

37.

A thyroid collar is not recommended in panoramic imaging because:

a)

it blocks the x-ray beam and obscures information

b)

there is a relatively low does of radiation to the thyroid gland in panoramic imaging

c)

it is impossible to sterilize the thyroid collar

d)

None of the above

38.

The imaging line that passes from the bottom of the eye socket through the top of the ear canal is termed:

a)

Midsagittal

b)

Frankfort

c)

Vertebral

d)

Orbital

39.

The receptor and the tubehead rotate around the patient.

a)

Panoramic imaging

b)

Intraoral imaging

c)

Both panoramic & intraoral imaging

40.

This type of image is used to examine the extent of large lesions.

a)

Panoramic imaging

b)

Intraoral imaging

c)

Both panoramic & intraoral imaging

41.

The tubehead contains a filament used to produce electrons and a target used to produce x-rays.

a)

Panoramic imaging

b)

Intraoral imaging

c)

Both panoramic & intraoral imaging

42.

The collimator is a lead plate with an opening in the shape of a narrow vertical slit.

a)

Panoramic imaging

b)

Intraoral imaging

c)

Both panoramic & intraoral imaging

43.

The vertical angulation of the tubehead is variable.

a)

Panoramic imaging

b)

Intraoral imaging

c)

Both panoramic & intraoral imaging

44.

A screen film is used.

a)

Panoramic imaging

b)

Intraoral imaging

c)

Both panoramic & intraoral imaging

45.

The vertebral column must be perfectly straight.

a)

Panoramic imaging

b)

Intraoral imaging

c)

Both panoramic & intraoral imaging