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radiology

Total questions: 53

Worksheet time: 27mins

Name
Class
Date
1.

During panoramic positioning of the patient, if the patient's chin is positioned too low, the following will be seen on the processed radiograph

a)

the absence of the patients condyles in the correct anatomical position

b)

open contact on the posterior teeth

c)

detail in the anterior apical regions

d)

a smile line curved downward

2.

the maximum permissible dose of radiation of exposure allowed to a dental auxiliary in a 13-week consecutive period is

a)

3 roentgens

b)

100 mrem

c)

5 rem

d)

6 rad

3.

for intraoral x-rays, what film speed is the fastest and reduces the amount of patient exposure to radiation

a)

D-speed

b)

F-speed

c)

A-speed

d)

H-speed

4.

which of the following choice is TRUE regarding chronic radiation exposure?

a)

exposure to radiation from a nuclear power plant leak is an example of chronic radiation exposure

b)

chronic radiation exposure will not be passed on the future generations

c)

this type of exposure can be easily linked to the source

d)

this type of radiation exposure is a risk to dental staff that process dental radiographs

5.

Which of the following would likely NOT be necessary in the case of an accidental radiation exposure?

a)

evaluate the building

b)

turn the power to the system off immediately

c)

advise exposed individuals to obtain medical care if needed

d)

report the exposure to the Radiation Protection Office (RPO)

6.

which of the following will appear the most radiopaque on a dental radiograph?

a)

composite restorations

b)

gutta percha

c)

amalgam restorations

d)

porcelain crowns

7.

which of the following is a true statement regarding the use of lead aprons and thyroid collars?

a)

the thyroid collar is optional for older adults past childbearing years

b)

lead aprons should be cleaned thoroughly and folded in thirds between patients use

c)

the use of lead aprons and thyroid collars will prevent cancer from developing in the thyroid gland

d)

the apron should cover from the neck to just about the patients knees

8.

what is the most likely reason for a dental radiographer to receive a reading on their personal radiation monitoring device?

a)

failure of the dental radiographer in following the rules of working with radiation, to include not wearing the badge outside of the clinic/practice

b)

expired film

c)

uncooperative patients

d)

faulty radiation-monitoring device

9.

which of the following is a main disadvantage of using digital imaging in dentistry?

a)

the speed of viewing images

b)

the sensor size and thickness

c)

the amount of radiation that a patient is exposed to

d)

the gray-scale resolution

10.

if a dental X-ray tube head has a faulty seal the following will result

a)

the x-ray unit will not turn on

b)

the electrical system of the dental radiography unit will sound an alarm

c)

leakage of radiation

d)

the x-ray unit will not emit radiation/energy to successfully expose a film

11.

why do extraoral cassettes contain an intensifying screen?

a)

filter out soft rays

b)

decrease the effects of radiation

c)

to protect the film

d)

decrease the exposure time

12.

when describing the long axis of a tooth when referring to the paralleling technique, which of the following statements is TRUE?

a)

the long axis of the tooth divides it into equal halves

b)

the long axis of the oath divides it into equal thirds

c)

the long axis can be seen on each tooth

d)

the long axis of the tooth divides it into equal sections, one section contains only the crown of the tooth, and the other section contains only the root pf the tooth

13.

when mounting processed radiographs, which anatomical landmark can assist you in mounting the molar bitewing?

a)

the external oblique

b)

the mandibular canal

c)

the mental foramen

d)

the maxillary sinus

14.

a reversed smile line observed on a panoramic image is likely due to

a)

the patient's spine is not straight

b)

position of the patients chin is too low

c)

the patient's lips were not closed during imaging

d)

position of the patients chin is too high

15.

which of the following is the device the restricts the size and shape of the x-ray beam?

a)

film badge

b)

barrier

c)

filter

d)

collimator

16.

if the kilovolt peak (kVp) setting is lowered, a longer exposure time will be necessary to produce an image with _____ contrast

a)

minimal

b)

low

c)

high

d)

immediate

17.

the optimum storage temperature of dental film is :

a)

50 to 70 F

b)

20 to 40 F

c)

30 to 60 F

d)

80 to 90 F

18.

identify the density and contrast of an image receptor produced using a high kilovolt or kV setting

a)

decreased density, high contrast

b)

decreased density, low contrast

c)

increased density, high contrast

d)

increased density, low contrast

19.

the difference between acute radiation exposure and chronic radiation exposure is

a)

the amount of radiation received and the time frame in which it is absorbed

b)

the type of shattered radiation received

c)

the type of radiation received

d)

the type of wavelengths creating the exposure

20.

which statement best described the effects of long-term low-dose radiation exposure ?

a)

the effect of long-term low-dose radiation exposure can cause changes at the cellular level in the human body that would not be observed for many years

b)

the effect of long-term low-dose radiation exposure can cause changes at the cellular level in the human body that would be observed within 2 years

c)

the effect of long-term low-dose radiation exposure will cause cancer

d)

the effect of long-term low-dose radiation exposure will cause genetic defects for both men and women in their childbearing years

21.

a dental x-ray that has the appearance of the black lines that look like a tree branch is caused by

a)

air bubbles

b)

overexposure

c)

overlapped films

d)

static electricity

22.

in an automatic processor, which solution(s) must be kept at a temperature between 80 to 95 degrees?

a)

the developer solution

b)

the fixer solution

c)

the water bath

d)

the fixer and developer solutions

23.

tomography can be best described as

a)

a second name for the production of periapical images

b)

the production of a blurred image

c)

the production of a clear, crisp image

d)

the process of imaging a desired structure while blurring of other areas

24.

which of the following is an accurate description of ionization?

a)

the process of connecting stable atoms into ions

b)

the creation of stable atoms due to radiation striking the nucleus of an ion

c)

the process of particulate radiation striking a cell and destroying the DNA of that cell

d)

the pairing of electrons and protons to create ions

25.

all of the following statements regarding the somatic effect of radiation are TRUE, EXCEPT

a)

x-rays can damage somatic tissues

b)

damage caused radiation from somatic effects is passed on to future generations

c)

one possible somatic effect of radiation is cancer

d)

x-rays affect somatic cells

26.

when considering the use of standard duplicating film, which of the following is correct?

a)

the process of film duplication must occur in the darkroom

b)

duplicated images may only be given to the patients because their quality is too poor to send on to a specialist

c)

only a small amount of additional radiation is needed to produce a duplicated image

d)

the duplicating film is covered with emulsion on both sides, which decreases the amount of time needed to complete the duplication process

27.

which of the following is a correct characteristic of the developing solution

a)

the developer removes any non-energized silver bromide crystals from the image receptor

b)

the developer solution causes the radiopaque areas on the image receptor to appear

c)

the developer solution redo es the silver bromide crystals to black metallic silver

d)

the developer solution hardens the protective layer of there image receipt covering the emulsion

28.

how will fixer spots appear on a processed radiographs

a)

white spots

b)

dark spots

c)

yellow spots

d)

brown spots

29.

the major disadvantage of the bisecting angle technique is that

a)

all exposure time is significantly longer

b)

image distortion is less likely

c)

image distortion is more likely

d)

the amount of radiation absorbed by the patient is increased

30.

the reduce cross contamination during radiographs, the CDC and ADA recommend that the operator do all of the following expect

a)

take complete medical histories

b)

wear gloves

c)

use sterilizable or disposable film holders

d)

dispose of saliva-contaminated film packets carefully

e)

cover control unit tube head with plastic barrier

31.

x-ray exposure time should be increased if the patient is

a)

a large adult

b)

very old

c)

very young

d)

edentulous

32.

before exposing a panoramic radiograph on a patient, the operator should request the removal of all of the following EXCEPT

a)

removable bridgework/dentures

b)

eyeglasses

c)

earring

d)

a watch

33.

a parent refused to have radiographs taken on his/her child. The dental assistant should

a)

explain that the radiographs are necessary for insurance reimbursement

b)

exposure the necessary radiographs without the parents knowledge

c)

inform the dentist and document parent's refusal

d)

refer the parent to another dentist

34.

thyroid collars or lead aprons can also be recorded on radiographic images. this is normally caused by the collar being placed on too loosely or too high on the neck or when the vertical angulation is so steep that collar is projected into the path of the x-ray beam

a)

true

b)

false

35.

when a removable prothesis is left in the mouth during exposure, an image of the appliance will appear superimposed over the tooth

a)

true

b)

false

36.

correctly exposing intra oral receptors include four basic steps

a)

receptor placement, vertical PID (cone) angulation alignment, horizontal PID (cone) angulation alignment, and central ray centering.

b)

receptor removal, vertical PID (cone) angulation alignment, horizontal PID (cone) angulation alignment, and central ray centering

c)

receptor placement, vertical PID (cone) angulation alignment, horizontal PID (cone) angulation alignment, and lateral ray centering

d)

receptor placement, vertical PID (cone) angulation alignment, horizontal PID (cone) angulation alignment, and patient cooperation

37.

A periapical for the maxillary should reflect the Apices Cut Off

a)

true

b)

false

38.

When the receptor Is not placed perpendicular to the occlusal plane, the occlusal will appear slanted or diagonal on the recorded image. This is an example of

a)

tilted occlusal plane

b)

bending

c)

backward placement

d)

film receptor creasing

39.

due to ____ the teeth and surrounding structures results from underangulation of the x-ray beam

a)

beam centering errors

b)

horizontal alignment errors

c)

foreshortening

d)

elongation

40.

Dental professionals should always explain the radiographic procedure to the patient and provide instructions as to what the patient can do to help ensure a quality image, avoid retakes, and reduce radiation exposure. the most common error in this category is movement. Factors causing a patient to move include:

a)

discomfort

b)

patient disability

c)

all of the above

d)

gagging and/or swallowing

e)

unsupported head position

41.

As previously discussed, the ____ is the most accurate intraoral radiographic technique, meeting four of the five principles of accurate image projection

a)

periapical

b)

bitewing technique

c)

bisecting angle technique

d)

paralleling technique

42.

The _____ technique is accomplished by placing the receptor as close to the tooth as possible. The central ray of the x-ray beam should be directed perpendicular to an imaginary line that divides the angle formed by the long axis of the tooth and the plane of the image receptor

a)

Bitewing technique

b)

Bisecting Angle Technique

c)

paralleling technique

43.

The ______ image is used to examine the interproximal surfaces of the teeth and is particularly useful for the detection of dental caries and the evaluation of alveolar come levels. The receptor is placed into the mouth parallel to the crowns of the maxillary and mandibular teeth

a)

Periapical

b)

paralleling technique

c)

bisecting angle technique

d)

bitewing technique

44.

Rigid digital receptors are typically available in sizes 0,1, and 2 while the plate receptors are available in sizes 0,1,2,3, and 4

a)

true

b)

false

45.

Digital imaging like film radiography utilizes x-ray beam collimators to reduce the area of exposure at the skin surface with a preference for rectangular collimation and receptor holding devices to reduce retake

a)

true

b)

false

46.

rectangular collimation more so than round increases both primary and scatter radiation which not only benefits the patient by reducing exposure but also improves image quality

a)

true

b)

false

47.

the majority of technique and exposure errors can be produced with digital receptors as with conventional film with a few exceptions. The greatest advantage of digital imaging is elimination of _____ which are the most common causes of retakes in film-based radiography

a)

handling errors

b)

processing errors

c)

holding errors

d)

periapical errors

48.

Wilhelm Conrad Roentgen discovered x-rays in

a)

1859

b)

1857

c)

1995

d)

1895

49.

kVp: the power and strength of the x-ray beam (quality of the x-ray)

a)

true

b)

false

50.

mAs: the number of x-ray photons produced by the X-ray tube at the setting selected (quantity of x-rays)

a)

how long the exposure lasts

b)

distant: how far the radiation travels

c)

decrease: usage of lower voltage

d)

increase: average photon energy

51.

incorrect horizontal angulation of the primary beam produces

a)

shortening of the image of the tooth

b)

overlapping of proximal surfaces

c)

lengthening of the image of the tooth

d)

overlapping of proximal surfaces

52.

underexposed receptors result in images that are

a)

too light or low density

b)

too dark or high in density

c)

too dark or low in density

d)

too light or high in density

53.

_____ results when the receptors is exposed twice, and two images appear superimposed onto each other

a)

miscellaneous errors

b)

over exposed image

c)

double exposure

d)

under exposed image