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2025 RHS TEST CH 38 1-8

Total questions: 99

Worksheet time: 50mins

Name
Class
Date
1.

Who is credited with the first practical use of radiographs in dentistry, in 1896.

a)

C. Edmund Kells

b)

Otto Walkoff

c)

Wilhelm Roentgen

2.

Energy is defined as

a)

the capacity to do work.

b)

anything that occupies space.

c)

anything that has form or shape.

3.

Matter is anything that

a)

is alive and breathes oxygen.

b)

that is important.

c)

occupies space and has form or shape.

4.

Dental x-rays cannot make atoms radioactive.

a)

True

b)

False

5.

Electrons travel around the nucleus of an atom in well-defined paths known as

a)

gravity

b)

shells

c)

solar systems

6.

A minute (tiny) bundle of pure energy that has no weight or mass

a)

photon

b)

ion

c)

proton

7.

Which of the following describes ionization?

a)

an atom without a nucleus

b)

an atom that loses an electron

c)

an atom with equal numbers of protons and electrons

8.

X-rays are a form of energy that can ___________ matter.

a)

penetrate

b)

move

c)

reflect

9.

X-rays belong to a group called ______________ radiation.

a)

electromagnetic

b)

gamma

c)

medical

10.

Electromagnetic radiation is made up of photons that travel through space at the speed of __________.

a)

light

b)

sound

c)

both a and b are correct

11.

Electromagnetic radiation travels in a _________ line with a __________ motion.

a)

straight, wavelike

b)

slowly, serpentine

c)

curved, back and forth

12.

Which of the following is NOT a type of electromagnetic radiation?

a)

electrons

b)

radar waves

c)

microwaves

d)

x-rays

13.

Short wavelengths can penetrate matter more easily than longer wavelengths.

a)

True

b)

False

14.

Insulating oil surrounds the x-ray tube and prevents leakage by absorbing the photons created in the production of x-rays.

a)

True

b)

False

15.

The x-ray tube is the __________ of the x-ray–generating unit.

a)

brains

b)

heart

c)

sole

16.

The aluminum filter is an __________ sheet _______ mm thick.

a)

aluminum, 0.5

b)

lead, 2.5

c)

tungsten, 5

17.

Which of the following regulates the flow of electrical current to the filament of the x-ray tube?

a)

high-voltage circuit

b)

low-voltage circuit

c)

high-voltage transformer

d)

low-voltage transformer

18.

The focusing cup made of ______________.

a)

nickel

b)

tungsten

c)

molybdenum

19.

The purpose of the cathode is to supply the electrons necessary to generate x-rays.

a)

True

b)

False

20.

The anode is composed of a _________ target that is embedded in the larger ___________ stem.

a)

tungsten, copper

b)

molybdenum, tungsten

c)

tungsten, molybdenum

21.

Which of the following is the location in which x-rays are produced?

a)

positive cathode

b)

positive anode

c)

negative cathode

d)

negative anode

22.

Which of the following is the location in which thermionic emission occurs?

a)

positive cathode

b)

negative anode

c)

negative cathode

23.

The lead diaphragm determines the size and shape of the

a)

Electron cloud

b)

Film used

c)

X-ray beam

d)

Filament

24.

The long (16-inch) PID is more effective in reducing exposure to the patient than a short (8-inch) PID because there is less divergence (separation) of the beam.

a)

True

b)

False

25.

THE LENGTH OF THE PID IS CHANGED FROM 16 INCHES TO 8 INCHES. THE RESULTANT INTENSITY OF THE BEAM WILL BE:

a)

four times as intense

b)

twice as intense

c)

half as intense

d)

one-fourth as intense

26.

THE PORTION OF THE TARGET THAT IS STRUCK BY ELECTRONS IS CALLED THE

a)

Focal spot

b)

Photon point

c)

Principal point

d)

End point

27.

Used to decrease voltage from the incoming 110- or 220-line voltage to the 3 to 5 volts used by the filament circuit.

a)

Step Up Transformer

b)

Step Down Transformer

c)

Low voltage circuit

28.

Used to increase incoming voltage to 65,000 to 100,000 volts used by the high-voltage circuit.

a)

Step Up Transformer

b)

Step Down Transformer

c)

Low voltage circuit

29.

When electrons strike the tungsten target, less than ____ of the energy is converted to x-rays, the remaining _______ is lost as heat.

a)

1%, 99%

b)

99%, 1%

c)

50%, 50%

30.

Which of the following is used to increase the voltage in the high-voltage circuit?

a)

step-up transformer

b)

step-down transformer

c)

autotransformer

d)

step-up circuit

31.

Which of the following accounts for 70% of all the x-ray energy produced at the anode?

a)

general radiation

b)

characteristic radiation

c)

Compton scatter

d)

coherent scatter

32.

Which of the following describes primary radiation?

a)

radiation that exits the tubehead

b)

radiation that is created when x-rays come in contact with matter

c)

radiation that has been deflected from its path by the interaction with matter

d)

none of the above

33.

Which of the following describes scatter radiation?

a)

radiation that exits the tubehead

b)

radiation that is more penetrating than primary radiation

c)

radiation that has been deflected from its path by interaction with matter

d)

none of the above

34.

THE QUALITY OR PENETRATING POWER OF SECONDARY RADIATION IS

a)

More than that of primary radiation

b)

Less than that of primary radiation

c)

The same as that of primary radiation

d)

Unrelated to that of primary radiation

35.

WHICH FACTORS INFLUENCE THE POTENTIAL DANGER OF IONIZING RADIATION?

a)

Quantity of exposure

b)

Duration of exposure

c)

Type of tissue exposed

d)

All of them

36.

The portion of a processed radiograph that appears dark or black is termed:

a)

dense

b)

radiolucent

c)

radiopaque

d)

transparent

37.

The portion of a processed radiograph that appears light or white is termed:

a)

radiolucent

b)

radiopaque

c)

dense

d)

high density

38.

WHICH OF THE FOLLOWING MATERIALS IS MOST RESISTANT TO THE PENETRATION OF IONIZING RADIATION?

a)

Aluminum

b)

Copper

c)

Lead

d)

Plastic

39.

Which of the following appears most radiolucent on a dental radiograph?

a)

bone

b)

enamel

c)

dentin

d)

air space

40.

An example of a radiopaque structure seen on dental x-rays is:

a)

bone

b)

enamel

c)

dentin

d)

all of the above

41.

SCATTER RADIATION IS A TYPE OF

a)

Secondary radiation

b)

Primary radiation

c)

Stray radiation

d)

Filtered radiation

42.

IDENTIFY THE TERM THAT DESCRIBES HOW DARK AND LIGHT AREAS ARE DIFFERENTIATED ON A FILM:

a)

contrast

b)

density

c)

intensity

d)

polychromatic

43.

A radiograph that has many light and dark areas with few shades of gray is said to have:

a)

high density

b)

low density

c)

high contrast

d)

low contrast

44.

In dental radiography, the quality of the x-ray beam is controlled by:

a)

kVp

b)

mA

c)

exposure time

d)

source-to-film distance

45.

The difference in the degrees of blackness between adjacent areas on a dental radiograph is termed:

a)

density

b)

contrast

c)

subject thickness

d)

diagnostic quality

46.

Identify the kilovoltage range for most dental x-ray machines:

a)

50-60 kV

b)

60-70 kV

c)

65-100 kV

d)

>100 kV

47.

A higher kilovoltage produces x-rays with:

a)

greater energy levels

b)

shorter wavelengths

c)

more penetrating ability

d)

all of the above

48.

Radiation produced with high kilovoltage results in:

a)

short wavelengths

b)

long wavelengths

c)

less penetrating radiation

d)

lower energy levels

49.

When viewed on a light source, a dental radiograph that demonstrates many shades of gray is said to have:

a)

high contrast

b)

low contrast

c)

high density

d)

low density

50.

If kilovoltage is decreased with no other variations in exposure factors, the resultant film will:

a)

appear lighter

b)

appear darker

c)

remain the same

d)

either a or b

51.

When viewed on a light source, a dental radiograph that demonstrates very dark areas and very light areas is said to have:

a)

high contrast

b)

low contrast

c)

high density

d)

low density

52.

The one exposure factor that has a direct influence on the contrast of a dental radiograph is:

a)

operating kilovoltage peak

b)

milliamperage

c)

exposure time

d)

subject thickness

53.

The type of contrast preferred in dental radiography 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

54.

Identify the unit of measurement used to describe the amount of electric current flowing through the x-ray tube:

a)

volt

b)

ampere

c)

kilovoltage peak

d)

force

55.

Increasing milliamperage alone results in a film with:

a)

high contrast

b)

low contrast

c)

increased density

d)

decreased density

56.

The overall blackness or darkness of a dental radiograph is termed:

a)

density

b)

contrast

c)

subject thickness

d)

diagnostic quality

57.

In dental radiography, the quantity of radiation produced is controlled by:

a)

kVp

b)

mA

c)

exposure time

d)

b and c

58.

Increasing the operating kilovoltage peak (kVp) will cause:

a)

an increase in density; the film appears darker

b)

an increase in density; the film appears lighter

c)

a decrease in density; the film appears darker

d)

a decrease in density; the film appears lighter

59.

Increasing milliamperage results in an increase in:

a)

temperature of the filament

b)

mean energy of the beam

c)

number of x-rays produced

d)

a and c

60.

Identify the milliamperage range for dental radiography:

a)

1-5 mA

b)

4-10 mA

c)

7-15 mA

d)

>15 mA

61.

Increasing the exposure time will cause:

a)

an increase in density; the film appears darker

b)

an increase in density; the film appears lighter

c)

a decrease in density; the film appears darker

d)

a decrease in density; the film appears lighter

62.

Increasing which of the following exposure controls will increase the intensity of the x-ray beam? (1) kilovoltage, (2) milliamperage, (3) exposure time, (4) source-to-film distance

a)

1 and 2

b)

2 and 3

c)

1, 2, and 3

d)

All of the above

63.

WHICH OF THE FOLLOWING FACTORS MOST AFFECTS THE PENETRATING POWER OF AN X-RAY?

a)

Exposure time

b)

b. Kilovoltage (kVp)

c)

c. Milliamperage (mA)

d)

d. Length of PID (cone)

64.

A dental patient has thick, soft tissues and dense bones. To compensate for this increase in subject thickness and provide a film 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

65.

WHEN TAKING A PANORAMIC RADIOGRAPH OF AN OBESE PATIENT, AS COMPARED TO A SLIM PATIENT, EXPOSURE (KVP OR MA) SHOULD

a)

Be decreased

b)

Be increased

c)

Remain the same

66.

DENSITY OF A RADIOGRAPH IS CONTROLLED BY ALL OF THE FOLLOWING EXCEPT

a)

kVp (kilovoltage potential)

b)

TFD (target film distance)

c)

OFD (object film distance)

d)

mA (milliamperage)

67.

MILLIAMPERAGE CONTROLS

a)

The speed with which electrons move from cathode to anode

b)

Cooling of the anode

c)

Heating of the anode

d)

Heating of the cathode

68.

The unsharpness, or blurred edges, seen on a radiographic image is termed:

a)

distortion

b)

umbra

c)

penumbra

d)

contrast

69.

The capability of the x-ray film to reproduce distinct outlines of an object is termed:

a)

sharpness

b)

magnification

c)

distortion

d)

diagnostic quality

70.

FOR MAXIMUM PENETRATION OF X-RAYS, WHICH OF THE FOLLOWING COMBINATIONS WOULD YOU SELECT?

a)

90 kVp and 10 mA

b)

65 kVp and 10 mA

c)

70 kVp and 90 mA

d)

10 kVp and 65 mA

71.

A variation in the true size and shape of the object being radiographed is termed:

a)

magnification

b)

distortion

c)

sharpness

d)

resolution

72.

THE AVOIDANCE OF RADIOGRAPHIC DISTORTION OR MAGNIFICATION IS ESPECIALLY IMPORTANT IN ENDODONTIC TREATMENT BECAUSE:

a)

The tooth may need to be extracted

b)

b. The canal may be too narrow for instrumentation

c)

c. A retake might have to be taken for accuracy

d)

d. The length of the canal must be accurately measured

73.

The geometric characteristic that refers to a radiographic image that appears larger than its actual size is termed:

a)

distortion

b)

detail

c)

definition

d)

magnification

74.

THE BEST TYPE OF X-RAY TO PENETRATE BODY TISSUE IS

a)

Low frequencies

b)

Hard rays, short wavelength

c)

Long wavelength

d)

Soft rays, long wavelength

75.

WHY IS AN INCREASED TARGET-FILM DISTANCE REQUIRED IN THE PARALLELING TECHNIQUE?

a)

To avoid image magnification

b)

To avoid distortion

c)

To reduce scatter radiation

d)

To improve film placement

76.

AS THE TARGET –FILM DISTANCE IS INCREASED, THERE IS

a)

More chance of overlapping

b)

More chance of elongation

c)

Less distortion

d)

More chance of foreshortening

77.

TO INCREASE THE PENETRATING QUALITY ON AN X-RAY BEAM, THE AUXILIARY MUST

a)

Increase kVp

b)

Decrease kVp

c)

Increase mA

d)

Increase FFD

78.

Which of the following is most susceptible to ionizing radiation?

a)

bone tissue

b)

small lymphocyte

c)

muscle tissue

d)

nerve tissue

e)

epithelial tissue

79.

Which of the following is considered radioresistant?

a)

immature reproductive cells

b)

young bone cells

c)

mature bone cells

d)

epithelial cells

e)

none of the above

80.

Direct radiation injury occurs when:

a)

x-ray photons hit critical targets within a cell

b)

x-ray photons pass through the cell

c)

x-ray photons are absorbed and form toxins

d)

free radicals combine to form toxins

e)

none of the above

81.

Identify the correct statement.

a)

Short-term effects are seen with small amounts of radiation absorbed in a short period.

b)

Short-term effects are seen with small amounts of radiation absorbed in a long period.

c)

Long-term effects are seen with small amounts of radiation absorbed in a short period.

d)

Long-term effects are seen with small amounts of radiation absorbed in a long period.

e)

none of the above

82.

THE X-RAY AT THE CENTER OF THE PRIMARY BEAM IS CALLED THE

a)

Photon

b)

Central ray

c)

Secondary ray

d)

Restricted beam

83.

The latent period in radiation biology is the period of time between:

a)

exposure of film and development

b)

subsequent doses of radiation

c)

cell rest and cell mitosis

d)

exposure to x-radiation and clinical symptoms

e)

none of the above

84.

Radiation injuries that are not seen in the person irradiated but occur in future generations are termed:

a)

somatic effects

b)

genetic effects

c)

cumulative effects

d)

short-term effects

e)

long-term effects

85.

FILTRATION OF THE X-RAY BEAM PROTECTS THE PATIENT BY

a)

Eliminating all radiation from the x-ray head

b)

Eliminating weak wavelength x-rays from the x-ray beam

c)

Eliminating short wavelength x-rays from the x-ray beam

d)

Decreasing exposure time

86.

The traditional unit for measuring x-ray exposure in air is termed:

a)

gray

b)

coulombs per kilogram

c)

rem

d)

rad

e)

roentgen

87.

The unit for measuring the absorption of x-rays is termed:

a)

roentgen

b)

rad

c)

rem

d)

QF

e)

Sievert

88.

Which of the following is used only for x-rays?

a)

sievert

b)

gray

c)

rem

d)

rad

e)

roentgen

89.

Identify the average dose of background radiation received by an individual in the United States.

a)

0-100 mrads (0-0.001 Gy)

b)

50-100 mrads (0.0005-0.001 Gy)

c)

150-300 mrads (0.0015-0.003 Gy)

d)

200-500 mrads (0.002-0.005 Gy)

e)

500-1000 mrads (0.005-0.01 Gy)

90.

Identify the single largest contributor to artificial radiation exposure.

a)

radioactive materials

b)

medical radiation

c)

consumer products

d)

weapons production

e)

nuclear fuel cycle

91.

THE MOST SENSITIVE CELLS TO IONIZING RADIATION ARE

a)

Bone cells

b)

Muscle cells

c)

Nerve cells

d)

Reproductive cells

92.

A DENTAL ASSISTANT MAY EXPOSE RADIOGRAPHS IF

a)

The dentist gives permission

b)

He or she is a certified dental assistant

c)

It is permissible in the state in which he or she is employed

d)

He or she is supervised by the dentist or hygienist

93.

The amount of radiation exposure an individual receives varies depending on which of the following factors:

a)

film speed

b)

collimation

c)

technique

d)

exposure factors

e)

all of the above

94.

Which of the following factors contributes to radiation injury?

a)

total dose

b)

dose rate

c)

cell sensitivity

d)

age

e)

all of the above

95.

THE AMOUNT OF RADIATION A PERSON RECEIVES

a)

Begins anew each day

b)

Is cumulative only on the skin

c)

Is cumulative in the entire body

d)

Is not harmful in small doses

96.

IF THE OPERATOR SUSPECTS A MALFUNCTION IN THE X-RAY EQUIPMENT, WHAT IS THE FIRST THING TO BE DONE?

a)

Change mA and kVp settings

b)

Call the state radiation inspector

c)

Stop using the equipment

d)

Call the repair service

97.

WHICH OF THE FOLLOWING POSITION-INDICATING DEVICES IS MOST EFFECTIVE IN REDUCING PATIENT EXPOSURE?

a)

conical PID

b)

rectangular PID

c)

round PID

d)

All are equally effective in reducing patient exposure.

98.

MAXIMUM PROTECTION OF THE PATIENT REQUIRES THAT THE X-RAY BEAM PASS THROUGH A

a)

Shielded open-ended cone

b)

Plastic closed-ended cone

c)

Shielded closed-ended cone

d)

Lead apron

99.

WHICH OF THE FOLLOWING IS THE MAJOR CAUSE OF UNNECESSARY RADIATION TO DENTAL PATIENTS?

a)

Use of metal PID’s

b)

Faulty operator technique

c)

Use of defective lead aprons

d)

Use of excessive cone length