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Dental Radiology — Quick Review Questions

Total questions: 31

Worksheet time: 20mins

Name
Class
Date
1.

What does ALARA mean in dental radiology safety?

a)

As Low As Reasonably Achievable

b)

As Long As Radiation Allowed

c)

All Levels Are Reduced Always

d)

Average Level And Rate Acceptable

2.

Which statement best distinguishes bitewing from periapical radiographs?

a)

Bitewings show the crowns and check for interproximal cavities; periapicals show the entire tooth including the root and surrounding bone

b)

Bitewings show the whole tooth to the apex; periapicals show only the crowns

c)

Bitewings are extraoral images; periapicals are panoramic images

d)

Bitewings are 3D scans; periapicals are cephalometric views

3.

Which description correctly contrasts radiolucent and radiopaque areas on dental images?

a)

Radiolucent areas appear dark and indicate less dense structures; radiopaque areas appear white and indicate denser structures

b)

Radiolucent areas appear white and indicate dense bone; radiopaque areas appear dark and indicate soft tissue

c)

Radiolucent and radiopaque areas are identical in shade but differ by texture

d)

Radiolucent areas are only seen on panoramic images; radiopaque areas are only intraoral

4.

Why is a lead apron used during dental x‑rays?

a)

To reduce patient dose by shielding the torso, including reproductive organs

b)

To keep the patient warm during the procedure

c)

To sharpen image details by focusing the x‑ray beam

d)

To prevent the sensor from moving during exposure

5.

What most commonly causes a cone cut on a dental radiograph?

a)

Misaligned PID so the x‑ray beam misses part of the image receptor

b)

Excessive exposure time

c)

The patient swallowing during exposure

d)

Using too high a kilovoltage peak

6.

What should you do if a dental x‑ray image is blurry?

a)

Retake the image after stabilizing the patient and receptor to prevent movement

b)

Increase the exposure time by 50% and keep the same positioning

c)

Switch to a panoramic image instead of intraoral imaging

d)

Proceed with diagnosis since blur does not affect interpretation

7.

Which intraoral technique is considered the most accurate for periapical imaging?

a)

Paralleling technique

b)

Bisecting technique

c)

Cephalometric technique

d)

Panoramic sweep technique

8.

What does the thyroid collar protect during dental x‑rays?

a)

The thyroid gland in the neck

b)

The eyes only

c)

The enamel of the teeth

d)

The carpal bones of the wrist

9.

How far should an operator stand during exposure if not behind a wall?

a)

At least 6 feet away from the source or behind a protective barrier

b)

Within 2 feet to guide the sensor by hand

c)

Exactly 10 feet away in any direction

d)

Right next to the tubehead to monitor positioning

10.

What happens if the patient moves during exposure, and what is the appropriate response?

a)

The image becomes blurred; use a holder and instruct the patient to remain still, then retake

b)

The image becomes too dark; reduce milliamperage and proceed

c)

A cone cut results; widen the collimator and keep the image

d)

There is no effect when using digital sensors; keep the image

11.

With digital imaging, it is impossible to overexpose the patient to radiation because the computer makes adjustments to the image.

a)

True

b)

False

12.

The inverse square law describes the relationship between __ and __.

a)

kVp and exposure

b)

mAs and exposure

c)

distance and beam intensity

d)

kVp and beam intensity

13.

You have just purchased a new cassette with rare-earth screens. Which of the following is true?

a)

You should have a blue light in the darkroom

b)

You should have a dark red light in the darkroom

c)

You should use blue-sensitive film

d)

You should use a green light in the darkroom

14.

In film radiography, calcium tungstate screens:

a)

Fluoresce in the green spectrum

b)

Fluoresce in the blue spectrum

c)

Require a blue safelight in the darkroom

d)

Are more efficient than rare earth screens

15.

The distance between the x-ray focal spot and the image receptor is the:

a)

OID

b)

SID

c)

MF

d)

SOD

16.

Whenever magnification is increased:

a)

spatial resolution is decreased

b)

spatial resolution is increased

c)

spatial resolution stays the same

d)

exposure to the image receptor increases

17.

An older film radiograph appears to have yellow-brown staining - what is the likely cause?

a)

Incomplete drying of the film

b)

Incomplete washing of the fixer from the film

c)

Leaving the film in developer for too long

d)

Storing a film at too hot of a temperature

18.

Which of the following processing factors may cause a developed film radiograph to be too dark?

a)

Diluted fixer solution

b)

Low developer temperature

c)

Over-concentrated developer solution

d)

Contaminated developer solution

19.

What is the purpose of intraoral imaging examinations?

a)

To examine large areas of the maxilla or mandible

b)

To inspect teeth and intraoral adjacent structures

c)

To examine the crowns of both maxillary and mandibular teeth

d)

To examine the entire tooth (from crown to root) and supporting bone

20.

The radiographic misrepresentation of either the size (magnification) or the shape of the anatomic part is called

a)

distortion

b)

density

c)

contrast

d)

sharpness

21.

Which of the following statements is TRUE about x-ray film cassettes?

a)

It can be made of any plastic as long as it is bendable

b)

The film can be held loosely within the cassette as long as it is light-tight

c)

It must be sturdy and have a strong reliable closure

d)

It is designed to absorb scatter radiation

22.

What is the primary type of energy used in X-ray imaging?

a)

Sound waves

b)

Magnetic fields

c)

Ionizing radiation

d)

Radiofrequency waves

23.

Often a patient cannot be turned into the prone position for a PA axial projection of the skull (Caldwell method). What central-ray angle would be used if the AP axial projection is used instead?


a)

10 degrees caudal

b)

15 degrees cephalic

c)

10-15 degrees caudal

d)

10-15 degrees cephalic

24.

What is the purpose of the intensifying screen in film radiography?

a)

Enhance film density

b)

Convert primary x-ray photons to light photons

c)

Convert primary x-ray photons to scatter radiation

d)

Increase the amount of radiation needed to make a diagnostic radiograph

25.

What is the technique used for interproximal examination?

a)

Paralleling and bisecting

b)

Occlusal technique

c)

Bite-wing technique

d)

Panoramic technique

26.

What is the term for the technique that delivers a high dose of radiation to a specific target within the brain while minimizing damage to surrounding healthy tissue?

a)

Stereotactic radiosurgery

b)

Fractionated radiotherapy

c)

Proton therapy

d)

Brachytherapy

27.

Where does the central ray enter for the AP axial projection of the TMJ?


a)

at the nasion

b)

1in above nasion

c)

2in above nasion

d)

3in above nasion

28.

A noninvasive technique using x-rays and a computer to visualize transverse planes of body tissue are ______________.

a)

CT scans

b)

mammograms

c)

X-rays

d)

Angiography

29.

An intensifying screen that contains large crystals of calcium produces which of the following characteristics?

a)

Slow screen, more detail, low grain

b)

Fast screen, more detail, high grain

c)

Slow screen, less detail, low grain

d)

Fast screen, less detail, high grain

30.

Which of the following processing factors may cause a developed film radiograph to be too dark?

a)

Diluted fixer solution

b)

Low developer temperature

c)

Over-concentrated developer solution

d)

Contaminated developer solution

31.

During a CT scan, what does the machine do?

a)

Stays still while the patient moves through a tunnel.

b)

Moves around the patient's body in a circle.

c)

Uses sound waves to create images.

d)

Generates a magnetic field around the patient.