Shared Flashcard Set

Details

Zarbo Radiology final
final studyguide
197
Dentistry
Undergraduate 1
12/13/2013

Additional Dentistry Flashcards

 


 

Cards

Term
-detect, confirm, classify oral diseases and lesions
-detect and evaluate trauma
-evaluate growth and development
-provide information during dental procedures such as root canal therapy and surgery
Definition
Uses for dental radiographs
Term
the techniques and methods learned for exposing intra- and extraoral radiographs are (?) whether using traditional film or a digital image receptor
Definition
the same
Term
the significant difference between film-based radiography and digital imaging is that
Definition
the film is replaced with a digital image receptor
Term
digital radiography and film-based radiography are used for
Definition
the same reasons
Term
what principle is recommended by the International Commission on Radiological Protection to minimize radiation risks?
Definition
ALARA
Term
What is the ALARA principle?
Definition
As Low As Reasonably Achievable
Term
the benefits of radiographs in dentistry (?) the risk when proper safety procedures are followed
Definition
outweigh
Term
the most important way to ensure that the patient receives a reasonably low dose of radiation is to?
Definition
use evidence-based selection criteria when determining which patients need radiographs
Term
the absorption of the long wavelengths, less penetrating, x-rays of the polychromatic x-ray beam by passage of the beam through a sheet of a material called a filter
Definition
filtration
Term
the filter is
Definition
usually aluminum
Term
includes glass of x-ray tube, insulating oil, and material that seals the port. built into machine by manufacturer.
Definition
Inherent finltration
Term
is inherent filtration enough to meet state and federal standards?
Definition
NO
Term
the placement of aluminum discs in the path of the x-ray beam
Definition
added filtration
Term
the sum of inherent and added filtration is?
Definition
total filtration
Term
for x-ray machines operating BELOW 70 kVp require
Definition
1.5mm aluminum
Term
for machines operating ABOVE 70 kVp require
Definition
2.5mm aluminum
Term
controls the size and shape of the useful x-ray beam
Definition
collimation
Term
the purpose of the collimator is to
Definition
reduce the size of the x-ray beam and the amount of scattered radiation
Term
federal regulations require that the collimator restrict the x-ray beam to
Definition
2.75in
Term
rectangular collimation reduces patien exposure by
Definition
up to 70%
Term
lead aprons and thyroid collars are
Definition
recommended for all patients, especially children, pregnant females and women of child bearing age. but is NOT required by law
Term
during x-ray exposure, the operator will be MOST protected
Definition
behind a protective barrier
Term
if a protective barrier is NOT present the operator should
Definition
stand as far away as possible, at least 6ft from the HEAD of the PATIENT at a 45degree angle
Term
does not actually set laws, but their suggestions and recommendations are highly regarded
Definition
National Council on Radiation Protection and measurements (NCRP)
Term
the hydroquinone in the developer brings out the (?) tones, where as the elon in the developer brings out the (?) tones on a dental radiograph
Definition
black/gray
Term
the thermometer for manual processing should be placed in the (?) for an accurate temperature
Definition
the developer soution
Term
the emulsion is hardened during
Definition
fixation
Term
which term best describes the process by which the latent image becomes visible?
Definition
reduction
Term
at 68 degrees, what is the optimum development time?
Definition
5 minutes
Term
the optimal temperature for the developer solution is
Definition
68 degrees
Term
identify the ingredient that hardens the emulsion
Definition
potassium alum
Term
the rinsing step is necessary in film processing because
Definition
rinsing removes the developer from the film and stops the development process
Term
the first step in film processing is
Definition
development
Term
which ingredient causes the emulsion to soften and swell?
Definition
activator
Term
which ingredient removes the unexposed/undeveloped silver halide crystals from the film?
Definition
sodium thiosulfate
Term
the basic constituents of the developer solution are:
Definition
developing agent, activator preservative, restrainer
Term
a breakdown of chemicals in the processing solutions that results from exposure to air is termed
Definition
oxidation
Term
all of the following factors affect the life (how long they will last) of the processing solutions except:
Definition
the type of safelight filter used
Term
the chemical that stops further development is:
Definition
acetic acid
Term
with digital radiography, the term (?) is used to describe the pictures that are produced
Definition
image
Term
the method of obtaining a digital image similar to scanning a photograph to a computer screen is termed:
Definition
indirect digital imaging
Term
digital imaging systems can be used for
Definition
bitewing, panoramic, periapical, cephalometric images
Term
all of the following are advantages of digital imaging except:
Definition
thickness of the intraoral sensor
Term
most digital radiography systems use a (?) as the radiation source
Definition
conventional dental x-ray unit
Term
digital imaging can be used for:
Definition
detecting conditions of teeth and surrounding structures, evaluating the growth and development, confirmation of suspected conditions
Term
radiographic images are cleared from the storage phosphor imaging plates(PSP) by:
Definition
exposing them to an intense light for several minutes
Term
photo-stimuable phosphor imaging:
Definition
uses a reusable imaging plate
Term
the image receptor found in the intraoral sensor is termed:
Definition
CCD (charge coupled device)
Term
when a transparency scanner or digital camera is used to convert an existing film-based radiograph to a digital file, the process is called:
Definition
digitization
Term
Exposure times are (?) than that required for conventional film radiography
Definition
50%-80% less
Term
digital imaging requires less radiation than does conventional radiography because:
Definition
the sensor is more efficient at capturing radiation
Term
advantages of digital radiography include:
Definition
increased speed of image viewing
Term
a primary advantage to digital radiography is the superior gray-scale resolution that results. Digital radiography uses up to 32 shades of gray.
Definition
the first statement it true, the second is false
Term
sensors that cannot be sterilized:
Definition
require complete coverage with disposable plastic sleeves or barriers for each patient and require wiping with disinfectant before and after use with a patient.
Term
digital radiography uses (?) to produce an image
Definition
an electronic sensor and computerized imaging system
Term
the component part of the x-ray film described as a flexible piece of polyester plastic is the:
Definition
the base
Term
which of the following terms describes the crystals found on the intensifying screens?
Definition
phosphors
Term
the device used to hold the extraoral film and intensifying screens is termed a:
Definition
cassette holder
Term
which of the following is not found on the non-tube side of the intraoral film packet?
Definition
expiration date
Term
what is the deal storage temperature for x-ray film?
Definition
50-70 degrees Fahrenheit
Term
the purpose of a lead foil sheet in the film packet is to:
Definition
protect the film from backscatter radiation
Term
which of the following films has the greatest sensitivity to radiation?
Definition
F speed film
Term
the speed of a film is determined by the size of the silver halide crystals in the emulsion. Identify the true statement
Definition
the larger the crystals, the faster the film speed
Term
intensifying screens are used to:
Definition
reduce amount of radiation required
Term
which of the following is contained in the film emulsion?
Definition
silver halide
Term
the phosphor crystals used for intensifying screens the works 4x faster are
Definition
rare earth
Term
what is a single sheet placed within the film packet that prevents backscatter radiation from fogging the film
Definition
lead foil
Term
what is a film that is more like photographic film and is used to make copies of films
Definition
duplicating film
Term
a coating, attached to both sides of the film by the adhesive layer. The silver halide crystals and gelatin are suspended in
Definition
emulsion
Term
a chemical compound (?) used for conventional films that is sensitive to radiation or light
Definition
silver halide crystals
Term
the pattern of stored energy on the exposed conventional film that cannot be seen until chemical processing has been accomplished is called the
Definition
latent image
Term
which of the following are advantages of the paralleling technique?
Definition
increased accuracy, simplicity of use, ease of duplication
Term
which of the following is incorrect concerning the exposure sequence for periapical films?
Definition
either anterior or posterior films may be exposed first
Term
why is an increased target-film distance required in the paralleling technique?
Definition
to avoid image magnification
Term
which of the following describes the relationship of the film and the long axis of the tooth in the paralleling technique?
Definition
the film and tooth are parallel to each other
Term
the advantages of the paralleling technique outweigh the disadvantages
Definition
true
Term
which of the following describes the relationship of the central ray to the film in the paralleling technique?
Definition
90 degrees to the film and long axis of the tooth
Term
which of the following is the correct vertical angulation used with the bite-wing technique?
Definition
+10degrees
Term
which of the following describes the relationship of the film to the maxillary and mandibular teeth in the bite-wing technique
Definition
the film and teeth are parallel to each other
Term
which of the following describes the primary use of the bite-wing radiograph?
Definition
examination of the interproximal areas of teeth
Term
which of the following describes the proper direction of the central ray in the bisecting technique?
Definition
90 degrees to the imaginary bisector
Term
which of the following are advantages of the bisecting technique?
Definition
shorter exposure time
Term
the disadvantages of the bisecting technique outweigh the advantages
Definition
true
Term
which of the following describes the distance between the film and tooth in the bisecting technique?
Definition
the film is placed as close as possible to the tooth
Term
the occlusal technique is used to examine
Definition
large areas of the upper or lower jaw
Term
when the occlusal technique is used, a (?) to stabilize the film
Definition
patient gently bites on surface of the film
Term
which of the following is a mandibular occlusal projection, but not a maxillary occlusal projection?
Definition
cross-sectional occlusal projection
Term
which occlusal projection is used to locate foreign bodies or salivary stones in the region of the floor of the mouth?
Definition
cross-sectional occlusal projection
Term
which occlusal projection is used to examine the palate and anterior teeth of the maxilla?
Definition
topographic occlusal projection
Term
the bite-wing tab is a heavy paperboard tab or loop fitted around a film and used to stabilize the film during exposure. the film is oriented in the bite loop so that the tab portion extends from the white side (tube side) of the film
Definition
both statements are true
Term
the problem with a single bitewing film per side (#3 film) for adult patients is increased
Definition
overlapped contacts
Term
the rule of isometry states that two triangles are equal if they have (?) equal angles and share a common side
Definition
two
Term
an increased (?) distance results in increased image magnification
Definition
object-film
Term
which of the following film holders include aiming rings that aid in the alignment of the position indicating device (PID) with the film?
Definition
Rinn XCP instruments
Term
the un-sharpness or blurred edges seen on a radiographic image is termed
Definition
penumbra
Term
which of the following would minimize the size of the penumbra
Definition
a small focal spot
Term
the geometric characteristic of (?) refers to the capability of the x-ray film to reproduce the distinct outlines of an object
Definition
sharpness
Term
image sharpness on a radiograph is increased by
Definition
using a small focal spot
Term
distortion is caused when:
Definition
the object and film are not parallel
Term
elongation and foreshortening occur because:
Definition
the film and x-ray beam are not perpendicular
Term
magnification occurs when there is a
Definition
short target-film distance
Term
which of the following does not control magnification of the radiographed object?
Definition
size of the x-ray unit
Term
what is the effect on the image if the film is not parallel to the long axis of the tooth?
Definition
distortion, magnification
Term
a long film focal distance is desirable is because
Definition
the central rays of the beam are less divergent
Term
if the operator decreases the object-film distance, increased magnification occurs
Definition
false
Term
an x-ray beam that is not perpendicular to the object and file, increased distortion occurs
Definition
true
Term
if the object and film are parallel then increased distortion occurs
Definition
false
Term
an increased target-film distance decreases magnification
Definition
true
Term
an x-ray beam perpendicular to the object and film increases distortion
Definition
false
Term
the concern for using ionizing radiation is:
Definition
that it causes biologic changes that adversely affect all living tissues
Term
what is an example of patient protection techniques used before x-ray exposure
Definition
proper prescribing of radiographs
Term
the primary rule of operator protection guidelines is that the operator MUST:
Definition
avoid the primary beam
Term
the thyroid collar:
Definition
is RECOMMENDED for all intraoral films, and may exist as a separate shield or part of the lead apron
Term
who has an ethical responsibility to adopt the ALARA principle?
Definition
the dental assistant, the dental hygienist, and the dentist
Term
the lead apron:
Definition
is RECOMMENDED for intraoral films
Term
according to the guidelines for prescribing dental radiographs, what is the recommendation for bite-wing radiographs for an adult recall patient with no clinical caries and no high risk factors for caries?
Definition
every 24-36 months
Term
what speed film is currently the fastest intraoral film available
Definition
F
Term
the collimator:
Definition
restricts the size and shape of the beam
Term
state and federal laws require that dental x-ray machines operating ABOVE 70 kVp have a minimum total (inherent plus added filtration) of (?) mm of aluminum filtration
Definition
2.5
Term
a rectangular collimator:
Definition
restricts the beam more than a circular collimator, and significantly reduces patient exposure
Term
a circular collimator produces a cone-shaped beam that is (?) inches in diameter
Definition
2.75
Term
which of the following types of position indicating devices (PID) do not produce scatter radiation?
Definition
round, rectangular
Term
added filtration in the dental x-ray tubehead:
Definition
results in a more penetrating and useful beam
Term
inherent filtration in the dental x-ray tubehead:
Definition
includes filtration that is put in by the manufacturer and takes place when the primary beam passes through the glass window of the x-ray tube, the insulating oil, and the tubehead seal
Term
which type of PID would be most effective in reducing patient exposure?
Definition
16-inch rectangular PID
Term
radiation protection from secondary radiation may be increased by the use of an aluminum filter and lead collimator, because the filter regulates the size of the tissue area that is exposed and the collimator prevents low-energy radiation from reaching the tissue.
Definition
the statement is correct, but the reason is not correct
Term
to avoid the primary beam, the dental radiographer must be positioned at a (?) degree to (?) degree angle to the beam
Definition
90;135
Term
a film badge is used to:
Definition
monitor the amount of radiation exposure a dental radiographer may incur
Term
radiation legislation varies greatly from state to state. For example, in some states, a dental radiographer must successfully complete a radiation safety examination before he or she may expose dental x-rays
Definition
both statements are true
Term
communication, working knowledge of a quality radiographic image and education all aid in protecting the patient against unnecessary radiation exposure by:
Definition
reducing the risk of retakes
Term
according to the current recommendations (2003) of the National Council on Radiation Protection and measurements (NCRP), the current MPD (maximum permissable dose) for occupationally exposed persons is (?)/year
Definition
5.0 rem
Term
the acronym for the permitted LIFETIME ACCUMULATED dose is:
Definition
MAD - maximum accumulated dose
Term
the ALARA concept states that all radiation must be kept:
Definition
As Low As Reasonably Achievable
Term
According to the current recommendations (2003) of the NCRP, the current MPD for an occupationally exposed pregnant woman is the same as that for:
Definition
a non-occupationally exposed person
Term
Radiographs are a (?) comprehensive patient care
Definition
necessary component of
Term
an oral examination limits the practitioner to knowledge of what is seen clinically. Dental Radiographs allow the practitioner to see many conditions that are not apparent clinically.
Definition
both statements are true
Term
a use for a dental radiograph includes all of the following except:
Definition
justification for a bleaching procedure
Term
the purpose of a periapical x-ray is to:
Definition
examine the entire tooth and supporting bone
Term
which technique examines the crowns of both maxillary and mandibular teeth on a single film?
Definition
interproximal examination also known as the "bite-wing technique"
Term
which of the following techniques are used for obtaining periapical radiographs?
Definition
paralleling and bisecting techniques
Term
FMX stands for (?) and is the abbreviation used at ECC Dental Hygiene Clinic
Definition
full mouth x-rays
Term
the FMX/CMRS consists of a number of periapical films with ir without bite-wing films. The series may have as few as 4 and up to as many as 21 included
Definition
the first statement is correct, but the number of films is incorrect
Term
at the ECC Dental Hygiene clinic, a FMX/CMRS consists of a maximum (?) films.
Definition
19 (4 bite-wings, 8 posterior periapicals, 7 anterior periapicals)
Term
the type of film placed inside the mouth is considered to be
Definition
an intraoral film
Term
according to your textbook, "(?) is one of the most important uses of dental radiographs."
Definition
detection
Term
the dental radiographers end goal when taking dental x-rays should be
Definition
take quality dental radiographs
Term
when the guidelines for prescribing dental radiographs are followed, the benefits of detecting disease (?) the risk of exposure to small amounts of radiation
Definition
far outweighs
Term
according to your textbook a "dental radiographer" must be proficient in:
Definition
technique concepts and the technical skills
Term
typically, a "dental radiographer" may be which of the following dental personnel found in a dental office
Definition
the dental hygienist, the dental assistant, the dentist
Term
as a dental hygienist what is NOT one of your tasks?
Definition
prescribing dental radiographs
Term
some examples of extraoral films are
Definition
panoramic, cephalometric, lateral jaw
Term
examples of intraoral films are
Definition
bitewings, occlusal, periapical
Term
Which of these is NOT an intraoral radiographs?
Definition
Panoramic
Term
Which radiograph is used most often to detect proximal surface dental decay?
Definition
Bitewing
Term
Which intraoral technique satisfies more shadow casting principles?
Definition
Paralleling
Term
Which intraoral technique is based on the rule of isometry?
Definition
Bisecting
Term
Each of the following is a shadow casting principle EXCEPT one. Which one is the EXCEPTION?
Definition
Object and image receptor should be perpendicularto each other
Term
Which of these factors does NOT need to be considered when deciding which image receptor size to use when exposing a full mouth series?
Definition
Previous accumulated exposure
Term
What is the minimum image receptor requirement foran adult full mouth series of periapical radiographs?
Definition
14
Term
How many size #2 image receptors are required by most health care practices for the exposure of posterior radiographs of a full mouth series?
Definition
8
Term
Lining the image receptor up behind the right and leftcentral and lateral incisors to include the mesial halfof the right and left canines describes the imagereceptor placement for which of the following peri- apical radiographs?
Definition
Central incisors
Term
Anterior periapical image receptors are placed______________ in the oral cavity.Posterior periapical image receptors are placed _____________ in the oral cavity
Definition
vertically; horizontally
Term
Where should the embossed identification dot be positioned when taking periapical radiographs?
Definition
Toward the incisal or occlusal edge of the tooth
Term
The x-ray tube head must be swiveled from side to side to adjust the vertical angulation of the central ray. To avoid overlap error the central ray must be directed perpendicular to the curvature of the arch through the contact points of the teeth.
Definition
The first statement is false. The second statement is true.
Term
At which of the following settings would the PID be pointing to the floor?
Definition
+20
Term
An incorrect point of entry will result in
Definition
conecutting.
Term
An image receptor positioner/holder must be used with
Definition
the paralleling technique. the bisecting technique. the bitewing technique.
Term
Which of the following is the correct seating position for the patient during radiographic examinations when an image receptor without an external aiming device is used?
Definition
Occlusal plane parallel and midsaggital plane per-pendicular to the floor
Term
Which of the following is the best sequencing for exposing a full mouth series of periapical radiographs?
Definition
Maxillary anteriors, mandibular anteriors, maxillary posteriors, mandibular posteriors
Term
A desirable film mount should be
Definition
black, to block out light transmission and prevent glare.
Term
Which of these helps to determine whether the radi-ograph is the patient’s left or right side?
Definition
Identification dot
Term
Labial method film mounting positions the identification dot concave. The labial method is the recommended film mounting method.
Definition
The first statement is false. The second statement is true
Term
Lingual method film mounting positions the identification dot convex. When utilizing the lingual method, the viewer’s right is the patient’s left.
Definition
Both statements are false.
Term
The degree of darkening of the radiographic image is referred to as
Definition
density
Term
Distortion results when
Definition
object and image receptor are not parallel.
Term
What shadow casting principle is NOT likely to be met when utilizing the paralleling technique?
Definition
Object (tooth) and image receptor should be as closeas possible to each other
Term
To compensate for the increased object–image receptor distance needed to achieveparallelism, the target–image receptor distance should be
Definition
increased.
Term
Which of these is the correct processing sequence?
Definition
Develop, rinse, fix, wash, dry
Term
The basic constituents of the developer solution are
Definition
reducing agent, activator, preservative, restrainer
Term
During which step of the processing procedure are the exposed silver halide crystals reduced to metallic silver?
Definition
Developing
Term
Which ingredient removes the unexposed/undeveloped silver halide crystals from the film emulsion?
Definition
Sodium thiosulfate
Term
Which ingredient causes the emulsion to soften and swell?
Definition
Activator
Term
Which ingredient hardens the emulsion?
Definition
Potassium alum
Term
Chemically, the developer used in an automatic processor contains more _____________ than developer used for manual processing.
Definition
hardener
Term
Each of the following should be considered when set- ting up an ideal darkroom EXCEPT one. Which one is the EXCEPTION?
Definition
Black walls
Term
Which of the following colors of safelight filters is safe for processing all film speeds?
Definition
Red
Term
What is the minimum safe distance to position the safe-light abovethe work area in the darkroom?
Definition
4 ft (1.2 m)
Term
What is the appearance of the radiographic image if a film is exposed to a safelight too long?
Definition
Fogged
Term
Which of these is considered a disadvantage of manual processing over automatic processing?
Definition
Processing time is long
Term
A thermometer is used for manual processing to deter-mine the temperature of the
Definition
developer solution.
Term
Each of the following is necessary and required for manual processing EXCEPT one. Which one is the EXCEPTION?
Definition
Film dryer
Term
What is the ideal temperature for processing film manu- ally?
Definition
68°F (20°C)
Term
A film may be safely exposed to white light for a wet reading after two or three minutes of
Definition
fixing.
Term
Each of the following is true regarding rapid film processing EXCEPT one. Which one is the EXCEPTION?
Definition
Produces archival (permanent) quality radiographs
Term
Each of the following is an advantage of automatic processing over manual processing EXCEPT one. Which one is the EXCEPTION?
Definition
Less maintenance
Term
Replenisher is added to the developing solution to compensate for
Definition
oxidation. loss of volume. loss of solution strength.
Term
Which processing method requires the most mainte-nance and the strictest adherence to regular replenish- ment and cleaning?
Definition
automatic
Supporting users have an ad free experience!