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Radiography review for boards
Radiography review for boards
93
Dentistry
Undergraduate 3
02/01/2015

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Cards

Term
anode
Definition

positive portion of xray tube

contains kVp

(this is the side of the tubehead with step up transformer and the tungsten target)

Term
cathode
Definition

negative portion of the x-ray tubehead it fires electrons to the anode


contains MA control

tungsten filament wire and molybdenum for focusing


MA control regulates the step down transformer

Term
what is the purpose collimation?
Definition

reduces the DIAMETER of the primary beam

restricts the size and shape.

Term
explain the electron cloud
Definition
thermionic emission (heat) with electron cloud
Term
how does E film compare with D film?
Definition
E speed film needs 1/2 exposure time needed for D film
Term
how does F speed film compare with D film?
Definition
F speed film takes 60% less exposure time than D film
Term
what does exposure time determine?
Definition
exposure time determines the # of xrays produced
Term
what is the purpose of the filament?
Definition
releasing electrons is what a filament is for
Term
what is the focal spot
Definition

it is the target area of the anode

directs the x-rays

the smaller the size, the better the sharpness

Term
what is gray?
Definition
the gray is a unit of measurement 1Gy=100 rads or 1 j/kg
Term
what is the purpose of the holding device?
Definition
to stabilize the film: XCP use
Term
impulse is how many per second in radiography
Definition
impulses are 60 impulses/second
Term
what is the purpose of intensity screens
Definition
intensity screens reduce exposure time
Term
the separation of electrons from molecules to change chemical activity is called?
Definition
ionization
Term
ionizing radiation
Definition
inonizing radiation uses electromagnetic radiation (xrays and gamma rays)
Term
joules
Definition

units of absorbed dose

1 rad=0.01j/kg

Term
this is responsible for quality of radiographs and the penetration and is controlled in the anode
Definition
kilovolage/kvp Quality and penentration and happens in anode
Term
what is the range of kVp used for most dental radiography?
Definition
65-100kVp
Term
this is known as the time between exposure and development of biologic effect.
Definition
latent period
Term

this is used to limit the size and shape

the lead thickness is 1/8 inch

the size is 2 and 3/4 inches or 2.75 inches

if the shape is rectangular it will be 1-2 inches at the skin

Definition
lead diaphram limits size: know all measurments for boards
Term

LD 50/30 dose

 

board favorite question***

Definition
the dose of radiation tht is lethal for 50% of people in 30 days.
Term

Maximum accumulated dose

 

board favorite question***

Definition
5 rem  (n-18)
Term

what are the maximum permissable doses for occupational, general public, patient

pregnant operator

 

popular board Q***

Definition

MDR's

 

patient-6.2 MSV

occupational- 5 rem/year (50mSv=5000 millirems=5rem)

general public- .5 rem/year

pregnant operator- .5 rem/year

Term
ALARA
Definition
persons who work with radiation should attempt to keep all radiation as low as reasonably possible.
Term
radiosensitive cells (high sensitivity)
Definition

-small lymphocyte

-bone marrow

-reproductive cells

-intenstinal mucosa

-skin

-lens of eye

-oral mucosa

Term
radioresistent cells (low sensitivity)
Definition

-muscle tissue

-nerve tissue

-mature bone and cartilage

-salivary gland

-thyroid gland

-kidney

-liver

Term
mean occlusal plane
Definition
occlusal plane of premolars and 1st molars
Term
median occlusal plane
Definition

divides left and right sides of the body

aka sagittal plane

Term
this affects the quantity or # of x-rays and density
Definition
milliamperage (range is 7-15 ma for dental radiography)
Term
coronal or frontal plane describes?
Definition
front from back
Term
transverse plane divides?
Definition
transverse is top from bottom
Term
incisal plane
Definition
mean curvature from incisal edges of centrals to tips of occluding surfaces of wisdom teeth
Term
pid
Definition

the cone that is lead lined and open ended which prevents secondary radiation

 

directs the direction of the central axis of the x-ray beam

establishes source surface and source film distance

Term
aluminum filter characteristics
Definition

absorbs long wave lenghts at :

70kvp or higher

low energy and secondary waves

2.5 (2 3/4 inches) of aluminum

reduces the amount of soft radiation reaching patients face

 

(takes out longer wavelenght)

Term
object film distance is the distance between ____________ and ______________
Definition
object and film
Term
object film distance increases with what technique?
Definition
paralleling technique
Term
RAD
Definition

Absorbed dose in tissue

 

100rad=1Gy

Term
this is the amount of energy absorbed per unit mass of tissue at the site of interest
Definition
Radiation dose
Term
R- is a roentgen it refers to
Definition
r= exposure rate and output of machine
Term
what type of bulb is in a safe light
Definition
7.5-15 watt bulb
Term
safe light should be ____ feet above working surface
Definition
4 feet above working surface
Term
when would an orange filter be used for safelight?
Definition

intraoral ( endo case study is common)

remember eat and orange so it goes inside.

Term
what is secondary radiation?
Definition
long wavelengths with scatter radiation
Term
how much lead is in a lead apron
Definition
0.25-0.30 mm of lead in apron
Term
this is a unit of biologic equivalence
Definition

seivert

 

Sv (1 Sv= 100 rem)

Term
which is better, long PID or short PID
Definition
long PID is better
Term
somatic
Definition
injury that occurs in a person recieving radiation
Term
what cleans fixer solution stain from nylon
Definition
5% sodium hypochlorite
Term
source film distance
Definition

distance from source to PID in housing, lenght of PID

 

intensity varies inversely, increased distance preserves definition and quality

Term
surface exposure
Definition
includes primary radiation and back scatter from irradiated underlying tissue
Term
threshold dose
Definition
minimum dose that will produce a detectable degree of any given effect
Term
tungsten is used to
Definition
tungsten dissipates heat
Term
units of radioactivity are
Definition

curie (Ci)

Becquerel (Bg)

Term
the distance of operator from pid during radiologic procedure should be
Definition
6 ft
Term
film bend shows
Definition
black crease
Term
blurred image can be caused by
Definition

movement of pt

movement of film

movement of arm on xray unit

Term

true or  false

 

cone cut will only show on one side of the film

 

 

Definition
true cone cut only appears on one side of the film
Term
double exposure
Definition
images overlap (the same film was used 2x)
Term
elongation: what is the fix
Definition
increase angulation
Term
forshortening : the fix
Definition
decrease angulation
Term
when film is placed backwards this occurs
Definition
herringbone
Term
if film was too light what happened?
Definition
film too light= not enough Kvp
Term
overlaping
Definition
occurs from incorrect horizontal angulation
Term
fixer spots show up like __________ spots.
Definition
fixer = white spots, they turn to yellow after time has passed and affect the archival integrity of the film
Term
dark  spots on the film occur from _____ splash.
Definition
developer splash
Term
if film was exposed to light it will develope what color
Definition
film exposed to light= black film
Term
if film  is discolored what happened in processor?
Definition
discolored film = insufficient fixer time
Term
clear film occurs from
Definition
not submerged in developer completeley (the bromide washed off because not exposed to fixer first)
Term
causes of film fog
Definition

light in darkroom

 

scatter radiation (secondary)

 

improper safelight

 

underdevelopment

Term
when a film is overdeveloped it could have?
Definition

dark film,

film fog,

solution too hot

left in developer too long

Term
if solution is too cold the film will show up?
Definition
cold solution=light film
Term
if film goes from hot to cold too quickly what shows on film
Definition
reticulation lines, they look like bubbles
Term

the thickness of the lead shield is?

a. .75 mm

b. .25mm

c. 2.75 mm

d. 1.5 mm

Definition
b .25 mm lead shield
Term

the solution most temperature sensitive in the processing solution is?

 

a. sodium sulfite

b.  sodium carbonate

c. elon hydroquinone

d. none of the above

Definition
c. elon hydroquinone
Term

alveolar bone crest resorption is best detected in the?

a. panorex

b. occlusal film

c. periapical film

d. bite wing film

Definition
c. bite wing film
Term

film exposed to light while being developed will be?

a. light

b. dark

c. blurred

d. reticulated

Definition
b. dark
Term

in film processing, the developing solution acts on?

a. the entire emulsion

b. those areas that will appear as radiopacities

c. that part altered by the xrays

d. none of the above

Definition
c. that part altered by the xrays
Term

for intraoral radiography, the diameter of the useful beam at the end of the cone should not exceed ?

a. 1.5 inches

b. 2.75 inches

c. 3.25 inches

d. 4.0 inches

Definition
b. 2.75 inches
Term

which of the following kVp settings will produce the greatest contrast among images on a radiograph?

a. 65 kVp

b. 75 kVp

c. 80 kVp

d. 90 kVp

Definition
a. 65  kVp will produce the greatest contrast
Term

the purpose of the molybdenum cup us to?

a. focus the electrons toward the anode

b. focus electrons toward cathode

c. protect aluminum filter

d. increase the incoming voltage

Definition
a. focus electrons toward anode
Term

what matter is irradiated by xrays, which of the following phenomena is produced?

a. heat

b. leakage radiation

c. secondary radiation

d. diverging radiation

Definition
secondary radiation
Term

in x-radiation, ionization has occurred when?

a. cell death takes place

b. an electron is displaced from the orbit of an atom

c. photons penetrate matter

d. all of the above

Definition
b. electron is displaced from orbit of atom
Term

an early clinical sign of excessive exposure to radiation is ?

a. jaundice

b. bleeding

c. hair loss

d. erythema

Definition
d. erythema is a clinical sign of excessive radiation
Term

penumbra has to do with?

a. cone cut

b. overlap

c. detail

d. reticulation

Definition
penumbra has to do with detail
Term

film holding devices are suggested when taking intraoral radiographs in order to?

a. reduce radiation to patient

b. decrease image distortion

c. stabilize film

d. increase image contrast

Definition
c. stabilize the film
Term

relative sensitivities of cells and tissues to radiation depend upon all of the following except:

a. age

b. dose rate

c. type of radiation

d. specific areas involved

e. blood type

Definition
e. blood type
Term
the most sensitive cells and tissues to ionizing radiation are blood forming cells and reproductive cells.  The least sensitive are adult bone and nerve.
Definition
both statements are true
Term

the speed of the film is determined by the :

a. grain

b. date of the film

c. operator speed

d. none of the above

Definition
a. grain
Term

if the grain size is small, then the film speed is?

a. faster

 b. slower

c. no difference

Definition
if grain is small, film speed is fast
Term

for posterior exposure, the clinician should stand behind the patient's head at a _________ degree angle to the central beam, and at least _______ feet or inches away?

a. 90-135 degrees, 6 feet (2 meters)

b. 45-135 degrees, 6 feet (2 meters)

c. 90-135 degrees, 6 inches (2 meters)

d. 45-135 degrees, 6 inches (2 meters)

Definition
a. 90-135 degrees and 6 feet away
Term

if the focal/ film distance is increased from 8" to 16", the exposure needs to be:

a. halved

b. decrease

c. quadrupled

d. increased by 1/4th

Definition

c. quadrupled

 

if film was at 8, and distance is greater to 16, exposure would be multiplied by 4

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