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Dental Radiology Final Exam with correct answers

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Dental Radiology Final Exam with correct answers

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Dental Radiology Final Exam with |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




correct answers |||\\\




Types of radiation: scatter, ionizing, background, characteristic, etc. - correct answer✔✔-
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Scattering: COMPTON SCATTER - photon energy is partially absorbed from an outer shell |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




electron. The electron is ejected from its orbit and the photon is deflected (changes course).
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The ejected electron has a negative charge, different course, and a lower energy. Accounts for
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62% of the scattering radiation in diagnostic radiology; COHERENT SCATTER - when a LOW-
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energy x-ray photon interacts with an outer-shell electron. No change in the atom occurs. X-ray
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photon of scattered radiation is produced. No loss of energy, no ionization occurs. 8% of the
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interactions of matter with the dental x-ray beam. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- Ionizing: FORMS OF PARTICULATE RADIATION - electrons (Beta particles and Cathode Rays),
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alpha particles, protons, neutrons; ELECTROMAGNETIC RADIATION - x-rays, gamma rays, ultra-
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violet light |||\\\




- Background: Radiation that is always in the environment. For example, radon in air; uranium,
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radium, thorium in earth; cosmic rays; radioactive potassium in food and water, etc.
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- Characteristic: when an incoming electron collides DIRECTLY with an inner shell electron of a
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target atom, thus ionizing it; an x-ray photon is released. In order for this to occur, the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




incoming electron MUST have kinetic energy AT LEAST equal to or greater than the electron in |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




the shell it is colliding with - need 70 kVP or higher.
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Components/function of film packet. - correct answer✔✔Film packet: x-ray film: one-film |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




packet or two-film packet; paper film wrapper: protective sheet that covers the film and shield
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




the film from light; lead foil sheet: single piece of lead foil to shield the film from backscattered
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




(secondary) radiation that results in film fog; outer package wrapping: soft-vinyl or paper
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wrapper that seals the film packet, protective paper, and lead foil sheet. It serves to protect the
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film from exposure to light and oral fluids.
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,KVP, MA, Exposure Time - correct answer✔✔- KV: is a measurement of the electrical force that
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causes electrons to move from the negative cathode to the positive anode; when KV
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




INCREASED, the SPEED of the electrons INCREASES, causing them to stroke the target the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




GREATER FORCE AND ENERGY, resulting in an x-ray beam with a SHORTER WAVELENGTH; dental
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




radiography requires the use of 65 to 100 KV
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- KVP: is the maximum (or peak) voltage across the x-ray tube; KVP INCREASED = INCREASED
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




DENSITY (darker); HIGH KVP = more PENETRATING beam and LOW contrast - many shades of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




gray; HIGH KVP = INCREASES intensity
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- MA: the unit of measure used to describe the number of electrons (or current) flowing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




through the cathod filament (conductor); an INCREASE in the NUMBER OF ELECTRONS =
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




INCREASED NUMBER OF X-RAYS; dental radiography requires the use of 7-15; HIGH MA = |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




INCREASES INTENSITY, HIGH DENSITY |||\\\ |||\\\ |||\\\ |||\\\




- Exposure Time: the interval time during which x-rays are produced; HIGH Exposure Time =
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




INCREASES INTENSITY, HIGH DENSITY |||\\\ |||\\\ |||\\\




Functions of items found in the tube head - correct answer✔✔- Leaded-glass housing: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




prevents x-rays from escaping in all directions. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- Cathode: (negative) consists of a tungsten wire filament in a cup-shaped holder; supplies the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




electrons necessary to generate x-rays |||\\\ |||\\\ |||\\\ |||\\\




- Anode: (positive) consists of a wafer-thin tungsten plate embedded in a solid copper rod;
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




converts electrons into x-ray photons. |||\\\ |||\\\ |||\\\ |||\\\




*Thermionic Emission: release of electrons due to overheating of tungsten filament, releasing |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




electrons toward positive anode. |||\\\ |||\\\ |||\\\




Indirect, direct action theories of radiation - correct answer✔✔- Indirect: x-ray photons are
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




absorbed within the cell and cause the formation of toxins, which in turn damage the cell
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

, - Direct: cell damage results when ionizing radiation directly hits critical areas, or targets within
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




the cell |||\\\




Types of caries and where located - correct answer✔✔INTERPROXIMAL
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- Incipient Carious Lesion: extends halfway through enamel
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- Moderate Carious Lesion: extends more than halfway through enamel; does not involve the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




DEJ

- Advanced Carious Lesion: extends through enamel and into dentin; it does not extend
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through the dentin more than half the distance toward the pulp
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- Severe Interproximal: extends more than halfway to the pulp
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OCCLUSAL



ROOT CARIES |||\\\




Components of the atom - correct answer✔✔Atom: consists of central nucleus and orbiting
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




electrons; nucleus - protons and neutrons; electrons |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Point of entry for each radiograph projection - correct answer✔✔- Lateral Jaw, Body
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




(Mandible): below inferior border of mandible; VA = -15 to -20 degrees; perpendicular to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




horizontal plane of receptor |||\\\ |||\\\ |||\\\




- Lateral Jaw, Ramus (Mandible): posterior to third molar area; VA = -15 to -20 degrees;
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




perpendicular to horizontal plane of receptor |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- Lateral Cephalometric: centered over receptor and perpendicular to receptor
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

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