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Purpose & Technique
| Question | Answer | |||
|---|---|---|---|---|
| What is observed on a panoramic radiograph when the patient's chin is tipped down? | exaggerated smile | teeth appear superimposed | anterior teeth appear widened | narrow smile |
| Blurred radiographic images are often caused by | patient movement during exposure | failure to remove dental appliance | improper positioning of the x-ray tube head | overlapping bitewing |
| The most radiolucent area on an anterior image is the | nasal fossa | nasal spine | maxillary sinus | maxillary tuberosity |
| What structure appears radiopaque on a dental radiograph? | Bone | air space | periodontal ligament | pulp tissue |
| Impacted third molars are best seen with what type of radiograph? | Panoramix | periapical | bitewing | cephalometric |
| When taking an occlusal radiograph, the PSP packet should extend from the patient's mouth by approximately | 1/8-1/4 inches | 1 1/8-1/4 inches | 3/4-1 inches | 1/2-5/8 inches |
| How can you stabilize the biteblock on a partially edentulous patient? | use a cotton roll | Have family member hold the biteblock | Have patient hold the biteblock | leave the partial denture in the mouth |
| To assist the patient in controlling the gag reflex | use a distraction technique | ask the dentist to anesthetize the patien | expose extraoral images only | ask the patient to return tomorrow |
| The Buccal Object Rule is used to determine if a foreign body is located in which direction? | Lingual to buccal | Buccal to distal | Subgingival to supragingival | occlusal to apical |
| If a patient does not remove earrings before a panoramic radiograph is exposed, the image may have | Ghost image | double images | radiolucent images | magnified images |
| Most bilateral findings in images are considered | normal anatomic landmarks | suspect of a lesion | primarily seen in bitewing views | Most often seen on panoramic views |
| If a patient's chin is positioned too high during a panoramic image, how will the image appear? | the image will appear flat or a "reverses smile" | anterior teeth will appear wide | anterior teeth will appear thin | the image will appear as an exaggerated smile |
| The primary purpose of the bitewing image is to evaluate | interproximal decay | crowns and apices | tooth formation and eruption | root surface decay |
| Foreshortening of the maxillary radiographic image results from | increased vertical angulation | decreased vertical angulation | increased horizontal angulation | decreased horizontal angulation |
| The most common reason for taking bitewing radiographs is to evaluate | Interproximal caries | calculus | incipient caries | occlusal caries |
| The edentulous radiographic series may include all the following EXCEPT | Bitewings | occlusals | periapicals | panoramic |
| How is scatter radiation reduced when taking an image? | use of rectangular cone | use of round cone | Use of short cone | use of receptor holder |
| Which device is a disposable intraoral PSP holder? | Stabe | Endoray | Rinn XCP | Eezee grip |
| Which term is used to describe abscess or pulp area on a radiograph? | Radiolucent | Contrast | density | radiopaque |
| What influences the sharpness of a radiograph? | Focal spot size | kVp and mA | Object-receptor alignment | X-ray beam angulation |
| What results in a double image on a PSP radiograph? | Exposing the same PSP twice | Processing two exposed plates together | Processing two unexposed plates together | Exposing sensor twice |
| What is the most common radiographic exposure used to detect periodontal disease? | Bitewing | Periapical | Occlusal | Panoramic |
| A radiograph will automatically be retaken when there is | double exposure | cone cut | bent plate | scratched plate |
| Supernumerary teeth are best detected using what type of image receptor? | panoramic | periapical | cephalometric | bitewing |
| Which anatomical landmark is NOT normally seen on intraoral radiographs? | Frontal sinus | Maxillary sinuses | Nutrient canals | Mandibular canals |
| What is the primary function of collimation? | restrict the size of the beam | increase target-receptor distance | eliminate cone cuts | decrease targe-receptor distance |
| To reduce patient anxiety about radiographic exposure, | take time to explain the procedure | use intra-oral photography | rapidly complete the procedure | only take panoramic images |
| When placed vertically in the anterior region of the mouth, what size image receptor is most effective for evaluating caries and periodontal health? | 2 | 3 | 4 | 0 |
| Which describes a double-ended PSP holder used for posterior and anterior teeth? | Eezee-Grip | Stabe | Precision holder | EndoRay |
| A panoramic radiograph with a dark shadow over the apices of the maxillary teeth may be caused by the patient | Not placing the tongue against the palate | placing the tongue against the palate | not appropriately positioned in the focal trough | not biting on the bite block correctly |
| When documenting a lesion found on an image, the description should include | severity | appearance | location | size |
| If a patient's gag reflex is stimulated during the radiographic procedure, | apply distraction techniques to divert his or her attention | tell the patient it is all in his or her mind | ask the patient if he or she is a gagger | avoid small talk to help him or her relax |
| What error occurs when the vertical angulation is incorrect? | Elongation | Cone cut | blurred image | overlapping |
| To desensitize the tissue prior to image receptor placement, | rub a finger along the tissues where the receptor touches | expose the most anterior image first | place the receptor in dental assistant mouth to demonstrate | touch the palate with the receptor |
| On a computer template for an image, what is automatically labeled? | Date of image | Dentist name | Dental assistant name | patient address |
| When placing periapical images in a template, what information helps to distinguish maxillary molar images from mandibular molar images? | the maxillary sinus outline is visible | the mandibular second molar has one root | the mandibular molars are larger | the maxillary molars have two roots |
| What is the disadvantage of using panoramic radiographs? | Higher cost of equipment | lower cost of equipment | less radiation exposure | more radiation exposure |
| Which image would be used to see the relationship of the alveolar bone? | Vertical bitewing | Periapical | Occlusal | horizontal bitewing |
| Phosphor plates are processed by using | laser beam technology | cone-beam computed tomography | digital sensor technology | chemical solutions |
| What causes elongation? | incorrect vertical angulation | incorrect horizontal angulation | incorrect exposure settings | incorrect size of image receptor |
| What can cause a radiopaque artifact on a radiograph? | Metallic partial denture | soft tissue surrounding the bone | provisional restoration | soft tissues of the buccal mucosa |
| The BEST radiograph to evaluate a suspected salivary stone in the submandibular gland is a/an | occlusal | periapical | panoramic | cephalometric |
| Before exposing dental radiographs on a visually impaired patient, | use touch to explain the equipment and procedure | set the exposure time to increase radiation | set the exposure time to decrease radiation | ask the caregiver to stabilize the image receptor |
| When exposing a posterior periapical radiograph on an adult patient with no intraoral restrictions, which size image receptor should be used? | 2 | 1 | 3 | 4 |
| What causes elongation on a radiograph? | insufficient vertical angulation | insufficient horizontal angulation | excessive horizontal angulation | excessive vertical angulation |
| The use of a thyroid collar is recommended for all of the following radiographic exposures EXCEPT | panoramic | occlusal | bitewing | periapical |
| During which type of radiographic exposure should a patient wear a thyroid collar? | Intraoral radipgraph | extraoral radiograph | cephalometric radiograph | panoramic radiograph |
| When taking a panoramic radiograph, the patient's head should be oriented | with the midsagittal plane perpendicular to the floor | so that it is rotated toward the image receptor | with the chin tipped up | with the chin projected forward |
| An underexposed image will appear | light | dark | spotty | grainy |
| The median palatal suture is visible on which images? | Maxillary anterior periapical | Maxillary posterior periapical | mandibular posterior periapical | mandibular anterior periapical |
| Compared to a dentulous patient, radiographic exposure time on an edentulous adult patient should | decrease | be doubled | remain unchanged | increase |
| The best way to correct a cone cutting error is to adjust | PID/cone position | vertical angulations | horizontal angulation | patient positioning |
| What causes the interproximal areas of the teeth to appear overlapped? | Improper horizontal angulation | improper vertical angulation | patient with shallow palate | patient talking during exposure |
| Which digital image receptor is the longest? | 2 | 1 | 3 | 0 |
| Paralleling technique requires the image receptor be placed | away from the tooth, toward the middle of the oral cavity | against the occlusal surface of the tooth | toward the tooth, away from the oral cavity | against the lingual surface of the tooth |
| What are common uses for a CBCT 3D image? | determining bone structure and tooth orientation | determining decay in teeth | determining periodontal disease | identifying an apical abscess |
| Which size image receptor is used for an adult posterior periapical film? | 2 | 0 | 1 | 4 |
| What is used to stabilize the upper and lower arch on the bite block when taking a panoramic image? | cotton rolls | separators | chin rests | Head positioners |
| The dense radiopaque band that outlines the edge of a mandibular image is the | Inferior border | mental protuberance | oblique ridge | mylohyoid ridge |
| What radiographic technique is recommended for a patient with a shallow palate? | bisecting | occlusal | periapical | paralleling |
| Which landmark is located by the midline of the mandible? | genial tubercles | mental foramen | mandibular canal | mandibular foramen |
| The most common radiographic exposure used to evaluate a dental implant on an adult is | periapical | occlusal | panoramic | bitewing |
| On an anterior image, the anterior alveolar crest normally appears | pointed and sharp | flat and smooth | as a dense radiopaque line | as a triangular-shaped radiopacity |
| The most commonly used radiographic exposure for a 3-year-old patient is a | bitewing | cephalometric | panoramic | periapical |
| The amount of radiation and exposure time needed to produce a diagnostic radiograph is best determined by | exposure time | kVp | mA | image receptor size |
| Why is it important for the patient to stand up straight when taking a panoramic image? | to prevent the spine from being superimposed over the anterior teeth | to prevent the anterior teeth from being wide and blurry | to prevent anterior teeth from appearing thin and overlapped | to prevent a double image |
| To view an abscess on tooth #25, the best radiographic exposure is a/an | periapical | panoramic | occlusal | bitewing |
| On a full mouth series with eighteen images, how many anterior images are exposed? | 6 | 5 | 8 | 7 |
| Compared to radiopaque structures, radiolucent structures | appear dark on a image | absorb more radiation | are dense | appear light on a radiograph |
| What does Cone beam computed tomography use? | three-dimensional technology | customized image holders | panoramic cassettes | two-dimensional |
| When the contact area of one tooth is superimposed over the contact of another on a radiograph, it is called | overlapping | foreshortening | cone cutting | elongation |
| Processed PSP plates should be handled by the edges to prevent | scratches | discoloration | cone cuts | contamination |
| When using a 16-inch PID instead of an 8-inch PID, the exposure time must | be increased | remain the same | be decreased | |
| The Frankfort Plane is an imaginary plane passing through the | external auditory meatus to the floor of the orbit | external auditory meatus to the outer canthus of the eye | ala of the nose to the bottom of the ear | ala of the nose to tragus of the ear |
| How do most carious lesions appear on an image? | radiolucent | radiopaque | mixed density | undetectable |
| What is the most common area in the oral cavity for a dentigerous cyst? | around the third molars | around the canines | between the premolars | between the central incisors |
| A full mouth series of periapical images taken on an edentulous patient will consist of | six anterior and eight posterior | two anterior and four posterior | six anterior and four posterior | two anterior and eight posterior |
| Which exposure is used to diagnose interproximal caries? | bitewing | periapical | cephalometric | panoramic |
| Which radiolucency may be mistaken for caries? | cervical burnout | gingivitis | anatomic configurations | calculus |
| A cephalometric radiograph is PRIMARILY used to evaluate | lateral jaw development | periodontal disease | implant placement | temporal mandibular join |
| Which extraoral radiograph is used to evaluate impacted teeth, large lesions and fractures of the mandible? | lateral jaw projection | waters projection | reverse towne projection | posteroanterior projection |
| Which condition may mimic caries on an intraoral image? | root resorption | secondary dentin formation | pulp stones | residual cyst of the mandible |
| Which landmark is seen in a maxillary anterior periapical image? | incisive foramen | mental foramen | zygomatic process | genial tubercule |
| Why would the occlusal plane appear diagonal in a radiograph? | incorrect placement of image receptor | poor horizontal angulation | incorrect vertical angulation | bent corner of PSP plant |
| Dilaceration in a radiographic image indicates the | root shape is abnormally bent or curved | vertical angulation needs to be increased | image receptor was over-bent during placement | vertical angulation needs to be decreased |