

Dental Assisting Exam Review
Course Introduction
Dental Assisting introduces students to the foundational knowledge and hands-on skills required to support dentists in clinical and administrative settings. The course covers essential topics such as dental anatomy, infection control, patient care procedures, radiography, sterilization techniques, and chairside assisting during various dental treatments. Emphasis is also placed on effective communication, ethical practices, and the role of the dental assistant in maintaining a safe and efficient dental environment. Through laboratory exercises and simulated experiences, students gain practical experience to prepare for entry-level positions in dental healthcare teams.
Recommended Textbook Essentials of Dental Radiography for Dental Assistants and Hygienists 10th Edition by Evelyn Thomson
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30 Chapters
1488 Verified Questions
1488 Flashcards
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Chapter 1: Dental Radiography: Historical Perspective and Future Trends
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Sample Questions
Q1) Digital imaging replaces the conventional dental x-ray machine.
A)True
B)False
Answer: False
Q2) Who developed the hot cathode ray tube?
A) W. D. Coolidge
B) W. A. Price
C) H. R. Raper
D) W. H. Rollins
Answer: A
Q3) Which radiograph displays the entire dentition and surrounding structures?
Answer: A panoramic radiograph displays a broad area of the mandible and maxilla on a single image receptor.
Q4) What is the name of the device that functions to direct the x-ray beam toward the patient?
Answer: A position indicating device (PID) is used to direct the x-ray beam.
Q5) William Herbert Rollins was awarded the first Nobel Prize for physics.
A)True
B)False
Answer: False
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Chapter 2: Characteristics and Measurement of Radiation
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Sample Questions
Q1) Matter is defined as the ability to do work and overcome resistance.
A)True
B)False
Answer: False
Q2) Kinetic energy is the internal energy within the atom that holds its components together.
A)True
B)False
Answer: False
Q3) X-rays travel at the speed of sound.
A)True
B)False
Answer: False
Q4) The majority of x-rays produced by dental x-ray machines are formed by general (bremsstrahlung) radiation.
A)True
B)False
Answer: True
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Chapter 3: The Dental X-Ray Machine: Components and Function
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Sample Questions
Q1) What is the name of the device that allows the amount of current passing through the wires of the circuit to be changed?
Answer: The milliamperage (mA) selector determines the available number of free electrons at the cathode filament. This allows for variation in the amount of x-rays which are produced
Q2) Each of the following conditions must exist for x-rays to be produced EXCEPT one. Which one is the EXCEPTION?
A) A target capable of stopping the electrons
B) An air-filled glass tube
C) High voltage to impart speed to the electrons
D) A source of free electrons
Answer: B
Q3) That part of the cathode designed to direct the free electrons toward the tungsten target of the anode is called the "focal spot."
A)True
B)False
Answer: False
Q4) Inside the dental x-ray machine, what does the speed of the electrons determine?
Answer: The energy (penetrating power) of the x-rays produced
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Chapter 4: Factors Affecting Radiographic Quality
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Sample Questions
Q1) The difference in densities between adjacent areas on the radiograph is termed:
A) sharpness.
B) density.
C) resolution.
D) contrast.
Q2) Each of the following results in image unsharpness EXCEPT one. Which one is the EXCEPTION?
A) Patient movement during exposure
B) Image receptor positioned close to the teeth
C) A short PID
D) The use of intensifying screens
Q3) The target-object distance is the distance between the focal spot on the target and the skin surface of the patient.
A)True
B)False
Q4) Radiographic density (film darkening) is decreased when the milliamperage or exposure time is increased.
A)True
B)False
Q5) What types of tissues or structures appear radiopaque on radiographs?
Page 6
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Chapter 5: Effects of Radiation Exposure
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Sample Questions
Q1) The structures of the oral and facial regions are relatively radioresistant.
A)True
B)False
Q2) The ALARA concept means "As Low As Reasonably Achievable."
A)True
B)False
Q3) What is the approximate surface (skin) dose of radiation from a full mouth series of 18 F-speed films, exposed at 90 kVp with a 16-inch (41-cm)-length PID?
A) 30 mSv
B) 50 mSv
C) 75 mSv
D) 100 mSv
Q4) When the severity of change is dependent on the radiation dose, the effect is called a/an:
A) stochastic effect.
B) deterministic effect.
C) acute radiation effect.
D) lethal dose effect.
Q5) When do the effects of irradiation occur?
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Chapter 6: Radiation Protection
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Sample Questions
Q1) What undesirable effect does collimation reduce?
Q2) The purpose of aluminum filtration is to:
A) absorb the penetrating short wavelengths that fog films unnecessarily.
B) reduce the radiation to the patient by reducing the volume of tissue exposed.
C) eliminate the sources of scatter or secondary radiation to the patient.
D) absorb the less penetrating long wavelengths to reduce radiation exposure.
Q3) Which of the following statements regarding lead aprons is FALSE?
A) They are fabricated of 0.25-mm lead or lead-equivalent materials.
B) They should be folded and stored when not in use.
C) They provide a protective barrier against scatter radiation.
D) Their use is in keeping with the ALARA concept.
Q4) Which of the following statements about the position indicating device (PID) is correct?
A) The shorter the PID, the less divergent the beam.
B) The longer the PID, the greater the radiation dose to the patient.
C) Pointed, closed-end plastic cone PIDs should no longer be used.
D) A recessed PID creates a shorter target-surface distance.
Q5) Pure aluminum will not hinder the passage of high-energy x-rays.
A)True
B)False

Page 8
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Chapter 7: Dental X-Ray Film and Processing Methods
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Sample Questions
Q1) Which portion of the dental film retains the latent image?
A) The protective layer
B) The gelatin
C) The silver halide crystals
D) The adhesive
Q2) Intraoral film emulsion is composed of a gelatin and silver halide crystals.
A)True
B)False
Q3) What type of film is needed to copy a dental radiograph?
Q4) Which of the following statements regarding extraoral film is FALSE?
A) It is used outside the mouth.
B) It comes individually wrapped in protective paper.
C) It is called a "screen film."
D) It uses intensifying screens.
Q5) The radiation exposure needed for extraoral film projections is higher than that needed for intraoral projections.
A)True
B)False
Q6) The sensitivity of a given type of dental x-ray film is known as its what?
Q7) What is the color of the tube side of the film packet?
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Chapter 8: Digital Radiography and Image Acquisition
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Sample Questions
Q1) During manual time-temperature film processing, after fixing, the films are to be placed in the water wash for:
A) 5 minutes.
B) 10 minutes.
C) 20 minutes.
D) time is dependent upon water temperature.
Q2) The ideal time-temperature for manual processing archival radiographs is 85 degrees F.
A)True
B)False
Q3) Which processing solution prevents further film development?
Q4) The advantage of manual processing over automatic processing is that there is:
A) less hazardous waste production.
B) more time required to produce finished radiographs.
C) less malfunction of processing equipment.
D) less water used.
Q5) With what should powdered and liquid concentrate forms of processing solutions be mixed?
Q6) What is the name of the component of developer that prevents development of unexposed silver halide crystals?
Page 10
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Chapter 9: Infection Control
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Sample Questions
Q1) How much less radiation exposure is a digital radiograph purported to be over a fast speed film-based radiograph?
A) 0 to 20 percent
B) 0 to 30 percent
C) 0 to 50 percent
D) 0 to 80 percent
Q2) What is the digital equivalent of film fog?
Q3) How many gray levels can a computer monitor display?
A) 8
B) 32
C) 256
D) 65,500
Q4) The lower the line pairs per millimeter, the better the spatial resolution.
A)True
B)False
Q5) How many shades of gray can the unaided human eye detect?
A) 32
B) 320
C) 3,200
D) 32,000

Page 11
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Chapter 10: Legal and Ethical Responsibilities
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Sample Questions
Q1) The radiographer should be able to aseptically open all film packets in a full mouth series in 2 minutes or less to avoid excessive exposure to safelight.
A)True
B)False
Q2) For infection to occur, each of the following conditions must be present EXCEPT one. Which one is the EXCEPTION?
A) An appropriate portal of entry into the host
B) A pathogen
C) An acceptable barrier
D) A susceptible host
Q3) After patient treatment, reusable image receptor holding devices must be:
A) sanitized.
B) disinfected.
C) sterilized.
D) washed.
Q4) The goal of infection control is the prevention and reduction of disease-causing (pathogenic) microorganisms.
A)True
B)False
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Chapter 11: Patient Relations and Education
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Sample Questions
Q1) As prudent risk management, radiographs should be retained as part of a client's record for 7 years.
A)True
B)False
Q2) Providing the radiographers with a radiation monitoring device is good risk management.
A)True
B)False
Q3) The federal Consumer-Patient Radiation Health and Safety Act:
A) mandated safety requirements for collimation and filtration of equipment.
B) provided guidelines and recommended procedures for infection control.
C) provided and updates evidence-based selection criteria guidelines.
D) established standards for state certification/licensure of radiographic personnel.
Q4) The Consumer-Patient Health and Safety Act provides patients with more control over how their personal health information is used and disclosed.
A)True
B)False
Q5) When does the statute of limitations begin to run for children?
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Chapter 12: Introduction to Radiographic Examinations
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Sample Questions
Q1) Nonverbal communication includes gestures, facial expressions, body movement, and listening.
A)True
B)False
Q2) Show-tell-do is a method of communication reserved for the child patient.
A)True
B)False
Q3) Which of the following statements is correct?
A) The measurement term "gray" indicates comparisons between different types of radiation.
B) Exposures are recorded with the term "sievert."
C) The amount of radiation absorbed by the tissue is referred to as the dose.
D) mSv stands for one-hundredth of a sievert.
Q4) Are large amounts of radiation harmful?
Q5) Should dental x-rays be taken every 6 months?
Q6) Attitudes toward an employer and co-workers play a role in determining the degree of successful patient management.
A)True
B)False
Q7) How should the radiographer greet the patient?
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Chapter 13: The Periapical Examinationparalleling Technique
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Sample Questions
Q1) The identification dot should be placed toward the apices of the teeth when exposing periapical radiographs.
A)True
B)False
Q2) Which of the following is NOT an intraoral radiograph?
A) Occlusal
B) Bitewing
C) Panoramic
D) Periapical
Q3) All vertical angle deviations from zero in which the tip of the PID is tilted toward the floor are called "negative angulations."
A)True
B)False
Q4) The correct horizontal and vertical angulations are critical to producing quality periapical radiographs.
A)True
B)False
Q5) Where should the open end of the PID be placed relative to the patient for radiographic exposures?
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Chapter 14: The Periapical Examinationbisecting Technique
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Sample Questions
Q1) How is correct horizontal angulation achieved when using the paralleling technique?
Q2) An image receptor holder with an external aiming device is more comfortable for the patient.
A)True
B)False
Q3) The use of the paralleling technique is ideal with adult patients with a small mouth or shallow palatal vault.
A)True
B)False
Q4) Centering the image receptor to line up behind the central and lateral incisors to include recording the mesial halves of the canines if using a size #2 image receptor describes the placement of the image receptor for which periapical radiograph?
A) Central incisor
B) Canine
C) Premolar
D) Molar
Q5) What are three image receptor holders designed for use with the paralleling technique?
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Chapter 15: The Bitewing Examination
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Sample Questions
Q1) The bisecting technique is useful in patients who cannot tolerate parallel placement of the image receptor. The bisecting technique produces images with reduced image distortion.
A). The first statement is true. The second statement is false.
B) The first statement is false. The second statement is true.
C) Both statements are true.
D) Both statements are false.
Q2) The presence of each of the following conditions may indicate using the bisecting technique instead of the paralleling technique EXCEPT one. Which one is the EXCEPTION?
A) A class II malocclusion
B) An edentulous region
C) A large palatal or mandibular tori
D) A very low or shallow palatal vault
Q3) A longer 12-inch or 16-inch PID is better suited to the bisecting technique.
A)True
B)False
Q4) Explain how the bisecting technique relates to the rule of isometry.
Q5) Why is it important for the radiographer to know how to apply both the paralleling and bisecting techniques?
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Chapter 16: The Occlusal Examination
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Sample Questions
Q1) There are four radiographs in a posterior bitewing survey.
A)True
B)False
Q2) Which two angulations are critical to producing quality bitewing radiographs?
Q3) To avoid overlap error, t</OLINK>he central ray of the x-ray beam should be directed perpendicular to the mean tangent.
A)True
B)False
Q4) Anterior bitewings should be exposed using a vertical angulation of +20 degrees.
A)True
B)False
Q5) The name bitewing is descriptive.
A)True
B)False
Q6) Periapical radiographs image the alveolar bone crest better than bitewing radiographs.
A)True
B)False
Q7) What is the main purpose of the bitewing radiograph?
Page 18
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Chapter 17: The Panoramic Examination
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Q1) Each of the following statements regarding occlusal radiographs is correct EXCEPT one. Which one is the EXCEPTION?
A) They do not require the use of an image receptor holder.
B) They images both of the arches on a single film.
C) They may be either topographical or cross-sectional.
D) They are placed in the mouth between the occlusal surfaces of the maxillary and mandibular teeth.
Q2) A 16-inch (41-cm) PID should be used for the occlusal radiographic exam.
A)True
B)False
Q3) Which of the following occlusal radiographs yields more information about the location of tori and impacted or malpositioned teeth and calcifications of soft tissues?
A) Maxillary anterior topographical
B) Maxillary posterior topographical
C) Mandibular posterior topographical
D) Mandibular cross-sectional
Q4) What are the recommended exposure settings for occlusal radiographs?
Q5) What is the purpose of the occlusal radiographic exam?
Q6) Is a short or a long PID recommended for use in occlusal radiography?
Page 19
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Chapter 18: Identifying and Correcting Undiagnostic
Radiographs
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Sample Questions
Q1) White spots on the film are caused by premature contact with the developer solution.
A)True
B)False
Q2) If a film is accidentally placed in the fixer before placing it in the developer, the resultant image will:
A) be light.
B) be dark.
C) be blank.
D) have a herringbone pattern.
Q3) A black film indicates accidental exposure to white light.
A)True
B)False
Q4) Assembling an image receptor holder with external aiming device incorrectly may lead to conecut error.
A)True
B)False
Q5) What causes an iridescent stain on the radiograph?
Q6) What is film fog?
Q7) What causes discrete black lines to appear on the radiograph? Page 20
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Page 21

Chapter 19: Quality Control and Environmental Safety in Dental Radiography
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Sample Questions
Q1) Radiographic competencies of the dental assistant and dental hygienist include each of the following EXCEPT one. Which one is the EXCEPTION?
A) The ability to recognize quality radiographs
B) The ability to identify the cause of poor-quality radiographs
C) The ability to complete necessary state documentation of safe operating equipment
D) The ability to apply appropriate corrective actions to failed quality control tests
Q2) What does the outline of a coin on the processed film used in the coin test indicate?
Q3) A device consisting of increasing increments of an absorbing material is called a "reference film."
A)True
B)False
Q4) The dental radiographer can play a role in monitoring the x-ray machine.
A)True
B)False
Q5) What is quality assurance in dental radiography?
Q6) What is the key to peak performance of an automatic processor?
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Chapter 20: Image Orientation and Introduction to Interpretation
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Q1) Waste materials that present a threat to community health or the environment are called:
A) hazardous.
B) biodegradable.
C) recycled.
D) microbial.
Q2) Which of the following is FALSE?
A) Under normal conditions, fixer should not cause respiratory difficulty.
B) If heated sufficiently, developer releases a gas that may cause respiratory difficulty.
C) Prolonged contact with aerosols from processing chemistry may irritate individuals with asthma.
D) If processing chemical mist or vapors are inhaled, proceed immediately to the eyewash station.
Q3) Unused radiographic films should be stored in lead-lined boxes especially made for this purpose.
A)True
B)False
Q4) Describe the appropriate use of an emergency eyewash station.
Q5) What information is listed on a product's MSDS?
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Chapter 21: Recognizing Normal Radiographic Anatomy
Intraoral Radiographs
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Q1) How long should dental radiographs be retained?
Q2) All radiographs, whether intraoral or extraoral, should be mounted.
A)True
B)False
Q3) With the lingual method of film mounting, the embossed dot will be ____________, and the viewer will interpret the radiographs as if
A) convex, facing the patient
B) concave, facing the patient
C) convex, standing behind the patient
D) concave, standing behind the patient
Q4) Patient radiographs should be retained indefinitely.
A)True B)False
Q5) Some viewboxes are equipped with a magnifying glass. A)True B)False
Q6) Maxillary molars generally have how many roots?
Q7) What is radiographic interpretation?
24
Q8) What pieces of equipment are necessary for optimum film viewing?
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Page 25

Chapter 22: Recognizing Normal Radiographic Anatomy
Panoramic Radiographs
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Q1) A line of union of adjacent cranial or facial bones that appears radiolucent on radiographs is called a "suture."
A)True
B)False
Q2) Which of the following describes the radiographic appearance of the lamina dura?
A) A thin radiolucent border that outlines the root of the tooth
B) A thin radiopaque border that outlines the root of the tooth
C) A radiolucent honeycomb layer adjacent to the root of the tooth
D) A radiopaque honeycomb layer adjacent to the root of the tooth
Q3) The periodontal ligament space appears as a thin radiolucent line between the lamina dura and the root of the tooth.
A)True
B)False
Q4) How does cortical bone appear on a radiograph?
Q5) Bones are solid only on the outside and honeycombed within.
A)True
B)False
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Q6) What are the four small radiopaque bony crests imaged at the midline of the mandible called?

Chapter 3: Radiographic Appearance of Dental Materials and Foreign Objects
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Q1) Which of the following restorative crown types appears the least radiopaque?
A) Porcelain fused to metal
B) Full metal
C) Stainless steel
D) Porcelain
Q2) An odontoma often appears as a mixed radiopaque and radiolucent mass of enamel and dentin.
A)True B)False
Q3) What is the name of the process characterized by root-end resorption in which the roots of the teeth appear shorter than normal?
Q4) What type of resorption appears as a radiolucent widening of the root canal?
Q5) A nonodontogenic cyst arises from epithelial cells associated with the development of a tooth.
A)True B)False
Q6) A torus is a bony growth projecting outward from the surface of a bone.
A)True B)False
Q7) What is the most commonly encountered form of benign tumor in the arches? Page 27
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Chapter 24: The Use of Radiographs in the Detection of Dental Caries
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Q1) How are caries differentiated from nonmetallic radiolucent restorations radiographically?
Q2) Buccal and lingual caries are best detected radiographically.
A)True
B)False
Q3) When interpreting dental radiographs for caries, which section of the tooth surface should be examined for evidence of proximal caries?
A) Just above and just below the enamel on the occlusal surface
B) Just apical to the occlusal surface at the contact point of adjacent teeth
C) At and just apical to the contact point of adjacent teeth
D) At and just apical to the gingival margin between adjacent teeth
Q4) The shape of proximal caries begins as a radiolucent double triangle through the enamel and dentin.
A)True
B)False
Q5) Recurrent caries appears as a radiolucency adjacent to the restoration.
A)True
B)False
Q6) What term is applied to caries that are no longer active?
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Chapter 25: The Use of Radiographs in the Evaluation of Periodontal Diseases
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Q1) Some practitioners prefer to expose radiographs used for the purpose of recording information regarding the periodontium at a lower kVp setting because of the high contrast it will produce.
A)True
B)False
Q2) Changes in soft tissue can be demonstrated radiographically.
A)True
B)False
Q3) Can radiographs be used to differentiate treated versus untreated disease?
Q4) Radiographs may provide information regarding which of the following periodontal conditions?
A) Gingival inflammation
B) Local contributing factors
C) The presence of active disease
D) The depth of the pockets
Q5) Bone loss between the roots of molar teeth is called:
A) triangulation.
B) furcation involvement.
C) horizontal bone loss.
D) a local contributing factor.
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Q1) The use of show-tell-do is especially useful with children.
A)True
B)False
Q2) Which size image receptor would best image a bitewing radiodgraph on a 4-year-old?
A) 0 or 1
B) 1
C) 1 or 2
D) 3
Q3) Which of these statements is FALSE?
A) A child's smaller size places radiation-sensitive tissues closer to the path of radiation.
B) A lead apron and thyroid collar need to be placed on all child patients.
C) ALARA protocols that apply to adults do not apply to children.
D) Radiographs on children require less radiation exposure than adults.
Q4) Should a thyroid collar be used when exposing radiographs on children?
Q5) Are panoramic radiographs acceptable substitutes for intraoral radiographs if a child cannot tolerate intraoral placement of the image receptor?
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Chapter 27: Pediatric Radiographic Techniques
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Q1) To suppress a gag reflex, the patient must continue breathing during the exposure of the radiograph and must be told not to hold the breath.
A)True
B)False
Q2) Each of the following statements regarding dental radiography of the older adult patient is correct EXCEPT one. Which one is the EXCEPTION?
A) A smaller, lighter weight image receptor holder may be more comfortable.
B) Use of a commercial image receptor edge protector may make the procedure more comfortable.
C) If necessary, the radiographer should hold the image receptor in the patient's mouth during the exposure.
D) If necessary, an extraoral radiograph may be substituted.
Q3) Some situations call for transferring the patient who uses a wheelchair to the dental chair for exposing radiographs.
A)True
B)False
Q4) What should the radiographer do to help communicate with a hearing-impaired patient prior to putting on a protective mask?
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Chapter 28: Radiographic Techniques for Patients With Special Needs
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Sample Questions
Q1) What is a duplicate radiograph?
Q2) Which of the following statements regarding tori is correct?
A) A torus palatinus is located along the lingual surface of the mandible.
B) Tori are common bony protuberances in the oral cavity.
C) The oral mucosa overlying tori is thick and calloused.
D) The correct image receptor position should be on top of the torus.
Q3) Can radiographs be exposed during endodontic therapy?
Q4) For a mandibular molar disto-oblique radiograph, the horizontal angulation is shifted so that the x-ray beam intersects the image receptor obliquely:
A) 5 degrees from the mesial.
B) 10 degrees from the mesial.
C) 5 degrees from the distal.
D) 10 degrees from the distal.
Q5) What is the principle behind the tubeshift method of localization?
Q6) The mucosa over tori is thick and calloused, so an image receptor can usually be comfortably placed on top of tori.
A)True
B)False

Page 33
Q7) Can dental radiographs be taken in edentulous areas?
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Chapter 29: Radiographic Techniques for Specific Oral Conditions
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/79522
Sample Questions
Q1) Latex or vinyl treatment gloves should be used to handle extraoral films.
A)True
B)False
Q2) Of what is a grid used in extraoral radiographic techniques composed?
Q3) Of what is the back cover of a rigid extraoral film cassette constructed?
Q4) What is the purpose of the lateral jaw radiograph?
Q5) Why should cassettes and intensifying screens be examined prior to use?
Q6) Which of the following is least likely to use extraoral radiography?
A) An orthodontist
B) A prosthodontist
C) An endodontist
D) An oral surgeon
Q7) Each of the following statements regarding extraoral film is correct EXCEPT one. Which one is the EXCEPTION?
A) Handle by the edges only.
B) Remove from the box slowly.
C) Slide across the intensifying screens when placing it in the cassette.
D) Load into the cassette just prior to use.
Q8) What is a lateral cephalometric radiograph? Page 34
Q9) Of what is the front cover of a rigid extraoral film cassette constructed?
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Chapter 30: Radiographic Techniques
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/79523
Sample Questions
Q1) A frown appearance to the arches will result when the patient's chin is positioned too high.
A)True
B)False
Q2) What is the corrective action for a panoramic image that can mimic caries of the anterior teeth?
A) Have the patient raise his or her tongue to the palate during exposure.
B) Readjust the patient's head in an upward direction.
C) Have the patient close his or her lips on the bite block.
D) Readjust the patient's head in a downward direction.
Q3) The nasopharyngeal air space is located between the tongue and the palate.
A)True
B)False
Q4) Each of the following may be used to position the patient within the focal trough EXCEPT one. Which one is the EXCEPTION?
A) Chin rest
B) Forehead rest
C) Film holder
D) Bite block
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