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Radiographic Interpretation in Dentistry Test Bank - 811 Verified Questions

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Radiographic Interpretation in Dentistry Test Bank

Course Introduction

Radiographic Interpretation in Dentistry focuses on the principles and practice of analyzing dental radiographs for the diagnosis of oral diseases and abnormalities. The course covers the identification of normal anatomical structures, recognition of dental caries, periodontal conditions, and traumatic injuries, as well as the detection of pathologies such as cysts, tumors, and developmental anomalies. Emphasis is placed on developing systematic approaches to image evaluation, understanding the limitations and potential artifacts in radiographic images, and integrating radiographic findings with clinical examinations to formulate accurate diagnoses and effective treatment plans.

Recommended Textbook

Dental Radiography Principles and Techniques 4th Edition by Iannucci DDS MS

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35 Chapters

811 Verified Questions

811 Flashcards

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Chapter 1: Radiation History

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8 Verified Questions

8 Flashcards

Source URL: https://quizplus.com/quiz/49416

Sample Questions

Q1) Who exposed the first dental radiograph in the United States using a live person?

A) Otto Walkoff

B) Wilhelm Roentgen

C) Edmund Kells

D) Weston Price

Answer: C

Q2) Current fast radiographic film requires less than ____ % of the initial exposure times used in 1920.

A) 25

B) 10

C) 5

D) 2

Answer: D

Q3) William Rollins:

A) Established the first college course in radiography for dental students.

B) Was the first to use film in intraoral radiography.

C) Developed the first dental x-ray unit.

D) Developed the first hot cathode x-ray tube.

Answer: C

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Page 3

Chapter 2: Radiation Physics

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) Which form of the x-ray beam is most detrimental to the patient and operator?

A) Primary radiation

B) Secondary radiation

C) Scatter radiation

D) Useful beam

Answer: C

Q2) Radioactivity is:

A) The emission and propagation of energy through space or a substance in the form of waves.

B) The emission and propagation of energy through space or a substance in the form of particles.

C) The process by which certain unstable atoms or elements undergo spontaneous disintegration, or decay, in an effort to attain a more balanced nuclear state.

D) The process by which certain unstable atoms or elements undergo spontaneous disintegration, or decay, in an effort to attain a less balanced nuclear state.

Answer: C

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Chapter 3: Radiation Characteristics

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) Which of the following changes will increase x-ray beam intensity?

A) Decreasing the kilovoltage peak

B) Decreasing the milliamperage

C) Decreasing the exposure time

D) Decreasing the source-to-film distance

Answer: D

Q2) A film with "low" contrast (greater or equal to 90 kVp):

A) Is useful for the detection of periodontal or periapical disease.

B) Is useful for the detection and progression of dental caries.

C) Has many shades of gray.

D) Both a and c.

Answer: D

Q3) Milliampere-seconds is a combination of milliamperes and:

A) Density

B) Contrast

C) Voltage

D) Exposure time

Answer: D

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5

Chapter 4: Radiation Biology

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) The use of F-speed film instead of D-speed film reduces the absorbed dose by ____ %.

A) 10

B) 25

C) 50

D) 60

Q2) Risk estimates suggest (1) that death is more likely to occur from common activities than from dental radiographic procedures, and (2) that cancer is much more likely to be unrelated to radiation exposure.

A) Both statements are true.

B) Both statements are false.

C) The first statement is true; the second statement is false.

D) The first statement is false; the second statement is true.

Q3) The potential risk of dental radiography inducing a fatal cancer in an individual is about ____ the risk of a person developing cancer spontaneously.

A) 1/10

B) 1/100

C) 1/1000

D) 1/1,000,000

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Page 6

Chapter 5: Radiation Protection

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Sample Questions

Q1) The primary dictum of operator protection guidelines is that the operator must:

A) Remain in the room with the patient while the film is being exposed.

B) Avoid the primary beam.

C) Hold the film in the patient's mouth with their own finger.

D) Hold the tubehead during x-ray exposure.

Q2) A rectangular collimator:

A) Restricts the beam more than a circular collimator.

B) Restricts the beam less than a circular collimator.

C) Significantly reduces patient exposure.

D) Both a and c

Q3) The acronym for the permitted lifetime accumulated dose is:

A) MPD-maximum permissible dose

B) MPD-maximum possible dose

C) MAD-maximum accumulated dose

D) MAD-maximum allowed dose

Q4) The collimator:

A) Is always round.

B) Restricts the size and shape of the x-ray beam.

C) Is a solid piece of aluminum.

D) Is fitted within the copper stem beneath the molybdenum cup.

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Chapter 6: Dental X-Ray Equipment

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12 Flashcards

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Sample Questions

Q1) A beam alignment device can be used to help the dental radiographer position the PID in relation to the ____ and film.

A) control panel

B) extension arm

C) collimator

D) tooth

Q2) The ____ activate(s) the machine to produce x-rays.

A) on-off switch

B) exposure button

C) exposure light

D) control devices

Q3) The position-indicating device (PID) is an extension of the:

A) Tubehead

B) Extension arm

C) Control panel

D) Exposure button

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8

Chapter 7: Dental X-Ray Film

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Sample Questions

Q1) The embossed pattern placed on the lead foil sheet by the manufacturer will reveal:

A) Whether or not the film has been exposed.

B) If the film has been exposed to moisture.

C) If the film packet is inadvertently positioned in the mouth backward and then exposed.

D) If the film packet is inadvertently opened before the film is processed.

Q2) During formation of the latent image, irregularities in the lattice structure of the exposed crystal, known as ____, attract silver atoms.

A) The protective layer

B) The emulsion

C) Sensitivity specks

D) The adhesive layer

Q3) A # ____ size film is a standard adult periapical film.

A) 0

B) 1

C) 2

D) 4

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Page 9

Chapter 8: Dental X-Ray Image Characteristics

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) The x-ray beam must be perpendicular to the tooth and film in order to minimize:

A) Sharpness.

B) Grain size.

C) Focal spot size.

D) Dimensional distortion.

Q2) A longer position-indicating device (PID) results in:

A) An increased target-film distance.

B) A more divergent x-ray beam.

C) More image magnification than when a shorter PID is used.

D) An increased object-film distance.

Q3) The typical stepwedge is constructed of:

A) Aluminum.

B) Steel.

C) Wood.

D) Copper.

Q4) A radiograph that has ____ is said to have high contrast.

A) A very dark overall appearance

B) A very light overall appearance

C) Many shades of gray

D) Very dark areas and very light areas

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Chapter 9: Dental X-Ray Film Processing

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Sample Questions

Q1) Film hangers are a device used to:

A) Hold films during processing.

B) Mount films.

C) View films.

D) Open film packets.

Q2) Developer cutoff appears as a:

A) Straight white border on the film

B) Straight black border on the film

C) Curved white border on the film

D) Curved black border on the film

Q3) The purpose of the hardening agent is to harden and shrink the:

A) Exposed silver halide crystals.

B) Unexposed silver halide crystals.

C) Gelatin in the film emulsion.

D) Plastic film base.

Q4) Reticulation means the film appears:

A) To have white spots.

B) To have dark spots.

C) Cracked.

D) As thin, black branching lines.

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Chapter 10: Quality Assurance in the Dental Office

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Sample Questions

Q1) If the processor is functioning properly, the results of the automatic processor test films will be that:

A) The unexposed film appears clear and dry, and the film exposed to light appears black and dry.

B) The unexposed film appears clear and wet, and the film exposed to light appears black and wet.

C) The unexposed film appears black and dry, and the film exposed to light appears clear and dry.

D) The unexposed film appears black and wet, and the film exposed to light appears clear and wet.

Q2) To conduct the coin test, the film and coin are exposed for:

A) 10 seconds.

B) 3 or 4 minutes.

C) 15 minutes.

D) An entire workday.

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Chapter 11: Dental Radiographs and the Dental

Radiographer

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Retakes resulting in unnecessary patient exposure to x-radiation must be avoided:

A) Whenever it is convenient because the dose is so low.

B) Only if the patient is uncomfortable with exposure.

C) Only if older (pre-1975) equipment is used.

D) At all times.

Q2) When radiographs are properly prescribed, exposed, and processed, the benefit of disease detection ____ the risk of small doses of x-radiation.

A) Does not outweigh

B) Is considered equal

C) Slightly outweighs

D) Far outweighs

Q3) To avoid occupational exposure to x-radiation, the dental radiographer must always: (Note: Though all are true, one is the most critical and encompasses the others.)

A) Maintain an adequate distance.

B) Have proper positioning.

C) Have proper shielding.

D) Avoid the primary beam.

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Page 13

Chapter 12: Patient Relations and the Dental Radiographer

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10 Flashcards

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Sample Questions

Q1) Inviting a patient to ask questions:

A) Wastes time.

B) Discourages communication.

C) Enhances communication.

D) Intimidates the patient.

Q2) The patient's first impression of the dental team most often involves the:

A) Dentist.

B) Dental hygienist.

C) Dental auxiliary.

D) Entrance to the building.

Q3) When nonverbal messages are not consistent with verbal messages, the patient is more likely to:

A) Relax.

B) Trust the dental professional.

C) Respond with apprehension.

D) Both a and b.

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Page 14

Chapter 13: Patient Education and the Dental Radiographer

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17 Flashcards

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Sample Questions

Q1) Which of the following types of questions must be answered only by the dentist?

A) The need for dental radiographs.

B) X-ray exposure.

C) Questions about diagnosis.

D) The safety of dental x-rays.

Q2) Patient education is likely to result in decreased:

A) Acceptance of prescribed treatment.

B) Fears of x-ray exposure.

C) Cooperation.

D) Motivation for regular dental visits.

Q3) There is ____ interval between x-ray examinations.

A) no set time

B) a set 6-month

C) a set 12-month

D) a set 24-month

Q4) The dental radiographer can use ____ to educate the dental patient.

A) An oral presentation.

B) Printed literature.

C) A combination of oral presentation and printed literature.

D) Neither oral presentation nor printed literature.

15

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Chapter 14: Legal Issues and the Dental Radiographer

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16 Verified Questions

16 Flashcards

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Sample Questions

Q1) When radiographs are forwarded to a subsequent dentist:

A) The original films should be forwarded.

B) Duplicate films should be forwarded unless the patient signs a release for original films.

C) The original films should be copied and then forwarded; retain the duplicate.

D) The original films should not be forwarded.

Q2) The trend in dental negligence or malpractice actions has historically been to sue the supervising dentist alone. However, cases exist in which the dentist and the dental auxiliary have both been sued for the actions of the dental auxiliary.

A) Both statements are true.

B) Both statements are false.

C) The first statement is true; the second statement is false.

D) The first statement is false; the second statement is true.

Q3) Lack of informed consent may be shown by the following:

A) Consent from an individual under the influence of drugs or alcohol

B) Consent from an individual with legal right to give it

C) Consent from an individual under duress

D) Both a and c

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16

Chapter 15: Infection Control and the Dental Radiographer

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24 Verified Questions

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Sample Questions

Q1) In dental radiography, no ____ are used.

1) Critical instruments

2) Semicritical instruments

3) Noncritical instruments

A)1, 2, 3

B)1, 2

C)3 only

D)1 only

Q2) Which of the following viruses may be present in oral secretions?

1) Cytomegalovirus.

2) Hepatitis B virus.

3) Herpes simplex virus.

4) Human immunodeficiency virus.

A)1, 2, 3, 4

B)2, 3, 4

C)1, 2, 3

D)2, 4

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Page 17

Chapter 16: Introduction to Radiographic Examinations

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Sample Questions

Q1) Which of the following methods is/are used for obtaining periapical radiographs?

A) Paralleling

B) Bisecting

C) Interproximal

D) Both a and b

Q2) Periapical radiographs must show the entire crowns and roots of the teeth being examined as well as ____ to ____ mm beyond the root apices.

A) 0.1; 0.5

B) 1.0; 2.0

C) 2.0; 3.0

D) 4.0; 5.0

Q3) CMRS stands for:

A) Complete mouth restorative series.

B) Complete mouth radiographic series.

C) Complete mouth restorative service.

D) Complete mouth radiographic service.

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18

Chapter 17: Paralleling Technique

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Sample Questions

Q1) The paralleling technique ____ on fixed vertical angulations and produces a radiographic image ____ dimensional distortion.

A) Does not rely; without B) Relies; without

C) Does not rely; with D) Relies; Without

Q2) With size 2 film, a total of ____ anterior film placements are used with the paralleling technique.

A) Four

B) Six

C) Seven

D) Eight

Q3) The recommended posterior periapical sequence for the Rinn XCP instruments starts with the:

A) Maxillary left quadrant.

B) Maxillary right quadrant.

C) Mandibular left quadrant.

D) Mandibular right quadrant.

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19

Chapter 18: Bisecting Technique

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Sample Questions

Q1) For the mandibular molar exposure, the front edge of the film should be aligned with the midline of the:

A) Canine.

B) First premolar.

C) Second premolar.

D) First molar.

Q2) The rule of isometry states that two triangles are equal if they have ____ equal angles and share a common side.

A) One

B) Two

C) Three

D) Four

Q3) The recommended posterior periapical exposure sequence for the bisecting technique is to begin with the:

A) Maxillary right quadrant.

B) Maxillary left quadrant.

C) Mandibular right quadrant.

D) Mandibular left quadrant.

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Chapter 19: Bite-Wing Technique

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Sample Questions

Q1) According to the text, the identification dot in bite-wing film placement:

A) Should be oriented "dot down."

B) Should be oriented "dot distal."

C) Should be oriented "dot up."

D) Has no significance.

Q2) Which of the following exposure sequences is recommended for the patient who requires both periapical and bite-wing radiographs?

1) Bite-wing exposures

2) Anterior periapical films

3) Posterior periapical films

A)1, 2, 3

B)2, 1, 3

C)2, 3, 1

D)3, 1, 2

Q3) Vertical bite-wings are often used for patients with:

A) Mixed dentition.

B) Extensive decay.

C) Bone loss.

D) Sealants.

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Page 21

Chapter 20: Exposure and Technique Errors

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Sample Questions

Q1) The possibility of exposure of radiographic film to white light can be reduced by:

A) Turning off the safelight and unwrapping the films in a pitch-dark room.

B) Pre-exposing the entire package of film to radiation before opening the package.

C) Not unwrapping the film in a room with white light.

D) Turning off the fluorescent lighting in the treatment room before exposing radiographic films.

Q2) When the distal surfaces of the canines are not visible on a premolar bite-wing film, the solution is to:

A) Change the horizontal angulation of the tubehead.

B) Increase the vertical angulation of the tubehead.

C) Decrease the vertical angulation of the tubehead.

D) Position the anterior edge of the film at the midline of the mandibular canine.

Q3) When overlapped contacts appear on film, the cause is:

A) Incorrect vertical angulation.

B) Incorrect horizontal angulation.

C) A dropped receptorcorner.

D) An underexposed film.

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Chapter 21: Occlusal and Localization Techniques

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Sample Questions

Q1) The buccal object rule depends on a ____ image shift when trying to locate vertically aligned images. With the buccal object rule, an object to the buccal of the reference object will move in the ____ direction as the shift.

A) Vertical; same

B) Vertical; opposite

C) Horizontal; same

D) Horizontal; opposite

Q2) For the mandibular topographic occlusal projection, position the PID so that the central ray is directed at ____ degrees toward the center of the film.

A) +55

B) -55

C) +90

D) -90

Q3) The pediatric projection is recommended for use in children ____ years old or younger.

A) 2

B) 5

C) 8

D) 10

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Page 23

Chapter 22: Panoramic Imaging

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Sample Questions

Q1) A ghost image appears ____ than its actual counterpart.

A) Smaller

B) Lower

C) More indistinct

D) More distinct

Q2) The rotational change in a panoramic machine allows the image layer to conform to the ____ shape of the dental arches.

A) Square

B) Tapering

C) Ovoid

D) Elliptical

Q3) Rare earth screens emit ____ light and are considered faster than calcium tungstate screens, which emit ____ light.

A) Blue; green

B) Blue; blue

C) Green; green

D) Green; blue

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Chapter 23: Extraoral Imaging

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Sample Questions

Q1) Extraoral radiographs may be used in conjunction with intraoral films. The images seen on extraoral film are not as defined or sharp as the images seen on an intraoral radiograph.

A) Both statements are true.

B) Both statements are false.

C) The first statement is true; the second statement is false.

D) The first statement is false; the second statement is true.

Q2) A grid is composed of a series of:

A) Wire mesh that is similar to the screen in a window or door.

B) Copper wires around an armature.

C) Thin lead strips.

D) Thick lead strips.

Q3) A grid can be used to ____ film fog and ____ the contrast of the radiographic image.

A) Decrease; decrease

B) Increase; increase

C) Decrease; increase

D) Increase; decrease

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Chapter 24: Imaging of Patients With Special Needs

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Sample Questions

Q1) The mixed occlusal and periapical examination consists of ____ size 4 films and ____ size 2 films.

A) Two; four

B) Two; two

C) Four; four

D) Four; two

Q2) Which film placement is most likely to elicit the gag reflex?

A) Maxillary premolar

B) Maxillary molar

C) Mandibular premolar

D) Mandibular molar

Q3) A developmental disability is a substantial impairment of mental or physical functioning that occurs before age ____ years and is of indefinite duration.

A) 12

B) 18

C) 19

D) 22

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Chapter 25: Digital Imaging

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Sample Questions

Q1) The images are cleared from the storage phosphor imaging plates by:

A) Being processed in an x-ray processing machine.

B) Being autoclaved.

C) Being exposed to viewbox light for several minutes.

D) Being placed in a microwave oven for 1 minute.

Q2) With the feature of ____, the gray-scale of the diagnostic image is reversed so that radiolucent images appear white and radiopaque images appear black.

A) Pseudocolor alteration

B) Digital subtraction

C) Contrast

D) Image orientation

Q3) ____ digital imaging involves digitizing an existing x-ray film using a CCD camerA. Indirect digital imaging is ____ to direct digital imaging.

A) Indirect; inferior

B) Indirect; superior

C) Direct; inferior

D) Direct; superior

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Chapter 26: Three-Dimensional Digital Imaging

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Sample Questions

Q1) Cone beam computer tomography utilizes a vertical, narrow x-ray beam, similar to panoramic radiography, to acquire three-dimensional information. The source of radiation in the CBCT machines rotates around the head of the patient.

A) Both statements are true.

B) Both statements are false.

C) The first statement is true; the second statement is false.

D) The first statement is false; the second statement is true.

Q2) Studies have compared the radiation dose of a typical CBCT scan to the radiation dose received from ____.

A) Three or four panoramic images.

B) Three or four full-mouth series of intraoral images.

C) A traditional CT procedure.

D) Bitewing images.

Q3) The information that the receptor receives is termed the:

A) Computer analysis.

B) Image.

C) Raw data.

D) DICOM data.

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Chapter 27: Normal Anatomy: Intraoral Images

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Sample Questions

Q1) The genial tubercles serve as attachments for the ____ muscles.

A) Digastric and genioglossus

B) Genioglossus and geniohyoid

C) Geniohyoid and digastric

D) Mylohyoid and geniohyoid

Q2) The external oblique ridge typically ends in the ____ molar region.

A) Maxillary first

B) Mandibular first

C) Maxillary third

D) Mandibular third

Q3) The ____ is an opening or hole in bone that is located in the midline of the anterior portion of the hard palate directly posterior to the maxillary central incisors.

A) Mental foramen

B) Foramen ovale

C) Greater palatine foramen

D) Incisive foramen

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Chapter 28: Film Mounting and Viewing

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Sample Questions

Q1) The text recommends viewing radiographs ____ in a room with ____ lighting.

A) as many times as necessary; bright

B) as many times as necessary; dimmed

C) A single time; bright

D) A single time; dimmed

Q2) A film mount may be made of:

1) Cardboard

2) Lead foil

3) Plastic

4) Vinyl

A)1, 2, 3, 4

B)1, 2, 4

C)1, 3, 4

D)3, 4

Q3) In dental radiography, film mounting is the placement of radiographs:

A) On a viewbox.

B) In a supporting structure or holder.

C) In the patient's mouth.

D) In the processor.

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Page 30

Chapter 29: Normal Anatomy: Panoramic Images

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Sample Questions

Q1) The ____ foramen is a tiny hole or opening in bone located on the internal surface of the mandible near the midline.

A) Lingual

B) Mental

C) Incisive

D) Mandibular

Q2) The ____ rests in the glenoid fossA.

A) Styloid process

B) Mastoid process

C) Mandibular condyle

D) Coronoid process

Q3) Which of the following radiographs allows the dental professional to view the largest area of the mandible and maxilla on a single film?

A) Four bite-wing films

B) 18-film periapical series

C) 21-film periapical series

D) Panoramic

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Chapter 30: Introduction to Image Interpretation

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Sample Questions

Q1) In the dental setting, interpretation refers to an explanation of what is viewed on a radiograph, whereas the term diagnosis refers to the identification of disease by examination or analysis.

A) Both statements are true.

B) Both statements are false.

C) The first statement is true; the second statement is false.

D) The first statement is false; the second statement is true.

Q2) To interpret films, the dental radiographer must be confident in the identification and recognition of the following:

1) Normal anatomy

2) Dental caries

3) Periodontal disease

4) Traumatic injuries and periapical lesions

A)1, 2, 3, 4

B)1, 2, 3

C)2, 3, 4

D)1, 2, 4

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Chapter 31: Descriptive Terminology

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Sample Questions

Q1) A(n) ____ is an image that is produced on photosensitive film.

A) X-ray

B) Radiograph

C) Photon

D) Electron

Q2) Unilocular lesions tend to be:

A) Small and expansile.

B) Small and nonexpansile.

C) Large and expansile.

D) Large and nonexpansile.

Q3) Most structures radiographed ____ exhibit uniform thickness and therefore appear ____.

A) do; white

B) do not; gray

C) do; black

D) do not; white

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33

Chapter 32: Identification of Restorations, Dental Materials, and Foreign Objects

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Sample Questions

Q1) Of the nonmetallic restorations, ____ is the most dense and least radiolucent.

A) Unfilled acrylic

B) Filled acrylic

C) Composite

D) Porcelain

Q2) Amalgam overhangs can be described as extensions of amalgam seen on dental radiographs beyond the crown portion of a tooth located in the ____ region.

A) Buccal

B) Lingual

C) Interproximal

D) Occlusal

Q3) Which of the following is the most common restorative material used in dentistry?

A) Porcelain

B) Cast gold

C) Amalgam

D) Acrylic

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Chapter 33: Interpretation of Dental Caries

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Sample Questions

Q1) The ____ radiograph is the radiograph of choice for the evaluation of caries.

A) Periapical

B) Bite-wing

C) Panoramic

D) Occlusal

Q2) A radiograph is most useful for detection of ____ caries.

A) Buccal

B) Lingual

C) Occlusal

D) Interproximal

Q3) A carious lesion appears ____ on a dental radiograph.

A) Radiopaque

B) Radiolucent

C) White

D) Clear

Q4) ____ caries are found between two teeth.

A) Occlusal

B) Buccal

C) Lingual

D) Interproximal

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Chapter 34: Interpretation of Periodontal Disease

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Sample Questions

Q1) The normal periodontal ligament space appears as a ____ line.

A) Thin radiopaque

B) Thin radiolucent

C) Thick radiopaque

D) Thick radiolucent

Q2) Generalized bone loss occurs evenly throughout the dental arches, including greater than ____ of the sites involved.

A) 10%

B) 20%

C) 30%

D) 50%

Q3) In health, the lamina dura around the roots of the teeth appears as a(n) ____ line.

A) Dense radiolucent

B) Dense radiopaque

C) Intermittent radiolucent

D) Intermittent radiopaque

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36

Chapter 35: Interpretation of Trauma and Pulpal and Periapical Lesions

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Sample Questions

Q1) The ____ radiograph is the film of choice for the evaluation of mandibular fractures.

A) Occlusal

B) Periapical

C) Bite-wing

D) Panoramic

Q2) Sclerotic bone is seen below the apices of ____ teeth.

A) Vital, carious

B) Vital, noncarious

C) Nonvital, carious

D) Nonvital, noncarious

Q3) Which of the following is a periapical radiolucency?

A) Hypercementosis

B) Condensing osteitis

C) Periapical cyst

D) Sclerotic bone

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