✨✨✨radiology week 9 (@tadigh)

1. Which of the following would be an example of the use of interpersonal skills rather than technical skills with patients? a. Proper maintenance of processing equipment

b. Discussing the rationale for use of dental images

C. Correct receptor positioning

d. Preventing light leaks in the darkroom

Discussing the rationale for use of dental images

2. Communication is defined in the text as a. having a conversation.

b. establishing a connection.

c. the process by which information is exchanged between two or more persons.

d. two or more persons in the same location or room.

the process by which information is exchanged between two or more

3. Good verbal communication skills for dental radiographers involve

a. speaking in a rushed manner to convince the patient that the radiographer is working hard.

b. using words such as cut, drill, and scrape to put the procedure in the patient's language so that the patient may understand.

с. a loud tone of voice so that the patient may hear clearly.

d. A soft tone of voice

a soft tone of voice

4. Your patients will feel that you are indifferent to them if you do which of the following nonverbal communication actions?.

a. Use consistent verbal and nonverbal messages.

b. Do not look them directly in the eyes.

с. Lean slightly toward them.

d. Have an attentive posture.

Use consistent verbal and nonverbal messages.

5. If, while treating your patient, your nonverbal messages are consistent with your verbal messages, your patient is more likely to

a. relax.

b. be distrustful.

C.be apprehensive.

d. be fearful.

be apprehensive

Which of the following is the best way to show your patient that you are listening to him or her?

a. Interrupt if the patient gets "off track."

b. Correct the patient if he or she is wrong.

C. Finish the patient's sentences to show that the radiographer is following the patient's train of thought.

d. Give the patient undivided attention.

Give the patient undivided attention.

7. The term facilitation means

a. initiating.

b. the act of making easier.

с. the act of continuing.

d. construction of a facility.

the act of making easier.

8. When a patient trusts the dental professional, the patient is

a. less likely to provide information.

b. less likely to cooperate during treatment.

с. more likely to comply with prescribed treatment.

d. less likely to return for further treatment.

more likely to comply with prescribed treatment.

9. Inviting a patient to ask questions

a. wastes time.

b. discourages communication.

с. enhances communication.

d. intimidates the patient.

enhances communication.

10. The patient's first impression of the dental team most often involves the

a. dentist

. b. dental hygienist.

с. dental auxiliary.

d. entrance to the building.

dental auxiliary.

1. 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.

fears of x-ray exposure.

2. A patient who is knowledgeable about the importance of dental images is

a. less likely to realize the benefit of dental images.

b. less likely to follow prevention plans.

с. more likely to accept prescribed treatment.

d. less likely to cooperate.

more likely to accept prescribed treatment.

3. Your patient really doesn't understand why images are necessary. You need to take images because your patient has extensive restorations and you suspect recurrent decay under several restorations. Which of the following educational methods should you use to help the patient gain the best understanding of why images are needed?

a. An oral presentation

b. Printed literature

C. An oral presentation with printed literature

d. A non-committal answer

An oral presentation with printed literature

4. Which of the following types of questions must be answered only by the dentist?

a. The need for dental images

b. X-ray exposure

с. Questions about diagnosis

d. The safety of dental x-rays

Questions about diagnosis

5. To answer questions about the necessity of dental images, tell the patient a. they are an option, not a necessity.

b. there are many diseases and conditions that cannot be detected simply by looking into the mouth.

C. all diseases and conditions produce signs and symptoms that render dental images unnecessary.

d. tooth decay, gum disease, cysts, and tumors all can be detected eventually simply by looking in the mouth.

there are many diseases and conditions that cannot be detected simply by looking into the mouth.

6. How frequently should you take dental images on your patients?

a. Based on the patient's needs

b. Every 6 months

C. Every 12 months

d. Every 24 months

Based on the patient's needs

7. Decisions about the number, type, and frequency of dental images are determined by the— based on the patient's individual needs.

a. insurance company

b. dental assistant

C. dental hygienist

d. dentist

dentist

8. A patient with caries will require

a. less frequent dental imaging examinations than a patient without such disease.

b. less frequent dental imaging examinations than a patient without such discase if pocket depth readings are regularly recorded.

c. dental imaging examinations at regular intervals regardless of circumstances.

d. more frequent dental imaging examinations than a patient without such disease.

more frequent dental imaging examinations than a patient without such disease.

9. The frequency for taking images on your pediatric patients should be based on

a. their age.

b. the individual needs of the child.

c. a 6-month interval for bite-wing images.

d. a 12-month interval for bite-wing images.

the individual needs of the child.

10. Your new patient has asked if you could use the images from his previous dentist. You should tell your patient that

a. you can accept the image if they were taken recently and are of acceptable quality.

b. you can only accept them if you can have a digital copy.

c. you can only accept them if they are originals.

d. you cannot accept them. You will have to take a new set today.

you can accept the image if they were taken recently and are of acceptable quality.

11. Your patient is 6 months pregnant. According to the "Guidelines for Prescribing Dental Radiographs," you should

a. avoid taking images.

b. minimize x-ray exposure.

с. limit dental images to emergency care. d. not alter treatment; take needed images.

not alter treatment; take needed images.

12. Your patient is really concerned about getting cancer from dental images. You can relieve her fears because —people have gotten cancer from dental x- rays.

a. zero

b. less than 50

C. between 50 and 100

d. more than 100

zero

13. A panoramic radiograph can be substituted for a complete series of dental images. A panoramic radiograph does not clearly reveal changes in teeth, such as tooth decay, or the details of the supporting bone.

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.

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

14. Original dental images are the property of

a. the dentist.

b. the patient.

C. both patient and dentist,

d. the government.

the dentist

15. Digital imaging improves patient education because you can

a. show the patient a prepared series of images illustrating typical normal and mal conditions.

b. show the patient his own periapical, bite-wing, or extraoral images on a computer monitor or television screen.

с. show the patient his own periapical, bite-wing, or extraoral images on mounted images

. d. have your patient watch canned presentations about his normal and abnormal conditions.

show the patient his own periapical, bite-wing, or extraoral images on a computer monitor or television screen.

16. If your patient refuses images, you will not be able to provide dental care on your patient, because providing treatment without necessary images is considered negligence.

a. Both statements and reason are true.

b. Both statements and reason are false.

с. The statement is true; the reason is false.

d. The statement is false, the reason is true.

Both statements and reason are true.

17. Your patient has heard a lot of stories and is apprehensive about receiving x-rays. Which of the following could you tell your patient to calm her fears?

a. We will be using low amounts of radiation, which are safe and will not cause you any harm.

b. D speed film will be used because it is faster than F speed film.

C. Fast film is used instead of a digital sensor because there is less radiation exposure with film.

d. Images are prescribed on an individual basis. We will only take the images that are needed to provide a thorough oral assessment. This will limit your radiation exposure.

Images are prescribed on an individual basis. We will only take the images that are needed to provide a thorough oral assessment. This will limit your radiation exposure.

2. According to the test for dental x-ray film, if the processed film appears clear with a slight blue tint, the film

a. has expired.

b. is fresh and has been properly stored and protected.

с. has been improperly stored

. d. has been exposed to radiation.

is fresh and has been properly stored and protected.

4. You are creating a cleaning log for the panoramic intensifying screens. How frequently should the screens be cleaned?

a. Daily

b. Weekly

c. Monthly

d. Yearly

Monthly

3. During your monthly check of the panoramic cassette, you notice that one of the intensifying screens is scratched. What should you do?

a. Clean the screen with commercially available cleaner.

b. Apply an antistatic solution.

C. Replace the screen.

d. Polish the screen before using it.

Replace the screen.

5. A film-screen contact test is used to test the

a. output of the x-ray machine.

b. quality of intraoral films.

C. cassette holder for extraoral films.

d. freshness of extraoral film.

cassette holder for extraoral films.

6. Where would you place the wire mesh if you were conducting a film- screen test?

a. On top of the loaded cassette

b. On the side of the film closest to the tubehead within the loaded cassette

C. On the side of the film farthest from the tubehead within the loaded cassette d. Over the end of the PID

On top of the loaded cassette

1. A calibration test for accurate kilovoltage and milliamperage readings. would most likely be performed to ensure that the dental—- is functioning properly.

a. X-ray machine

b. film

с. film processing

d. darkroom

X-ray machine

7. Where is the best place for you to view the radiograph that you used for the film screen contact test?

a. Dimly lit room at a distance of 1 foot from the viewbox.

с. Dimly lit room at a distance of 6 feet from the viewbox.

b. Brightly lit room at a distance of 1 foot from the viewbox.

d. Brightly lit room at a distance of 6 feet from the viewbox.

Dimly lit room at a distance of 6 feet from the viewbox.

9. Which of the following statements is true of the evaluation of the film- screen contact test?

a. Areas of poor film-screen contact appear darker than good contact areas.

b. Areas of poor film-screen contact appear lighter than good contact areas.

c. If the wire mesh image on the film exhibits varying densities, good film-screen contact has taken place.

d. Both a and c.

Areas of poor film-screen contact appear darker than good contact areas.

ing properly. Permanently discolored Plexiglas surfaces and blackened fluorescent light 10. The yiewbox should emit a uniform and subdued light when it is function- bulbs must be replaced.

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.

Both statements are true.

11. You are performing a light leak test in the darkroom, which of the following would you do?

a. Use a flashlight to check for light leaks. b. Turn the overhead lights off, and turn the safelight on.

C. Turn all darkroom lights off.

d. Light a match within the darkroom to see if any light is visible from the outside.

Turn all darkroom lights off.

12. In order to perform the safelighting test, you would use —

A. awire mesh

b. fogging

C. a coin

d.a stepwedge

a coin

. 8. To conduct the film-screen contact test, the position-indicating device (PID) should have a____ -inch target-film distance

a. 6.

b. 12

C. 40

d. 72

40

13. To perform the coin test, the film and coin are exposed to

a. the safelight.

b. the darkroom ceiling or white light.

c. the light with the darkroom door open. d. no light at all.

the safelight

14. 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.

3 or 4 minutes

15. If the image of the coin appears on the processed radiograph after the coin test

a. the safelight is safe to use with that type of film

. b. the safelight is not safe to use with that type of film.

C. conduct the test again with the darkroom door closed rather than open d. conduct the test again with the safelight off rather than on.

the safelight is not safe to use with that type of film.

17. 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.

the unexposed film appears clear and dry, and the film exposed to light appears black and dry

18. A reference radiograph is used to evaluate

a. the viewbox

b. darkroom lighting.

C. safelighting

d. developer strength.

developer strength.

16. To test the automatic film processor, —-in the automatic processor.

a. unwrap one film, expose it to light, and then process the film

b. unwrap one film, do not expose it to light, and then process the film

C. unwrap two unexposed films, expose one to light, and then process the exposed film

d. unwrap two unexposed films, expose one to light, and then process both films

unwrap two unexposed films, expose one to light, and then process both films

19. To create a reference radiograph, which of the following must be fresh?

1. Film

2. Developer

3. Fixer

a. 1, 2, 3

b. 1, 2

с. 2, 3

d. 1 only

1, 2, 3

20. Prior to using the developer each day, you compare the reference radi- ograph to a test film that you develop to check to see if the developer chemicals are depleted. What are you comparing when you look at the two films?

a. Milliamperage

b. kVp

с. Color

d. Density

Density

21. If the densities seen on the test film appear lighter than those seen on the reference radiographs, the developer solution is (1) weak, (2) too concentrated, (3) cold, and/or (4) too warm.

a. 1 and 3

b. 1 and 4

c. 2 and 3

d. 2 and 4

. 1 and 3

22. The stepwedge technique for evaluating developer strength relies on exposing one exposed ștepwedge film

a. each day

. b. each week.

C. every time 20 films have been processed,

d. every time 40 films have been processed.

each day

23. When the stepwedge technique is used to evaluate developer strength, and the density on the daily radiograph differs from that on the standard radiograph by more than —steps, the developer solution is depleted.

a. two

b, three

C. five

d. seven

two

24. The clearing test is used to monitor

a. developer strength.

b. fixer strength.

с. water bath temperature.

d. processing speed.

fixer strength

26. How frequently should you monitor the digital imaging equipment in your office?

a. Weekly

b. Monthly

C. Yearly

d. Based on manufacturer specifications

Based on manufacturer specifications

27. 1. Quality assurance monitoring includes a detailed log of all tests performed. 2. A monitoring schedule should be posted in the dental office.

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,

Both statements are true.

28. Your dental office should monitor retakes in a retake log in order to identify recurring problems and improve the quality of future images?

a. Both statement and reason are true.

b. Both statement and reason are false.

C. The statement is true; the reason is false,

d. The statement is false; the reason is true.

Both statement and reason are true

25. If the film clears in— minutes, the chemistry is of adequate strength.

a. 2

b. 6.

c. 8

d. 14

2

1. The gag reflex is elicited by stimulation of the sensitive tissues of the

a. larynx

. b. pharynx.

C. soft palate.

d. hard palate.

soft palate.

3. Which receptor placement is most likely to elicit the gag reflex?

a. Maxillary premolar

b. Maxillary molar

c. Mandibular premolar

d. Mandibular molar

Maxillary molar

4. Which of the following choices would represent the suggested receptor placement sequence for a patient who is likely to gag?

1. Anterior

2. Premolar

3. Molar

a. 1, 2, 3

b. 2, 1, 3

C. 2, 3, 1

d. 3, 1, 2

Anterior

5. Which of the following could you do to prevent stimulating your patient's gag reflex?

a. . Slide the receptor along his palate.

b. Slowly place the receptor in his mouth to avoid stimulating his gag reflex.

c. Let the patient get used to each receptor placement, and wait 20 seconds before exposing the receptor.

d. Put your finger on the tissue where the receptor will be placed to demonstrate the receptor placement.

Put your finger on the tissue where the receptor will be placed to demonstrate the receptor placement.

6. Your patient warned you about her gag reflex. She said that no one has ever been able to take dental images on her. She started gagging on the maxillary anterior images. You have tried several things but have not had any luck. You tried topical anesthetic on the soft palate, salt on her tongue, and having her lift her foot. What should you do?

a. Inject a local anesthetic on her patient's throat and try again.

b. Skip the images.

C. Switch to a different type of receptor (film, PSP, or sensor).

d. Take a panoramic image to gather diagnostic information.

Take a panoramic image to gather diagnostic information.

7. You have just placed the receptor to expose the maxillary right molar and your patient has started gagging. What should you do?

a. Keep the receptor in her mouth, tell her to hang on, and expose the receptor.

b. Keep the receptor in her mouth to acclimate her to the receptor. Then remove it and try again.

C. Take the receptor out of your patient's mouth as quickly as possible.

d. Have the patient remove the receptor.

Take the receptor out of your patient's mouth as quickly as possible.

8. What can you do to reduce the risk of a gag reflex?

a. Help the patient focus on not gagging.

b. Discuss with your patient ways to prevent gagging.

C. Have your patient hold her breath.

d. Give your patient a cup of ice water to drink to try to reduce tactile stimuli.

Give your patient a cup of ice water to drink to try to reduce tactile stimuli.

9. Which of the following suggestions are intended to help reduce the gag reflex? a. Instructing the patient to breathe rapidly through the nose

b. Asking the patient to suspend an arm or leg in the air

C. Placing a small amount of baking soda on the tip of the tongue

d. Asking the patient to perform jumping jacks for 5 minutes in the treatment room

Asking the patient to suspend an arm or leg in the air

10. When taking images on a patient with a hearing disability, you should wear your mask because of infection control guidelines.

a. Both parts of the statement are true.

b. Both parts of the statement are false.

с. The first part of the statement is true; the second part of the statement is false. d. The first part of the statement is false; the second part of the statement is true.

Both parts of the statement are false.

11. If a person is blind or visually impaired, the dental radiographer must

a. communicate using clear visual explanations

. b. communicate using clear verbal explanations.

C. not explain each procedure before performing it.

d. gesture to another person in the presence of a person who is blind.

communicate using clear verbal explanations.

13. In treating children with a primary or transitional dentition, the bisecting technique is preferred, because the small size of the mouth precludes the placement of a receptor beyond the apical regions of the teeth.

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.

Both statements are true.

12. 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

22

14. —-periapical images can be used to examine the edentulous arches.

a. Eight

b. Twelve

C. Fourteen

d. Eighteen

Fourteen

15. A size— receptor is typically used for the edentulous examination.

a. 0.

b. 1

с. 2

d. 4

2

16. For a periapical examination in an edentulous patient, the receptor should be positioned so that approximately— of it extends beyond the edentulous ridge.

a. one eighth

b. one quarter

c. one third

d. one half

one third

17. Your patient is edentulous and has very little alveolar ridge remaining. Which technique would you use for a periapical examination on your patient?

a. Bisecting

B. Paralleling

C. Occlusal

d. Interproximal

Bisecting

When preparing your patient for dental images, you should ask your patient if she gags, because if she does, you need to do some additional preparation prior to taking the images on her.

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.

Both statements are false.

18. The mixed occlusal and periapical examination on an edentulous patient consists of— size 4 receptors and —size 2 receptors.

a. two; four

b. two; two

C. four; four

d. four; two

two; four

19. When preparing your patient for dental images, you should ask your patient if she gags, because if she does, you need to do some additional preparation prior to taking the images on her.

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.

Both statements are false.