The prescription of the need, type and frequency of a radiographic examination should be determined by the _______________.
A. dental assistant
B. dental hygienist
C. office manager
Each of the following is necessary to complete prior to prescription of a radiographic examination EXCEPT which one?
A. Determine if insurance will cover the survey
B. Clinical examination of the patient’s oral cavity
C. Review of the patient’s dental and medical health history
D. Consideration of risk factors that impact vulnerability to oral disease
Which selection is an example of a positive clinical sign or symptom?
A. Previous endodontic treatment
B. Presence of dental implants
C. Unusual migration of teeth
D. History of facial trauma
Which type of radiographic examination is not addressed in the current guidelines?
A. Cone beam CT
B. Selected periapicals
C. Bitewing radiography
D. Cephalometric imaging
Legal consent requires each of the following EXCEPT?
A. The patient is provided information about treatment options.
B. Involuntarily patient consent to treatment.
C. Likely treatment outcomes are explained.
D. The patient is capable of choice.
If no radiographs are recommended for the new child patient with a primary dentition, what would be the basis for that decision?
A. Patient in subgroup with high caries rate.
B. Open contacts allowed visual inspection.
C. Risk factors for caries were identified.
D. Clinical carious lesions were detected.
For the new adolescent patient, what evidence would suggest that a full mouth radiographic examination is indicated?
A. Oral disease is present throughout the mouth.
B. Daily oral hygiene self-care habits are good.
C. Sealants are present in the molar teeth.
D. Periodontium appears to be healthy.
The radiographic imaging prescription for the new adult edentulous patient should be determined by _______________.
A. identification of caries risk factors
B. conducting a screening radiographic exam
C. growth and development assessment needs
D. the presence of clinical signs and symptoms
The only time-based type of radiographic examination recommended in the guidelines is _______________.
A. panoramic radiography
B. selected periapical imaging
C. posterior bitewing imaging
D. full mouth radiographic survey
What is the recommended bitewing interval for the recall patient with a transitional dentition who presents with clinical caries?
A. 3 to 6 months
B. 6 to 12 months
C. 12 to 24 months
D. 18 to 36 months
What type of radiographic examination is recommended for the recall adult dentate patient at low risk for caries?
A. Occlusal projections
B. Selected periapicals
C. Posterior bitewings
D. Panoramic image
For the recall patient with evidence of localized areas of active periodontal disease, the most likely recommended radiographic examination would be _______________.
A. selected periapicals and/or bitewings
B. full mouth periapical and bitewing survey
C. cone beam computed tomographic examination
D. combined occlusal and panoramic radiographic imaging
Which radiographic survey would be indicated to assess growth and development of the third molar teeth in the new or recall adolescent patient?
A. Cephalometric imaging
B. Panoramic radiography
C. Occlusal radiography
D. Posterior bitewings
What is the primary basis to determine the appropriate radiographic examination to evaluate the need and type of imaging to assess dental and skeletal relationships?
A. Absence of signs and symptoms
B. Active periodontal disease
C. Caries risk factors
D. Clinical judgment
Review and consider patient scenario 1. Each of the following indicators suggest that David is at an increased risk of caries EXCEPT which one?
A. Familial history of missing permanent teeth
B. Drinks non-fluoridated well water
C. Poor oral hygiene was observed
D. Clinical evidence of caries
Review and consider patient scenario 3. Which radiographic examination is recommended given the patient information presented in this case?
A. Survey determined by clinical judgment
B. Posterior bitewings and a panoramic
C. Selected periapicals and bitewings
D. Full mouth radiographic survey
The primary reason rectangular x-ray beam collimation is recommended for intraoral imaging is because it_______________.
A. significantly reduces exposure to the patient
B. produces more scatter or secondary radiation
C. can be used with either film or digital receptors
D. results in fewer image errors and fewer retakes
Which patient safety measure should be employed regardless of age or gender for intraoral radiographic procedures?
A. D speed film
B. Wall barrier
C. Thyroid collar
D. 90 kVp setting
The use of personal dosimeter monitoring is indicated if the radiation worker _______________.
A. is pregnant
B. practices safety rules
C. receives < 1 mSv annually
D. is in the offices 5 days/week
What is the annual dose limit for occupational whole-body radiation exposure?
A. 5 mSv
B. 10 mSv
C. 25 mSv
D. 50 mSv