Dental Radiography Principles and

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Chapter 07: Dental X-Ray Film
Iannucci: Dental Radiography, 5th Edition

MULTIPLE CHOICE

1. Which of the following statements is true regarding dental x-ray film and formation of the
latent image?
a. The film is placed to the buccal of the teeth.
b. The film is placed to the lingual of the teeth.
c. A periapical film is an extraoral film.
d. A bite-wing film is an extraoral film.
ANS: B
The film is placed to the lingual of the teeth. A periapical film is an intraoral film. A bite-wing
film is an intraoral film.

DIF: Comprehension REF: Page 60 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

2. Which component of x-ray film has a suspension of millions of microscopic silver halide
crystals?
a. Film base
b. Adhesive layer
c. Gelatin
d. Halide crystals
ANS: A
The film base provides a stable support for the emulsion. The adhesive layer serves to attach
the emulsion to the base. The gelatin is used to suspend and evenly disperse millions of
microscopic silver halide crystals. The halide crystals absorb radiation during x-ray exposure.

DIF: Comprehension REF: Page 60 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

3. The film base is a flexible piece of

a. shellac.
b. cardboard.
c. acetate.
d. polyester plastic.
ANS: D
The film base is a flexible piece of polyester plastic.

DIF: Recall REF: Page 60 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

4. The film base is transparent with a slight ________ tint used to emphasize contrast and
enhance image quality.
 a. amber
b. red
c. blue
d. green
ANS: C
The film base is transparent with a slight blue tint used to emphasize contrast and enhance
image quality.

DIF: Recall REF: Page 60 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

5. The film base is ____ mm thick.

a. 0.02
b. 0.2
c. 2.0
d. 20
ANS: B
The film base is 0.2 mm thick.

DIF: Recall REF: Page 60 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

6. The adhesive layer is added to the _________ before the __________ is (are) applied.
a. gelatin; halide crystals
b. halide crystals; gelatin
c. film base; emulsion
d. emulsion; film base
ANS: C
The adhesive layer is added to the film base before the emulsion is applied.

DIF: Recall REF: Page 60 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

7. The film emulsion is

a. attached to both sides of the film.
b. attached to one side of the film.
c. made of polyester plastic.
d. opaque to block out the passage of light.
ANS: A
The film emulsion is attached to both sides of the film.

DIF: Recall REF: Page 60 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

8. The film emulsion is composed of a homogenous mixture of

 a. calcium tungstate and lead salt crystals.
b. gelatin and barium salt crystals.
c. gelatin and silver halide crystals
d. primer and silver halide crystals.
ANS: C
The film emulsion is composed of a homogenous mixture of gelatin and silver halide crystals.

DIF: Recall REF: Page 60 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

9. ___________ is the main component of the silver halide crystals in dental x-ray film.
a. Iodide
b. Bromide
c. Chloride
d. Fluoride
ANS: B
The halide in dental x-ray film is primarily silver bromide.

DIF: Comprehension REF: Pages 60-61 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

10. The latent image is stored by the ______________ in dental x-ray film.
a. gelatin
b. film base
c. adhesive layer
d. silver halide crystals
ANS: D
The latent image is stored by the silver halide crystals in dental x-ray film.

DIF: Comprehension REF: Page 61 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

11. The areas of the film that are _______ energized will be ________ when the film is processed.

1. more; darker
2. more; lighter
3. less; darker
4. less; lighter
a. 1 and 3
b. 1 and 4
c. 2 and 3
d. 2 and 4
ANS: B
The areas of the film that are more energized will be darker when the film is processed. The
areas of the film that are less energized will be lighter when the film is processed.
 DIF: Comprehension REF: Page 61 OBJ: 3
TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

12. The invisible pattern of stored energy on the exposed film is called the
a. variable density pattern.
b. latent image.
c. x-ray photon.
d. emulsion.
ANS: B
The invisible pattern of stored energy on the exposed film is called the latent image. The
manufacturer-placed embossed variable density pattern on the lead foil sheet is visible on a
processed radiograph if the film packet is inadvertently positioned in the mouth backward and
then exposed. Photons are discrete bundles of energy with no mass or weight that travel as
waves at the speed of light and move through space in a straight line, “carrying the energy” of
electromagnetic radiation. The film emulsion is a coating attached to both sides of the film
base by the adhesive layer to give the film greater sensitivity to x-radiation.

DIF: Comprehension REF: Page 61 OBJ: 4

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

13. Latent image centers are aggregates of

a. silver bromide crystals.
b. bromine atoms.
c. neutral silver atoms.
d. gelatin.
ANS: C
Latent image centers are aggregates of neutral silver atoms.

DIF: Comprehension REF: Page 61 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

14. 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
ANS: C
During formation of the latent image, irregularities in the lattice structure of the exposed
crystal, known as sensitivity specks, attract silver atoms.

DIF: Recall REF: Page 61 OBJ: 3

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General
15. Which of the following types of dental x-ray film would you place inside your patient’s
mouth?
a. Intraoral film
b. Extraoral film
c. Duplicating film
d. Screen film
ANS: A
Intraoral film is placed inside the mouth. Extraoral film is placed outside the mouth.
Duplicating film is used to copy radiographs; it is not used inside the mouth. Screen film is
used for panoramic films, which are extraoral.

DIF: Application REF: Page 61 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

16. Which of the following statements is true of a two-film packet?

a. A two-film packet requires twice the amount of exposure to produce a single
radiograph.
b. A two-film packet has a single emulsion, whereas a one-film packet has a double
emulsion.
c. A two-film packet has a double emulsion, whereas a one-film packet has a single
emulsion.
d. Intraoral x-ray film is a double-emulsion type of film regardless of whether the
film packet contains one or two films.
ANS: D
A two-film packet requires the same amount of exposure to produce the films as a one-film
packet. Intraoral x-ray film is a double-emulsion type of film regardless of whether the film
packet contains one or two films.

DIF: Comprehension REF: Page 61 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

17. A two-film packet requires ___________ exposure time as a one-film packet.

a. half the
b. the same
c. twice the
d. four times the
ANS: B
A two-film packet requires the same exposure time as a one-film packet.

DIF: Comprehension REF: Pages 61-62 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

18. When would you use a two-film packet when taking radiographs on your patient?
a. For maxillary radiographs where the bone is denser than in the mandible.
b. To prevent more photons from passing through the film into patient tissue.
c. When a duplicate record of a radiographic examination is needed.
 d. Routinely for adults; however, a one-film packet should be used for children and
adolescents.
ANS: C
A two-film packet may be used when a duplicate record of a radiographic examination is
needed.

DIF: Application REF: Pages 61-62 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

19. Why would you use the identification dot when taking radiographs?
a. To determine film orientation
b. To identify whether or not a film has been exposed
c. To indicate the side of the film with an emulsion
d. To identify whether the film is D-speed film or F-speed film
ANS: A
The identification dot is used to determine film orientation; it is not used to determine whether
or not a film has been exposed; it is not used to determine which side of the film has an
emulsion as both sides have an emulsion; it is not used to determine the speed of the film.

DIF: Comprehension REF: Page 62 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

20. What is the purpose of the lead foil sheet found within the film packet?
a. To cover the film and shield the film from light
b. To protect the film from moisture
c. To shield the film from primary radiation emitted by the x-ray tubehead
d. To shield the film from secondary backscattered radiation
ANS: D
The purpose of the paper film wrapper is to cover the film and shield the film from light. The
purpose of the outer package wrapping is to protect the film from exposure to light and saliva.
The purpose of the lead foil sheet found within the film packet is to shield the film from
secondary backscattered radiation.

DIF: Comprehension REF: Page 63 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

21. Where is the thin lead foil sheet positioned in the film packet?
a. Behind the film
b. In front of the film
c. Behind the paper film wrapper
d. In front of the paper film wrapper
ANS: A
The thin lead foil sheet is positioned behind the film.

DIF: Comprehension REF: Page 63 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
 digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

22. 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.
ANS: C
The embossed pattern placed on the lead foil sheet by the manufacturer will not reveal
whether or not the film has been exposed; will not reveal if the film has been exposed to
moisture; will reveal if the film packet is inadvertently positioned in the mouth backward and
then exposed; will not reveal if the film packet is inadvertently opened before the film is
processed.

DIF: Recall REF: Page 63 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

23. When you are placing the film packet in your patient’s mouth, which side of the film packet
would you place toward the patient’s teeth?
a. The side with the flap that is used to open the dental film
b. The solid white side
c. The color-coded side
d. The identification dot side
ANS: B
The label side of the dental film packet has a flap used to open the dental film and is placed
toward the tongue. The tube side of the dental film packet, which is placed toward the
patient’s teeth, is solid white. The label side of the dental film packet is color-coded and is
placed toward the tongue. The identification dot is on the label side of the film and is placed
toward the tongue.

DIF: Application REF: Page 63 OBJ: 5

TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

24. The label side of the dental film packet

a. is solid white.
b. has a raised bump in one corner that corresponds to the identification dot.
c. should face the tubehead when placed in the mouth.
d. is color-coded to distinguish between one-film and two-film packets and between
film speeds.
ANS: D
The tube side of the dental film packet is solid white. The tube side of the dental film packet
has a raised bump in one corner that corresponds to the identification dot. The tubeside of the
dental film packet should face the tubehead when placed in the mouth. The label side of the
dental film packet is color-coded to distinguish between one-film and two-film packets and
between film speeds.
 DIF: Recall REF: Page 64 OBJ: 5
TOP: CDA, RHS, I.B.1.b.iii. Describe the parts of a radiographic film packet, the different types of
digital image receptors, and the functions of both MSC: NBDHE, 2.5 General

25. Your dentist asks you to take radiographs on your patient in order to check the interproximal
surfaces of the posterior maxillary and mandibular teeth for decay. Which type of film would
be the best to take the radiograph?
a. Maxillary and mandibular periapical film
b. Panoramic film
c. Bite-wing film
d. Occlusal film
ANS: C
The maxillary periapical film would show the crown and roots of maxillary teeth without
showing mandibular teeth. The mandibular periapical film would show the crown and roots of
mandibular teeth without showing maxillary teeth. Patient exposure to x-rays would be
doubled. Panoramic radiographs would show both maxillary and mandibular teeth in the same
film, but do not provide a clear image of the interproximal surfaces which is needed for the
detection of decay. The bite-wing film is used to examine the crowns of both the maxillary
and the mandibular teeth on one film. The bite-wing film is particularly useful in examining
interproximal tooth surfaces. The occlusal film would show maxillary or mandibular teeth on
one film.

DIF: Application REF: Page 64 OBJ: 6

TOP: CDA, RHS, I.A.2.a. Describe use and purpose of various intraoral and extraoral radiographic
images MSC: NBDHE, 2.5 General

26. The apex (tip) of the tooth roots may be seen on which type(s) of intraoral film?
a. Periapical
b. Bite-wing
c. Occlusal
d. Periapical and occlusal
ANS: D
The apex (tip) of the tooth roots may be seen on periapical and occlusal films.

DIF: Comprehension REF: Page 64 OBJ: 6

TOP: CDA, RHS, I.A.2.a. Describe use and purpose of various intraoral and extraoral radiographic
images MSC: NBDHE, 2.5 General

27. Which type of intraoral film is best for visualizing interproximal surfaces?
a. Periapical
b. Bite-wing
c. Occlusal
d. Periapical and occlusal
ANS: B
Periapical film is used to examine anterior and posterior teeth. The bite-wing film is best for
visualizing interproximal surfaces. The occlusal film is used for examination of large areas of
the maxilla or the mandible. Periapical film is used to examine the crowns and roots of
anterior and posterior teeth; the occlusal film is used for examination of large areas of the
maxilla or the mandible.
 DIF: Comprehension REF: Pages 64, 68 OBJ: 6
TOP: CDA, RHS, I.A.2.a. Describe use and purpose of various intraoral and extraoral radiographic
images MSC: NBDHE, 2.5 General

28. Which of the following film should you use on your young pediatric patient if you need to get
a radiograph of her maxillary teeth and maxilla?
a. Periapical
b. Bite-wing
c. Occlusal
d. Periapical and occlusal
ANS: C
Periapical film is used to examine the crowns and roots of anterior and posterior teeth. The
bite-wing film is best for visualizing interproximal surfaces. It is used to examine the crowns
of the maxillary and mandibular teeth in a single film. The occlusal film is best for
examination of large areas of the maxilla or mandible.

DIF: Application REF: Page 65 OBJ: 6

TOP: CDA, RHS, I.A.2.a. Describe use and purpose of various intraoral and extraoral radiographic
images MSC: NBDHE, 2.5 General

29. Which film size would you use to take posterior periapical radiographs on your adult patient?
a. 0
b. 1
c. 2
d. 4
ANS: C
A #0 size film is used for very small children. A #1 size film is used primarily to examine the
anterior teeth in adults. A #2 size film is used for a standard adult posterior periapical and
bite-wings film. It can also be used for anterior periapical film. A #4 size film is used to show
large regions of the upper or lower jaw.

DIF: Application REF: Page 65 OBJ: 6

TOP: CDA, RHS, I.A.3.b. Select appropriate image receptor size depending on patient characteristics
and exposure technique indicated MSC: NBDHE, 2.5 General

30. You are taking bite-wing radiographs on a 3-year-old child. Which size film should you use?
a. 0
b. 1
c. 2
d. 3
ANS: A
A #0 size bite-wing film is used to examine posterior teeth in very small children. A #1 size
film is used primarily to examine the anterior teeth in adults. A #2 size film is a standard adult
periapical film. The #2 size film is also the standard film for adult bite-wing film. A #3 size
film can be used for bite-wing film to examine posterior teeth in adults.

DIF: Application REF: Page 65 OBJ: 6

TOP: CDA, RHS, I.A.3.b. Select appropriate image receptor size depending on patient characteristics
 and exposure technique indicated MSC: NBDHE, 2.5 General

31. Which size film should you use to take a bite-wing film on your adult patient?
a. 0
b. 1
c. 2
d. 3
ANS: C
Size #0 film is most frequently used to take bite-wing radiographs on a child. Size #1 film is
the most frequently to take anterior periapical radiographs on an adult. Size #2 film is the
most frequently used bite-wing film. It is also used for taking posterior periapical radiographs.
Size #3 film is used for bite-wing radiographs, but it is not the most frequently used bite-wing
film.

DIF: Application REF: Page 65 OBJ: 6

TOP: CDA, RHS, I.A.3.b. Select appropriate image receptor size depending on patient characteristics
and exposure technique indicated MSC: NBDHE, 2.5 General

32. A fast film responds more quickly than a slow film, because
a. the tubehead shutter opens wider.
b. exposure times are longer for fast films.
c. the silver halide crystals in the emulsion are larger.
d. a different processing chemistry is used.
ANS: C
A fast film responds more quickly than a slow film, because the silver halide crystals in the
emulsion are larger; the tubehead does not have a shutter; exposure times are shorter for fast
films; the same processing chemistry is used for fast or slow film.

DIF: Recall REF: Pages 65-66 OBJ: 7

TOP: CDA, RHS, I.B.1.b.i. Define factors that influence quality of the radiographic image
MSC: NBDHE, 2.5 General

33. Which of the following film speed is the fastest film currently available?
a. C-speed film
b. D-speed film
c. E-speed film
d. F-speed film
ANS: D
C-speed film is no longer available. D-speed film is slower than F-speed film. E-speed film is
slower than F-speed film. F-speed film is the fastest film currently available.

DIF: Comprehension REF: Page 66 OBJ: 7

TOP: CDA, RHS, I.B.1.b.i. Define factors that influence quality of the radiographic image
MSC: NBDHE, 2.5 General

34. Which of the following types of film exhibits the bony and soft tissue areas of the facial
profile?
a. Periapical
b. Bite-wing
 c. Panoramic
d. Cephalometric
ANS: D
The periapical type of film exhibits the crown and root of the tooth. The bite-wing type of
film exhibits the crowns of maxillary and mandibular teeth. The panoramic type of film
exhibits the entire skull and jaw in frontal and side views. The cephalometric type of film
exhibits the bony and soft tissue areas of the facial profile.

DIF: Recall REF: Page 66 OBJ: 8

TOP: CDA, RHS, I.A.2.a. Describe use and purpose of various intraoral and extraoral radiographic
images MSC: NBDHE, 2.5 General

35. Your adolescent patient is scheduled for an orthodontic evaluation and needs a single
radiograph of his side facial profile that includes his skeletal structure, tissues, jaws, and teeth.
Which one of the following radiographs should you take?
a. Periapical
b. Bite-wing
c. Panoramic
d. Cephalometric
ANS: C
The periapical type of film exhibits the crown and root of the tooth. The bite-wing type of
film exhibits the crowns of maxillary and mandibular teeth. The panoramic film shows a wide
view of the upper and lower jaws on a single radiograph. The cephalometric type of film
exhibits the bony and soft tissue areas of the facial profile.

DIF: Application REF: Page 66 OBJ: 8

TOP: CDA, RHS, I.A.2.a. Describe use and purpose of various intraoral and extraoral radiographic
images MSC: NBDHE, 2.5 General

36. Screen film

a. is sensitive to direct exposure to radiation.
b. is sensitive to fluorescent light.
c. requires more exposure time than nonscreen film.
d. is not recommended for use in dentistry.
ANS: B
Screen film is not sensitive to direct exposure to radiation. Screen film is sensitive to
fluorescent light. Screen film requires less exposure than nonscreen film. Screen film is used
for extraoral dental radiography.

DIF: Recall REF: Pages 66, 67 OBJ: 9

TOP: CDA, RHS, I.B.1.c.i. Identify function and maintenance of film cassettes and intensifying
screens MSC: NBDHE, 2.5 General

37. A screen that produces a green light must be paired with a __________-sensitive screen film.
a. red
b. yellow
c. blue
d. green
 ANS: D
Blue-sensitive screen film must be paired with screens that produce blue light. Green-sensitive
screen film must be paired with screens that produce green light.

DIF: Comprehension REF: Page 66 OBJ: 9

TOP: CDA, RHS, I.B.1.c.i. Identify function and maintenance of film cassettes and intensifying
screens MSC: NBDHE, 2.5 General

38. (1) An intensifying screen is a device that transfers x-ray energy into visible light; (2) the
visible light, in turn, exposes the screen film.
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.
ANS: A
An intensifying screen is a device that transfers x-ray energy into visible light; the visible
light, in turn, exposes the screen film.

DIF: Recall REF: Page 67 OBJ: 10

TOP: CDA, RHS, I.B.1.c.i. Identify function and maintenance of film cassettes and intensifying
screens MSC: NBDHE, 2.5 General

39. An intensifying screen is a smooth plastic sheet coated with minute fluorescent crystals
known as
a. nuclei of crystallization.
b. germinal centers.
c. sensitivity specks.
d. phosphors.
ANS: D
An intensifying screen is a smooth plastic sheet coated with minute fluorescent crystals
known as phosphors. Irregularities in the lattice structure of exposed silver halide crystals are
known as sensitivity specks.

DIF: Recall REF: Page 67 OBJ: 11

TOP: CDA, RHS, I.B.1.c.i. Identify function and maintenance of film cassettes and intensifying
screens MSC: NBDHE, 2.5 General

40. Rare earth screens

a. have phosphors that emit blue light.
b. have phosphors that emit green light.
c. are less efficient than calcium tungstate intensifying screens.
d. are slower than calcium tungstate intensifying screens.
ANS: B
Rare earth screens have phosphors that emit green light. Rare earth screens are more efficient
than calcium tungstate intensifying screens. Rare earth screens are faster than calcium
tungstate intensifying screens.

DIF: Recall REF: Page 68 OBJ: 10

TOP: CDA, RHS, I.B.1.c.i. Identify function and maintenance of film cassettes and intensifying
 screens MSC: NBDHE, 2.5 General

41. Lack of contact between screen and film results in

a. an overexposed film.
b. an underexposed film.
c. a light leak.
d. a loss of image sharpness.
ANS: D
Excessive exposure time, kVp, or milliamperage would result in an overexposed film.
Insufficient exposure time, kVp, or milliamperage would result in an underexposed film. An
opening in the screen would cause a light leak. Lack of contact between screen and film
results in a loss of image sharpness.

DIF: Recall REF: Page 69 OBJ: 10

TOP: CDA, RHS, I.B.1.c.i. Identify function and maintenance of film cassettes and intensifying
screens MSC: NBDHE, 2.5 General

42. Duplicating film

a. is exposed to x-rays.
b. has emulsion on both sides.
c. is used to make an identical copy of an intraoral or extraoral radiograph.
d. is the second film in a two-film intra-oral film packet.
ANS: C
Duplicating film is used to make an identical copy of an intraoral or extraoral radiograph
individual film that was made; it has an emulsion on one side, and intraoral film that has an
emulsion on two sides; it is exposed to fluorescent light instead of x-rays.

DIF: Recall REF: Page 69 OBJ: 13

TOP: CDA, RHS, I.B.1. Describe how to acquire radiographic images using various techniques
MSC: NBDHE, 2.5 General

43. Film is best stored in an area that is

a. hot.
b. humid.
c. cool and dry.
d. exposed to radiation.
ANS: C
Film is best stored in an area that is cool and dry.

DIF: Comprehension REF: Page 69 OBJ: 13

TOP: CDA, RHS, I.B.1.b.i. Define factors that influence quality of the radiographic image
MSC: NBDHE, 2.5 General

44. The optimum temperature for film storage ranges from ____ to ____ degrees Fahrenheit.
a. 30; 50
b. 50; 70
c. 70; 90
d. 90; 110
 ANS: B
The optimum temperature for film storage ranges from 50 degrees to 70 degrees Fahrenheit.

DIF: Recall REF: Page 69 OBJ: 13

TOP: CDA, RHS, I.B.1.b.i. Define factors that influence quality of the radiographic image
MSC: NBDHE, 2.5 General

45. (1) Non-screen film is sensitive to fluorescent light. (2) Screen films are sensitive to the
visible light emitted from the intensifying screen.
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.
ANS: D
Non-screen film is sensitive to x-rays. Screen film is sensitive to the visible light that is
emitted from the intensifying screen. X-rays strike the intensifying screen which causes the
screen to fluoresce and expose the screen film.

DIF: Comprehension REF: Pages 55, 67 OBJ: 10

TOP: CDA, RHS, I.B.1.c.i. Identify function and maintenance of film cassettes and intensifying
screens MSC: NBDHE, 2.5 General

46. (1) A panoramic radiograph is an example of an intraoral film. (2) An occlusal radiograph is
an example of an extraoral film.
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.
ANS: B
An extraoral film is used to take radiographs outside of the patient’s oral cavity. A panoramic
radiograph is an example of an extraoral radiograph. An intraoral radiograph is used to take
radiographs inside the patient’s mouth. An occlusal radiograph is an example of an intraoral
radiograph.

DIF: Comprehension REF: Page 65 OBJ: 9

TOP: CDA, RHS, I.A.2.a. Describe use and purpose of various intraoral and extraoral radiographic
images MSC: NBDHE, 2.5 General