NBDHE Test Dental Radiography and Interpretation 1

Question 1

A 'herringbone' or 'tire track' pattern artifact appears on a processed dental radiograph. This artifact is MOST likely caused by:

Accepted Answer

Placing the film in the mouth with the lead foil side facing the x-ray source

Answer

When a periapical film is placed backwards (lead foil side toward the tube), the x-ray beam passes through the foil before reaching the emulsion, creating a faint herringbone or tire-track pattern from the embossed lead foil backing. This also results in a significantly underexposed, lighter-than-normal image.

Question 2

A radiopaque, well-defined mass is noted within the pulp chamber of a mandibular first molar on a periapical radiograph. The tooth responds normally to vitality testing. This finding is MOST consistent with:

Accepted Answer

A pulp stone (denticle)

Answer

Pulp stones (denticles) are calcified masses that form within the pulp chamber and appear as discrete radiopaque structures inside the tooth. They are often incidental findings in vital teeth and are not pathological in isolation. Internal resorption would appear as a radiolucent widening of the canal, while condensing osteitis and hypercementosis occur in periapical/root regions, not within the pulp.

Question 3

Which film speed classification requires the LEAST exposure time (lowest radiation dose) to produce a diagnostically acceptable periapical radiograph?

Accepted Answer

F-speed (Insight)

Answer

F-speed film (e.g., Kodak Insight) is the fastest conventional film available and requires approximately 20% less exposure than E-speed and 60% less than D-speed. Faster film requires fewer x-ray photons to produce an image, directly reducing patient dose. The trade-off is a very slight increase in grain, though F-speed images remain diagnostically acceptable.

Question 4

Foreshortening of tooth images on a periapical radiograph taken with the bisecting angle technique is caused by:

Accepted Answer

Excessive vertical angulation (too steep)

Answer

In the bisecting angle technique, the central ray should be directed perpendicular to the imaginary bisector of the angle formed by the film and the long axis of the tooth. If the vertical angulation is excessive (too steep), the recorded image of the tooth is shorter than actual length — foreshortening. Insufficient vertical angulation produces the opposite error: elongation.

Question 5

On a periapical radiograph of the maxillary molar region, the radiopaque 'inverted Y' landmark is formed by the junction of:

Accepted Answer

The floor of the nasal cavity and the anterior wall of the maxillary sinus

Answer

The classic 'inverted Y' (or upside-down Y) seen in the maxillary premolar–first molar area on a periapical radiograph is created where the floor of the nasal cavity (appearing as one radiopaque line) intersects with the anterior wall of the maxillary sinus (the other line). Recognizing this landmark helps differentiate normal anatomy from pathological radiolucency in the periapical region.

NBDHE Test Practice Test

NBDHE Test Practice Test

NBDHE Test Dental Radiography and Interpretation 1