ORE Part 1 Radiology & Radiation Protection 4

Question 1

What is the annual occupational dose limit for whole body radiation exposure for a classified dental worker?

Accepted Answer

20 mSv per year (whole body effective dose limit under IRR17)

Answer

IRR17 sets the annual occupational whole-body effective dose limit at 20 mSv. Classified workers are those whose dose exceeds 6 mSv/year or 3/10 of the dose limit. In dental practice, doses are typically well below this limit.

Question 2

What is the 'justification' principle in radiation protection and how does it apply to dental radiography?

Accepted Answer

Every radiation exposure must produce more benefit than detriment — exposures with no net benefit are unjustified and must not be taken

Answer

Justification requires that every radiographic exposure must produce a net benefit (diagnostic information improving patient management) that outweighs the radiation risk. Exposures taken for administrative or routine purposes without clinical indication are unjustified.

Question 3

Why is intraoral radiography preferable to panoramic radiography for diagnosing periapical pathology?

Accepted Answer

Intraoral periapical radiographs provide higher resolution of periapical bone changes and root morphology with less geometric distortion than panoramic radiographs

Answer

Periapical radiographs use film/sensor placed close to the tooth with minimal magnification, providing superior sharpness and resolution for periapical bone changes compared to panoramic radiographs which have more inherent distortion and geometric magnification.

Question 4

What is 'foreshortening' on a periapical radiograph and what causes it?

Accepted Answer

An image error where the tooth appears shorter than actual — caused by excessive vertical angulation (X-ray beam too steep relative to the long axis of the tooth)

Answer

Foreshortening occurs when the X-ray beam is directed at too steep a vertical angle relative to the tooth long axis, causing the image to appear compressed/shorter than the actual tooth. Elongation is the opposite (insufficient angle).

Question 5

How should a pregnant dental worker's radiation exposure be managed?

Accepted Answer

Once pregnancy is declared, dose to the abdomen/foetus must not exceed 1 mSv for the remainder of pregnancy; reassign to limit exposure if workplace assessment indicates significant risk

Answer

IRR17 requires that once pregnancy is declared, the employer must ensure the dose to the foetus does not exceed 1 mSv for the remainder of pregnancy. Given typical dental X-ray scatter levels, this is rarely an issue, but a risk assessment must be carried out.

ORE Part 1 Practice Test

ORE Part 1 Practice Test

ORE Part 1 Radiology & Radiation Protection 4