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Dentistry · Dental materials and radiology basics: kVp and contrast
Sample itemA dentist raises the tube potential from 65 kVp to 90 kVp and adjusts the time to keep image density the same. How does radiographic contrast change?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. It falls, giving many shades of grey
A higher kVp produces more penetrating X-rays that are absorbed more uniformly by enamel, dentine and bone, so the difference in density between structures is reduced. The image has a long scale of contrast, with many grey shades, and lower kVp gives high contrast.
Option by option
A. It stays the same and only density changes
Contrast depends strongly on beam energy, so it does change.
B. It rises, giving a stark black-and-white image
A black-and-white, short-scale image results from low kVp.
C. It rises because the focal spot enlarges
Focal spot size is unrelated to kVp and does not drive contrast.
D. It falls, giving many shades of grey (correct)
Correct. Higher kVp gives a long-scale, low-contrast image.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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