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Dentistry · Dental materials and radiology basics: stochastic effect of radiation
Sample itemA radiographer is concerned about very low cumulative exposure. Which effect is considered stochastic, with probability rising with dose and no assumed safe threshold?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Radiation-induced malignancy
Stochastic effects occur by chance, their probability rises with dose and their severity does not, and no threshold is assumed; cancer induction and heritable effects are examples. Deterministic effects such as erythema, epilation and mucositis have a threshold dose and become more severe with dose.
Option by option
A. Epilation of the scalp
Epilation needs a threshold dose and is deterministic.
B. Radiation mucositis
Mucositis is a deterministic tissue reaction with a threshold and graded severity.
C. Radiation-induced malignancy (correct)
Correct. Carcinogenesis is the classic stochastic effect without a safe threshold.
D. Skin erythema
Erythema is deterministic, appearing only above a threshold dose.
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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