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Key Facts: ABOMR Exam

Multi-day

Part 1 CBT

ABOMR

ACBOMR 2026

Transitioning To

Board name change

2.5 mm Al

FDA Filtration >70 kVp

Federal requirement

3 yrs

OMFR Residency

Application requirement

ABOMR is the OMFR specialty board (NCRDSCB recognition withdrawn; transitioning to ACBOMR 2026). Part 1 multi-day CBT MCQ. Master x-ray production (bremsstrahlung + characteristic), HVL filtration (2.5 mm Al >70 kVp), CBCT FOV selection, OKC/dentigerous/ameloblastoma radiographic patterns, MRONJ criteria, TMJ MRI dynamic imaging, and ALARA dose reduction.

Sample ABOMR Practice Questions

Try these sample questions to review concepts for the ABOMR exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which interaction in the x-ray tube target is primarily responsible for the continuous portion of the dental x-ray spectrum?
A.Bremsstrahlung interactions
B.Characteristic radiation
C.Compton scattering
D.Photoelectric absorption
Explanation: Bremsstrahlung ('braking radiation') occurs when high-speed electrons decelerate near tungsten nuclei, releasing photons of varying energies that produce the continuous (polyenergetic) portion of the spectrum.
2Increasing kVp in a dental x-ray exposure primarily affects which beam characteristic?
A.Quantity of photons produced
B.Penetrating ability (quality) of the beam
C.Focal spot size
D.Source-to-skin distance
Explanation: kVp determines the maximum photon energy and therefore the penetrating ability (quality) of the beam. Higher kVp yields more penetrating, lower-contrast images.
3At dental kVps above 70, which photon-tissue interaction predominates and is responsible for most scattered radiation?
A.Photoelectric absorption
B.Coherent (classical) scattering
C.Compton scattering
D.Pair production
Explanation: Compton scattering predominates above approximately 70 kVp in soft tissue. It produces scattered photons that degrade image contrast and are the principal radiation safety concern.
4FDA-required minimum total aluminum filtration for a dental x-ray unit operating above 70 kVp is:
A.0.5 mm Al equivalent
B.1.5 mm Al equivalent
C.2.5 mm Al equivalent
D.3.5 mm Al equivalent
Explanation: FDA mandates 2.5 mm Al equivalent total filtration for tubes operated above 70 kVp to remove low-energy photons that would otherwise contribute only to skin dose without reaching the receptor.
5If the source-to-receptor distance is doubled, the radiation intensity at the receptor will be:
A.Doubled
B.Halved
C.Reduced to one-fourth
D.Reduced to one-eighth
Explanation: By the inverse square law, intensity is inversely proportional to the square of the distance. Doubling distance reduces intensity to (1/2)^2 = 1/4 of the original.
6Switching from D-speed (Ultraspeed) to F-speed (Insight) film produces approximately what reduction in patient dose?
A.10%
B.25%
C.50%
D.75%
Explanation: F-speed film requires roughly half the exposure of D-speed film, yielding approximately a 50% reduction in patient dose with comparable diagnostic quality.
7The unit of effective dose, accounting for radiation type and tissue radiosensitivity, is:
A.Gray (Gy)
B.Sievert (Sv)
C.Roentgen (R)
D.Becquerel (Bq)
Explanation: Sievert (Sv) measures effective dose, weighting absorbed dose by radiation type (wR) and tissue sensitivity (wT) so different exposures can be compared on equal biological footing.
8Approximate effective dose for a digital full-mouth radiographic series (FMX) using rectangular collimation is closest to:
A.5 µSv
B.30 µSv
C.150 µSv
D.1000 µSv
Explanation: A digital FMX with rectangular collimation delivers approximately 150 µSv effective dose. Round PIDs and film receptors substantially increase this.
9Which biological effect is best described as STOCHASTIC and follows a linear no-threshold (LNT) model in radiation protection?
A.Radiation-induced cataract
B.Skin erythema
C.Radiation-induced cancer
D.Acute radiation syndrome
Explanation: Radiation-induced cancer (and heritable effects) is stochastic — probability increases with dose with no defined threshold (LNT model). Severity is independent of dose.
10Compared with adults, children are more radiosensitive primarily because:
A.They have thinner cortical bone
B.Their tissues contain more water
C.Cells are dividing more rapidly and they have a longer life expectancy for stochastic effect expression
D.Their tubehead settings cannot be adjusted
Explanation: Pediatric radiosensitivity reflects rapidly proliferating tissues (high mitotic activity) and longer post-exposure lifespan during which stochastic effects (cancer) can manifest.

About the ABOMR Exam

ABOMR Diplomate certification for Oral and Maxillofacial Radiology specialists — board still administering Diplomate exams (transitioning to ACBOMR in 2026); NCRDSCB recognition was withdrawn but the credential remains active for OMFR residency-trained dentists. Two-part exam: Part 1 multi-day CBT MCQ; Part 2 MCQ + short answer with radiographic interpretation. Covers radiation physics + biology, radiologic anatomy, intra/extraoral techniques, CBCT and 3D imaging, radiographic pathology, systemic imaging (TMJ MRI, sialography), and radiation protection.

Exam sponsor: ABOMR (transitioning to ACBOMR 2026). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

100 questions

Time Limit

Multi-day (per ABOMR)

Passing Score

Per ABOMR (sectional pass/fail)

Exam / Certification Fees

Per ABOMR

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

20%

CBCT & 3D Imaging

CBCT principles, FOV selection, artifacts, MSCT vs CBCT, indications/limitations

20%

Radiographic Pathology

OKC, dentigerous, periapical cysts, ameloblastoma, OFD, osteomyelitis, MRONJ

15%

Radiation Physics & Biology

Bremsstrahlung, HVL filtration, photoelectric vs Compton, deterministic/stochastic effects

15%

Radiologic Anatomy

Mental foramen, IAN canal, max sinus, TMJ, CBCT anatomy landmarks

15%

Intra/Extraoral Techniques

Paralleling vs bisecting, BWX, PA, pano, ceph, occlusal, technique errors

10%

Systemic & Adjunct Imaging

TMJ MRI, sialography, salivary gland imaging, head/neck MRI/CT basics

5%

Radiation Protection & Regulation

ALARA, ICRP, NCRP, FDA, CDC, dose limits

Preparing for the ABOMR Exam

What You Need to Know

  • Passing score: Per ABOMR (sectional pass/fail)
  • Exam length: 100 questions
  • Time limit: Multi-day (per ABOMR)
  • Exam / certification fees: Per ABOMR Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

ABOMR: Suggested Study Strategy

1Master x-ray physics: bremsstrahlung (continuous) + characteristic; kVp = penetration, mA × time = quantity
2Memorize FDA filtration: 0.5 mm Al ≤50 kVp / 1.5 mm 51-70 / 2.5 mm >70 kVp
3Drill CBCT FOV selection: smallest that captures ROI; document rationale; ALARA
4Know cyst/tumor radiographic patterns: OKC (axial expansion, minimal perforation, high recurrence) vs dentigerous (pericoronal at CEJ) vs ameloblastoma (multilocular soap bubble)
5Apply ALARA: lead apron + thyroid collar (intraoral; lead apron only for pano), fastest receptor, rectangular collimation, long PID

Frequently Asked Questions

What is the FDA minimum aluminum filtration requirement?

FDA-required total aluminum filtration in dental x-ray tubes: 0.5 mm Al for ≤50 kVp; 1.5 mm Al for 51-70 kVp; 2.5 mm Al for >70 kVp. Filtration removes low-energy x-rays that would be absorbed by patient skin without contributing to image — reduces patient dose without reducing diagnostic quality. Total filtration = inherent (tube + collimator) + added (Al disc).

How do you select CBCT field of view (FOV)?

CBCT FOV selection follows ALARA: use the SMALLEST FOV that captures the region of interest. Small FOV (5×5 cm) — single endo case, single tooth analysis. Medium FOV (8×8 cm) — implant planning quadrant or sextant. Large FOV (16×8 cm or larger) — full max + mand, TMJ bilateral, orthognathic planning, multiple impactions. Larger FOV = higher dose to patient. Document FOV selection rationale.

What distinguishes an OKC from a dentigerous cyst radiographically?

Dentigerous cyst: pericoronal radiolucency surrounding the CROWN of an unerupted tooth, attached at CEJ; most often max canine, mand 3rd molar; corticated borders, expansion. OKC (Odontogenic Keratocyst, now KCOT in older terminology): unilocular OR multilocular radiolucency, may be pericoronal but typically mandibular ramus; expands ALONG the bone axis (anteroposterior > buccolingual) with minimal cortical perforation; high recurrence rate (~30%); associated with PTCH gene mutations in Gorlin syndrome (NBCCS) when multiple.

How should I study for ABOMR Part 1?

Plan 500-1,000 hours over OMFR residency. Master White & Pharoah Oral Radiology: Principles and Interpretation (current edition) cover-to-cover — primary text. Read Mallya & Lam Diagnostic Imaging Oral & Maxillofacial. Study CBCT physics + artifacts (Scarfe textbook). Build a personal radiographic pathology image library: 100+ each of OKC, dentigerous, ameloblastoma, periapical, MRONJ, osteomyelitis. Case logs and publications required for board application.