49 Skeletal Dysplasias Flashcards

1
Q

Most frequent clinical complication of skeletal dysplasia, but is not uniformly present

A

Disproportionate short stature

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2
Q

T/F It is NOT important to obtain a full skeletal survey in patients with suspected skeletal dysplasias

A

F, it is important because distribution of affected and unaffected areas is key to making a specific diagnosis

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3
Q

T/F Most lethal and many nonlethal skeletal dysplasias can be identified on prenatal ultrasound

A

T

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4
Q

Patients with nonlethal skeletal dysplasia usually present to their physician for what chief complaint

A

Short stature

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5
Q

T/F Age at which growth failure occurs is not useful in developing a differential diagnosis for skeletal dysplasia/growth failure

A

F

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6
Q

T/F Most skeletal dysplasias are associated with a normal intellectual development

A

T

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7
Q

Skeletal dysplasia where there is a gross motor delay in the 1st 2 years of life

A

Achondroplasia

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8
Q

T/F In a child with joint pain lacking inflammatory signs, skeletal dysplasia should be considered even in the setting of NORMAL STATURE

A

T

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9
Q

Skeletal dysplasia where there is joint pain without signs of inflamm and stature can be normal

A

Multiple epiphyseal dysplasia

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10
Q

MC skeletal dysplasia

A

Achondroplasia

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11
Q

MC pattern of inheritance of skeletal dysplasias

A

Autosomal dominant

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12
Q

Anthropometrics of patients with achondroplasia

A

Large head, short stature

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13
Q

How to measure lower segment of the body

A

Symphysis pubis to floor

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14
Q

How to measure upper segment of the body

A

Total height minus lower segment

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15
Q

Cystic ear swelling is seen in what skeletal dysplasia

A

Diastrophic dysplasia

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16
Q

T/F In general, children with skeletal dysplasias also have dysmorphic features of the head and neck

A

F, DO NOT show dysmorphic features of the head and neck

17
Q

Pierre Robin sequence, a dysmorphism of the head and neck, can be seen in what skeletal dysplasia/s

A

Type II collagenopathies and campomelic dysplasia

18
Q

T/F Radiographs are necessary for diagnosis of skeletal dysplasias

A

T

19
Q

Gold standard for diagnosis of skeletal dysplasias

A

Plain radiographs

20
Q

Genetic skeletal survey should include the ff

A

1) Lateral skull
2) Lateral thoracic and lumbar spine
3) Thorax
4) Pelvis with hips
5) Long bones
6) Hands

21
Q

Skeletal dysplasia characterized by
1) Anterior beaking of the lumbar vertebrae
2) Small irregular epiphyses
3) Metaphyseal flaring

A

Pseudoachondroplasia (PSACH)

22
Q

T/F Radiographic features of a dysplasia are static

A

F, NOT static

23
Q

Skeletal dysplasia characterized by
1) Abnormal metaphyses that are unequally affected
2) Relative sparing of epiphyses and spine
3) Knees most compromised
4) Relative sparing of the hips

A

Cartilage-hair hypoplasia (CHH) (McKusick metaphyseal dysplasia)