Butler bookclub Flashcards
What may be seen in an angiogram of a horse with guttural pouch mycosis (2 answers)?
Beading
Arterial roughening
Aneurysm
Arterial narrowing
Arterial roughening
Aneurysm
In myelography, accumulation of contrast in the cranial cervical region is thought to be characteristic of…?
Insufficient volume of contrast
Insufficient concentration of contrast
Subdural injection
Failure of the contrast to mix with cerebrospinal fluid
Subdural injection
In myelography what change in the dural diameter is considered significant when assessing spinal cord compression?
10% increase
20% decrease
30% increase
50% decrease
20% decrease
When does ossification of the pubis and ischium as well as fusion of these bones with the iliu occur?
At birth
6 months
1 year
18 months
1 year
When do the iliac crest and tuber coxae fuse with the rest of the ilium?
2-3 months
4-6 months
6-8 months
10-12 months
10-12 months
Which statement is correct?
The physis of the femoral head closes at 30-42 months
The greater trochanter fuses with the femoral shaft at 18-30 months
The lesser trochanter fuses with the femoral shafter at 12 months
The distal femoral physis closes at 20-28 months
The greater trochanter fuses with the femoral shaft at 18-30 months
Luxation of the coxofemoral joint normally occurs in which direction?
Craniodorsal
Caudodorsal
Cranioventral
Caudoventral
Craniodorsal
What view can be used to highlight fractures of the third trochanter of the femur?
Craniocaudal
Cranial 25o lateral caudomedial oblique
Caudal 25o lateral craniomedial oblique
Lateromedial
Cranial 25o lateral caudomedial oblique
What is a fontanelle?
A radiodensity between the nasal bones
A radiolucency between the frontal bones at the rostral third of the cranial vault
A radiolucency between the spheno-occipital suture
A radiodensity between the frontal bones at the rostral third of the cranial vault
A radiolucency between the frontal bones at the rostral third of the cranial vault
When is the spheno-occipital suture likely not to be visible?
3 years
1 year
6 years
5 years
5 years
When do the left and right manibular bones fuse?
1 month
4 months
3 months
6 months
3 months
Dentigerous cysts are commonly associated with which bone?
Parietal bone
Petrous temporal bone
Basiocciptial bone
Basisphenoid bone
Petrous temporal bone
A tumour of the equine head that appears well-demarcated with a septate configuration causing a ‘soap bubble’ appearance is likely to be an…?
Ameloblastic odontoma
Ameloblastoma
Osteoma
Adenocarcinoma
Ameloblastoma
Which two in this list are differntials that could explain increased lucency of the maxillary sinus?
Neoplasia
Maxillary sinus cyst
Maxillary cyst
Sinusitis
Neoplasia
Maxillary cyst
To highlight the caudal cheek teeth on a dorsoventral image, in which direction should the x-ray beam point?
Dorsorostral to ventrocaudal
Dorsocaudal to rostroventral
Dorsomedial to ventrolateral
Dorsolateral to ventromedial
Dorsocaudal to rostroventral
When does the fontanelle close?
3-4 months
5-7 months
1-3 months
1-2 months
3-4 months
What structure is denoted by the star?
Hypoglossal foramen
Accessory foramen
External acoustic meatus
Oval foramen
Hypoglossal foramen
The separate centre of ossification for the tuber calcanei fuses with the rest of the calcaneus at what age?
6 – 12 Month
9 – 16 Months
16 – 24 Months
24 – 36 Months
16 – 24 Months
What is pointed to by the arrow in this image?
Osseous cyst like lesion
Tarsal canal
Sinus Tarsi
Compositional artefact
Sinus Tarsi
With congenital deformity of the sustentaculum tali and medial slipping of the DDFT which angular limb deformity is often seen at the tarsus?
Valgus
Varus
Contracture
Hyperextension
Valgus
Fractures of the distal tibial physis are most commonly what type?
Type I
Type II
Type III
Type IV
Type II
The most common tarsal bone fracture in the racehorse is most likely to be detected on which projection
DP
DLPMO
LM
DMPLO
DMPLO
For a gastrointestinal contrast study in an adult horse what volume of 30% barium sulphate suspension is recommended?
2ml/kg
3ml/kg
5ml/kg
7ml/kg
3ml/kg
How long should it take for a food bolus to travel from the pharynx to the stomach?
4-10s
8-16s
10-20s
15-30s
4-10s
What contrast media is best suited to diagnose an oesophageal stricture?
Barium paste
Barium suspension
Barium coated pelleted feed
B and C
B and C
In foals, distention of small intestinal loops is considered to be present which the width of the bowel is greater than the?
Length of L7
Length of L1
Length of two rib spaces
Width of the proximal femur
Length of L1
The distal radial physis closes at what age?
12 Months
18 Months
20 Months
24 Months
20 Months
Partial ossification of a vestigial ulna is present in what percentage of horses?
5%
10%
20%
35%
35%
Enthesopathy of the horizontal intra-articular intercarpal ligaments is most common between which bones?
Radial and intermediate
Intermediate and ulnar
Third and fourth
Second and third
Second and third
What is the significance of osseous cyst like lesion in the carpal bones of foals?
Incidental finding
Can sometimes cause lameness especially if present in the distal radius
Only likely to cause lameness as the horse matures and is brought into work
May represent type C osteomyelitis and warrants further investigation
May represent type C osteomyelitis and warrants further investigation
Carpal angular limb deformities are often centred on the?
Distal radial physis
Antibrachiocarpal joint
Middle carpal joint
Carpometacarpal joint
Distal radial physis
In some horses there is a narrow, vertical, more opaque line in the middle of the proximal quarter of the third metacarpal/tarsal bone can be seen, this is more common in?
Hindlimbs
Forelimbs
Thoroughbreds
Warmbloods
Hindlimbs
The distal metacarpal physis closes radiographically at approximately?
3-6 months
6-9 months
9-12 months
12-15 months
3-6 months
Dorsal cortical stress fractures of the third metacarpal bone of racehorses usually have what configuration.
Dorsodistal to palmaroproximal
Dorsoproximal to palmarodistal
Mediodistal to lateroproximal
Medioproximal to laterodistal
Dorsodistal to palmaroproxima
When palpable new bone develpeds between the metacarpal/metatarsal bones know colloquially as a ‘splint’ this is most likely to occur where?
Hindlimb = Between the 2nd and 3rd , forelimb = between the 2nd and 3rd
Hindlimb = Between the 4th and 3rd , forelimb = between the 4th and 3rd
Hindlimb = Between the 4th and 3rd , forelimb = between the 2nd and 3rd
Hindlimb = Between the 2nd and 3rd , forelimb = between the 4th and 3rd
Hindlimb = Between the 4th and 3rd , forelimb = between the 2nd and 3rd
What proximodistal angle of the x-ray beam is needed to image the proximal row of carpal bones?
35o
85o
55o
45o
55o
What proximodistal angle of the x-ray beam is needed to image the distal row of carpal bones?
35o
85o
55o
45o
35o
What proximodistal angle of the x-ray beam is needed to image the distal radius bones?
35o
85o
55o
45o
35o
How many ossification centres does the radius have?
1
2
3
4
2
When do the lateral styloid process of the radius and the distal radial physis close?
Styloid process within 8 months, distal radial physis at 15 months
Styloid process within 6 months, distal radial physis at 12 months
Styloid process within 10 months, distal radial physis within 10 months
Styloid process within 12 months, distal radial physis within 20 months
Styloid process within 12 months, distal radial physis within 20 months
How many ossification centres do the carpal bones have?
1
2
3
4
1
By what age are the carpal bones fully developed?
6 months
12 months
18 months
24 months
18 months
What percentage of horses have ossification of the ulna?
5%
15%
25%
35%
35%
What percentage of horses have a fifth carpal bone?
2%
5%
10%
15%
2%
How is incomplete ossification of the carpal bones treated?
Cast in the first few days of life
Casting after 2 weeks
Transphyseal bridging
Paddock rest
Cast in the first few days of life
Which pathology occurs at the distal radial physis?
Osteochondroma
Radial exostosis
Radial exostosis
Which location is the most common site for carpal subluxation?
Antebrachiobcarpal joint
Middle carpal joint
Carpometacarpal joint
Carpometacarpal joint
Which is not a common site for chip fractures of the carpus
Dorsodistal radial carpal bone
Dorsodistal third carpal bone
Dorsodistal intermediate carpal bone
Dorsodistal radius
Dorsodistal third carpal bone
Carpal slab fractures are most common in which three bones
Ulnar carpal bone
Radial
Third
Fourth
Radial
Third
Fourth
Which of the following is a contraindication for arthrography?
Suspected synovial cyst
Suspected joint capsule rupture
Inflammation
Osteoarthritis
Inflammation
When preforming an air tendogram how should you adjust your xray settings?
Half mAs and kVp
Half kVp
Half mAs
No change required
Half mAs
What does the blue arrow indicate?
Linguofacial artery
Vertebral artery
Occipital artery
Internal carotid artery
Occipital artery
In a normal horse the ventral contrast column become narrower in which neck position?
Flexed
Neutral
Extended
Flexed and extended
Flexed
What reduction in the total dural diameter is considered abnormal?
>10%
>20%
>30%
>50%
>20%
‘Clipping’ artefact is a result of?
Underexposure
Overexposure
Use of an incorrect gird
Use of an incorrect postprocessing algorithm
Overexposure
The normal dimensions of a foals heart relative the length of a mid thoracic vertebral body should be?
CC 4.5-5.6, DV 6.4-8.3
CC 5.0-5.6, DV 6.4-8.3
CC 5.6-6.3, DV 6.7-7.8
CC 4.6-5.6, DV 6.7-7.8
CC 5.6-6.3, DV 6.7-7.8
Which of the following is true regarding the mainstem bronchi?
The left mainstem bronchus is more dorsal than the right
The left mainstem bronchus is more ventral than the right
The left mainstem bronchus has a larger end on diameter than the right
The left mainstem bronchus has a smaller end on diameter than the right
The left mainstem bronchus is more dorsal than the right
Equine multinodular pulmonary fibrosis is associated with which EHV?
1 and 4
3
5
6
5
Differences between observers measuring intra and intervertebral sagittal ratios can be up to:
1-2%
2-5%
5-10%
10-15%
5-10%
The cranial physis of cervical vertebra C3-7 closes?
From ventral to dorsal at 2 yo
From ventral to dorsal at 4-5yo
From dorsal to ventral at 2yo
From dorsal to ventral at 4-5yo
From ventral to dorsal at 2 yo
What is indicated by the arrow
Fracture of the cranial articular process
Articular process joint margin
Normal finding
B and C are correct
Normal finding
What does the radiolucent area shown by the blue arrow represent?
Osseous cyst like lesion
Osteomyelitis
Neoplasia
Pressure atrophy
Pressure atrophy
At what age is the distal phalanx completely ossified?
6 months
9 months
12 months
18 months
18 months
The crena marginis solearis is variable in size and can but up to?
- 9cm
- 2cm
- 5cm
- 7cm
1.5cm
The diameter of separate centres of ossification at the apex of the palmar processes of the distal phalanx and usually but not always bilateral and biaxial and they usually do not exceed what size?
5mm
10mm
15mm
17mm
10mm
Small radiopaque fragments proximal to the extensor process of the distal phalanx have been found in what percentage of warmbloods as prepurchase examination?
- 2
- 5
- 5
7
4.5
Osseous cyst like lesions that do not communicate with the distal interphalangeal joint may be associated with?
Laminitis
Historic fracture
Infectious osteitis
Must be congenital
Infectious osteitis
OCLL at the insertion of the collateral ligaments of the DIPj reflect bone necrosis and are more common?
Medially
Laterally
In forelimbs
In hindlimbs
Medially
Keratomas are most commonly found in the?
Dorsal hoof wall
Solar margin
Frog
There is no common location
Dorsal hoof wall
Grade 5 ossification of the collateral cartilages is defined as ossification to the level of the?
Midpoint of the middle phalanx
Beyond the midpoint of the middle phalanx
The proximal 1/3 of the middle phalanx
The proximal aspect of the middle phalanx.
Beyond the midpoint of the middle phalanx
At what age does the distal physis of the third metacarpal/metatarsal bone close?
6-8 months
8-12 months
12-14 months
12-18 months
6-8 months
If the PSBs form of two ossification centres what age should they fuse by?
40 days
60 days
3 months
5 months
60 days
Supracondylar lysis can be seen in association with chronic injuries to which soft tissue structure?
Common/ Long digital extensor tendon
Lateral digital extensor tendon
Suspensory ligament
DDFT
Suspensory ligament
What is the prognosis for horses with infection osteitis of the palmar or abaxial aspect of a proximal sesamoid bone?
Favourable with conservative management
Favourable with surgical debridement
Guarded
Guarded with conservative management but surgical debridement may be indicated in selected cases.
Favourable with surgical debridement
What is the reference value for horses with laminitis for the thickness of the dorsal hoof wall and the ratio to the palmar length of the distal phalanx?
>20 mm, 28%
> 25 mm, 27%
<20 mm, 27%
<25 mm, 28%
>20 mm, 28%
What represent a radiolucent line in between the distal phalanx and the dorsal hoof wall or sole?
Keratoma formation
Haemorrhagic laminar tissue
Serum collected between the dermal and epidermal laminae due to inflammation
Hoof abscess formation
Serum collected between the dermal and epidermal laminae due to inflammation
In case a laminitic horse has a distal phalanx, which sinks, which aspect goes first?
Medial
Lateral
Dorsal
palmar
Medial
Which of the following below can not be found in horses with laminated performing a venogram?
Altered position of the distal dorsal aspect of the distal phalanx relative to the circumflex vein
Distribution of contrast medium into abnormal sublamellar tissues
Distortion of the circumflex vessel dorsally because of inward growth of solear horn
Increased flow and widening of the vessels of the coronary plexus
Increased flow and widening of the vessels of the coronary plexus
What is abnormal in the below image?
a. 1
b. 2
c. 3
d. nothing
d. nothing
Up to how many lucent zone may be present at the distal border of the navicular bone to still be considered normal?
5
7
9
No number accounted for
7
When taking an oblique cervical radiograph from dorsal to ventral which APJs appear dorsally on the image?
The APJs closest to the plate
The APJs closest to the generator
The APJs closest to the plate
How many centres of ossification does C2 have?
1
2
3
4
4
At what age does the odontoid peg fuse with the head of C2?
1 month
4 months
7 months
10 months
7 months
From which position do the cranial physes of cervical vertebrae start to fuse and by what age is this complete?
Ventrally and 4-5 years
Dorsally and 4-5 years
Ventrally and 2 years
Dorsally and 2 years
Ventrally and 2 years
From which position do the caudal physes of cervical vertebrae start to fuse and by what age is this complete?
Ventrally and 4-5 years
Dorsally and 4-5 years
Ventrally and 2 years
Dorsally and 2 years
Dorsally and 4-5 years
What is the arrow pointing to in this image?
Bone spur on caudoproximal epiphysis
Superimposition of transverse process of C2 on the IVF
Osseous fragment on the caudal aspect of C2
Superimposition of the caudal physis of C2 on the IVF
Superimposition of transverse process of C2 on the IVF
Which developmental abnormality is most likely to be associated with spinal cord compression? (2 answers)
Enlargement of the caudal epiphysis
Vertebral angulation
Vertebral stenosis
Extension of caudal vertebral arch caudally
Vertebral angulation
Vertebral stenosis
Which two statements are false?
Rooney type 1 modelling occurs at C1-C2 and is associated with malalignment of the articular processes.
Rooney type 1 modelling occurs at C2-C3 and is associated with malalignment of the articular processes.
Rooney type 2 lesions involve ventral enlargement of the articular processes of C5, occasionally C4
Rooney type 2 lesions involve axial enlargement of the articular processes of C4 occasionally C5
Rooney type 1 modelling occurs at C1-C2 and is associated with malalignment of the articular processes.
Rooney type 2 lesions involve ventral enlargement of the articular processes of C5, occasionally C4
Subluxation of the atlantoaxial joint is associated with?
A rotated neck posture
Kyphosis
A flexed neck posture
An extended neck posture
An extended neck posture
Which statements are correct?
Atlantoaxial subluxation often involves proximal displacement of the dens
Atlantoaxial subluxation is often involves distal displacement of the dens
Subluxation of C5-C6 is normally dorsal
Subluxation of C6-C7 is normally ventral
Atlantoaxial subluxation often involves proximal displacement of the dens
Subluxation of C5-C6 is normally dorsal