Diagnostic Imaging Part 3

Question 1

How does a pt. with Klippe-Feil present?

Answer 1

Short, webbed neck
Low hair line
Decreased ROM

Question 2

Kleppel-feil is associated with… (2)

Answer 2

Springel’s Deformity

omovertebral bone

Question 3

Pedicle Agenesis presents with…

Answer 3

Contralateral pedicle hypertorophy and sclerosis

Question 4

Isolated wedged vertebrae causes a ___

Answer 4

scoliosis

Question 5

facet tropism presents with…

Answer 5

asymmetric articular planes

Question 6

Kinfe clasp presentation

Answer 6

Pain on extension

A painter for boards

Question 7

Coxa Vara

Answer 7

Less than 120

Question 8

Coxa Valga

Answer 8

Greater than 130

Question 9

Madelung’s deformity

Answer 9

Shortened distal radius, assymetric prominence of ulnar styloid

Question 10

Pelligrini Steida description

Answer 10

Calcification of MCL

Question 11

Myositis Ossificans description

Answer 11

Calcification of muslce bell

*MC at biceps and quadriceps

Question 12

AAA measurement

Answer 12

> 3.8 cm

Question 13

AAA radiographic signs

Answer 13

Aortic dilation
Curvilinear calcification
Fusiform appearance

Question 14

Special test for AAA

Answer 14

Doppler ultrasound

Question 15

Management for AAA

Answer 15

Refer to vascular specialist

Do not adjust, Do not send to ER

Question 16

MC benign tumor in females

Answer 16

uterine fibroid

Question 17

What are phleboliths?

Answer 17

Calcifications within veins

Question 18

Cholelithiasis pain referral

Answer 18

Inferior border of right scapula

Question 19

Special test for cholelithiasis

Answer 19

Ultrasound and Cholecystogram

Question 20

Cholelithiasis is assoc. with…

Answer 20

The 9 F’s***

Question 21

Sickle cell radiographic appearance

Answer 21

Hair on end skull

H shaped vertebrae

Question 22

Thalassemia Radiographic appearance

Answer 22

Erlenmwyer flask deformity

Hair on end skull

Question 23

Hyperparathyroidism radiographic appearance

Answer 23

Salt and pepper skull

Rugger jersey spine

Question 24

Hyperparathyroidism MC demographic

Answer 24

Females 30-50 y/o

Question 25

Rickets characteristics

Answer 25

Deficiency of Vit D**, Ca++, or phosphorus | Paintbrush Metaphysis

Question 26

Absence of marrow

Answer 26

Osteoporosis

Question 27

Used to Dx ANYTHING IN THE LUNG

Answer 27

CT

Question 28

CT is measured in...

Answer 28

Hounsfield unites

Question 29

Bets viewed on MRI

Answer 29

``` IVD Spinal Cord Meninges Bone Meniscus Ligaments ```

Question 30

Best Dx for MS

Answer 30

MRI--> shows plaquing

Question 31

Best Dx for AVN

Answer 31

MRI

Question 32

Fat Weighted MRI

Answer 32

T1

Question 33

Water weighted MRI

Answer 33

T2

Question 34

On MRI, what is ALWAYS black?

Answer 34

Cortical bone

Question 35

DEXA Scan is best to dx...

Answer 35

Osteoporosis

Question 36

Usually used for a bone scan

Answer 36

Technetium 99

Question 37

What does a bone scan measure?

Answer 37

Body's attempt to lay down new bone

Question 38

Cold bone scan may mean what?

Answer 38

MM

Question 39

Hot bone scan may mean what?

Answer 39

ALL AVNs, Blastic and lytic mets, Hodgkin's, Fractures

Question 40

Basilar Angle normal Value and indication

Answer 40

>152 degrees indicates platybasia

Question 41

Lines for basilar impression

Answer 41

McGregor's Chamberlain's Macrae's

Question 42

Most Accurate line for Basilar impression

Answer 42

McGregor's

Question 43

ADI values for adult and child

Answer 43

>3mm in adults >5mm in children -transverse ligament instability or rupture

Question 44

George's line significance

Answer 44

Antero- or Retrolisthesis

Question 45

Prevertebral soft tissue measurements

Answer 45

Retropharyngeal: C2-4 >7mm Retrolaryngeal: C5 >14 mm Retrotrachial: C6/7 >22mm

Question 46

Preferred method to measure scoliosis

Answer 46

Cobb

Question 47

Lumbosacral Angle AKAs and normal angle

Answer 47

Sacral Base Angle Ferguson's Angle 26-57 degrees

Question 48

Ullmann's line AKA and significance

Answer 48

Garland Thomas Line | Spondylolisthesis

Question 49

Eisenstein's significance

Answer 49

<15mm = Spinal canal stenosis

Question 50

Canal Body Ratio is used to Dx...

Answer 50

Canal stenosis

Question 51

Lumbosacral Disc angle description and significance

Answer 51

Lines drawn parallel and through the inferior end plate of L5 and the superior end plate of S1 Normal= 10-15 degrees

Question 52

How to draw lumbar gravity line

Answer 52

Vertical line drawn through teh center of teh L3 vertebral body Ddx Hyper- and Hypolordosis

Question 53

Significance of Macnab's line

Answer 53

Facet imbrication

Question 54

Hadley's S curve significance

Answer 54

Facet imbrication

Question 55

Kohler's line significance

Answer 55

Protrusio Acetabuli

Question 56

Shenton's line significance

Answer 56

Dislocatoon, neck fx, or SCFE

Question 57

Femoral angle AKA

Answer 57

Mukulicz's ANgle

Question 58

Klein's line significance

Answer 58

SCFE

Question 59

Heel pad measurement measurements

Answer 59

>25mm in a male or >23mm in female is often assoc. with acromegaly

Question 60

Boehler's angle significance

Answer 60

<28 degrees = calcaleal fx** or dysplastic calcaneus