Endocrine Bone disease

Question 1

Excess of growth hormone leads to

Answer 1

acromegaly

Question 2

Beak like osteophytes

Answer 2

acromegaly

Question 3

spade like overgrowths

Answer 3

overgrowth of the distal phalanges

Question 4

Heel pad thickness greater than 24 mm (in a normal weight pt)

Answer 4

acromegaly

Question 5

subperiosteal and subligamentous bone resportion

Answer 5

HPT

Question 6

Skull findings in HPT

Answer 6

salt and pepper skull is due to trabecular resorption

Question 7

Hand findings in HPT

Answer 7

subperiosteal resorption of the radial aspects of the 2nd and third middle phalanges

Question 8

HPT finding in the clavicle

Answer 8

subperiosteal resorption of the distal clavicle

Question 9

HPT findings in the knee

Answer 9

subperiosteal bone resorption in the medial proximal tibial metaphysis

Question 10

HPT findings in teeth

Answer 10

loss of lamina dura surrounding the tooth socket

Question 11

spine finding in HPT

Answer 11

rugger jersey sign

Question 12

multiple lytic lesions in a pt with CKD

Answer 12

brown tumors in HPT

Question 13

Soft tissue calcs, periosteal rxn, sclerosis typically seen in

Answer 13

secondary HPT

Question 14

complications of HPT

Answer 14

insufficiency fx and ligamentous rupture

Question 15

what is renal osteodystrophy?

Answer 15

combine effects of abnormal vitamin D metabolism and secondary HPT from renal failure

Question 16

Spine findings in hypothyroidism

Answer 16

bullet shaped vertebra

Question 17

bullet shaped vertebra

Answer 17

hypothyroidism

Question 18

wormian bones and bullet shaped vertebra

Answer 18

hypothyroidism

Question 19

SCFE is associated with

Answer 19

hypothyroidism

Question 20

hypoparathyroidism brain finding

Answer 20

calcium deposition in the basal ganglia

Question 21

cause of pseudohypoparathyroidism

Answer 21

defect of the parathyroid hormone receptor

Question 22

round facies, short stature, and brachydactylyl

Answer 22

pseudohypoparathyroidism and pseudo-pseudohypoparathyroidism

Question 23

short metacarpal of the 4th or 5th digit

Answer 23

pseudohypoparathyroidism

also…Turner syndrome may have a short 4th metacarpal

Question 24

Hyperphosphatemia is also known as:

Answer 24

juvenile Paget

Question 25

findings in hyperphosphatemia

Answer 25

cortical thickening, trabecular thickening, osteopenia, bowing of the bones in the body. SPARING of the epiphysis