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Skel Rad A > Final > Flashcards

Final Flashcards

1
Q

List some radiographic findings of Scurvy

A 
Osteopenia
Dense zone of provisional calcification = White Line of Frankel
Subperiosteal hemorrhage 
Ring Epiphysis (Wimberger's Sing)
"Scorbutic Rosary"
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2
Q

What condition has the clinical findings of thick skin especially on the heel pad, skull/facial changes, and ADI.

A

Acromegaly

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3
Q

T or F

PTH is an osteoclastic hormone

A

True

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4
Q

What type of HPT is the most common cause of hypercalcemia?

A

Primary

- parathyroid adenoma

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5
Q

T or F

Tertiary HPT is the most common complication of renal disease

A

False

Secondary

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6
Q

Where do we common see tertiary PTH?

A

Dialysis Patient

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7
Q

What is a hallmark manifestation radiographically of HPT?

A

Subperiosteal bone resporption of the outer cortex at the ligament and tendon insertion points

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8
Q

What are brown tumors?

A

Related to HPT
They are cyst like destructive bone lesions
Osteoclastic giant cells

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9
Q

T or F

Subperiosteal resorption of the Ulnar margins of the middle and proximal phalanges is a common radiographic finding with PTH

A

False

Radial margin

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10
Q

What digits of the hand do we common see HPT cause subperiosteal resorption?

A

2nd and 3rd digits

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11
Q

Name some common sites of subperiosteal resorption as related to HPT

A

Medial metaphysis of the humerus and tibia
Undersurface of the distal clavicle
Trochanters
Tuberosities
Radial margins of the middle and proximal phalanges
2nd and 3rd digit of the hand

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12
Q

Common sites of subarticular bone resorption related to HPT

A

AC joint
Symphysis pubis
SI joints

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13
Q

Describe the loss of bone density related to HPT

A

Granular
Salt and pepper skull/pepper-pot skull
Accentuated trabecular pattern of remaining trabeculae
Loss of cortical definition

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14
Q

T or F

The most common target site for HPT is the pelvis

A

False

Spine - it is called rugger-jersey spine.

Hands, skull, pelvis, and shoulders are also spots.

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15
Q

List some radiographic findings for Hypoparathyroidism

A

Osteosclerosis
Clavarial thickening
Hypoplastic dentition
Basal Ganglia Calcification

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16
Q

What are the classifications of Arthritic Disorders

A

Inflammatory
Degenerative
Metabolic

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17
Q

List some of the radiographic findings of Inflammatory Arthritic disorders

A 
Soft tissue swelling
Uniform loss of joint space
Bone erosions
Juxta-articular osteoporosis 
Monoarticular or polyarticular - symmetrical
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18
Q

Radiographic findings of Degenerative disorders

A 
Non-uniform loss of joint space
Osteophytes
Subchondral sclerosis 
Subchondral cysts
Asymmetrical
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19
Q

T or F

Gout is an example of a metabolic arthritic disorder

A

True

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20
Q

T or F

DJD is polyarticular

A

False

Monoartiular

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21
Q

T or F

Erosions are common with DJD

A

False

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22
Q

T or F

Osteophytes are not seen with DJD

A

False

Present

23
Q

Primary DJD is more common with men or women?

A

Females 10:1

5th -6th decade

24
Q

T or F

Primary DJD has a known factor or event is its cause

A

False

This is secondary
Primary = idiopathic

25
Q

T or F

Females are affected more with secondary DJD

A

False

Males = Females

26
Q

How do subchondral cysts form?

A

Weakness of joint cartilage and cortical microfractures
Synovial fluid enters subarticular bone
Cysts form

27
Q

What is the name of the subchondral cysts that form in OA?

A

Geodes

28
Q

Where do we typically see non-uniform loss of joint space in OA?

A

At areas of greatest intra-articular stress where joint space is preserved at areas not exposed to as much stress

29
Q

Subchondral sclerosis aka ?

A

Eburnation

30
Q

Where do we typically see Subchondral sclerosis?

A

Where greatest cartilage loss

31
Q

Intra-articular loose bodies aka ?

A

Joint Mice

32
Q

Where are joint mice most commonly seen in DJD?

A

Knee

33
Q

What are some names of DJD in the hip. The akas

A

Coxarthrosis

Malum Coxae Senilis

34
Q

Name the types of margination associated with DJD in the hip

A

Superior
Medial
Axial

35
Q

T or F

Medial margination of DJD in the hip is commonly referred to as Waldenstrom sign

A

False

Superior margination

36
Q

Protrusio Acetabuli is seen with what type of margination of DJD in the hip?

A

Medial

37
Q

What is Buttressing?

A

Thickening
Medial side
Stress-related
Altered joint mechanics

38
Q

In what compartment of the knee is DJD the MC?

A

Medial

39
Q

What is tell tale sign of DJD in the knee?

A

Sharpening of tibial eminences

40
Q

Where is pain most commonly felt in Chondromalacia patellae?

A

Anteromedial knee

41
Q

What is a talar beak?

A

Osteophyte on the talus

42
Q

Where is the most common site for DJD on the foot?

A

1st Metatarsophalangeal joint

43
Q

T or F

Deformity of the foot associated with DJD is a Hallux Varus

A

False

Hallux Valgus

44
Q

The most common joint in the shoulder for DJD?

A

AC joint

45
Q

If DJD in glenohumeral joint what should we suspect?

A

Previous trauma or cartilaginous disease

46
Q

T or F

Loss of joint space in the AC joint is common on the superior aspect of the joint?

A

False

Inferior

47
Q

Calcification of tendons and bursa is commonly referred to as?

A

HADD

48
Q

Where in the shoulder is HADD the MC?

A

Supraspinatus tendon at its insertion on greater tuberosity

49
Q

2nd MC site for HADD in shoulder?

A

Subacromial bursa - below acromion and above humeral head

50
Q

MC site for DJD in wrist?

A

1st metacarpal-trapezium joint

51
Q

Radiographic signs of DJD in wrist?

A

Radial Displacement of the 1st metacarpal base
Sclerosis
Osteophytes
Loose bodies

52
Q

T or F

DJD in the hand is MC in the MP joints

A

False

IP joints

53
Q

T or F

DIP = Bouchard's Nodes
PIP = Heberden's
A

False

Skel Rad A (2 decks)

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