Final Flashcards

1
Q

3 types of osteoporosis

A

Generalized - hyperparathyroidism, Osteogenesis Imperfecta
Regional - immobilization, Reflex Sympathetic Dystrophy
Local - infection, arthritis, neoplasm

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2
Q

Rickets (children) and osteomalacia (adults)

A

Vit D Deficiency
Malabsorption, kidney dz
Widened growth plates, rachitic costal rosary
Osteopenia, trabecular

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3
Q

Scurvy

A

Vit C deficiency
Osteoporosis
White Line of Frankel, Wimberger’s sign (ring), Pelkin’s spurs, Trummerfeld Zone, subperiosteal hemorrhages

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4
Q

Hyperparathyroidism in spine, skull, hand

A

Spine - rugger jersey spine
Skull - salt and pepper resorption
Hand - acroosteolysis of distal phalanges, subperiosteal resorption

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5
Q

Acromegaly face, skull, foot

A

Face - widened mandibular angle
Skull - enlarged sella turcica
Foot - heel pad >20 mm

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6
Q

Long-term corticosteroids

A

osteoporosis of Cushing’s
osteonecrosis of femoral/humeral heads, distal femora and talus
Ischemic necrosis - intravertebral vacuum cleft sign

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7
Q

H-shaped vertebra

A

sickle cell anemia

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8
Q

Complications of sickle cell anemia

A

Osteomyelitis and AVN
Vertebral body collapse
Posterior mediastinal extramedullary hematopoiesis

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9
Q

Honeycomb trabecular patterns

A

Thalassemia

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10
Q

Hemophilic arthropathy in which 3 joints

A

ankle, knee, elbow (bilateral)

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11
Q

DDx for hemophilic arthropathy

A

Juvenile RA

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12
Q

Avascular necrosis/osteonecrosis sites

A

Femoral/humeral head, epiphyses, knees, neck of talus, waist of scaphoid

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13
Q

5 typical causes of avascular necrosis

A
Post trauma
Corticosteroids
Radiation
Alcoholism
Gout
Caisson's disease
Pancreatitis
Post surgery
Collagen disease
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14
Q

DJD (arthritic) characteristics

A

non-uniform joint space narrowing
osteophytes
subchondral sclerosis
subchondral cysts

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15
Q

Triangular sclerosis at iliac

A

Osteitis condensans ilii
bilateral
Females

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16
Q

Osteitis pubis medical procedure

A

Surgery near pubic symphysis

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17
Q

Marginal vs. non-marginal syndesmophytes

A

Marginal - symmetrical

Non-marginal - discontinuous

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18
Q

Marginal syndesmophyte spinal arthritis

A

AS

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19
Q

Non-marginal syndesphophyte spinal arthritis

A

Reiter’s, psoriatic arthritis, DDD, DISH

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20
Q

Systemic condition of DISH (diffuse idiopathic skeletal hyperostosis)

A

OPLL (ossification of posterior longitudinal ligament)

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21
Q

Dysphagia in which arthritis

A

DISH dt ossification of anterior longitudinal ligament

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22
Q

6 findings in neurotrophic arthropathy

A
distended joint
dislocation
disorganization
density increase
destruction
debris
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23
Q

Conditions resulting from neurotrophic arthropathy

A
DM
Alcoholism
paralysis
Syringomyelia
Tabes dorsalis
24
Q

Synoviochondrometaplasia

A

Metaplasia in synovium producing loose cartilaginous bodies, may calcify or be free within joint capsule

25
Q

RA in hand and wrist sites

A

Bilateral PIP and MCP joints (digits 2 + 3)
Ulnar styloid
Triquetrum
NO DIP involvement

26
Q

Marginal (sides of joints) erosion

A

RA

Gout (AS with marginal syndesmophytes)

27
Q

Widening atlas-dens interspace

A

Destroy transverse ligament and dens

28
Q

Laxity of transverse ligaments Dzs

A

RA
Marfans
Downs

29
Q

RA vs. Psoriatic arthritis

A

RA - wrist involvement

PA - DIP involvement

30
Q

AS

A
#1 site: SI
#2 site: thoracolumbar
Bilateral
Young males 15-35 yo
Square vertebral bodies - Romanus lesion and Shiny corner sign
Carrot stick fx
31
Q

DDx for SI and vertebral findings similar to AS

A

Enteropathic arthropathy (GI)

32
Q

2 seronegative spondyloarthropathies with non-marginal syndesmophytes and peripheral arthritis

A

Psoriatic arthritis

Reiter’s disease

33
Q

Reversible hand deformities

A

SLE

34
Q

Acro-osteolysis

A

SLE
Scleroderma
Hyperparathyroidism
Terminal bony erosions dt resorption of distal phalanges

35
Q

Overhanging sclerotic margin sign

A

Punched-out erosions in gout

36
Q

Calcium pyrophosphate deposition (CPPD) sites

A

Pubic symphysis
Wrist
Knee

37
Q

Hydroxyapatite deposition dz (HADD) sites

A

Hip

Shoulder

38
Q

Osteoblastic METs carcinoma in adult females

A

Breast CA

39
Q

3 causes of solitary sclerotic vertebral body/ivory vertebra

A

Osteoblastic METs
Paget’s dz
Hodgkin’s lymphoma

40
Q

Multiple myeloma

A

Commonly vertebral body

Most densely opaque on X-rays

41
Q

Primary osteosarcoma

A

10-25 yo
metaphysis
Codman’s triangle dt periostitis from aggressive bone lesions

42
Q

Sunburst vs. onion skin appearance

A

Onion skin - Ewing’s sarcoma

Sunburst - osteosarcoma, more malignant

43
Q

Ewing’s sarcoma

A

Diaphysis of long bone, where marrow is

44
Q

Lytic appearance of neoplasms

A

Geographic - destructive lytic bone lesion, benign
Motheaten/permeative
Blowout

45
Q

Osteochondroma

A
Solitary exostosis (cortex continuous with host bone)
points away from joint, benign
46
Q

Corduroy vertebra

A

Vertical lines in vertebral bodies in Paget’s dz

47
Q

Spinal hemangioma

A

Solitary

Most common benign spinal tumor

48
Q

Bone island

A

Asxs

49
Q

Benign tumor with pn worse at night, relieved by aspirin

A

Osteoid Osteoma

Cortical bone involvement

50
Q

Enchondroma

A

Calcification in 50%
Geographic lytic tumor matrix, thin cortex, most central
Hands, feet, then femur, tibia, humerus, ribs
Metaphyseal-diaphyseal

51
Q

Multiple enchondromatosis

A

Ollier’s dz/Maffucci’s sign dt multiple tumors in enchondroma

52
Q

Most common region of fibrous cortical defect

A

Lower extremity

53
Q

Simple bone cyst

A

“Fallen Fragment” sign with cortex fx, fall into cyst fluid
Geographic lytic
meta-diaphyseal

54
Q

Aneurysmal bone cyst

A

Named according to its appearance rather than histolog
Only benign tumor that crosses growth plate (metaphyseal, may extend to epiphysis)
Periostitis common

55
Q

Giant cell tumor

A

Benign

Painful

56
Q

Paget’s Dz in a long bone

A
Polyostotic
>55 yo
Ivory vertebrae
Blade of grass/candle flame appearance; V lesion
R side > L side
Thick cortex
Pseudofx
Saber shin deformity