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T5- Interp 1 > Jt disease Ch 1 & 2 > Flashcards

Jt disease Ch 1 & 2 Flashcards

1
Q

def______: where the tendon / lig attach

A

Enthesis cc: enthesopathy: inflam cellular infiltrate at the enthesis

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2
Q

def______: LESS than 4 jts involved

A

Pauciarticular

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3
Q

def_____: 4+ jts involved

A

polyarticular

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4
Q

def_______: inflammation ossification within the spinal ligament

A

Syndesmophyte 2 types: 1. Marginal: growing from one endplate to the other 2. on-marginal: grows allong the A.L.L- just i the jt sace (ex: Psoriasis and Reiter’s)

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5
Q

______ is a syndesmophyte the grows from one endplate to the other

A

marginal syndesmophyte

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6
Q

______ is a syndesmophyte the grows along the A.L.L- just in the jt space (ex: _________ & ________)

A

non-marginal ex: Psoriasis & Reiter’s

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7
Q

def_________: elevated periosteum

A

periostitis

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8
Q

def______: no Rh factor

A

seronegative

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9
Q

name 3 cartilaginous jts

A
  1. Intervertebral disc 2. Symphysis pubis 3. Manubriosternal jt
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10
Q

the lower 2/3 of the S.I jt is made of : ________ Upper 1/3rd of the SI jt is made of :_________

A

lower: synovial Upper: fibrosous

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11
Q

____ jts have bare areas

A

synovial jts: adhere to the capsule and non articular bone (bare areas)

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12
Q

____ : cancellous bone lives under it - there is no periosteum under

A

subchondral bone

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13
Q

What category is RA?

A

Inflammatory

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14
Q

What 4 major disease are: 1. RA 2. Lupus 3. AS 4. Psoriatic arthritis

A

Infammatory

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15
Q

AVN is usually located at the ______ of the bone

A

epiphysis

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16
Q

_____ OA is not an inflammatory disease

A

inflammatory / erosive OA

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17
Q

DJD dx with gull wings

A

Inflammatory (erosion) OA - specific to hands

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18
Q

vaccum sign occurs in the ______

A

nucleus pulposus (when there is no jt ht. nearing it is called: spondylosis deformans)

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19
Q

_____: hypertrophic unicinate processes Occur in the ______ category

A

pseudo-fractures occur in: degenerative category)

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20
Q

cc_______: degeneration of the outer ortion of the annulus fibrosis, identified by marginal osteophytes

A

spondylosis deformans (when the adjacent vert. is involved = Intervertebral chondrosis) degenerative category

21
Q

cc_________: Ca+ at at least 4 conti vert location: anterior to the A.L.L ______ category

A

Diffuse Idiopathic skeletal hyperostosis (DISH) - there is a preservation of disc space degenerative category

22
Q

cc________: involves villi. Villi hypertrophies and breaks off = loose body

A

Synoviochondrometaplasia

23
Q

cc______: anything that affects the nervous input to the jt = there is no feeling in that jt

A

neurotrophic arthopathy 2 types: 1. hypertrophic arthropathy 2. Atrophic arthropathy

24
Q

name the 6 D’s of Hypertrophic arthropathy

A
  1. distention- swelling of the jt 2. debris 3. dislocation 4. density increase 5. disorganization 6. destruction
25
Q

Atrophic arthropathy occurs following an ______

A

infection “licked candy stick” ex: leprosy

26
Q

_________:Triangular shaped sclerosis of the iliac side of the SI jt → incr in bone density

A

Osteitis Condensans Ilii (MC: women- changes to pelvis during pregnancy)

27
Q

what is pannus formation? What dx is it seen in_____

A

waste product of the tiss. in the area - occurs at: transverse lig= instability at the atlanodental region DX: RA

28
Q

anteriolisthesis aka ______ Dx: _____

A

Stepladder (loss of disc ht, C2-C4) Dx: RA

29
Q

Stelle’s Law of Thirds

A

1/3rd: ring taken up by the dens 1/3rd: of the space is taken up by the SC 1/3rd: of the space is taken up by everything else

30
Q

What is the MC type of Juvenile Idiopathic arthritis

A

Still’s dx (RF Neg) - polyarticular

31
Q

What is the path of AS

A

T/L jxn–> SI –> Neck

32
Q

Explain the difference btw: 1. Bamboo spine 2. Dagger sign 3. Trolly track

A
  1. bamboo: Undulating vert. contour 2. Dagger: single central radiodense line (supraspinous & interspinous lig) 3. Trolley: 3 vertical radiodense lines (interspinous lig, supraspinous lig, and apophyseal jt capsule)
33
Q

cc______: has shiny corners and squaring of the vert. bodies

A

AS

34
Q

“Mouse Ear” fluffy periosteal rxn at the margins

A

Psoariatic arthritis (also has Pencil in cup) (inflammatory category)

35
Q

What does C.R.E.S.T stand for? what dx:

A

C: calcinosis R: Raynaud’s E: Esophageal dysmotility S: Sclerodactyly T: Telangiectasia Dx: Scleroderma (inflammatory category)

36
Q

_______dx: inflammation and degeneration of M and Skin with ass. soft tiss Ca+ - Ca+ starts to outline where the border of skin is

A

Polymyositis (M) or Dermatomyositis (skin + M) (inflam category)

37
Q

cc_______: GH hypersecretion due to pituitary adenoma

A

Acromegaly

38
Q

pseudo gout aka _____

A

Calcium pyrophosphate deposition disease (CPPD)

39
Q

cc_______: has linear Ca+ in hyaline or fibrocartilage Category: _____

A

Calcium Pyrophosphate Deposition Disease (CPPD) deposition

40
Q

______: deposition of Ca+ in the tendon or capsule (usually follows trauma)

A

Hydroxyapatite Deposition Disease (HADD)

41
Q

purine metabolism disorder

A

Gout

42
Q

_____ condition has an “ overhanging edge sign”

A

Gout (tophus formation)

43
Q

_______ condition has a lack of homogentisic acid oxidase

A

Ochronosis (alkaptonuria) leads to Ca+ of disc and other CT (it looks like AS, but also has Ca+ in the disc space)

44
Q

______: noncaseating granulomas, subcutaneous nodules

A

Sarcoidosis Appearance: • honeycomb: lucent changes • lace or lattice-like trabecular pattern of destruction • Acro-osteolysis: distal bone break down • Cystic Defects

45
Q

Which condition has “honey comb” lucent changes

A

sarcoidosis

46
Q

during ______ condition you will see Acro-osteolysis (distal bone break down)

A

sarcoidosis

47
Q

cc______: Vascular supply to an osseous structure is diminished / eliminated

A

osteonecrosis avascular necrosis

48
Q

Affected structures of osteonecrosis avascular necrosis (6)

A

• Femoral head/ hip • Distal humerus/ elbow • Lunate/ wrist • Distal femur/ knee • Talus/ ankle • Humeral head/ shoulder

T5- Interp 1 (1 decks)

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