Learning Topic Review Q's Flashcards
LEARNING TOPICS 1. Behavioural Science: Psychological Aspects of Pain (1-12) 2. Pathology: Pathology of non-neoplastic diseases of Bone (13-33) 3. Nuclear Medicine: The Bone Scan (34-36) 4. Microbiology: Fungal Infections of the musculoskeletal system in immunocompromised patients (37-50) 5. Epidemiology/Prevention: Epidemiology of Rheumatoid Arthritis (51-56) 6. Pathology: Non-neoplastic diseases of Skeletal Muscle (57-78)
Which of the following pain types is described as maladaptive?
a. acute
b. prechronic
c. chronic
c. chronic
T/F: prechronic pain is described as the transition between acute to chronic pain
false, its the critical time in which the patient heals OR proceeds to chronic pain
Which of the following pain types is induced when a patient undergoes surgery?
a. acute
b. prechronic
c. chronic
a. acute
Which of the following is often used by children?
a. 0-10 rating scale
b. face scale
c. visual analog scale
b. face scale
Which is the most reliable indicator of pain?
a. electromyography
b. physiological measures
c. behavioral observation
c. behavioral observation
Which of the following would recover from pain faster?
a. a person who takes a sick day to lay in bed and heal
b. a person who would carry on with their regular lives
b. a person who would carry on with their regular lives
Which of the following is believed to increase pain perception?
a. positive reinforcement
b. negative reinforcement
a. positive reinforcement
Which of the following methods is used when a patient uses hypnosis to relieve pain?
a. behavioral method
b. cognitive method
c. respondent method
c. respondent method
Which of the following methods is used when a patient uses Socratic questions to relieve pain?
a. behavioral method
b. cognitive method
c. respondent method
b. cognitive method
Which of the following methods is used when a patient uses reinforcements to relieve pain?
a. behavioral method
b. cognitive method
c. respondent method
a. behavioral method
Which of the following methods is used when a patient uses exercise to relieve pain?
a. behavioral method
b. cognitive method
c. respondent method
a. behavioral method
Which of the following methods is used when a patient uses attention diversion to relieve pain?
a. behavioral method
b. cognitive method
c. respondent method
b. cognitive method
Which of the following arises from the mononuclear phagocytic system?
a. osteoblasts
b. osteocytes
c. osteoclasts
c. osteoclasts
Which is randomly organized in an irregular manner?
a. woven bone
b. spongy
c. compact bones
a. woven bone
Which of the following causes fatal anemia?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Paget’s disease
b. Osteopetrosis
Which of the following is characterized by a blue sclera?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Paget’s disease
c. Osteogenesis Imperfecta
Which of the following is characterized by excessive callus formation?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Paget’s disease
c. Osteogenesis Imperfecta
Which of the following is caused by a mutation in the short arm of chromosome 4?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Paget’s disease
a. Achondroplasia
Which of the following is characterized by thick bones?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Paget’s disease
b. Osteopetrosis
Which of the following is causes blindness and deafness?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Paget’s disease
b. Osteopetrosis
Which of the following is caused by mutation of FGFR3?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Paget’s disease
a. Achondroplasia
Which of the following results in disordered remodeling?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Paget’s disease
d. Paget’s disease
Which of the following is caused by osteoclast dysfunction?
a. Achondroplasia
b. Rickets
c. Osteogenesis Imperfecta
d. Paget’s disease
d. Paget’s disease
Which of the following is caused by a defect in the function of osteoclasts?
a. Achondroplasia
b. Osteopetrosis
c. Osteogenesis Imperfecta
d. Rickets
b. Osteopetrosis
After taking a biopsy from a patient, his bone appears to be porous. What’s the most likely disease?
a. Hyperparathyroidism
b. Rickets
c. Osteoporosis
d. Paget’s disease
c. Osteoporosis
After taking a biopsy from a patient, his bone appears to have a mosaic pattern. What’s the most likely disease?
a. Hyperparathyroidism
b. Rickets
c. Osteoporosis
d. Paget’s disease
d. Paget’s disease
Which is associated with secondary hyperparathyroidism?
a. parathyroid adenoma
b. parathyroid hyperplasia
c. parathyroid hypoplasia
b. parathyroid hyperplasia
Which is due to estorgen deficiency?
a. Postmenopausal osteoporosis
b. Senile osteoporosis
a. Postmenopausal osteoporosis
Which is associated with primary hyperparathyroidism?
a. parathyroid adenoma
b. parathyroid hyperplasia
c. parathyroid hypoplasia
a. parathyroid adenoma
Which occurs in men and women?
a. Postmenopausal osteoporosis
b. Senile osteoporosis
b. Senile osteoporosis
occurs due to increase in age
Bone has a wedge-shaped pale yellow infarct. Which is most likely?
a. Osteoporosis
b. AVN
c. Osteonecrosis
c. Osteonecrosis
How do you treat femoral AVN?
arthroplasty (prosthetic replacement of the femoral hip)
Which of the following can be caused by sickle cell anemia?
a. Osteoporosis
b. AVN
c. Osteonecrosis
c. Osteonecrosis
Which of the following only sees bone structural changes when they increase or decrease 50%?
a. radiograph
b. scintillation camera
c. radiotracers
a. radiograph
Which phase of the multiphase bone scan indicates the presence of a bony reaction?
a. Flow phase
b. Blood pool
c. Delayed image
c. Delayed image
Which of the following would have a negative delayed image?
a. cellulitis
b. osteomyelitis
a. cellulitis
biopsy specimens shows acutely branched septate hyphae. Which organism is most likely to be found?
a. Coccidioidomycosis
b. Histoplasmosis
c. Blastomycosis
d. Cryptococcosis
e. Aspergillosis
e. Aspergillosis
Which of the following organisms can be diagnosed using serum or urine tests?
a. Coccidioidomycosis
b. Histoplasmosis
c. Blastomycosis
d. Cryptococcosis
e. Aspergillosis
b. Histoplasmosis
Synovial fluid examination showed cloudy or frankly purulent fluid with high protein and WBC count. broad-based budding cells can also be seen. Which is most likely?
a. Coccidioidomycosis
b. Histoplasmosis
c. Blastomycosis
d. Cryptococcosis
e. Aspergillosis
c. Blastomycosis
Which of the following organisms can be diagnosed using India ink examination or agglutination test?
a. Coccidioidomycosis
b. Histoplasmosis
c. Blastomycosis
d. Cryptococcosis
e. Aspergillosis
d. Cryptococcosis
Microscopic examination of the infected tissue shows endosporulating spherules with granulomatous inflammatory changes. Which is most likely?
a. Coccidioidomycosis
b. Histoplasmosis
c. Blastomycosis
d. Cryptococcosis
e. Aspergillosis
a. Coccidioidomycosis
Which is the most frequent fungal pathogen seen in intravenous drug abusers?
a. Candidiasis
b. Coccidioides immitis
c. Aspergillus
d. Histoplasma capsulatum
e. Blastomyces dermatitidis
f. Cryptococcus neoformans
a. Candidiasis
Which of the following is associated with a sterile immune complex arthritis (desert rheumatism)?
a. Candidiasis
b. Coccidioides immitis
c. Aspergillus
d. Histoplasma capsulatum
e. Blastomyces dermatitidis
f. Cryptococcus neoformans
b. Coccidioides immitis
Which of the following can be diagnosed by demonstrating budding yeast cells with pseudohyphae?
a. Candidiasis
b. Coccidioides immitis
c. Aspergillus
d. Histoplasma capsulatum
e. Blastomyces dermatitidis
f. Cryptococcus neoformans
a. Candidiasis
Which TWO are associated with necrotizing granulomas?
a. blastomycosis
b. coccidioidomycosis
c. histoplasmosis
b. coccidioidomycosis
&
c. histoplasmosis
Which causes Tenosynovitis?
a. Cryptococcus neoformans
b. Sporothrix schenckii
c. Aspergillus
d. Histoplasma capsulatum
b. Sporothrix schenckii
&Candida & Coccidioides immitis
Which is associated with pyogenic granulomas?
a. coccidioidomycosis
b. histoplasmosis
b. coccidioidomycosis
A neonate with a low birth weight aquired bone and joint disease. Which is the most likely cause?
a. Cryptococcus neoformans
b. Coccidioides immitis
c. Aspergillus
d. Candidiasis
d. Candidiasis
Which is associated with pyogranuloma?
a. blastomycosis
b. histoplasmosis
a. blastomycosis
Which organism is inhaled as spores and may cause nodular and ulcerative skin lesions?
a. Candidiasis
b. Coccidioides immitis
c. Blastomyces dermatitidis
d. Histoplasma capsulatum
c. Blastomyces dermatitidis
Which of the following can you conclude form the fact that the incidence of RA is decreasing but the prevalence is increasing?
a. RA can be spread
b. we cured RA
c. people with RA are dying more
d. people with RA are surviving longer
d. people with RA are surviving longer
Prevalence= Incidence X Duration
What drugs have been developed for RA patients that decrease mortality?
disease-modifying anti-rheumatic drugs (DMARDS)
Who is affected more by RA?
a. teen boys
b. women
c. men
d. 2-year-olds
b. women