Midterm Practice #2

Question 1

Risk factors for the development of scoliosis?

List 3 risk factors

Answer 1

Menopause
Advanced age
Poor nutrition/digestion/absorption
Sedentary lifestyle

Question 2

A patient is presenting with a tumor on his back, close to the midline. He has had it for 10 years. Under your palpation you find that it is well delineated. There is no sign of inflammation. The tumor is movable.

Your impression?

Answer 2

The tumor is benign

Question 3

Tumor related to abnormal function of osteoclast

Answer 3

Giant cell tumor

Multiple myeloma

Question 4

Patient is presenting with pain over the head of the tibia. Patient relates that he has been having the pain for 1 month. The pain is permanent day and night, but lately is getting worse. An x-ray of the tibia shows Codman’s triangle.

Possible diagnosis?

Answer 4

Osteosarcoma

Question 5

Patient with osteosarcoma is in which age range?

Answer 5

Teen to young adult: 15- 25 years of age

Question 6

A patient has bone cancer. Other clinical manifestations include fever and leukocytosis (15,000 white cells/mm3)

Your differentiation?

Answer 6

Ewing sarcoma

Question 7

Bences Jone protein is found in the urine of?

Answer 7

Multiple myeloma patient

Question 8

The bone biopsy of the tibia of a patient shows osteochondroma. Which true statement is related to this disease?

Answer 8

The prognosis is good

Question 9

A patient is presenting with a swollen, painful, and red knee joint. What would be the first test that you should order?

Answer 9

X-ray of the knee

Question 10

Clinical sign(s) of intercritical gout?

Answer 10

None of the above

Question 11

A patient with positive HLA B 27 is likely to have?

Answer 11

None of the above

They have ankylosing spondylitis

Question 12

RA with a positive RA factor is more severe than the one without the RA factor?

True or False?

Answer 12

True

Question 13

List 3 criteria for the diagnosis of rheumatoid arthritis

Answer 13

Swelling of 3 fingers for more than 6 weeks
Painful joints for the 1 hour in the morning
MCP-PIP joint affected

decalcification and RA factor also suffice

Question 14

HLADR4 is related to what type of disorder(s)?

Answer 14

RA

Question 15

Pathological change in a joint that sustains chronic inflammation?

Answer 15

Fibrosis

Question 16

Definitive diagnosis of gout relies on?

Answer 16

Presence of uric acid in the synovial fluid

Question 17

Which of the following is a synchondrose joint?

Answer 17

Costal rib

Question 18

A 20 year old male patient has broken his arm. It is a closed fracture. A cast is done to promote the healing process, When is the best time to remove the cast?

Answer 18

After 4-5 weeks

Question 19

Incorrect statement related to bone infection?

Answer 19

In case of indirect infection, the bacteria spread via lymph

Question 20

The spontaneous fracture of a bone that follows its infection is called?

Answer 20

Pathological fracture

Question 21

Pathological condition causing bone pain at rest except

Answer 21

Osteoarthritis

Question 22

Sterile inflammation of the joint includes

Answer 22

Reactive arthritis
SLE arthritis
Rheumatoid arthritis

Question 23

Inflammation at the site of attachment of tendon or ligament to bone

Answer 23

Ankylosing Spondylitis