Midterm Practice #2 Flashcards
Risk factors for the development of scoliosis?
List 3 risk factors
Menopause
Advanced age
Poor nutrition/digestion/absorption
Sedentary lifestyle
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?
The tumor is benign
Tumor related to abnormal function of osteoclast
Giant cell tumor
Multiple myeloma
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?
Osteosarcoma
Patient with osteosarcoma is in which age range?
Teen to young adult: 15- 25 years of age
A patient has bone cancer. Other clinical manifestations include fever and leukocytosis (15,000 white cells/mm3)
Your differentiation?
Ewing sarcoma
Bences Jone protein is found in the urine of?
Multiple myeloma patient
The bone biopsy of the tibia of a patient shows osteochondroma. Which true statement is related to this disease?
The prognosis is good
A patient is presenting with a swollen, painful, and red knee joint. What would be the first test that you should order?
X-ray of the knee
Clinical sign(s) of intercritical gout?
None of the above
A patient with positive HLA B 27 is likely to have?
None of the above
They have ankylosing spondylitis
RA with a positive RA factor is more severe than the one without the RA factor?
True or False?
True
List 3 criteria for the diagnosis of rheumatoid arthritis
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
HLADR4 is related to what type of disorder(s)?
RA
Pathological change in a joint that sustains chronic inflammation?
Fibrosis
Definitive diagnosis of gout relies on?
Presence of uric acid in the synovial fluid
Which of the following is a synchondrose joint?
Costal rib
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?
After 4-5 weeks
Incorrect statement related to bone infection?
In case of indirect infection, the bacteria spread via lymph
The spontaneous fracture of a bone that follows its infection is called?
Pathological fracture
Pathological condition causing bone pain at rest except
Osteoarthritis
Sterile inflammation of the joint includes
Reactive arthritis
SLE arthritis
Rheumatoid arthritis
Inflammation at the site of attachment of tendon or ligament to bone
Ankylosing Spondylitis
