Module 9

Question 1

VFA

Answer 1

Vertebral fracture assessment

Question 2

What are other names for VFA

Answer 2

RVA
IVA
DVA
LVA

Question 3

What is the area of region for A

VFA

Answer 3

Fourth thoracic vertebrae to the 5th Lumbar vertebrae

Question 4

What type of fractures are particularly highly predictive of future fractures

Answer 4

Vertebral fractures

Question 5

What percentage of verterbal fractures found on imaging exams ever exhibit clinical indications

Answer 5

30%

Question 6

True or false pts with low bone mass but no prior fragility fractures are at lower risk than patients with a high bone mass and previous fragility fracture

Answer 6

True

Question 7

What is the most common osteoporotic break

Answer 7

Vertebral compression fracture

Question 8

The ISC D States that the vertebral fracture information should be collected if the T score is less than

Answer 8

Negative 1.0 and 1 more other qualification

Question 9

Name the other qualifications for a veterbal fracture information to be collected

Answer 9

Women older than 70 or men older than 80, a height loss of more than 4 cm or 1.57”, a self reported vertebral fracture that was not medically documented, and glucocorticoid therapy equivalent to the 5 mg of prednisone daily for more than 3 months

Question 10

What is the average dose for DXA

Answer 10

3 to 40 mSv

Question 11

Where’s the most common sight for a vertebral fracture

Answer 11

T11 through L1

Question 12

Where is the 2nd most common Site for a vertebral fracture

Answer 12

T7 through T8

Question 13

This is a semiquantitative method for vertebral fracture evaluation

Answer 13

The Genant System

Question 14

This approach compares the anterior medial and posteroir vertebral height with the height of a normal vertebrae

Answer 14

The Ganant system

Question 15

Mild fractures exhibit what percentage reduction in vertebral height

Answer 15

20 to 24%

Question 16

Moderate fractures have an average decrease in height of

Answer 16

25 to 39%

Question 17

Severe fractures mostly present with what percentage of height reduction

Answer 17

40% or greater

Question 18

Anterior vertebrae fractures are described as

Answer 18

Wedge shape

Question 19

Middle Vertebrae fractures are specified as

Answer 19

Biconcave

Question 20

Posterior vertebral fractures are considered

Answer 20

Crushed shape

Question 21

Quantitative morphonetric analysis uses how many vertebral points for measurement

Answer 21

6

Question 22

What are some incidental pathological findings seen on VFA

Answer 22

Abdominal aortic classifications

Question 23

What is the most commonly misdiagnosed vertebral deformity

Answer 23

Physiological wedging

Question 24

If vertebral height is not reduced by more than 20% of expected findings, than the clinician can suspect blank is unlikely

Answer 24

Physiological wedging

Question 25

This disease presents as remarkable kyphosis of the Thoracolumbar spine. Must show more than 5ﾟ of i anterior wedging in at least 3 neighboring vertebrae for diagnosis

Answer 25

Scheurmanns disease

Question 26

These are end plate depressions that are well rounded. They often have a sclerotic border and involve only a portion of the end plate

Answer 26

Schmorls nodes

Question 27

This disease often occurs in older adults and is caused by weakening vertebral facet joints. This leads to lateral curvature of the spine and rotational obliqueness

Answer 27

Degenerative scoliosis

Question 28

This deformity most often affects the inferior end plates of the L4 and L5 vertebrae.

Answer 28

Cupid's bow

Question 29

Compression fractures are most often found at

Answer 29

T11 through L1

Question 30

Which vertebrae are most often affected by Cupid's bow deformity

Answer 30

L4 and L5

Question 31

Where should the bone density technologist begin counting vertebrae

Answer 31

L5