Oral Boards Primer

Question 1

Basilar invagination

Answer 1

Acquired and Congenital
Pagets, Rickets, Hyperparathyroidism
OI, achondroplasia, cleidocranial dysostosis

Question 2

Acetabular protrusion

Answer 2

PROT

Pagets, Rheumatoid, osteomalacia, trauma

Question 3

Sternoclavicular sclerosis

Answer 3

STOP

SAPHO, tramatic osteolysis, osteomyelitis / osteosarc, pagets

Question 4

Distal clavicle erosion

Answer 4

SHIRT

Scleroderma, hyperparathyroidism, infection, RA, trauma

Question 5

Generalised sclerosis

Answer 5

Regular sex F

Renal osteodystrophy, sickle cell, myelofibrosis, osteopetrosis, pyknodysostosis, mastocytosis, mets, pagets, Fluorosis

Question 6

Osteonecrosis

Answer 6

ASEPTIC

Anaemia, sickle cell / steroids, ETOH, pancreatitis, trauma, infection, Caisson’s disease (decompression)

Question 7

Distal acro-osteolysis

Answer 7

Psoriasis, leprosy, HPT, scleroderma, thermal injury

Question 8

Chondral calcification

Answer 8

HOGWASH

HPT, ochornosis, Gout, Wilsons, Arthritis, pSeudogout, haemochromatosis

Question 9

Erlenmeyer Flask

Answer 9

CHONG
Craniometaphyseal dysplasia (Pyle disease, AR), haemoglobinopathies (sickle cell, thalassamia), osteopetrosis, Neimann pick (a lysosome storage disease), Gauchers (another lysosome storage disease)

Question 10

Dense metaphyseal bands

Answer 10

LINES

Lead, infantile growth arrest, normal, lEukaemia (treated), syphilis

Question 11

Lucent metaphyseal bands

Answer 11

Normal tender loving care

Normal, TORCH, leukaemia, chronic illness

Question 12

Gracile bones

Answer 12

NIMROD

NF, immobilisation, muscular dystrophy, RA, OI, dysplasias

Question 13

Madelung deformity

Answer 13

Dorsoradial radial bowing
Palmar / ulnar tilt of radiocarpal articulation
Positive ulnar variance
Dorsal subluxation of DRUJ

Osteochonromas (Multiple hereditary exostoses / diaphyseal achlasis), enchondromas (Olliers disease, or Maffucis-also has phleboliths, soft tissue venous malformations), Turners, mesomelic dwarfism, Hurlers MPS, Nail-Patella syndrome (Fongs prongs - iliac horns, hypoplastic patellae, clinodatyly)

Question 14

Short metacarps

Answer 14

BIC PEN
Basal cell naevus / GorlinGoltz
Idiopathic
Chromosomal -Turners
PseudohyPOparathyroidism, pseudopseudo

Question 15

Iliac wing lesion

Answer 15

FUCME

Fibrous dysplasia, UBC, chondrosarc, mets/myeloma, Ewings

Question 16

Vertebra plana

Answer 16

IMELT

Infection, myeloma / mets, eosinophilic granuloma, lymphoma/leukaemia, trauma

Question 17

Bony sequestrum

Answer 17

LIFE

Lymphoma, infection, fibrous dysplasia, EG

Question 18

Epiphyseal lesion

Answer 18

CIGS

Chondrosarc, infection, GCT, granuloma (EG), subchondral cyst

Question 19

Posterior vertebral body lseaions

Answer 19

GO TAPE

GCT, osteoblastoma, TB, ABC, Pagets, EG

Question 20

Posterior elements lesions

Answer 20

STILL TO DO

Question 21

Calcaneal lesion

Answer 21

BIG G

Bone cyst, intra-osseous lipoma, ganglion, GCT

Question 22

Finger tip lesion

Answer 22

GEMS
Glomus tumor
Epidermoid, eosinophilic granuloma, mets (almost exclusivly lung), sarcoid

Question 23

Soft tissue calc / ossif

Answer 23

MyGHOSTS

Myositis ossificans, Gout, HPT, ochronosis, scleroderma, tumoral calcinosis, sarcoma (synovial cell)

Question 24

Pubic symphisis widening

Answer 24

EPOCH
Exstrophy bladder
Prune Belly
OI
Cleidocranial dysostosis
Hyothyroidism
Also trauma