Orthopaedic pathology Flashcards

1
Q

Type of bony met in prostate cancer

A

Sclerotic

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2
Q

Epiphysis

A

Giant cell tumour

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3
Q

Metaphysis

A

Osteosarcoma

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4
Q

Diaphysis

A

Ewing sarcoma
Multiple myeloma

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5
Q

Osteosarcoma demographic

A

Teenage boy

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6
Q

Sign in osteosarcoma

A

Codman’s triangle
Sunburst sign

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7
Q

Site of osteosarcoma met

A

Lung

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8
Q

Risk factors for osteosarcoma

A

Paget’s disease

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9
Q

Ewing sarcoma pathognomic

A

Onion ring appearance
Blue cells
11-22 chromosome translocation

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10
Q

Giant cell tumour XR appearance

A

Soap bubble

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11
Q

Osteochondroma demographic

A

Young teens, benign
Growth plate tumour

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12
Q

Chondroma vs chondrosarcoma

A

Chondroma - hands - benign
Chondrosarcoma - pelvis - malignant

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13
Q

Multiple myeloma signs

A

CRAB
Calcium - high
Renal failure
Anaemia
Bone lesions

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14
Q

XR signs multiple myeloma

A

Pepper pot appearance

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15
Q

Best imaging for osteomyelitis

A

MRI

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16
Q

Most common organism causing osteomyelitis

A

Staph aureus

17
Q

Pott disease

A

M tuberculosis causing vertebral osteomyelitis and groin swelling

18
Q

Most likely area in bone for osteomyelitis

A

Metaphysis

19
Q

RA histology

A

Palisading epitheliod histiocyte/granuloma

20
Q

Seronegative arthritis

A

HLA B27
PAIR
Psoriasis
Ank spond
IBD
Reactive arthritis

21
Q

Gout

A

Monosodium urate needles
Negative biferingence

22
Q

Pseudogout

A

Calcium pyrophosphate crystals
Positive birefringence

23
Q

MOA denosumab

A

Blocks RANKL

24
Q

Collagen anomaly in osteogenesis imperfecta

A

Type I collagen anomaly
Blue sclera due to lack of white collagen

25
Q

Inheritance of osteogenesis imperfecta

A

Autosomal dominant

26
Q

Gene mutation in achondroplasia

A

FGFR3 defect
Affects endochondral ossification