Page 6 Flashcards
MC cause of osteomalacia
renal osteodystrophy
MC disease in which osteosclerosis is seen
Renal disease
MC presentation of renal osteodystrophy
Osteopenia (10-20% lang ang osteosclerosis)
Only finding that is pathognomonic for osteomalacia
Looser fracture
- wide, transverse lucencies with sclerotic borders traversing partway through a bone, usually perpendicular to the involved cortex.
- associated most frequently withosteomalaciaandrickets.
- Osteomalacia is the strongly favoured diagnosis when: bilaterally symmetric and in a classic location: such as the axillary border of the scapula, rib, or posterior ulna, superior and inferior pubic ramus, and medial side of the femoral neck.
MCC of hyperparathyroidism
renal disease / chronic renal insufficiency
MCC of hyperparathyroidism
single parathyroid adenoma
Pathognomonic for hyperparathyroidism / sine qua non of renal osteodystrophy
Subperiosteal bone resorption
Where is subperiosteal bone resorption seen most commonly, most reliably, and earliest?
radial aspect of the middle phalanges of the hand
Pathognomonic for pyknodysostosis
acro-osteolysis with sclerosis
Where does Paget disease most commonly occur?
pelvis (remember iliopectineal line thickening)
Characteristic for fluorosis
calcified sacrotuberous ligament
MCC of dwarfism
achondroplasia
MC skeletal dysplasia
achondroplasia
MC location of painful bone marrow syndrome in the knee
medial condyle
MC type of meniscal tear
oblique tear extending to the inferior surface of the posterior horn of the medial meniscus
MC location of meniscocapsular separation
site of the MCL
Most frequently encountered bony abnormality with MRI
contusion
Where do most cuff tears begin?
anterior most fibers of the supraspinatus (immediately lateral to the bicipital groove)
Most commonly seen cuff tear on MRI
rim rent (articular side, anteriorly at the insertion of the fibers onto the greater tuberosity)
MCC of quadrilateral space syndrome
fibrous bands or scar tissue
Except for the Achilles, the most medial and the largest of the flexor tendons
posterior tibial tendon
MC torn ankle ligament
anterior talofibular ligament
MC locations of tarsal coalition
calcaneonavicular joint and middle facet of the talocalcaneal joint
MC soft tissue mass in the hand, wrist, and elbow
ganglia
MC MR finding in tendon degeneration
focal or diffuse tendon hypertrophy
MC minor congenital variation in the spine
facet tropism; next MC is transitional lumbosacral junction
MC intramedullary neoplasms
gliomas, principally astrocytomas and ependymomas
MC intramedullary tumor in adults
ependymomas
MC pediatric spinal cord mass
astrocytoma (2nd MC: ependymoma)
Most commonly affected location in skeletal TB
1st lumbar vertebra
MC benign radiation-induced tumors
osteochondromas (exostoses)
Area of the bone that is most sensitive to radiation
epiphysis
MC breast ca appearing as spiculated
infiltrating ductal ca
Breast abscesses are most commonly seen in a?
subareolar location in lactating women
MC well-circumscribed masses seen in women 35-50 yo / MC breast mass
cysts
MC well-defined solid masses seen on mammography / MC solid benign tumor in young women/women younger than 30 yo
fibroademonas
MC primary ca to produce breast mets
melanoma
MC source of mets to ovaries
colon (65%), stomach, breast, lung, pancreas
DCIS/noninvasive breast ca is most often detected mammographically as a result of?
branching calcifications
Indeterminate calcifications are most often associated with?
fibrocystic change
MC indication for breast imaging in men
palpable asymmetric thickening or mass
MC uterine tumor / MC solid pelvic masses encountered during pregnancy / MC additional uterine pathology in the presence of adenomyosis
leiomyoma
MC location of leiomyomas
intramural
MC sites of involvement in endometriosis
ovaries, cul-de-sac, peritoneal reflections
MCC of hydrosalpinx
pelvic infection
MC ovarian mass / MCC of ovarian enlargement
Functional ovarian cyst
MC ovarian neoplasm / MC germ cell neoplasm of the ovary / MC ovarian teratomas / MC ovarian masses in children / MC ovarian pathology in young women of reproductive age
dermoid cyst / benign cystic teratoma / mature cystic teratoma / ovarian cystic teratoma
MC GCT
ovarian teratomas
MC monodermal teratoma
struma ovarii (mature thyroid tissue) and immature teratoma
MC GCT in pregnant patients
dysgerminoma
MC gynecologic malignancy
cervical carcinoma
MC invasive gynecologic malignancy
endometrial carcinoma
MC site of tubal ectopic pregnancy
isthmus
ease MC of the gynecologic malignancies
endometrial carcinoma
MC site of fallopian tube ca
ampulla
MCC of post-menopausal bleeding
Endometrial atrophy
MC site of tubal ectopic pregnancy
ampulla
MC and most benign form of gestrational trophoblastic disease
hydatidiform mole
MC cystic pelvic masses found in pregnancy
corpus luteal cysts
Theca lutein cysts are most commonly seen in?
molar pregnancy in the 2nd tri
MC adnexal mass in pregnancy
functional cysts (follicular, corpus luteum, and theca-lutein)
Single MCC of a poor neonatal outcome
preterm delivery
MC tumor of the placenta / MC nontrophoblastic placental tumor / MC benign neoplasm of the placenta
chorioangioma
MC tumors of the umbilical cord
hemangiomas (baka same lang sa chorioangioma?)
2nd MC chromosome anomaly / 2nd MC autosomal trisomy
Trisomy 18
MC structural abnormality identified by US in trisomy 18
IUGR
MC causes of ventriculomegaly
Chiari II and aqueductal stenosis
MC neural tube defect
anencephaly
MC cleft anomaly
lateral cleft (both lip and palate)
MC type of cleft anomaly associated with aneuploidies
median cleft lip and palate
Aneuploidy most commonly associated with cystic hygromas in the 2nd tri
Turner syndrome
MC karyotype abnormality associated with cystic hygroma
Down
MCC of minimal dilatation of the renal pelvis
physiologic VUR
MC lethal skeletal dysplasia
thanatophoric dwarfism
MC fetal lie
longitudinal
MC breech presentation
frank
MC clinically significant type of human chromosomal abnormality
aneuploidy
MC inherited form of mental retardation
fragile X syndrome
(MC [severe] AR condition in the white population)
cystic fibrosis
Single, mc genetic cause of mental retardation
trisomy 21
(MC abnornalities in infants of diabetic mothers)
CHDs and NTD
MC cardiac defect of infants with Down syndrome
VSD
Most characteristic abnormality in Down syndrome
ASD with a common AV junction, aka common AV canal, AVSD, or endocardial cushion defect
MC associated cardiac anomaly in trisomy 21
endocardial cushion defect
MC cardiac anomalies in Turner syndrome
COA and bicuspid aortic valve
Leading cause of intestinal obstruction among newborns
duodenal atresia
ventriculomegaly
Down
alobar or semilobar holoprosencephaly
trisomy 13
(microcalcification of the papillary muscle)
trisomy 13
omphalocele
trisomy 18 and 13
urethrovesical obstruction (bladder outlet obstruction)
trisomy 18 or 13
diaphragmatic hernia
trisomy 18
cerebellar abnormalities, vermian agenesis, enlarged cisterna magna
trisomy 18
single umbilical artery
trisomy 18
Most commonly used method for determining short long bone length is to compare the actual with the expected measurement based on?
BPD
MC site of echogenic intracardiac focus
LV
MC and characteristic finding on prenatal sonography in meconium peritonitis
peritoneal calci
MC pathologic condition of the umbilicus in humans / MC abnormality of the umbilical cord
cord
single umbilical artery / 2-vessel cord
(MC heart defect reported in the CHARGE association)
TOF
(MC form of mental retardation in the US)
fetal alcohol syndrome
MC endocrine problem in septo-optic dysplasia
GH deficiency
MC organ system involved in VACTERL association
urinary tract anomaly
MC type of placentation in a monozygotic twin gestation
monochorionic-diamniotic
MCC of non-immune hydrops fetalis
fetal cardiovascular disease (2nd MC: chromosomal abnormalities)
MC site of placental separation
edge of the placenta (marginal abruption/hematoma)
MCC of bleeding in the 3rd tri
placental previa
MC predisposing conditions for placenta accreta
previous CS, placenta previa
MC complication of monochorionic twinning
twin-to-twin transfusion syndrome
Now perhaps the MCC of polyhydramnios
GIT abnormalities (duodenal atresia / esophageal atresia)
MC location of ectopic hydatidiform mole
fallopian tubes
MC causative organisms in PID
Chlamydia trachomatis and N. gonorrhoeae
Probably the MC benign gynecologic disease
endometriosis
MC mullerian duct anomaly
septated uterus
MC uterine anomaly of patients exposed to DES in utero
hypoplastic T-shaped uterus
MC adnexal lesions that contain blood
hemorrhagic cysts and endometriomas
MC sex cord tumors
fibromas
ase (MC primary ovarian tumors / MC malignant appearing cystic adnexal masses)
epithelial tumors
Calcifications in malignancy are most commonly seen in
IDCA and DCIS
MC round breast ca
IDCA
MC appearance of lymphoma involving the breast
lymphadenopathy
MC breast implants
single-lumen filled with either silicone or saline
MC complication associated with silicone gel-filled breast implants
capsular contracture / contracture of the fibrous capsule
(MC form of autologous tissue reconstruction)
transverse rectus abdominis myocutaneous (TRAM) flap
MCC of mastitis
S. aureus