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OSCE 12th > Radiology > Flashcards

Radiology Flashcards

1
Q

Gull wing sign

A

EOA

DIP and PIP

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2
Q

Mouse ear sign

A

Justaarticular process

PA

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3
Q

rat bite erosions

A

RA
PIP, MCP, wrist
Bilateral
Perform flexion/extension films

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4
Q

Eburnation

A

Subchondral sclerosis

DJD

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5
Q

Osteophytes

A

DJD

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6
Q

ESR

A

Gull wing sign

EOA

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7
Q

HLA-B27

A

PA

AS

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8
Q

Allopurinol

A

Eburnation

DJD

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9
Q

Adjust per chiropractic

A

RA

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10
Q

IVOC

A

Irregular sclerotic endplates

Disc spaces

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11
Q

AS

A

Pannus formation
Squaring of VB
Syndesmophytes

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12
Q

DISH

A

Thick flowing interconnecting spondylosis

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13
Q

Ivory vertebrae

A 
Blastic mets - prostate m/c, colorectal, bladder, kidney
Lymphoma - VB convex or concave
Carcinoid cancer
Pagets
Chronic infection - destruction
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14
Q

Expansion of bone

A

Pagets

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15
Q

Acid phosphatase

A

Ivory vertebrae

Prostate cancer

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16
Q

Alkaline phosphatase

A

Cancer, non-specific

Pagets

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17
Q

Glucose tolerance test

A

DISH

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18
Q

IVOC adjust?

A

Yes

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19
Q

S sign of golden

A

Atelectasis RUL

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20
Q

Pancoast tumor

A

Superior sulcus tumor

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21
Q

Substernal thyroid

A

Tracheal space deviation and opacification

Pushes trachea away

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22
Q

Pneumonia RUL

A

Opacification but does not cause trachea to shift

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23
Q

AS

A

Interbody fusions, vertical spurs, no disc

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24
Q

Surgical block

A

No wasp waist
No endplates
No remnant

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25
Q

Klippel-Feil

A

Multiple congenital anomalies

Young person

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26
Q

Fasting plasma glucose test

A

DISH

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27
Q

Refer MRI

A

IVOC

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28
Q

Neurosurgeon

A

Surgical block

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29
Q

Adjus

A

Klippel fiel

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30
Q

Snow capping

A

AVN

Epiphysis

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31
Q

Tophi

A

Uric acid

Gout

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32
Q

Osteophytes

A

DJD

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33
Q

Flexion/extension films

A

AS

RA

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34
Q

Syndesmophytes

A

HLA-B27

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35
Q

ESR

A

Sclerotic appearance with degeneration - inflammation

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36
Q

Antibiotics

A

Sunburst periosteal reaction

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37
Q

Uric acid

A

Gout

Tophi

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38
Q

No labs

A

Lytic mets

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39
Q

PSA elevated

A

Blastic mets

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40
Q

Proprioception and sensory

A

Charcot’s spine

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41
Q

TB of the spine

A

Potts

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42
Q

Anderson lesion

A

AS

HLA-B27

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43
Q

Diabetic neuropathy

A

Charcot’s joint

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44
Q

Positive PPD

A

Pott’s disease

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45
Q

IVOC

A 
Intervertebral osteochondrosis
Some disc height loss
Lots of spondylosis
Endplate irregularity
Endplate sclerosis
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46
Q

ESR

A

IVOC

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47
Q

HLA-B27

A

AS
PA
Reactive spondy

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48
Q

Sarcoidosis

A 
Age 28
Female
123 sign
Potato lymph nodes
Hilar changes
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49
Q

Obstruction atelectasis

A

Tumor or inhaled object cause blockage of branch shift of mediastinum
Hilar change
Lymph change

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50
Q

fungal cavity

A

Circle within a circle

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51
Q

Pulmonary alveolar edema

A

Bilateral batwing sign

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52
Q

Butterfly pattern

A

Pulmonary alveolar edema

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53
Q

Potato nodes

A

123 sign

Sarcoidosis

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54
Q

S sign of golden

A

Obstruction atelectasis

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55
Q

Crescent sign

A

Fungal cavity

AVN

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56
Q

Silhouette sign

A

Can’t see all structures

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57
Q 
disc height loss
Vacuum phenomenon
Mild spondylosis
Endplate sclerosis
Endplate irregularity
A

IVOC

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58
Q

Refer to ER

A

AAA

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59
Q

PSA

A

Ivory vertebra

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60
Q

No referral needed

A

IVOC

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61
Q

Simple bone cyst

A

Benign tumor prox diametaphyseal portion of humerus

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62
Q

Posterior dislocaiton

A

Does not go medially

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63
Q

Fallen fragment sign

A

Simple bone cyst

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64
Q

Posterior apprehension test positive

A

Posterior dislocation

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65
Q

Anterior apprehension test positive

A

Anterior dislocation

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66
Q

Lytic mets

A

Usually older

67
Q

Refer to orthopaedist

A

Dislocation

68
Q

RA latex

A

RA

PIP, MCP, WRIST

69
Q

EOA

A

DIP and PIP

70
Q

Gout

A

Lumpy bumpy
Overhaning edges
Not all joints

71
Q

Serum uric acid

A

Gout

72
Q

ESR

A

EOA

73
Q

PA

A 
Thick swollen fingers
All joints in hand
Fusion of joint and dislocation
Central joint erosions
Mouse ear erosisons
74
Q

No labs

A

PA - skin disease

75
Q

Seatbelt fx

A

Typically fx goes through SP and up into neural arch or through VB

76
Q

PCP

A

Lytic mets

77
Q

No referral

A

Old fx

78
Q

Colles

A

Posteriorly displaced

79
Q

Galeazzi’s fx

A

Midshaft radial fx with distal radio-ulnar dislocation

80
Q

Lipohemarthrosis

A

Indicates intraarticular fx

Will get fluid level!!!

81
Q

Positive fat pad sign

A

Elnbow

82
Q

Anterior displacement of fragment

A

Smith’s

83
Q

Meniscus sign

A

Pleural effusion

84
Q

Mitral valve stenosis

A

Viking hat

Heart puffed out

85
Q

Eventration

Scalloping

A

Anatomical shape

86
Q

IBS

A

AS

87
Q

Multiparous

A

Osteitis condensans pubii

88
Q

Skin lesions

A

PA

89
Q

Non-specific urethritis

A

Reactive

90
Q

IBS

A

EOA

91
Q

Marathon runner

A

OA

92
Q

Refer to PT

A

Disc herniation

Sequestered disc

93
Q

Neurologist

A

Motor issues

94
Q

Neurosurgical consult

A

Motor and sensory findings

95
Q

Chiro management

A

Disc herniation

96
Q

MS

A

Plaque involving spinal cord

97
Q

Refer to orthopedistq

A

Unstable spine

98
Q

Small bowel obstruction

A

Fluid levels

99
Q

Sacroiliitis

A

HLA-B27

100
Q

Cholelithiasis

A

Gallstones/bile stones
Postprandial pain and nausea
Image with US

101
Q

MRI

A

Lytic mets

102
Q

Elevated bilirubin

A

Gallstones

103
Q

Cholecystitis

A

Gallbladder on R

104
Q

Hepatic calcification

A

Right side

105
Q

Histoplasmosis

A

Fungal infection

106
Q

GE refer

A

Cholecystitis

Liver calcification

107
Q

Pulmonologist

A

Disseminated histoplasmosis

108
Q

Bilateral rash

AVN

A

STARS - steroids, trauma, alcohol, radiation, sickle cell

PLASTIC RAGS - pregnancy, pancreatitits, lupus, alcohol, steroids, trauma, infection idiopathic, collogen, caseons disease vascular disease, radiation, amyloidosis, gosche’s disease, sickle cell

109
Q

Rheumatologist or orthopedist

A

Lupus

110
Q

AVN

A

Lupus

Radiographs right shoulder

111
Q

Silicosis

A

Pulmonary pneumoconiosis

Primarily upper portion of lungs

112
Q

Asbestosis

A

Brake pads

Pattern

113
Q

Erythema nodosum

A

Sarcoidosis

114
Q

Upper lobe fibrosis

A

Silicosis

115
Q

Mesothelioma

A

Asbestosis

116
Q

Drug overdose

A

Cardiomegaly
Pulmonary hypertension
Pleural effusion

117
Q

HPT

A

Rugger jersey spine

118
Q

elevated parathormone

A

HPT

119
Q

Osteoporotic compression fx

A

Adjust

120
Q

Salt and pepper skull

A

HPT

121
Q

Osteoporosis circumscripta

A

Big hole

Pagets phase 1

122
Q

Raindrop skull

A

Bence jones proteinuria

Multiple myeloma

123
Q

Acid phosphatase

A

Blastic mets from prostate

124
Q

Cotton wool skull

A

Phase 3 pagets

125
Q

Parathormaone lab test

A

HPT

Salt and pepper skull

126
Q

Urine hydroxyproline

A

Pagets

127
Q

RA latex

A

RA

128
Q

ESR

A

EOA

DJD

129
Q

Lupus

A

No labs

130
Q

Crescent sign

A

Fungus ball

Mycetoma

131
Q

Negative silhouette sign

A

Pneumonia RLL

132
Q

Enchondroma

A

No pain
Benign
Adjust

133
Q

MRI

A

No painless

134
Q

CT

A

No painless

135
Q

Bone scan

A

No painless

136
Q

Ewings

A

Diaphysis in teens and children

137
Q

Multiple myeloma

A

Flat bone

Bone marrow

138
Q

Mixed mets

A

Some lucency some sclerosis

139
Q

Septic arthritis

A

Infection

ER

140
Q

Ewings

A

Onion skin multi-layered periosteal reaction

141
Q

Osteomyelitis

A

Single layer periosteal lucency sclerosis

142
Q

Morton’s neuroma

A

Usually between met heads causes pressure rxn not periosteal reaction

143
Q

Stress fx

A

Soldier, walking, occupation,

144
Q

Osteosarcoma with path fx

A

Metaphysis into diaphysis

145
Q

Fibrous dysplasia

A

Nonunion fx

146
Q

Renal osteodystrophy with insufficiency fx

A

Bone is sclerotic

147
Q

Osteogenesis imperfecta with non-union fx

A

Orthopedist referral

148
Q

Spondylosis deformans

A

Adjust
IVOC
Limbus

149
Q

Spondylolytic anterolisthesis

A

No referral

Adjust

150
Q

Neuropathic arthropathy

A

Syringomyelia

151
Q

RA/pencil in cup

A

More in hands

152
Q

Plasmacytoma/myeloma

A

Solitary location

153
Q

Bence jones proteinuria

A

Multiple myeloma

154
Q

Staph aureus

A

Infection

155
Q

Osteosarcoma

A

Multicentric

Pain

156
Q

Alveolar

A

Airspace disease

157
Q

Bullae

A

Spaces in lung field

Emphysema

158
Q

Pulmonary edema

A

Fluid center portion of lung

159
Q

Heel pad huge

A

Acromegaly

160
Q

Gigantism

A

Before physis is closed

161
Q

Osteomalacia

A

Vit d def adult

162
Q

Subperiosteal reaction

A

HPT
Rugger jersey spine
Salt and pepper skull

163
Q

Pulmonary venous hypertension

A

Viking hat sign

Kerley B

164
Q

Pleural effusion

A

Pulmonary venous hypertension

OSCE 12th (3 decks)

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