Radiology MSK2

Question 1

myeloma detected by bone scan?

Answer 1

not so much

Question 2

paget’s bone on x-ray?

Answer 2

coarse trabeculae

Question 3

paget’s investigations?

Answer 3

ALP increased: more cell turnover

bone scan

Question 4

3 stages of paget’s disease

Answer 4

acute lytic
sclerotic
mixed phases

Question 5

long term complication of pagets

Answer 5

osteosarcoma

MFH: myelofibrohistiosarcoma

Question 6

paget’s disease presents?

Answer 6

base of skull involvement
high output cardiac failure
pathological fracture

Question 7

paget’s involve other bones?

Answer 7

tibia
pelvis (hemi-pelvis, osseous expansion)
skull

Question 8

hip abnormality of long term steroids?

Answer 8

avascular necrosis of neck of femur

Question 9

bone with a well circumscribed lytic area could be?

Answer 9

tumour

cyst

Question 10

most common tumour in hands?

Answer 10

enchondroma

Question 11

someone who presents with humerus mets, what to ask in history?

Answer 11

smoking - lung cancers
breast cancer
hx of cancer

Question 12

tumour in humerus differential?

Answer 12

myeloma

metastasis

Question 13

clubbing causes?

Answer 13

congenital heart disease
suppurative lung disease
pulmonary fibrosis
SCC
Liver 
IBD

Question 14

HPOA? what causes?

Answer 14

hypertrophic pulmonary osteoarthropathy

from underlying lung malignancy

Question 15

HPOA see what on x-ray?

Answer 15

periosteal new bone formation

Question 16

paraneoplastic syndromes?

Answer 16

humourally mediated effects away from the tumour

carcinoid
autoimmune

Question 17

causes of osteopenia?

Answer 17

osteomalacia
myeloma
renal osteodystrophy

Question 18

what can give you dizziness without headache?

Answer 18

vestibular migraine

Question 19

how to tell if peripheral vertigo vs. central?

Answer 19

peripheral suppressed with visual fixation

Question 20

BPPV physical exam dx called?

Answer 20

dix hallpike

Question 21

BPPV treatment maneuvre called?

Answer 21

Epley’s