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Skel C > Skel Rad Up The A-Hole > Flashcards

Skel Rad Up The A-Hole Flashcards

1
Q

T or F

A hemi-vertebrae will have an extra rib associated with it

A

True

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2
Q

An Omovertebral Bone is typically associated with what condition/deformity?

A

Sprengle’s Deformity - failure of decent of Scapula

**25% of Sprengle’s occur with Klippel-Feil

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3
Q

The delayed or non-union of the vertebral bodies forming 2 hemi vertebrae is describing which congenital anomaly?

A

Butterfly Vertebrae

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4
Q

What does a Butterfly vertebrae usually cause/lead to?

A

A congenital scoliosis

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5
Q

What is a common etiology of Schmorl’s Nodes?

A

Trauma - from an axial load which are referred to as “Post-Traumatic Schmorl’s Nodes”
Repetitive Axial loading in young spines

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6
Q

T or F

Cupid’s Bow deformity involves both the superior and inferior endplates

A

False

Inferior only

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7
Q

What can Facet Arthrosis lead to?

A

Central Canal Stenosis by pushing the vbody anterior creating an degenerative anterolisthesis

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8
Q

When you have an anterolisthesis greater than 60% what are the typical causes for this?

A

Dysplastic

Ismic *not sure if the spelling is Ischmic??

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9
Q

When the lower portion of the sternum is depressed inward this anomaly is known as?

A

Pectus Excavatum

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10
Q

What syndrome does Pectus Excavatum commonly occur?

A

Marfan’s

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11
Q

How does Pectus Excavatum affect the body?

A

Can push on the heart and displace it. It can mimic heart disease

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12
Q

T or F

Psoriatic Arthritis is sero+ for Rheumatoid Factor

A

False

Sero -

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13
Q

Where does Psoriatic like in the body?

A

DIP
PIP
MCP
**likes the hands and feet (50%) but likes hands more than feet.

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14
Q

When Psoriatic affects DIP PIP and MCP what is that termed?

A

Ray Arthritis

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15
Q

Name the 5 presentations of Psoriatic Arthritis

A
  1. DIP & PIP
  2. Rheumatoid Mimic
  3. Arthritis Mutilans
  4. Ray Arthritis
  5. Spine
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16
Q

T or F

When an individual with Psoriatic arthritis is HLA-B27 negative the likelihood of it going into the spine increases

A

False

Will decrease when negative

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17
Q

Primary OA in postmenopausal women is called?

A

Kelgren’s Disease

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18
Q

T or F

Psoriatic arthritis will have non-uniform loss of joint space

A

Fales

This is DJD.

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19
Q

In the foot where does Psoriatic arthritis like?

A

Great Toe DIP joint

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20
Q

What is a good indicator that someone has an arthritic condition of the fingers?

A

Pitting fingernails

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21
Q

What percentage of individuals with Psoriasis will have psoriatic arthritis in the spine

A

50% so of the 10% of the population with psoriatic arthritis 5% will have it in the spine

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22
Q

What is panus?

A

Granulation tissue in jo int coming from synovial membrane

- from chronic inflammation

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23
Q

T or F

Psoriatic arthritis will affect the bone density

A

False

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24
Q

T or F

Psoriatic arthritis will not cause erosions

A

False

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25
Q

T or F

Mouse ears is classic with RA

A

False

Psoriatic

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26
Q

T or F

Gull Wings is classic with Psoriatic

A

False

EOA

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27
Q

What is whiskering?

A

Bone formation at the capsular periosteal jxn which is also known as Mouse Ears

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28
Q

T or F

Mouse ears will happen on the PIP

A

False

DIP

Gull wing is on the PIP

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29
Q

T or F

The periosteal layer is more superficial than the synovial membrane

A

False

They are in the same layer

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30
Q

The mutilating appearance of Psoriatic Arthritis is called?

A

“Pencil in Cup Deformity”

- the proximal phalange will be the pencil and the distal will form the cup

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31
Q

What are the seronegative arthropathies?

A 
Ankylosing Spondylitis 
Behcet's Syndrome
Enteropathic Arthritis 
Psoriatic Arthritis 
Reiter's (reactive)
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32
Q

What is an enthesopathy?

A

Erosions at the bone-ligament junctions
**prominent fibrous tissue production within the joint cavity may widen the joint and eventually undergo metaplasia to produce bony ankylosis

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33
Q

Lumpy Bumpy disease is a term for what arthritis?

A

Gout

34
Q

T or F

Psoriatic Arthritis does not go to the SI joints

A

False

35
Q

What are the general radiographic findings for Psoriatic Arthritis

A
  • asymmetric
  • soft tissue swelling
  • normal bone density
  • Marginal erosions and tapered bone ends
  • fluffy juxta-articular periostitis
  • widened joint
36
Q

What are two major radiographic findings that help you distinguish Psoriatic from RA?

A
  • normal bone density

- DIP involvement

37
Q

What is the most painful arthritic disorder?

A

Gout

38
Q

T or F

A patient with Gout in the spine may have pain and discomfort in spine but will have NO radiographic findings

A

True

Gout DOES NOT have a destructive presence in the spine.

39
Q

T or F

Gout does not touch bone density

A

True

40
Q

T or F

Gout has a 10:1 male:female predilection

A

True

41
Q

Name the 4 stages of Gout

A
  1. Increase Serum Uric Acid
  2. Acute Monarticular Arthritis
  3. Chronic Polyarticular
  4. Chronic Build-up of Mono-urate Crystals
42
Q

What stage of Gout will be asymptomatic?

A

The first!

** will have increased serum levels but no physical symptomology

43
Q

What is Podagra?

A

Gout in the 1st MTP Joint

44
Q

Deposition of Sodium monourate crystals is called?

A

Tophi

45
Q

What do some authors consider to be pathoneumonic for Psoriatic Arthritis?

A

Great Toe DIP joint destruction

46
Q

Why is Tophi a bad boy?

A

Cuz he suck ya momma’s itty bitty titties

…just playing

they are very hard and push on bone and cause remodelling.

47
Q

What is the classic presentation of Gout

A

1st MTP

48
Q

The “Overhanging Margin” is a radiographic sign associated with what arthritis?

A

Gouty

49
Q

What is considered to be pathoneumonic for Gout?

A

Non-Traumatic Olecranon Bursitis

- bilateral

50
Q

CPPD has 3 distinct radiographic presentations. What are they?

A
  1. Chondrocalcinosis
  2. Pseudo-Gout
  3. Pyrophosphate Arthropathy - this is DJD in CPDD
51
Q

T or F

CPPD will always present with all 3 radiographic findings: Chondrocalcinos, Pseudo-gout and Pyrophosphate Arthropathy

A

False

The three circles are interconnected but a patient may present with only 1 or all 3 of the presentations.
- this can be confusing in your differential dx because it can look like DJD, or can be more inflammatory with the pseudo-gout presentation

52
Q

What is Main Liner’s Disease

A

When you have a Pseudomonas infection that affects the S joints in the body. Commonly seen with intravenous drug users with osteomyelitis

53
Q

A neuropathic joint is called?

A

Charcot’s Joint

54
Q

T or F

Charcot’s joint is very painful

A

False

Painless!!!!!

55
Q

What will give you a neuropathic joint?

A

Tertiary Syphilis
Diabetes
Syringomyelia

56
Q

T or F

Tertiary Syphilis will typically give you a neuropathic joint in the shoulder and wrist

A

False

Well not totally false but will affect every joint not just the shoulder and wrist.
Shoulder and wrist are more commonly affected by Syringomyelia.

57
Q

Diabetic neuropathic joints will affect what part of the body predominantly?

A

Ankles and Foot

58
Q

What are the 6 D’s in Charcot’s Joints

A 
Disorganization
Destruction
Debris
Density
Distention
Dislocation
59
Q

T or F

Charcot’s joints are always monarticular

A

False

Can be both!

60
Q

T or F

Arthritis will destroy the joint faster than an infection

A

False

61
Q

T or F

There is no treatment for a Charcot’s Joint

A

True

62
Q

T or F

Discovertebral DJD in the spine affects the apophyseal joints

A

False

Discovertebral = intervertebral (osteo) chondrosis

63
Q

T or F

Spondylosis Deformans is central nucleus degeneration

A

False

Peripheral annulus
Central nucleus degeneration = central nucleus

64
Q

T or F

DISH and OPLL are degenerative arthropathies but NOT an arthritis

A

True

65
Q

Neurocentral aka ?

A

Uncovertebral

66
Q

What structures are affected/included in Synovial DJD in the spine

A

Apophyseal joint osteoarthritis

Costovertebral

67
Q

What are the costovertebral joints?

A

Rib head & vbody = costovertebral

Rib tubercle & TP = costotransverse

68
Q

T or F

Costrotransverse = T11-T12

A

False

T9-T10

69
Q

T or F

OPLL is more common in the lumbar spine

A

False

Cspine

70
Q

T or F

With IVOC there will be normal or slightly decreased IVD height

A

False

Mod-Sev decrease in disc height

Spondylosis = normal or slight decrease

71
Q

T or F

With Apophyseal and CV joints the IVD will be normal

A

True

72
Q

T or F

DISH is more serious than OPLL

A

False

73
Q

T or F

The inner annulus = H20 = high single on MRI = dark

A

False

bright signal

74
Q

What part of the annulus the inner or the outer is up against the bony endplate?

A

Outer

75
Q

Why don’t we see osteophytes @ the posterior aspect of the v body?

A

The PLL is very tightly attached to the back of the disc and body.

76
Q

The water part of the inner annulus is up against what type of cartilage?

A

Hyaline

77
Q

T or F

IVOC = central nucleus DDD especially cervical and lumbar

A

True

78
Q

What is another term used for Dehydration of the disc?

A

Dessication

79
Q

T or F

Desiccation will change the signal on T2 MRI but will look normal on Xray

A

True

80
Q

What happens after the cartilage over the nucleus degenerates? What is it called when it is really bad?

A

Subchondral Sclerosis of the V body

Bad = Hemispherical Spondylosclerosis

81
Q

T or F

Withe IVOC the symptomology and degeneration have a linear correlation

A

False

82
Q

What is the vacuum phenomenon?

A

When horizontal fissures occur through the disc that can fill with gas. The gas makes it hyper lucent.

Skel C (1 decks)

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