skeletal Flashcards

1
Q
Which primary bone tumor should be investigated with the utilization of CT?
A. osteosarcoma
B. osteoid osteoma
C. chondrosarcoma
D. Ewing Sarcoma
A

Osteoid osteoma

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2
Q

Pt presents with:
anterior shoulder pain for several months
no recent injury,
no relief with NSAIDS, ice/heat, & gentle range of motion exercises.
Radiographs of shoulder demonstrait:
sm microcalcifications of subacromial space
what is differential diagnosis ?

A

Calcific tendinitis

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3
Q
Which of the following characteristics does NOT assist in the differentiation between a primary and metastatic bone lesion?
. soft tissue mass
. periosteal reaction
. length of the lesion
. calcification of blood vessles
A

Calcification of blood vessels

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4
Q

What skeletal pathology radiographically with “bubblesoap” appearance?

A

Giant Cell tumor

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5
Q

Osteopetrosis requires what type of technical factor change>

A

Increase

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6
Q

Tenosynovitis requires what type of technical factor change ?

A

no change

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7
Q

Which neoplasm involves a nidus ?

A

osteoid osteoma

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8
Q
which disease is congenital ?
. Pott disease
. osteoporosis
. padget disease
. osteogenesis imperfecta
A

osteogenesis imperfecta (OI)

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9
Q

Spondylolysis is a result of a cleft of defict in the vertebral :

A

pars interarticularis

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10
Q

Dipole is specific to cancellous bone located in what anatomic structure ?

A

skull

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11
Q

15-yr old Pt presents for a right knee series after sustaining a varus injury while playing football. AP, lateral, and both oblique radiographs of the knee demonstrate an avulsion fracture of the lateral tibial plateau (second fracture).
What additional imaging modality would be best utilized in the diagnosis for this Pt ?

A

MRI

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12
Q

Heberden nodes and Bouchard nodes are associated with what skeletal pathology ?

A

Osteoarthritis

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13
Q

What skeletal pathology could be a contributing factor for a cervical rib ?

A

transitional vertebrae

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14
Q

What anatomic structure is NOT a common area for metastasis ?

A

carpals

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15
Q

” brittle bone “ disease is also know as :

A

osteogenesis imperfecta

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16
Q

congenital clubfoot is also known as :

A

talipes

17
Q

The most common form of arthritis is:

A

osteoarthritis

18
Q

Marie-Strumpell disease or “ bamboo spine “ is a symptom of the pathology known as :

A

ankylosing spondylitis

19
Q

the forward slippage of one vertebra on another describes the pathology :

A

spondylolisthesis

20
Q

what type of arthritis has tophi associated with it ?

A

Gouty arthritis

21
Q

What imaging modality demonstrates both simultaneous eval of bone and soft tissues with quantitative metabolic data of osteosarcomas ?

A

PET scan

22
Q

Tuberculosis of the spine is commonly referred to as:

A

Pott disease

23
Q

The imaging modality that would best demonstrate osteomyelitis is :

A

nuclear medicine

24
Q

one of the most common areas for metastasis for osteosarcomas is to the :

A

lung

25
Q

30 yr-old male presents with swelling and redness on his left knee. He states that he lays carpet and rarely wears knee pads. The orthopedic surgeon decides to aspirate the swollen area and inject it with a corticosteroid. What would be the differential diagnosis ?

A

prepatellar bursitis

26
Q

A malignant tumor composed of atypical cartilage is know as :

A

chondrosarcoma

27
Q

What skeletal pathology involves cysts in the metaphysis of long bones in individuals younger than 20 yrs and consists of numerous blood-filled arteriovenous communications ?

A

aneurysmal bone cyst

28
Q

What type of aggressive bone-forming neoplasm that is most often located in the bone marrow gives the radiographic apperance of a sunray or sunburst ?

A

osteosarcoma

29
Q

Which syndrome may involve craniosynostosis and syndactyly ?

A

apert syndrome

30
Q

Which of the following congenital skeletal pathologies involves failure of formation of the cranial vault and is not conducive for life?

A

anencephaly

a-n-e-n-c-e-p-h-a-l-y

31
Q

A nuclear medicine bone scan is preformed for a diagnosis of osteomyelitis of the right foot. if this procedure is positive, what would the images demonstrate ?

A

decreased uptake on the right foot (cold spot)

32
Q

The most commonly inherited disorder affecting the skeletal system is :

A

achondroplasis

33
Q

65 yr-old female presents with bilateral knee pain and no history of injury. What radiographic procedure should be obtained initially ?

A

Bilateral weight-bearing knee radiographs

34
Q

75 yr-old Pt with weight-bearing AP and lateral knee radiographs of the left knee demonstrates a decreased medial joint compartment and osteophyte formation on the medial femoral condyle. What would be the initial diagnosis ?

A

osteoarthritis

35
Q

The primary site of ossification is the :

A

diaphysis