Skull

Question 1

Cortical thickening
Osteoporosis circumscripta
Spiculated periosteal reacion
Larger hat size
Cotton wool appearance

Answer 1

Paget’s

Question 2

Swiss cheese appearance

Grossly unequal size holes

Answer 2

Lytic mets

Question 3

Rain drop skull
Holes similar in size
Punched out lesions

Answer 3

Multiple myeloma - mm

Question 4

Enlarged sella turcica - larger than eraser head - possible pituitary adenoma
Pituitary tumor

Answer 4

Acromegaly

Question 5

Case management acromegaly

Answer 5

Refer to endocrinologist

Question 6

Lab acromegaly

Answer 6

Somatotropin (growth hormone)

Question 7

Hair on end appearance
H shaped vertebrae in spine - collapse of vasculature
Shreds cappillaries
African or african american in nature

Answer 7

Sickle cell anemia

Question 8

Cooley’s anemia

Mediterranean anemia - people of mediterraean descent

Answer 8

Thalessemia

Question 9

Hereditary disorder of hemoglobin synthesis (microcytic hypochromic anemia)

Answer 9

Thalessemia

Question 10

Erlenmeyer flask deforimty - widened epiphysis, thinner diaphysis

Answer 10

Thalessemia

Question 11

Hair on end appearance in skull

Erlenmeyer flask deformity

Answer 11

Thalessemia

Question 12

Females 30-50

Overactivity of parathyroid gland causes calcium up in the blood and phosphorus down

Answer 12

Hyperparathyroidism

Question 13

HPT

Answer 13

Hyperparathyroidism

Question 14

Increased alkaline phosphatase
Renal calculi
Browns tumors
Salt and pepper skull
Rugger jersey spine

Answer 14

HPT

Question 15

Metabolic

Answer 15

All bones

Question 16

central geographic osteopenia in bones

Answer 16

Brown tumors

Question 17

Hereditary
Absence of marrow
Anemia
Hepatosplenomegaly

Answer 17

Osteopetrosis

Question 18

Bone within a bone (early)
Sandwich vertebrae (late)

Answer 18

Osteopetrosis