Thrall chapter 15 MRI and CT features of canine and feline spinal disease Flashcards
1) What is the anatomical structure labelled ‘1’?
a) Interarcuate ligament
b) Dorsal longitudinal ligament
c) Intercapital ligament
d) Ligamentum flavum
c
2) Which structure reduces the likelihood of a dorsal disc protrusion between T2-T11
a) Interarcuate ligament
b) Dorsal longitudinal ligament
c) Intercapital ligament
d) Ligamentum flavum
c
3) What type of joints are the articular process joints of the vertebrae?
a) Synarthrodial
b) Amphiarthroidal
c) Diarthrodial
d) Cartilaginous
C
Define synarthroidal (type of joint)
In fibrous joints (synarthrodial joint) the bones are joined by fibrous tissue, namely dense fibrous connective tissue, and no joint cavity is present. The amount of movement allowed depends on the length of the connective tissue fibers uniting the bones.
- a fibrous joint
Define Amphiarthroidal
An amphiarthrosis is a joint that has limited mobility. An example of this type of joint is the cartilaginous joint that unites the bodies of adjacent vertebrae. Filling the gap between the vertebrae is a thick pad of fibrocartilage called an intervertebral disc
A cartilaginous joint
Define Diarthrodial
A diarthrosis joint is a freely moving joint characterized by its mobility and joint cavity within a synovial membrane encased in the joint capsule.
5) Why is the normal nucleus pulposus hyperintense on T2w images?
a) Because of the short T2 relaxation time of water in the nucleus
b) Because of the long T2 relaxation time of water in the nucleus
c) Because of the short TE and TR times
d) Rotation of water occurs near the Larmor frequency
b, fat is closer to the Larmor frequency
6) What percentage of dachshunds have vertebral transitional anomalies?
a) 5%
b) 10%
c) 20%
d) 30%
b
7) In chondrodystrophic dogs, acute disc herniation can lead to what CT appearance? (could be more than one)
a) Hypoattenuating material causing cord compression.
b) Diffuse less hyperattenuating (apx 60HU) less severe cord compression
c) Hyperattenuating (700HU) herniated disc material
d) A large focal amount of markedly hyperattenuating disc material (200HU) compressing the spinal cord
b,d (c is chronic due to further mineralization)
8) Epidural haemorrhage associated with disc extrusion is more common in which region?
a) Caudal Cervical
b) Cranial Thoracic
c) Thoracolumbar junction
d) Caudal Lumbar
d
9) Meningeal contrast adjacent to extruded extradural disc material occurs in what percentage of patients?
a) 40%
b) 25%
c) 60%
d) 15%
A
10) Which of the following is not a characteristic of lumbosacral stenosis
a) Intervertebral disc degeneration and protrusion
b) Hypertrophy of the articular process joint capsule and interarcuate ligament
c) Bone proliferation of the dorsal vertebral bodies
d) Vertebral subluxation
c- bone proliferation of the vertebral bodies is not correct, bone proliferation of the articular processes and vertebral end plates is correct
11) What type of disc disease is shown in the images below?
a) Acute compressive hydrated nucleus pulposus extrusion
b) Acute non-compressive nucleus pulposus extrusion
c) Hansen type II IVDD
d) Hansen type I IVDD
a
12) Which of these is not a prognostic factor used to assess the likelihood of a successful outcome in dogs with ANNPE?
a) Severity of neurological signs at presentation
b) Intramedullary contrast enhancement over the affected site
c) Percentage cross-sectional area of the intramedullary lesion on T2W images
d) Presence of intramedullary haemorrhage
b
13) From the paper by Bonelli et al, 2021 which of the following is incorrect regarding their findings in dogs with osseous associated cervical spondylomyelopathy?
a) Intervertebral disc degeneration was seen in 80% of dogs
b) Dogs with multiple sites of spinal cord compression were more likely to have severe spinal cord compression
c) There was a weak correlation between neurologic grade and severity of spinal cord compression and the number of affected sites
d) It more commonly affected female giant and large breed dogs.
d, males more affected.