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Bone and Joint paths
Chiropractic BJP final
| Question | Answer |
|---|---|
| 4 degenerative arthropathies | 1-OA/DJD 2-DISH/Forestier's 3-Charcot's/Neuro Arth 4-Joint mice/Synoviochondrometaplasia |
| 10 inflammatory arthropathies | 1-AS/Marie-Strumpell 2-HOA 3-JRA/JIA 4-OCI 5-O-Pubis 6-PsA 7-PSS/scleroderma 8-ReA 9-RA 10-SLE |
| 3 metabolic arthropathies | 1-GOUT 2-HADD 3-CPDD |
| 3 degenerative arthropathies MC in M>F | 1-DISH/Forest 2-Charcot's/NeuroA 3-Joint mice/Syno-meta |
| 1 degenerative arthropathy MC in F>M | OA/DJD |
| 6 inflammatory arthropathies MC in F>M | 1-PSS 2-SLE 3-OCI 4-OP 5-RA 6-JRA/JIA |
| 4 inflammatory arthropathies MC in M>F | 1-AS 2-ReA 3-PsA 4-HOA |
| 3 MC zero positive arthropathies | 1-RA 2-SLE 3-PSS |
| TM M-spike on electrophoresis. | Multiple Myeloma |
| 4 diseases that can cause onionskin periosteum. | 1-JRA/JIA 2-HOA 3-Ewing's tumor 4-NHL of bone |
| 2 diseases with a fluffy periosteum on X-ray. | 1-PsA (hands and feet) 2-ReA (hands only) |
| 3 sources of Codman's triangle. | 1-Osteosarcoma (+ sunburst, spiculated) 2-Osteomyelitis 3-Healing Fx |
| TM's with erosive OA/DJD | 1-Gull wing sign at dips and pips |
| TM's with DISH/Forestier's | 1-Ca++ of A.L.L. assoc. w/T2 diabetes 2-4 vert. segments in a row 3-Candlewax sign 4-B/L symmetrical non-marginal sydesmosphytes |
| TM b/l symmetrical marginal syndesmophytes. | AS/Marie-Strumpell |
| TM b/l symmetrical non-marginal syndesmophytes. | DISH/Forestier's |
| TM b/l asymmetrical non-marginal syndesmophytes. | 1-PsA 2-ReA |
| Why is Charcot's joints never primary? | Neuropathic Arthropathy aka Charcot's joints, must originate as Neurotrophic, with arthropathy coming second. |
| 4 causes of Neuropathy that leads to the arthropathy called Charcot's joints. | 1-MC is diabetes 2-Syringomyelia 3-Cord trauma 4-syphillis |
| 2 TM's of Charcot's joint, Neuropathic Arthropathy. | 1-Bag of Bones appearance 2-Licked Candy Stick Clavical |
| 2 diseases that can cause locked knee | 1-Joint Mice (Synoviochondrometaplasia) 2-OCD (Osteochondritis Dessicans) |
| 6 diseases with normal X-ray and abs s/sx. | 1-Joint mice (if abn=oval opacity in joint space) 2-O-Pubis 3-Osgood Schlatter 4-Osteomyelitis 5-Occult Fx 6-Gout Stage 2 |
| B/L Symmetrical PANNUS formers | 1-RA 2-JRA 3-AS (prefers to start in Axial skeleton) |
| B/L asymmetrical PANNUS formers | 1-PsA 2-ReA |
| 3 autoimmune diseases | 1-SLE 2-PSS 3-RA and JRA/JIA |
| Local self-limiting "mom's" diseases. | 1-OCI 2-O-Pubis |
| 3 main lab results associated with RA | 1-increased ESR 2-sero + 3-C-reactive protein |
| 4 TM's of RA | 1-Ulnar styloid deviation not passively reversible. 2-Spares DIP's 3-Swan Neck deform in fingers 4-Boutonnierre deform. (can also increase kyphosis) |
| 4 diseases that increase kyphosis | 1-RA and JRA 2-AS 3-Scheuermann's 4-Osteoporosis |
| 2 general causes of carpal tunnel syndrome | 1-Congenital = carpal/tarsal coalition 2- Acquired via a-arthropathies(RA/JRA) b-bone infection (osteomyelitis) c-surgical fusion |
| 3 types of osteoporosis. | 1-localized 2-regional 3-general |
| 2 diseases sharing pencil sharpened spinouses. | 1-RA and JRA 2-AS |
| 4 diseases that cause marginal erosions. | 1-RA and JRA/JIA 2-PsA 3-ReA 4-Gout |
| Marginal erosion TM called rat bites is shared by which two diseases. | 1-RA 2-JRA |
| 2 diseases that stunt bone growth | 1-JRA/JIA 2-Rickets |
| key difference between RA and JRA/JIA | RA is sero + while JRA/JIA are both sero - |
| two diseases associated with AS | 1-chronic prostatitis 2-ulcerative colitis |
| 11 xray findings with AS | 1-Pseudowidening of SI =Rosary Bead Sign (TM) 2-Fibrosis 3-Ankylosis (ghost joint) Star sign (TM) 4-Dagger sign 5-Trolley track sign 6-Schmorls nodes 7-vertebra plana 8-Bamboo spine 9-pencil sharpened spinous 10-increased ADI 11-poker spine |
| TM of PSS (Progressive Systemic Sclerosis) aka scleroderma | 1-CREST-Calcinois cutis Raynaud's Espohageal involvement telangiectasia 2-Mauskopff--mouse head |
| 2 diseases than can cause dysphagia | 1-DISH 2-PSS |
| TM of SLE | 1-passively reversible ulnar/fibular deviation 2-butterfly rash (photosensitive) |
| Osteitis Condensans Ilii (OCI) aka | Hyperostosis triangularis Ilii (HTI)--associated with mom's d/t prego=relaxin, though also associated with CT disorders, IE Ehler's Danlos, Marfan's, etc. |
| Who does HOA, Hypertrophic OsteoArthropathy typically effect | primary = kids secondary = adults...what we study associated with smoking |
| 4 TM of GOUT | 1-Marginal erosions (RA/JRA, PsA, ReA) 2-Overhanging Margin sign=periarticular erosions 3-Intra-osseous erosion in trabecular bone 4-Tophi (uric acid crystals/stones) |
| HADD, Hydroxy Appetite Deposition Disease... | calcification of tendons |
| CPDD, Calcium Pyrophoshate Dihydrate Crystal Deposition disease aka | pseudogout with TM Terry Thomas sign (gap tooth) |
| TM of Leg calve Perthe's disease (LCP) | 1-Mushroom tip femoral head 2-Snowcap epiphysis |
| TM of Osgood Schlatter | avulsion fx of tibial tuberosity |
| OCD, Osteochondritis dessicans | MC is femoral condyle(no fragments). DDX is jt. mice(fragments) |
| Salter Harris grading system for fractures | grades fractures as level 1-5 1=growth plate 2=GP and metaphysis 3=GP and epiphysis 4=GP, meta, epi 5=GP compression fx |
| Diseases that can lead to Codman's Triangle | 1-Osteosarcoma(no cross joint) 2-Osteomyelitis(cross joint) 3-Healing Fx |
| 2 diseases that cause fever chills and malaise | 1-Ewings Tumor 2-Osteomyelitis |
| 3 diseases that cause motheaten bone destruction | 1-Lytic Mets 2-NHL 3-Osteomyelitis |
| 6 diseases that decrease bone density | 1-O-porosis 2-Osteogenesis Imperfecta 3-Osteomalacia 4-Rickets 5-Hyperparathyroidism 6-Scurvy |
| 3 disease that cause Vertebra Plana | 1-LM 2-MM 3-Gen-O-porosis |
| 2 diseases that cause Schmorls nodes | 1-Scheuermann's 2-O-porosis |
| 3 causes of Protrusio Acetabuli | 1-RA 2-Paget's 3-Osteomalacia |
| cause TM paint brush metaphysis | Rickets |
| can enlarge growth plates. | 1-Rickets 2-Scurvy |
| Rugger Jersey Spine | Hyperparathyroidism (decreased bone density) |
| associated with easy bruising and fit C deficiency | scurvy |
| What part of bones are involved with Thurston Holland sign? What Salter Harris rating is this? | 1-GP 2-Metaphysis Salter Harris Type 2 Fx |
| Which Salter Harris fracture rating is MC | Type 2 |
| 4 complications to fractures | 1-open fx=osteomyelitis 2-Non-union 3- CRPS 4-DJD |
| What is the order of fracture healing | 1-Circ/inflam=fast and disorganized 2-Repair/metabo = slow and organized 3-Remodel/mechan = detailing and tidying |
| Where is a Jefferson fx located | 1-C1, its a stable posterior arch fracture. |
| Which dens fracture is considered stable by Levine and Edwards classification system | Type I (fx superior to transverse ligament) |
| two types of C2 fractures | 1-Dens (MC) Type 1 stable, 2/3 unstable 2-Hangman's fx =b/l fx of pars |
| Where is a Clayshovelers wedge located | C3-7 |
| What is the MC cause of Rickets | Renal disease |
| Dx that requires minimum of 3 consecutive vertebrae to be fused | Scheuermann's |
| Dx that requires minimum of 4 consecutive vertebrae to be fused | DISH |
| DX that requires 2+ vertebrae to be fused | AS |
| requires >45deg kyphosis with >5deg Ant-post vertebral wedging . what age? | Scheuermann's diseases. Teenage years. |
| Kienbach's is associated with... | fragmented lunate |
| TM of HOA, Hypertrophic OsteoArthropathy | digital clubbing (fat finger tips) |
| 3 causes of ivory vertebrae | 1-Blastic Mets--norm size and shape 2-Hodgkins Lym- Norm size, abn shape 3-Pagets- norm shape, abn size |
| 2 causes of lucency's in the skull. | 1-Multiple Myeloma--punched out, and raindrop skull 2-O-porosis circumscripta (stage 1 pagets) |
| 2 causes of premature closing of epiphyseal plates | 1-JRA/JIA 2-Rickets |
| Associated with paradoxical sense of well being | NHL |
| associated with winking and blind owl signs on xray. | Lytic Mets |
| associated with sinusitis | Osteoma |
| Corduroy cloth in spine, and Wagon Wheel in skull | Hemangioma |
| Increased hat and shoe size over 50 years old | Paget's |
| 3 causes of canal stenosis | 1-OA 2-Hemangioma 3-Paget's (Osteitis deformans) |
| Arthropathies that like to start in the feet. | 1-ReA 2-Gout |
| 3 causes of Soapbubbly Lucent lesions | 1-GCT-expansile and crosses epi plate 2-ABC-most expansile may cross epi plate 3-BFCD/NOF-not expansile, metaphy only |
| Shephard crook deformity | 1- Pagets, 2-Fibrous dysplasia |
Created by:
lerch
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