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Bone and Joint paths

Chiropractic BJP final

QuestionAnswer
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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