| 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 |
