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RAD 2 ARTHRITIES

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
licked candy stick appearance   show
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show Atrophic Charcot Joint  
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tumbling block vertebra sign (what disease)   show
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show Hypertrophic Charcot Joint  
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show Hypertrophic Charcot Joint  
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neurotrophic joint (loss of proprioception AND pain sensation)   show
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show debris  
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DISH aka   show
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show DISH  
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most commonly occurs at T7-T11   show
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smaller-absent osteophytes on L side of thoracic spine, due to pulsating aorta   show
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disc spaces relatively preserved (depends on age of onset)   show
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show DISH  
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___% of patients with DISH will develop OPLL   show
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OPLL without DISH:almost exclusively in patients of _____ decent   show
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show anterior osteophytes/spurs  
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osteophyte at anterolateral portion of vertebral body endplates   show
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- end plate osteophytes/spondylophytes- subchondral sclerosis   show
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- disc narrowing- disc calcification- vacuum phenomenon of Knuttson/Phantom Disc   show
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show DDD  
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arthrosis=?   show
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disc calcifies and becomes bone (vs. new bone formation at anterior body)   show
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- hourglass shape of IVF (normally ovoid) - hypertrophy - sclerosis - loss of joint space   show
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- at lateral and posterior facets - osteophytes, sclerosis → “cartilagenous cap” of osteophyte (will fill in with bone eventually) - loss of joint space   show
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pseudofracture sign associated with   show
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show Torge Ratio  
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show Vacuume Phenomenon  
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show intercalary bone  
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show thoracic vertebrae OA  
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show costotransverse arthrosis (OA)  
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show pain simulates upper GI disease Due to Costotransverse arthrosis (OA)usually invovles lower thoracic spine  
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The four F's (Fat,Forty,L4,Female)   show
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show OA (lumbar?)  
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show OA  
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AKA DJD   show
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superior migration of femoral head & loss of superior joint space (general joint space narrowing)   show
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Widening of medial joint space @ acetabulum =   show
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show geode  
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show “mushroom cap” appearance (different than osteophytes on other bones!)  
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extensive/advanced OA of the hip (severe degeneration)   show
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show OA of the knee  
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Loss of patello-femeral joint space due to OA best seen on what view   show
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show enthesopathy at site of attachment of quadriceps tendon  
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show chondromalacia patella  
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show Chondromaliacia Patella  
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show metatarsophalangeal (MTP) joint  
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most common location for OA in shoulder girdle MAY CAUSE IMPINGMENT SYNDROME   show
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- rotator cuff tear with retraction causes superior humeral head displacement - results in subchondral sclerosis and osteophytes (acromion) - i.e. “mushroom cap” ▪ more often CPPD, bcse unlikely to normally have osteophyte formation here   show
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show most common location = DIP, then PIP joints - DIP = Heberden’s nodes - PIP = Bouchard’s nodes  
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Most common location of OA in the wrist   show
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gull wing appearance   show
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aka synovial chondromatosis, synovial osteochondromatosis   show
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show synoviochondrometaplasia  
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show loose bodies/ossicles of bone(2-5 per joint){synoviochondrometaplasia}  
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show 1. marginal erosions2. uniform joint space loss3. articular surface erosions  
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show RHEUMATOID ARTHRITIS  
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6 months-2 years before x-ray changes seen!   show
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show RA deformity of the hand  
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Arthritis Mutilans/Opera Glass appearance   show
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show RA deformity of the hand  
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MCP and/or PIP,pancarpal/universal carpal involvement (radiocarpal, carpals, CMCP joints)   show
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what deformity in the wrist should you always assume RA until proven otherwise   show
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show MRI  
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show Noorgart’s/Ballcatcher’s view  
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show RA (cervical spine)  
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__of patients with RA have in spine _-_%in cervical spine   show
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______moves lateral to medial in the foot: where _____ is more random, moves medially to laterally   show
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RA in the upper cervicals leads to atlantoaxial instability due to what two main reasons?   show
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most common cause of protrusio acetabuli/Otto’s pelvis   show
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uniform joint space loss, erosions, osteoporosis, no osteophytes or sclerosis occurs in what disease of the hip   show
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show RA  
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JRA before age__   show
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show female  
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Need to do AS SLIDES   show
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show AS  
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is AS unilateral or bilateral/symmetrical or Asymmetrical?   show
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show Frayed jt margin,w/ sclerosis on liliac side, bilateral and symmetric  
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show AS  
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show Chronic AS (both SI jts fused)  
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healing of erosion causes transient reactive sclerosis=?   show
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Focal destruction and erosion of body rim at annulus enthesis=?   show
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show Shiny Corner Sign  
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only Two disorders that Cuase SQUARING of the vertebral body   show
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Bamboo spine / poker spine   show
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show Bamboo/poker spine  
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OALL difference in DISH and AS =?   show
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show AS  
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show AS  
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show AS (Dagger sign)  
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Calcificatoin of the apophyseal joints and ligamentum flavum?   show
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Carrot stick Fx   show
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show lower cervical & T/L junction  
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show 20%  
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show Carrot stick fx (AS)  
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show prostititis  
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GI dx most commonly associated with?   show
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AS is a SERO (+ or -) arthropathie?   show
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show AS,Enteropathic Arthropathy, Psoriatic arthritis,Reiter's syndrome  
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Psoriasis invovles nail beds in __% of PA?   show
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show PA  
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show invovlement of all 3 phalangeal articulations of the hand (PA)  
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Mouse Ears (fluffy periosteal new bone formation (periostitis)   show
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show PA (excludes OA & RA)  
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show Reiter's Syndrome (non-margnial syndesmophytes)  
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what two disorders include Non-marginal Syndesmophytes?   show
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show PA  
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show Reiter's syndrome (changes at the achilles insertion  
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AKA...reactive arthritis   show
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show Reiter's syndrome  
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show foot, ankle, spine  
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show scleroderma  
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Acroosteolysis (tapered conical fingertips   show
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Scleroderma occurs almost exclusivly at?   show
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What is the mechanism of Scleroderma?   show
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show Scleroderma  
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show Calciinosis (Scleroderma)  
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R in CREST   show
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show Raynaud's of Scleroderma  
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E in CREST   show
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S in CREST   show
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T in CREST   show
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show Osteitis Condensans Ilii (OCI)  
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show Osteitis (Condensans)Pubis  
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show Gout  
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Crystal Depositions arounds Jts (clusters=TOPHI)   show
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Lumpy,Bumpy (varitey of Jts involved~random)   show
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Relative preservation of Jt space & periarticular erosions w/ soft tissue swelling   show
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AKA Psuedogout   show
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show hyaline cartilage &fibrocartilage of knee  
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3 most common locations of CPPD/Psudogout   show
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AKA... Calcific Tendinits   show
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Calcification w/in tendon, bursa or other periarticular soft tissue   show
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show SITS muscle of shoulder and shoulder bursae  
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