F Flashcards

(81 cards)

1
Q

OPLL association

A

Compression myelopathy

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2
Q

Diabetes mellitus has a recognized association with (all that apply)

A

Distal lower extremity Charcot’s
Lumbar spine Charcot’s
DISH

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3
Q

Which line is useful in the detection of Wiltse degenerative spondylolisthesis

A

Ulmann’s Line

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4
Q

Which type of arthritis can be associated with atlantoaxial instability and also the DIP & PIP pattern of arthritis?

A

Psoriatic arthritis

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5
Q

Sheton’s/Menards line and ______ will be positive with Rheumatoid acetabular protrusion

A

Iliofemoral

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6
Q

Which measurement will be positive when a pt has coxa Vara

A

Femoral angle

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7
Q

Modic provides a MRI classification system for marrow end plate changes related to the degenerative disc (IVOC). Decreased endplate signal intensity on T1 and T2 weighted images are classified as Type ____ end plate changes and are related to relative absence of marrow in areas of subchondral sclerosis.

A

III

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8
Q

Using eisentein’s method, lumbar sagittal canal stenosis would be indicated by?

A

Less than 15mm

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9
Q

A canal-body ratio of .85 in the cervical spine is indicative of?

A

Normal canal

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10
Q

A 48 yo female pt presenting in a chiro office with low back and leg pain and found to have a L/S transitional segment may be predisposed to this radio graphic finding:

A

Degenerative spondylolisthesis

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11
Q

Primary basilar invagination may have a variety of associated vertebral defects; however, which one of following would not be an expected finding?

A

Small sella turcica

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12
Q

The most consistent clinical findings of Klippel-Feil syndrome

A

Limitation of neck motion

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13
Q

Reduced ROM of cervical motion could be seen with which of following: (Pick all that apply)

A

Cervical spine fusion C4 to C6
C2, 3, 4 block vertebra
DISH

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14
Q

An important accompanying condition to remember with SLE

A

Corticosteroid induced bone disease

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15
Q

Increased endplate signal intensity on T1 and mildly increased endplate signal on T2-weighted images are classified as Modic Type ____ end plate changes and are related to fatty marrow replacement in the vertebral endplate.

A

II

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16
Q

The ligamentum flava with IVOC may be associated with which spinal complication?

A

Spinal stenosis

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17
Q

The inflammatory arthritis can involve DIP, PIP, and first MCC articulations in the hand.

A

Erosive osteoarthritis

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18
Q

Rheumatoid nodules and high titer of rheumatoid factor

A

Indicate poor prognosis

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19
Q

Referencing the “general guide to relative frequency of arthritis” from Y&R, which arthritis would be expected to be seen yearly in general practice?

A

Gout

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20
Q

Corticosteroid osteoarthropathy as a complicating factor associated with inflammatory joint disease encompasses

A

Osteopenic fx, avascular necrosis

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21
Q

Lumbosacral transitional vertebra with back pain and antalgic scoliosis is referred to as ____ syndrome

A

Bertolotti’s

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22
Q

Hemispheric spondylosclerosis occurs most commonly at the ____ vertebral level and must be differentiated from ____

A

L4-5, infectious spondylodiscitis

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23
Q

Clinical symptomatology of neck pain, headaches, eye pain, vertigo as well as visual, phonation and swallowing disturbances related to posterior ponticle have been associated with all of the following conditions except?

A

Sjögren’s syndrome

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24
Q

The best imaging for the earliest detection of vertebral body bone destruction is ______ & ______. 2 choices

A

Radionuclide bone scan

MRI

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25
Historical Hadley's S curve was used when evaluating?
Both Ap and Oblique lumbar x-rays
26
The most common factor that results in degenerative disc disease is?
Acute or chronic repetitive-trauma
27
The vacuum sign of Knuttsen is associated with?
Central nuclear and peripheral annular DDD
28
The most significant of the spinal ligament in relation to degenerative joint disease is?
Ligamentum flava
29
"Putti's triad" is a group of radiographic features associated with?
Congenital hip dysplasia
30
Degenerative arthritis typically does not produce?
"Mouse ears" whispering
31
Which condition can produce arthritis mimicking neuropathic joint disease?
CPPD arthritis
32
Young adult male would be the typical patient for?
Reactive arthritis syndrome
33
Lab evaluation in OPLL pt will show?
Negative lab findings
34
A complication of facet joint degeneration which can not be demonstrated on plain film radiography and is best evaluated with MRI
Synovial cyst
35
Syndromes that may be associated with rheumatoid type arthritis include?
Sjogren's, Caplan's
36
This finding often occurs prior to the onset of the skin changes in > 90% of scleroderma patients
Raynaud's
37
The rare genetic metabolic disorder of homogentisic acid oxidase absence, involves the spine in > ____% cases.
95
38
Spinal involvement in neuropathic arthropathy could be associated with? Pick all correct choices
Diabetic neuropathy Syringomyelia Syphilis
39
In addition to disc space narrowing and osteophytosis this is a prominent finding of spinal charcot's?
Subchondral sclerosis
40
Rheumatoid arthritis may result in?
Bony ankylosis of synovial joints
41
Which of the following arthritic disorder classically begins monarticular?
Gout
42
On a lateral lumbar x-Ray, _____ line should lie above the superior most tip of the adjacent superior articular process of the facet joint.
Macnab's
43
The best view (not the only view but the best view) for demonstrating spondylolisthesis (Wiltse) etiology is?
Oblique view
44
The type of Wiltse spondylolisthesis rarely seen in clinical chiropractic practice
Pathological
45
Acetabular protrusion can be seen with all of the following except?
Osteoporosis
46
In a pediatric pt, Klein's line should?
Intersect the superior margin of the femoral head
47
Conservative treatment of the pt with spondylolisthesis has a poor prognosis if?
Motion or compression/ distraction lumbar films indicate instability
48
An arthopathy associated with joint mice and eventually producing secondary OA
Synovial Chondrometaplasia
49
Seronegative arthritis in childhood
Still's disease
50
Neuropathic joints occurs in up to ____% of diabetes, ~____% of syphilitic, and up to ____% of syringomyelia pts
35,20,25
51
Primary hemochromatosis has a strong association with?
Diabetes mellitus
52
In the Wiltse classification for spondylolisthesis, which type may result in a >100% anterolisthesis
Dysplastic
53
Which of the following is not a radiographic finding or association of peripheral annular degenerative disc disease
Central nuclear vacuum
54
The articular effects in gout
Result in late, uniform loss of joint space
55
(DISH) spinal bone proliferation must be differentiated from all except?
IVOC
56
Mouse ears and Ray arthritis radiographic findings are seen with?
Psoriatic arthritis only
57
The "letter joints" that may have erosive type changes along articular surfaces in association with DJD include all of the following except:
Glenohumeral (GH)
58
The spinal area most commonly affected by (DISH) hyperostosis
Lower thoracic spine
59
The combo of rheumatoid arthritis and a pneumoconiosis such as a black lung disease is called?
Caplan's syndrome
60
In the lumbar spine, the posterior spinous line is normal and the ant and post body lines break anterior...what has likely happened? There two choices that work for this... Pick them both! (Remember Wiltse)
Elongation of the pars at the level of disruption | Pars interarticularis defects at the level of disruption
61
MCP joint DJD must have which two in the DD? Pick two
Hemochromatosis | CPPD
62
Vertebrobasilar insufficiency during rotary adjustments of the cervical spine related to compression or restriction of the vertebral artery may be associated with?
Posterior Ponticle
63
Failure of fusion of the vertebral body ossification centers results in a ?
Butterfly vertebra
64
A pt presenting with lower lumbar pain and radiographic examination reveals T11-12 and T12-L1 facet arthrosis
Maigne's Syndrome
65
The Six Ds of neurotrophic arthropathy are radiologic signs?
Common in weight bearing joints during the hypertrophic stage
66
Nonunion of the Atlas anterior arch results in?
Nothing, this is clinically insignificant
67
Retinoids (Vit A, derivatives), which are used for treating Dermopathy such as recalcitrant acne, may be associated cause of?
DISH
68
Most developmental or acquired anomalies of C2 involve the dens with the most common anomalies including all of the following except
Hyperplasia
69
Typical spinal changes associated with acromegaly as a cause of secondary degenerative joint disease?
SD with disc widening and posterior body scalloping
70
Forestier's disease may cause fusion of?
Upper SI joints
71
Which of the following are types of juvenile chronic Still's disease?
1,2,3 1) Classic systemic 2) Monoarticular 3) Polyarticular
72
In the cervical spine, the pre dental space should not exceed ___mm in children, ____mm in adults and the retro-dental should not be
5, 3, 16
73
Which of the following lines denotes the spinolaminal line on the lateral lumbar view?
Eisenstein's line
74
Which radiographic finding would be most suggestive of inflammatory osteoarthritis in the DIP and PIP joints
Erosions with osteophytosis and sea gull sign
75
The most common location for OPLL is the ____ with typical symptoms of _____
Cervical spine, lower extremity weakness
76
DISH
HLA-B8 40% positive
77
Intravertebral body vacuum sign
May indicate corticosteroid induced AVN
78
Uncovertebral arthrosis
Accompanying C5-6 IVOC
79
Apophyseal/Facet Arthrosis
Foraminal, IVF or central canal stenosis
80
Charcot's
May be mimiced by CPPD
81
Para-articular bone density evaluation is an important part of the radiographic examination of any patient with arthritic disease. Which of the following arthritic disorders do not have para-articular osteopenia
PA | DJD