Fin

Question 1

OPLL association:

Answer 1

Compression Myelopathy

Question 2

Diabetes mellitus associated w/:

Answer 2

DISH, Distal lower extremity charcot’s, Lumbar spine charcot’s

Question 3

Line useful in detection of Wiltse degenerative spondylolisthesis:

Answer 3

Ullman’s line

Question 4

Type of arthritis associated w/ atlantoaxial instability & “dip and pip pattern” of arthritis?

Answer 4

Psoriatic arthritis

Question 5

Shenton’s/Menard’s line and _____ will be positive w/ rheumatoid acetabular protrusion.

Answer 5

Iliofemoral

Question 6

Which measurement will be positive w/ coxa vara?

Answer 6

Femoral angle

Question 7

Decreased endplate signal intensity on T1 and T2 weighted images are classified as Type ____ endplate changes and are related to relative absence of marrow in areas of subchondral sclerosis.

Answer 7

Type III

Question 8

Using Eisenstein’s method, lumbar sagittal canal stenosis would be indicated by:

Question 9

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

Answer 9

Normal canal

Question 10

A 48 YO female presented w/ low back and leg pain and is found to have a L/S transitional segment; may be predisposed to:

Answer 10

Degenerative spondylolisthesis

Question 11

Which would you not expect to find w/ Primary Basilar Invagination?

Answer 11

Small sella turcica

Question 12

The most consistent clinical finding for Klippel-Feil syndrome:

Answer 12

Limitation of neck motion

Question 13

Reduced range of cervical motion could be seen with which:

Answer 13

DISH, cervical spine fusion C4-C6, & C2, 3, 4 block vertebra

Question 14

An important accompanying condition w/ SLE?

Answer 14

Corticosteroid induced bone disease

Question 15

Increased endplate signal intensity on T1 and mildly increased endplate signal on T2-weighted images are classified as modic Type ___ endplate changes related to fatty marrow replacement in endplates.

Answer 15

Type II

Question 16

The ligamentum flava w/ IVOC may be associated w/ which spinal complication?

Answer 16

Spinal stenosis

Question 17

This inflammatory arthritis can involve DIP, PIP, and first MCC articulations in the hand:

Answer 17

Erosive osteoarthritis

Question 18

Rheumatoid nodules and high titer of rheumatoid factor:

Answer 18

Indicate poor prognosis

Question 19

Which arthritis would be expected to be seen yearly in practice?

Answer 19

Gout

Question 20

Corticosteroid osteoarthropathy as a complicating factor associated w/ inflammatory joint disease encompasses:

Answer 20

Osteopenic fracture & AVN

Question 21

Lumbosacral transitional vertebrae w/ back pain and antalgic scoliosis is referred to as ___ syndrome.

Answer 21

Bertolotti’s

Question 22

Hemispheric spondylosclerosis occurs most commonly at the ______ vertebral level and must be differentiated from______.

Answer 22

L4-5, infectious spondylodiscitis

Question 23

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:

Answer 23

Sjögren’s syndrome

Question 24

The best imaging for the earliest detection of vertebral body bone destruction is ___ & ___.

Answer 24

Radionuclide bone scan & MRI

Question 25

Historical Hadley's "S" curve was used when evaluating::

Answer 25

Both A-P and oblique lumbar x-ray's

Question 26

The most common factor that results in degenerative disc disease is:

Answer 26

Acute or chronic repetitive trauma

Question 27

The vacuum sign of Knuttsen is associated w/:

Answer 27

Central nuclear & peripheral annular DDD

Question 28

The most significant of the spinal ligaments in relation to degenerative joint disease is:

Answer 28

Ligamentum flava

Question 29

"Putti's triad" is a group of radiographic features associated w/:

Answer 29

Congenital hip dysplasia

Question 30

Degenerative arthritis typically does not produce:

Answer 30

"Mouse ears" whiskering

Question 31

Which condition can produce arthritis mimicking neuropathic joint disease?

Answer 31

CPPD arthritis

Question 32

Young adult male would be the typical patient for:

Answer 32

Reactive arthritis syndrome

Question 33

Laboratory evaluation in OPLL patients will show:

Answer 33

Negative lab findings

Question 34

A complication of facet joint degeneration which can not be demonstrated on plain film radiographs and is best evaluated w/ MRI:

Answer 34

Synovial cyst

Question 35

Syndromes that may be associated w/ rheumatoid type arthritis include:

Answer 35

Sjögren's & Caplan's

Question 36

This finding often occurs prior to the onset of the skin changes in >90% of scleroderma patients:

Answer 36

Raynaud's

Question 37

The rare genetic metabolic disorder of homogentisic acid oxidase absence involve the spine in > ___ % of cases.

Answer 37

95

Question 38

Spinal involvement in neuropathic arthropathy could be associated w/:

Answer 38

Diabetic neuropathy, syringomyelia, syphilis

Question 39

In addition to disc space narrowing & osteophytosis this is a prominent finding of spinal Charcot's:

Answer 39

Subchondral sclerosis

Question 40

Rheumatoid arthritis may result in:

Answer 40

Bony ankylosis of synovial joints

Question 41

Which of the following arthritic disorders classically begins monarticular?

Answer 41

Gout

Question 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.

Answer 42

Macnab's

Question 43

The BEST view for demonstrating spondylolisthesis (Wiltse) etiology is:

Answer 43

Oblique view

Question 44

The type of Wiltse spondylolisthesis rarely seen in clinical chiropractic practice:

Answer 44

Pathological

Question 45

Acetabular protrusion can be seen w/ all of the following EXCEPT:

Answer 45

Osteoporosis

Question 46

In a pediatric patient, Klein's line should:

Answer 46

Intersect the superior margin of the femoral head

Question 47

Conservative treatment of the patient w/ spondylolisthesis has a poor prognosis if:

Answer 47

Motion or compression/distraction lumbar films indicates instability

Question 48

An arthropathy associated w/ joint mice and eventually producing secondary OA:

Answer 48

Synovial chondrometaplasia

Question 49

Seronegative arthritis in childhood:

Answer 49

Still's disease

Question 50

Neuropathic joints occurs in up to ___% of diabetics, ~ ___% of syphlitics, and up to ___% of syringomyelia patients.

Answer 50

35, 20, 25

Question 51

Primary hemochromatosis has a strong association w/:

Answer 51

Diabetes mellitus

Question 52

In the Wilts classification for spondylolisthesis, which type may result in a >100% anterolisthesis.

Answer 52

Dysplastic