Final

Question 1

List some radiographic findings of Scurvy

Answer 1

Osteopenia
Dense zone of provisional calcification = White Line of Frankel
Subperiosteal hemorrhage 
Ring Epiphysis (Wimberger's Sing)
"Scorbutic Rosary"

Question 2

What condition has the clinical findings of thick skin especially on the heel pad, skull/facial changes, and ADI.

Answer 2

Acromegaly

Question 3

T or F

PTH is an osteoclastic hormone

Answer 3

True

Question 4

What type of HPT is the most common cause of hypercalcemia?

Answer 4

Primary

- parathyroid adenoma

Question 5

T or F

Tertiary HPT is the most common complication of renal disease

Answer 5

False

Secondary

Question 6

Where do we common see tertiary PTH?

Answer 6

Dialysis Patient

Question 7

What is a hallmark manifestation radiographically of HPT?

Answer 7

Subperiosteal bone resporption of the outer cortex at the ligament and tendon insertion points

Question 8

What are brown tumors?

Answer 8

Related to HPT
They are cyst like destructive bone lesions
Osteoclastic giant cells

Question 9

T or F

Subperiosteal resorption of the Ulnar margins of the middle and proximal phalanges is a common radiographic finding with PTH

Answer 9

False

Radial margin

Question 10

What digits of the hand do we common see HPT cause subperiosteal resorption?

Answer 10

2nd and 3rd digits

Question 11

Name some common sites of subperiosteal resorption as related to HPT

Answer 11

Medial metaphysis of the humerus and tibia
Undersurface of the distal clavicle
Trochanters
Tuberosities
Radial margins of the middle and proximal phalanges
2nd and 3rd digit of the hand

Question 12

Common sites of subarticular bone resorption related to HPT

Answer 12

AC joint
Symphysis pubis
SI joints

Question 13

Describe the loss of bone density related to HPT

Answer 13

Granular
Salt and pepper skull/pepper-pot skull
Accentuated trabecular pattern of remaining trabeculae
Loss of cortical definition

Question 14

T or F

The most common target site for HPT is the pelvis

Answer 14

False

Spine - it is called rugger-jersey spine.

Hands, skull, pelvis, and shoulders are also spots.

Question 15

List some radiographic findings for Hypoparathyroidism

Answer 15

Osteosclerosis
Clavarial thickening
Hypoplastic dentition
Basal Ganglia Calcification

Question 16

What are the classifications of Arthritic Disorders

Answer 16

Inflammatory
Degenerative
Metabolic

Question 17

List some of the radiographic findings of Inflammatory Arthritic disorders

Answer 17

Soft tissue swelling
Uniform loss of joint space
Bone erosions
Juxta-articular osteoporosis 
Monoarticular or polyarticular - symmetrical

Question 18

Radiographic findings of Degenerative disorders

Answer 18

Non-uniform loss of joint space
Osteophytes
Subchondral sclerosis 
Subchondral cysts
Asymmetrical

Question 19

T or F

Gout is an example of a metabolic arthritic disorder

Answer 19

True

Question 20

T or F

DJD is polyarticular

Answer 20

False

Monoartiular

Question 21

T or F

Erosions are common with DJD

Answer 21

False

Question 22

T or F

Osteophytes are not seen with DJD

Answer 22

False

Present

Question 23

Primary DJD is more common with men or women?

Answer 23

Females 10:1

5th -6th decade

Question 24

T or F

Primary DJD has a known factor or event is its cause

Answer 24

False

This is secondary
Primary = idiopathic

Question 25

T or F Females are affected more with secondary DJD

Answer 25

False Males = Females

Question 26

How do subchondral cysts form?

Answer 26

Weakness of joint cartilage and cortical microfractures Synovial fluid enters subarticular bone Cysts form

Question 27

What is the name of the subchondral cysts that form in OA?

Answer 27

Geodes

Question 28

Where do we typically see non-uniform loss of joint space in OA?

Answer 28

At areas of greatest intra-articular stress where joint space is preserved at areas not exposed to as much stress

Question 29

Subchondral sclerosis aka ?

Answer 29

Eburnation

Question 30

Where do we typically see Subchondral sclerosis?

Answer 30

Where greatest cartilage loss

Question 31

Intra-articular loose bodies aka ?

Answer 31

Joint Mice

Question 32

Where are joint mice most commonly seen in DJD?

Answer 32

Knee

Question 33

What are some names of DJD in the hip. The akas

Answer 33

Coxarthrosis | Malum Coxae Senilis

Question 34

Name the types of margination associated with DJD in the hip

Answer 34

Superior Medial Axial

Question 35

T or F Medial margination of DJD in the hip is commonly referred to as Waldenstrom sign

Answer 35

False Superior margination

Question 36

Protrusio Acetabuli is seen with what type of margination of DJD in the hip?

Answer 36

Medial

Question 37

What is Buttressing?

Answer 37

Thickening Medial side Stress-related Altered joint mechanics

Question 38

In what compartment of the knee is DJD the MC?

Answer 38

Medial

Question 39

What is tell tale sign of DJD in the knee?

Answer 39

Sharpening of tibial eminences

Question 40

Where is pain most commonly felt in Chondromalacia patellae?

Answer 40

Anteromedial knee

Question 41

What is a talar beak?

Answer 41

Osteophyte on the talus

Question 42

Where is the most common site for DJD on the foot?

Answer 42

1st Metatarsophalangeal joint

Question 43

T or F Deformity of the foot associated with DJD is a Hallux Varus

Answer 43

False Hallux Valgus

Question 44

The most common joint in the shoulder for DJD?

Answer 44

AC joint

Question 45

If DJD in glenohumeral joint what should we suspect?

Answer 45

Previous trauma or cartilaginous disease

Question 46

T or F Loss of joint space in the AC joint is common on the superior aspect of the joint?

Answer 46

False Inferior

Question 47

Calcification of tendons and bursa is commonly referred to as?

Answer 47

HADD

Question 48

Where in the shoulder is HADD the MC?

Answer 48

Supraspinatus tendon at its insertion on greater tuberosity

Question 49

2nd MC site for HADD in shoulder?

Answer 49

Subacromial bursa - below acromion and above humeral head

Question 50

MC site for DJD in wrist?

Answer 50

1st metacarpal-trapezium joint

Question 51

Radiographic signs of DJD in wrist?

Answer 51

Radial Displacement of the 1st metacarpal base Sclerosis Osteophytes Loose bodies

Question 52

T or F | DJD in the hand is MC in the MP joints

Answer 52

False IP joints

Question 53

T or F ``` DIP = Bouchard's Nodes PIP = Heberden's ```

Answer 53

False