lecture final q Flashcards by bahlz deip

Which one of the following is the preferred, more accurate method of measurinng rotation in a scoliosis patient:

pedicle rotation method

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All of the following complicate sickle cell disease

AVN
Cardiomegaly
Gall stones

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Which one of the following conditions is characterized by multiple bone islands seen in a symmetric juxta-articular distribution

osteopoikilosis

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osteomyelitis is a significant complication in sickle cell disease. Which one of the following is the most likely organism to cause the infection in the sickle cell patient:

salmonella

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Which one of the following is characterized by the bone within a bone appearance:

osteopetrosis

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which one of the following causes the H-shaped vertebra?

Sickle cell disease

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All of the following are associated with osteogenesis imperfecta

Triad=

1) osteoporosis
2) abnormal dentition
3) blue sclera

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Which one of the following is MOST LIKELY to result in both the hair on end appearacne as well as a rodent facies:

thalassemia

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Iliac horns can be seen with which of hte following conditions?

Nail Patella syndrome

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which one of the following often results in a widened intercondylar notch of the distal femur

hemophilia

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all of the following are associated with marfan’s syndrome

lens dislocations
thoracic aortic aneurysms
scoliosis

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which one of the following is characterized by submetaphyseal radiolucent bans:

leukemia

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wormian bones can be seen in which one of the following conditions:

cleidocranial dysplasia

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which one of the following conditions is most likely to result in posterior body scalloping:

achondroplasia

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which one of the following best describes a comminuted intra-articular fracture at the base of the first metacarpal:

rolando fracture

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all of the following can result in a whittled odontoid

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which one of the following best described a non-comminuted fracture of the 5th proximal phalynx of the foot:

bedroom fracture

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which one of the following represents the first site of infection in infectious spondylodiscitis in an adult.

anterior superior vertebral body

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an 18 y/o star heigh school football player has trauma to his ribs two days before the state championship. Your clinical suspicion is rib fracture but the X-rays are negative. He wants to play: As discussed in class which one of the following modalities would be the best to order:

bone scan

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which one of the following is caused by ossification of hte supraspinatous and or/or intraspinatous ligament(s):

dagger sign

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The DACBR report for your patient with an acute shoulder injury identifies a Grade II AC separation. Which one of the following represents the likely healing time:

1 month to 1 year

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which one of the following is most closely associated with a dancer/jones fracture:

peroneus brevis

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which one of the following is most closely associated wiht a butterfly fragment:

comminuted fracture

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which one of the following is almost always assoviated with SIGNIFICANT intra-articular soft tissue injury.

segond fracture

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non marginal syndesmophytes are most closely associated with which of the following condition(s):

reiter's syndrome and psoriasis (PA)

which one of the following best describes a fracture of the distal 1/3rd of the radius with posterior dislocation of the distal ulna.

Galleazi

Monteggia Fx is

-proximal 1/3 of the ulna, usually associated with dislocations of radial head

Capener's sign is exceptionally helpful in recognizing which one of the following conditions:

SCFE

Which one of the following best describes a non displaced fracture of the articular surface of the radial head:

chisel fracture

Ulnar styloid Fx

Moore fx

posterior dislocation of humerus

trough sign

hatchet deformity

AI dislocation w. hillsachs (posterolateral surface of head with indentation)

when a calcaneal compression Fx is suspected, which on of the following sites should be X-rayed as well

thoracolumbar spine

Which one of the following is the most common site to see a clavivle fracture in an adult:

Middle 1/3rd

which one of the following represented the most common mechanism of injury to result in traumatic spondylolistheiss:

forced hyperextension of the cervical spine

which one of the following represents the site of a bumper fracture:

proximal tibia

which one of hte following is associated with the hill-sach's deformity

sub-coracoid dislocations

which one of the following is most closely associated with scapholunate dissociation:

David letterman sign

which one of the following best describes a Fx of the distal radius with ANTERIOR displacement of the fracture fragment:

smith's

which one of the following best describes a stress fracture of a metatarsa:

March

which one of the following best describes a salter-harris fracture that extends through the epiphysis, growth plate, and metaphysis:

Type IV

all of hte follownig are underlying causes of pancake compression Fx

- multiple myeloma - osteporosis - skeletal metastasis

which one of the following best describes a Fx through the obturator ring with dislocation of the contralateral SI joint

Bucket handle Fx

all of the following are sports that predispose to hook of the hamate Fx

Grasping injury - Baseball - tennis - golf - lacrosse - hockey

which one of the following best describes a Fx of the radial styloid

Chauffer

which one of the following is the most common bone in the wrist to dislocate

lunate

posterior body scalloping is associated with what conditions?

- achondroplasia | - neruofibromatosis

which one of the following conditions is associated with the trident hand

achondroplasia

which one of the following is the most likely to be associate d with an increased interpedicular distance on an AP lumbar:

burst fx

in adults, the 3 most commonly dislocated joints are;

- shoulder - interphalangeal jts - elbow

the 3 F's of degenerative spondyleothesis include all except:

fertile

which is the most clinically significant idiopathic scoliosis?

left thoracic curvature measuring 18 degrees

which of the following would be an immediate complication of fracture?

compartment syndrome- others include; arterial injury, gas gangrene, fat embolism syndrome, thromboembolism

in addition to idiopathic cause, which has been known to be associated with scoliosis?

1) Marfans syndrome 2) neurofibromatosis 3) osteogenesis imperfecta 4) hemevertebrae 5) osteoid osteoma

transverse fracture, physis, and vertical through the epiphysis describes which salter harris fx

type III

regarding Fx's, Fx surface contact is described with

apposition- spatial relationship

all of the following are categories of the 12 significant signs of cervical spine trauma except

abnormal bone density

fracture healing involves 3 major phases, which are:

circulatory inflammatory phase, reparative or metabolic phase, remodeling or mechanical phase

stress fracture is often referred to as:

fatigue fracture

risk of non union or avascular necrosis is greatest

fracture is intra-capsular

with regard to instability of spondylothesis, 2 methods have been utilized which include flexion and extension, method, and also the newer method which is the axiotraction and compression method. segmental instability is idicated with translation movement of ___ mm or greater or difference of angular motion of flexion and extension of greater than ____ deg.

4 mm 11º

which disorder of the SI joint would not be expected to produce subchondral sclerosis?

DISH

anterior elbow fat pad is

only visible on the lateral elbow view

which line is positive with iliofemoral joint dislocation?

shentons

encroachment of the odontoid into the foramen magnum is called ______ which is best evaluated with what line?

basilar depression/invagination McGregor's line

In a patient suspected of having platybasia evaluation may involve all of the following

digastric line McCraes Line Chamberlains line

which of the following is the mucopolysaccharide metabolic disorder?

Hurlers sydrome

Boehler's angle helps to rule out

calcaneous fracture

when performing a lateral film on a scoliosis patient, one should

perform an upright lateral curve convexity adjacent to bucky

osteogenesis imperfecta will have the following findings

osteopenia, blue sclera, multiple Fx

which is a classic finding of morquio's

platyspondyly

which of the following is associated with marfans syndrome

pectus excavatum

this disorder, although rare, is a contraindication to chiropractic care because the tissue injury to relation related to palpation

progressive myositis ossificans

spinal stenosis leading to cord compression could be significant finding of

achondroplasia

utilizing Cobb method of scoliosis requires

location of the upper most vertebrae with the superior endplate tilt maximally toward the concavity

this disorder associated with faulty intramembranous bone ossification is a congenital abnormally associated with dropping hyper-mobile shoulders

cleidocranial dysplasia

stress or fatigue is associated with

is related to micro trauma with normal bone

which line does not directly utilize the femur?

Kohler's

an unstable fracture is one that

may cause spinal neurological injury

the least common salter harris Fx

type 5

the banana fracture seen in pagets disease is

transverse fx

psuedo tumors of hemophilia, although rare are caused by

Interosseous hemorrhage

radiographically, the effects of siclecell anemia on small articular bones of the hands and feet of children may simulate

osteomyelitis

christmas disease

hemophilia B, lacking factor 9

which feature is a characteristic of salmonella osteomyelitis in children with sickle cell disease

bilateral symmertrical diaphyseal pattern

leukemia lines are seen at the

diaphysis

hemarthrosis and hemophilia occurs at which joint most commonly

knee

the most common malignant disease of childhood is

leukemia

the hair on end appearance of the cranium associated with sickle cell typically occurs

in the frontal bones

the most common location for ochornisis in the skeleton is the spine. which findings are characteristic of ochronosis arthropathy?

disc narrowing, vacuum phenomenon, linear disc calcification

Lysine substitution for glutamic acid at position 6 of the hemoglobin chain is characterstic of

hemoglobin C

in the early stages of Potts disease, spinal radiographs show

mild to moderate loss of disc space and end plate disruption

Potts dusease is most commonly seen at

T11-L2

In the thoracic and lumbar spine, PA is likely to manifest with

coarse asymmetric non marginal syndesmophytes

anderson lesion is

pseudoarthrosis caused by pathological fractures from a previous ankylosed spine

a striking difference between rheumatoid psoriatic arthritis is that the latter does not produce

periarticular osteopenia

Psoriatic anthropathy most commonly

small joints of hands and feet

the terry thomas sign is radiological evidence of

Scapholunate ligamentous disruption

McCune Albright syndrome is part of

polyostotic fibrodysplasia

90% of infectious spondylodiscitis is caused by

staph aureus

lecture final q Flashcards

(100 cards)