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Flashcards in Review Deck (52)
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1

60 YO F. Low back pain. Progressively worse over the last several months.

Blasted mets

2

55 YO M Low back pain, insidious onset. Decrease in appetite for the last several months.

• Missing pedicle L1. (MC cause for missing pedicle = mets)
• Lateral cervical film: C5 is missing.
• Red flags in Hx
• Think: mets or MM

3

Which of the following is considered a MALIGNANT finding?

A. sclerotic border

B. cortical destruction

C. soap, bubbly, lytic appearance

D. expansile

 

B. cortical destruction

4

Which of the following typically presents with multiple lesions?

A. enchondromas

B. giant cell tumors

C. multiple myeloma

D. osteoid osteoma

C. multiple myeloma

5

Which of the following is NOT on the list of differential diagnosis for an ivory vertebra?

A. metastasis

B. Paget’s disease

C. osteoporosis

D. lymphoma

C. osteoporosis

6

Which of the following is NOT on the list of differential diagnosis for a pathological compression fracture/pancake vertebra/universal compression fracture?

A. osteoporosis

B. fibrous dysplasia

C. multiple myeloma

D. metastasis

B. fibrous dysplasia

7

50 YO M. Weakness, fatigue, back pain.

Multiple, punched out, osteolytic lesions

think: MM or mets

8

15 YO M. Arm pain and swelling

• Soft tissue swelling
• Laminated single layer on medial side 
• Skeletal immature
• Think: Ewing’s sarcoma, Osteosarcoma (consider: MOCE because they are the top 4 tumors) or Osteomyelitis (because its infectious)

9

A 15 YO male patient presents with swelling at the R. arm, fever, radiographic findings show laminated periosteal response in the diaphyseal location. Which TWO possible diagnosis will you consider?

A. aneurysmal bone cyst

B. Ewing’s sarcoma

C. metastasis

D. osteomyelitis

 

B. Ewing’s sarcoma

D. osteomyelitis

10

Which of the following is the most common BENIGN tumor of the hand?

A. hemangioma

B. enchondroma

C. giant cell tumor

D. osteoma

B. enchondroma

11

The favorite location of this BENIGN tumor is in the facial/skull bones (eg. the sinuses), which is the correct choice?

A. osteoma

B. osteoid osteoma

C. giant cell tumor

D. enchondroma

A. osteoma

12

Which one of the following typically does NOT present with erosions?

A. rheumatoid arthritis

B. ankylosing spondylitis

C. systemic lupus erythematosus

D. reactive arthritis

C. systemic lupus erythematosus

13

45 YO F. Recently developed knee pain.

 

• Popcorn like lesion, stippled at proximal tibia.
Think:
• Enchondroma. (Painless)
• Chondrosarcoma (because Pain)

14

40 YO F. Suffered an ankle injury 3 days ago.

 

Enchondroma

15

28 YO M. No history provided.

 

• Lytic, soap bubbly
• Closed growth plates
• Location at the knee
Think: Giant Cell Tumor

16

16 Y O M. No history provided.

 

• osteolytic lesion
• Open growth plates
Think: Chondroblastoma (opposite of GCT. Chondroblastoma will cross open growth plates.)

17

What is the rate of malignant transformation for giant cell tumors? 

A. 5-25%

B. 1%

C. 75%

D. 50%

 

A. 5-25%

18

If you are considering metastasis as a possible diagnosis, which of the following should also be considered/ruled out?

A. osteosarcoma

B. chondrosarcoma

C. multiple myeloma

D. osteoma

 

C. multiple myeloma

19

Which of the following is the most common BENIGN neoplasm of the spine?

A. giant cell tumor

B. osteoid osteoma

C. hemangioma

D. enchondroma

C. hemangioma

20

Which of the following is NOT typically considered as a possible DDX when a patient has a painful scoliosis?

A. aneurysmal bone cyst

B. osteoblastoma

C. giant cell tumor

D. osteoid osteoma

C. giant cell tumor

 

What presents as blastic?
• Osteoid osteoma

21

3 YO M. Several months of R. thigh pain.

Nidus
Eccentric
Relieved by aspirin
• Think: Osteoid osteoma

22

40 YO M. Several months of back pain.

 

Entire joint space gone
T12-L1 Disc is gone
• Think: Infectious discitis

23

32 YO M. Several months of back pain.

 

• Endplate destruction
• Loss of disc height /space
• Acute kyphosis at the 2 segments (might look like retrolisthesis)
Think: infectious discitis

24

52 YO M. Complains of difficulty with eating.

 

• Hyperostosis of ALL
• NORMAL disc height
• T or L shape (orange)
• Look for OPLL 85% of the time - look for this because of central canal stenosis
Think: DISH

25

Which of the following pathologies is NOT considered to be degenerative?

A. osteoarthritis

B. DISH

C. gout

D. synovial chondrometaplasia

 

C. gout (Considered to be metabolic)

26

A 25 YO male patient presents with low back pain. Radiographic findings include bilateral sacroiliitis, marginal syndesmophytes, and ossification of supraspinatous ligament. What is the most likely diagnosis?

A. reactive arthritis

B. ankylosing spondylitis

C. DISH

D. osteoarthritis

 

B. ankylosing spondylitis - MC arthropathies

27

A 25 YO male patient complains of heel pain that started several weeks ago. He also complains of having red, itchy, eyes. Which of the following is the most likely diagnosis?

A. reactive arthritis

B. enteropathic arthritis

C. ankylosing spondylitis 

D. psoriatic arthritis

 

A. reactive arthritis - remember the triad

28

Which of the following is NOT a seronegative arthropathy?

A. rheumatoid arthritis

B. reactive arthritis

C. psoriatic arthritis

D. ankylosing spondylitis

 

A. rheumatoid arthritis

29

63 YO F. Complains of an achy neck.

 

• Facet degeneration

Think: Osetoarthritis

30

25 YO M. Presents with elevated ESR of 80mm/hr (normal range: 0- 15mm/hr)

• Bi SI Erosions
• Category: Seronegative
• Think/most likely: AS/Enteropathic. 
    ◦ However cannot r/o Psoriatic/Reactive