skeletal

Question 1

Which primary bone tumor should be investigated with the utilization of CT?
A. osteosarcoma
B. osteoid osteoma
C. chondrosarcoma
D. Ewing Sarcoma

Answer 1

Osteoid osteoma

Question 2

Pt presents with:
anterior shoulder pain for several months
no recent injury,
no relief with NSAIDS, ice/heat, & gentle range of motion exercises.
Radiographs of shoulder demonstrait:
sm microcalcifications of subacromial space
what is differential diagnosis ?

Answer 2

Calcific tendinitis

Question 3

Which of the following characteristics does NOT assist in the differentiation between a primary and metastatic bone lesion?
. soft tissue mass
. periosteal reaction
. length of the lesion
. calcification of blood vessles

Answer 3

Calcification of blood vessels

Question 4

What skeletal pathology radiographically with “bubblesoap” appearance?

Answer 4

Giant Cell tumor

Question 5

Osteopetrosis requires what type of technical factor change>

Answer 5

Increase

Question 6

Tenosynovitis requires what type of technical factor change ?

Answer 6

no change

Question 7

Which neoplasm involves a nidus ?

Answer 7

osteoid osteoma

Question 8

which disease is congenital ?
. Pott disease
. osteoporosis
. padget disease
. osteogenesis imperfecta

Answer 8

osteogenesis imperfecta (OI)

Question 9

Spondylolysis is a result of a cleft of defict in the vertebral :

Answer 9

pars interarticularis

Question 10

Dipole is specific to cancellous bone located in what anatomic structure ?

Answer 10

skull

Question 11

15-yr old Pt presents for a right knee series after sustaining a varus injury while playing football. AP, lateral, and both oblique radiographs of the knee demonstrate an avulsion fracture of the lateral tibial plateau (second fracture).
What additional imaging modality would be best utilized in the diagnosis for this Pt ?

Answer 11

MRI

Question 12

Heberden nodes and Bouchard nodes are associated with what skeletal pathology ?

Answer 12

Osteoarthritis

Question 13

What skeletal pathology could be a contributing factor for a cervical rib ?

Answer 13

transitional vertebrae

Question 14

What anatomic structure is NOT a common area for metastasis ?

Answer 14

carpals

Question 15

” brittle bone “ disease is also know as :

Answer 15

osteogenesis imperfecta

Question 16

congenital clubfoot is also known as :

Answer 16

talipes

Question 17

The most common form of arthritis is:

Answer 17

osteoarthritis

Question 18

Marie-Strumpell disease or “ bamboo spine “ is a symptom of the pathology known as :

Answer 18

ankylosing spondylitis

Question 19

the forward slippage of one vertebra on another describes the pathology :

Answer 19

spondylolisthesis

Question 20

what type of arthritis has tophi associated with it ?

Answer 20

Gouty arthritis

Question 21

What imaging modality demonstrates both simultaneous eval of bone and soft tissues with quantitative metabolic data of osteosarcomas ?

Answer 21

PET scan

Question 22

Tuberculosis of the spine is commonly referred to as:

Answer 22

Pott disease

Question 23

The imaging modality that would best demonstrate osteomyelitis is :

Answer 23

nuclear medicine

Question 24

one of the most common areas for metastasis for osteosarcomas is to the :

Answer 24

lung

Question 25

30 yr-old male presents with swelling and redness on his left knee. He states that he lays carpet and rarely wears knee pads. The orthopedic surgeon decides to aspirate the swollen area and inject it with a corticosteroid. What would be the differential diagnosis ?

Answer 25

prepatellar bursitis

Question 26

A malignant tumor composed of atypical cartilage is know as :

Answer 26

chondrosarcoma

Question 27

What skeletal pathology involves cysts in the metaphysis of long bones in individuals younger than 20 yrs and consists of numerous blood-filled arteriovenous communications ?

Answer 27

aneurysmal bone cyst

Question 28

What type of aggressive bone-forming neoplasm that is most often located in the bone marrow gives the radiographic apperance of a sunray or sunburst ?

Answer 28

osteosarcoma

Question 29

Which syndrome may involve craniosynostosis and syndactyly ?

Answer 29

apert syndrome

Question 30

Which of the following congenital skeletal pathologies involves failure of formation of the cranial vault and is not conducive for life?

Answer 30

anencephaly a-n-e-n-c-e-p-h-a-l-y

Question 31

A nuclear medicine bone scan is preformed for a diagnosis of osteomyelitis of the right foot. if this procedure is positive, what would the images demonstrate ?

Answer 31

decreased uptake on the right foot (cold spot)

Question 32

The most commonly inherited disorder affecting the skeletal system is :

Answer 32

achondroplasis

Question 33

65 yr-old female presents with bilateral knee pain and no history of injury. What radiographic procedure should be obtained initially ?

Answer 33

Bilateral weight-bearing knee radiographs

Question 34

75 yr-old Pt with weight-bearing AP and lateral knee radiographs of the left knee demonstrates a decreased medial joint compartment and osteophyte formation on the medial femoral condyle. What would be the initial diagnosis ?

Answer 34

osteoarthritis

Question 35

The primary site of ossification is the :

Answer 35

diaphysis