Term
1. 2 types of non-inflammatory arthritides. |
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Definition
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|
Term
2. 5 different types of inflammatory arthritides. |
|
Definition
1) REITERS, 2) RA, 3) PSORIATIC, 4) AS, 5) ENTEROPATHIC |
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Term
3. If a patient has a thin disc without osteophytic changes, the doctor should be thinking the patient has _____. |
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Definition
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Term
4. The posterior translation of a vertebra seen when one has DJD is called _____. |
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Definition
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Term
5. What is the most common site of DJD? |
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Definition
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Term
6. _____ are the DIP’s affected by DJD. |
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Definition
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Term
7. _____ are the PIP’s affected by DJD. |
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Definition
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Term
8. DISH stands for _____. |
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Definition
DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS |
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Term
9. Which arthritide is known as causing “flowing candle wax.” |
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Definition
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Term
10. _____ is an arthritide that causes a sharp claw-like osteophyte in the pubic symphysis joint space. |
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Definition
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Term
11. When one has diabetes, neurotrophic arthropathies will affect these 3 places. |
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Definition
1) HIPS, 2) KNEES, 3) FEET |
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Term
12. When one has neurotrophic arthropathies in the shoulders, the doc should think the patient has _____. |
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Definition
SPINAL TUMORS (SYRINGOMYELIA) |
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Term
13. 3 causes of neurotrophic arthropathies. |
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Definition
1) CONGENITAL 2) IATROGENIC, 3) ACQUIRED |
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Term
14. 3 red flags associated with neurotrophic arthropathy. |
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Definition
1) ALTERED GAIT PATTERNS, 2) LOSS OF DEEP TENDON REFLEXES, 3) PAIN INSENSITIVITY |
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Term
15. What type of neurotrophic arthropathy is most common? |
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Definition
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Term
16. These are the 6 D’s of hypertrophic neurotrophic arthropathy. |
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Definition
1) DISTENDED JOINT, 2) DENSITY INCREASED, 3) DEBRIS PRODUCTION, 4) DISLOCATION, 5) DISORGANIZATION, 6) DESTRUCTION |
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Term
17. Which arthritide is associated with the licked candy-stick appearance? |
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Definition
ATROPHIC NEUROTROPHIC ARTHRITIS |
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Term
18. SCM arthritis stands for _____. |
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Definition
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Term
19. The most common site of SCM is in the _____. |
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Definition
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Term
20. _____ is an arthritide condition that cause pannus formation that destroys bone and cartilage. A patient will complain of swelling of at least one other joint within 3 months. |
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Definition
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Term
21. Does DJD or RA get better with activity? |
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Definition
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Term
22. This lab is important in diagnosing RA. |
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Definition
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Term
23. _____ are the bony growths at the MCP’s in patients with RA. |
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Definition
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Term
24. _____ is the extension of the joints of the hands seen in RA. |
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Definition
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Term
25. _____ is the flexion of the joints of the hands seen in RA. |
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Definition
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Term
26. _____ is the most common cause of bilateral protrusion acetabuli in the hips. |
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Definition
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Term
27. When one has RA, there will be an increase in the _____ of the pelvis. |
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Definition
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Term
28. When one sees a spotty carpal sign in a wrist x-ray, the doctor should be thinking of these 2 conditions. |
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Definition
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Term
29. One must worry about _____ when a patient has RA of the cervical spine. |
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Definition
UPPER CERVICAL INSTABILITY |
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Term
30. What are the 2 most common locations of RA? |
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Definition
1) MCP’S, 2) CERVICAL SPINE |
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Term
31. RA generally tends to erode the MTP’s medially except on the _____ where it will be both medially and laterally. |
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Definition
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Term
32. These are the 4 sero-negative arthritides. |
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Definition
PSORIATIC, ENTEROPATHIC, AS, REITERS SYNDROME |
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Term
33. What is the age of onset for AS? |
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Definition
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Term
34. AS initially begins in the _____ joints. |
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Definition
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Term
35. When one has AS, you must DDX with _____ except for the cervical spine. |
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Definition
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Term
36. _____ is the pseudoarthrosis following a carrot stick fracture when one has AS. |
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Definition
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Term
37. 3 stages of the SI joints in AS. |
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Definition
1) PSEUDO-WIDENING, 2) EROSION AND SCLEROSIS, 3) ANKYLOSIS |
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Term
38. Which arthritide is associated with the trolley and dagger signs? |
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Definition
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Term
39. These 2 arthritides will cause bilateral SI joint fusion. |
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Definition
AS AND ENTEROPATHIC ARTHRITIS |
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Term
40. This arthritide is associated with the pencil in cup and mouse ear deformities. |
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Definition
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Term
41. When a patient has _____, they will present with silvery scaly patches on the extensor surfaces of the forearms, knees, and back. |
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Definition
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Term
42. _____ is an arthritide that causes sausage digits. |
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Definition
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Term
43. This arthritide will cause opera glass hand deformity. |
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Definition
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Term
44. Psoriatic arthritis will give a _____ when all the joints in the fingers are affected. |
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Definition
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Term
45. _____ is an arthritis associated with urethritis, conjunctivitis and polyarthritis. |
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Definition
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Term
46. _____ are skin manifestations seen on the soles of feet, palms of hands, and mucocutaneous lesions when one has reiter’s syndrome. |
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Definition
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Term
47. What is another name for reiter’s syndrome? |
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Definition
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Term
48. This is the main lab used to diagnose reiter’s syndrome. |
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Definition
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Term
49. When one has arthritis in the SI joint unilaterally, the doctor should think of these 3 conditions. |
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Definition
1) RA, 2) PSORIATIC ARTHRITIS, 3) REITER’S SYNDROME |
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Term
50. _____ is a chronic connective tissue disorder that causes red and swollen nail beds, pericarditis in the heart, and pleurititis in lungs. |
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Definition
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Term
51. The most characteristic radiographic findings of SLE occur in the _____. |
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Definition
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Term
52. _____ is a generalized systemic inflammatory connective tissue disease that causes build up of collagen in the skin and other organs. |
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Definition
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Term
53. This is the CREST of symptoms associated with scleroderma. |
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Definition
CALCIUM DEPOSITS, RAYNAUD’S PHENOMENON, ESOPHAGEAL DYSFUNCTION, SCLERODACTYLY, TELANGELCTASIS |
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Term
54. _____ is the dilation of small vessels and capillaries that cause flat red marks to appear on the skin in scleroderma patients. |
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Definition
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Term
55. What is another name for Calcium Pyrophosphate Deposition Disease? |
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Definition
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Term
56. _____ is a condition that causes bilateral opaque areas on the ileum side of the SI joints. |
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Definition
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Term
57. What is the age of onset of OCI? |
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Definition
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Term
58. This is the triad that occurs when one has hypertrophic arthropathy. |
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Definition
1) PERIPHERAL ARTHRITIS, 2) DIGITAL CLUBBING, 3) LONG BONE PERIOSTITIS |
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Term
59. What is the most common cause of hypertrophic atrophy? |
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Definition
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Term
60. _____ is a common arthritide known as the disease of kings. |
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Definition
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Term
61. _____is gout of the big toe. |
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Definition
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Term
62. Gout causes arthritis induced by deposits of _____. |
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Definition
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Term
63. _____ are aggregations of sodium monourate crystals in gout. |
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Definition
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Term
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Definition
1) ASYMPTOMATIC, 2) ACUTE, 3) POLYARTICULAR, 4) CHRONIC |
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Term
65. _____ is a condition that affects males aged 40-70 that causes calcific tendonitis. |
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Definition
HYDROXYAPATITE DEPOSITION DISEASE (HADD) |
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Term
66. What is the most common site affected by HADD? |
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Definition
THE SUPRASPINATUS TENDON OF THE SHOULDER |
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Term
67. _____ is when HADD affects the medial collateral ligament of the knee. |
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Definition
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Term
68. _____ is a benign tumor that causes a projection of bone with a cartilaginous cap. |
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Definition
OSTEOCHONDROMA SUPRACONDYLAR PROCESS |
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Term
69. This type of osteochondroma consists of a long, narrow base with cartilaginous cap. It points away from the joint, and the cortex and trabeculae are continuous with the host bone. |
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Definition
PEDUNCULATED OSTEOCHONDROMA |
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Term
70. _____ resembles a pedunculated osteochondroma, but it points toward the joint. |
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Definition
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Term
71. _____ is a type of osteochondroma that is a broad based projection from the metaphyses, and the cortex is continuous with host bone. |
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Definition
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Term
72. _____ is a type of osteochondroma that consists of a dense, amorphous, localized area of spotty calcification, and it is usually found in flat bones. |
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Definition
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Term
73. _____ is a genetic dysplasia that causes a patient to have multiple osteochondromas, very wide femoral metaphyses, and bilateral fat femoral necks. |
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Definition
HEREDITARY OSTEOCHONDROMATOSIS (HME) |
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Term
74. _____ is a rare benign osseous lesion that is associated with pain. |
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Definition
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Term
75. What is the most common site for osteoblastomas? |
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Definition
VERTEBRAL ARCH OF THE SPINE |
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Term
76. _____ is a quasimalignant tumor that affects females aged 20-40. It causes a dull intermittent ache with localized tenderness. This is a moderately expansile tumor that extends to the articular surface. |
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Definition
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Term
77. What is the most common kind of giant cell tumor? |
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Definition
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Term
78. When one has a giant cell tumor in the _____, the doctor should be thinking malignancy. |
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Definition
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Term
79. _____ is a benign osseous lesion that most commonly affects the frontal sinus of the skull, and the mandible. |
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Definition
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Term
80. This is a benign osseous lesion that causes pain that is worse at night and relieved by aspirin. |
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Definition
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Term
81. What is the age range of patients with osteoid osteomas? |
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Definition
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Term
82. What is the most common cause of painful scoliosis in the spine? |
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Definition
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Term
83. _____ is not a true tumor, rather it is a fluid filled cyst with a fibrous lining. |
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Definition
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Term
84. What is the age range of patients with UBC’s? |
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Definition
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Term
85. UBC’s are cysts that start in the _____ and extend into the _____. |
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Definition
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Term
86. _____ is not a true neoplasm, but rather a cystic cavity filled with blood that causes an acute onset of pain with a rapid increase in severity. |
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Definition
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Term
87. _____ is a painless tumor that affects long bones. It is a central tumor that expands from the inside out, and is prone to pathological fractures. |
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Definition
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Term
88. _____ is the most common benign tumor of the hands. |
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Definition
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Term
89. What is the age range of enchondromas? |
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Definition
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Term
90. _____ is a condition that consists of enchondromas in multiple sites. It affects patients aged 1-4, and causes multiple round or ovoid radiolucencies in the hands. |
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Definition
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Term
91. _____ is a condition characterized by enchondromatosis and soft tissue cavernous hemangiomas. It is usually present before puberty and has a greater % toward malignant degeneration. |
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Definition
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Term
92. _____ is a general term which describes fibrous cortical defects and non-ossifying fibromas. |
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Definition
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Term
93. Fibrous cortical defects are generally present in children aged _____ years. |
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Definition
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Term
94. Non-ossifying fibromas are generally present in children aged _____ years. |
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Definition
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Term
95. What is the preferred site of fibrous xanthomas? |
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Definition
POSTERIOR MEDIAL SURFACE OF DISTAL FEMUR |
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Term
96. When fibrous xanthomas start becoming elongated, the doctor should start thinking of _____. |
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Definition
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Term
97. _____ is the most common benign tumor of the spine. |
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Definition
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Term
98. If hemangiomas are expansile, we must worry about _____. |
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Definition
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Term
99. _____ is a condition which causes corduroy cloth appearance of the vertebral bodies. |
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Definition
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Term
100. Are hemangiomas correlated with compression fractures? |
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Definition
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Term
101. Usually only _____ vertebra are affected by hemangiomas. |
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Definition
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Term
102. What are the 4 most common primary malignant neoplasms from most to least common. |
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Definition
1) MULTIPLE MYELOMA, 2) OSTEOSARCOMA, 3) CHONDROSARCOMA, 4) EWING’S SARCOME (MOCE) |
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Term
103. This is a primary malignant tumor in which painful swelling is the most common presenting complaint. It is a metaphyseal tumor that causes cortical disruption with soft tissue masses. |
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Definition
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Term
104. _____ is the only consistent lab finding associated with osteosarcoma. |
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Definition
ELEVATED ALKALINE PHOSPHATASE |
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Term
105. 3 basic patterns of osteosarcoma. |
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Definition
1) 50% SCLEROTIC, 2) 25% PURELY LYTIC, 3) 25% MIXED |
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Term
106. _____ is a diaphyseal malignancy with laminated periosteum. It may mimic infection and has a laminated or onion skin appearance. |
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Definition
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Term
107. _____ is the age range for both ewing’s and osteosarcoma. |
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Definition
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Term
108. _____ is a common primary malignant bone tumor in which painful swelling is the presenting complaint. It causes round radiolucencies in the metaphysis or diaphysis. |
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Definition
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Term
109. Chondrosarcoma is said to resemble _____ calcification in 2/3 of cases. |
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Definition
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Term
110. What is the age range of chondrosarcoma? |
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Definition
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Term
111. When an older patient has a metaphyseal lesion the doc should think _____. |
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Definition
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Term
112. When a younger patient has a metaphyseal tumor, the doc should be thinking _____. |
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Definition
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Term
113. _____is a primary malignant bone tumor that is eccentrically placed, and is highly destructive and lytic. It has a long duration of symptoms and is not as aggressive as osteosarc or Ewing’s. |
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Definition
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Term
114. Most fibrosarcomas occur between the ages of _____, but can occur anywhere between the ages of 4-83. |
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Definition
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Term
115. _____ causes the largest soft tissue mass of all primary malignant tumors. |
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Definition
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Term
116. _____ is the most common primary malignant bone tumor. |
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Definition
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Term
117. What is the cardinal symptom of multiple myeloma? |
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Definition
PAIN RELIEVED BY REST, AGGRIVATED BY WEIGHT BEARING |
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Term
118. The most common site of multiple myeloma is in the _____. |
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Definition
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Term
119. 40% of all multiple myeloma patients show _____ in their lab findings. |
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Definition
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Term
120. 4 radiographic features of multiple myeloma. |
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Definition
1) RAINDROP SKULL, 2) PEDICLE SIGN OF MYELOMA, 3) PUNCHED OUT LESIONS, 4) VERTEBRA PLANA |
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Term
121. _____ is a localized form of plasma cell proliferation, and patients generally present with back pain or cord compression. |
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Definition
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Term
122. _____% of plasmacytomas develop into multiple myeloma. |
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Definition
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Term
123. _____ is the most common malignant tumor of the skeleton, and is more life threatening than any other malignancy. |
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Definition
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Term
124. These 4 cancers account for 80% of all metastatic neoplasms. |
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Definition
1) BREAST, 2) PROSTATE, 3) LUNG, 4) KIDNEYS |
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Term
125. _____ is a lab finding elevated in prostatic carcinoma. |
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Definition
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Term
126. 3 ways metastasis spreads. |
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Definition
1) BLOOD, 2) LYMPH, 3) DIRECT INVASION |
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Term
127. The 2 most common sites of metastatic neoplasms are the _____ and _____. |
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Definition
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Term
128. Metastasis are rare below the _____ and _____. |
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Definition
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Term
129. The most common metastases cause _____ lesions. |
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Definition
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Term
130. The one eyed pedicle sign seen with metastatic neoplasms is also known as the _____. |
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Definition
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Term
131. _____ is when both pedicles are destroyed by metastasis. |
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Definition
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Term
132. _____ is the flattened vertebra causes by metastasis. |
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Definition
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Term
133. _____ METS will be hot on a bone scan. |
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Definition
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Term
135. When one presents with an ivory vertebra, the doc should think of these 3 conditions. |
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Definition
1) OSTEOBLASTIC METS, 2) HODGKINS LYMPHOMA, 3) PAGET’S |
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Term
136. When one sees anterior scalloping of the vertebral bodies in young patients, they should be thinking _____. |
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Definition
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Term
137. When one as a uniform compression fracture of the vertebral body, the doctor should be thinking _____ and _____. |
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Definition
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Term
138. _____ and _____ are the 2 great imitators of bone disease. |
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Definition
FIBROUS DYSPLASIA AND PAGET’S DISEASE |
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Term
139. _____ is a great imitator of bone disease that affects children aged 8-14. Causes café au lait spits and the coast of Maine appearance on the skin. |
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Definition
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Term
140. _____is a great imitator of bone disease that affects patients over 55 years. It causes a blade of grass appearance in long bones, and cotton wool appearance in the skull. |
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Definition
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Term
141. What is another name for Paget’s disease. |
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Definition
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Term
142. 4 stages of paget’s disease. |
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Definition
1) OSTEOLYTIC, 2) COMBINED, 3) SCLEROTIC, 4) MALIGNANT |
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Term
143. These 2 labs will be elevated when one has paget’s disease. |
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Definition
1) ALKALINE PHOSPHATASE, 2) HYPERCALCEMIA |
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Term
144. _____ is the radiographic feature that separates Paget’s from fibrous dysplasia. |
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Definition
SUBARTICULAR EXTENSION (PRESENT IN PAGET'S) |
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Term
145. If a patient has _____ of an ivory vertebra, the doctor should be thinking Paget’s. |
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Definition
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Term
146. _____ is the poverty of bone. |
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Definition
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Term
147. These 5 conditions cause pathological compression fractures. |
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Definition
1) METS, 2) MULTIPLE MYELOMA, 3) INFECTION, 4) OSTEOPOROSIS, 5) EOSINOPHILIC GRANULOMAS (CHILDREN) |
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Term
148. _____ is “adult rickets.” It is a metabolic disorder that causes soft bones. |
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Definition
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Term
149. Patients with osteomalacia generally are deficient in either _____, _____ or _____. |
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Definition
CALCIUM, PHOSPHORUS, VITAMIN D |
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Term
150. _____ is a childhood version of osteomalacia that causes soft bones, widened growth plates, and paintbrush metaphysis. |
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Definition
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Term
151. _____ is a condition seen in infants fed solely on pasteurized milk. It causes spontaneous hemorrhage, swlling, irritability, pain, costal rosary, and frog-legs, and trummerfield zones in bones. |
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Definition
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Term
152. Scuvy is caused by _____. |
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Definition
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Term
153. _____ is the ring epiphysis seen in scurvy. |
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Definition
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Term
154. _____ is a condition that presents with stones, bones, abdominal moans, and psychiatric overtones. |
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Definition
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Term
155. _____ HPT is due to adenomas, carcinoma, hyperplasia, and ectopic tumors. |
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Definition
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Term
156. _____ HPT is due to renal glomerular disease. |
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Definition
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Term
157. _____ HPT is caused by dialysis. |
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Definition
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Term
158. Hyperparathyroidism is associated with subperiosteal resorption of bone known as _____. |
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Definition
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Term
159. HPT causes a _____ appearance of the skull. |
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Definition
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Term
160. When one has bilateral erosions of the distal clavicles, the doctor must be thinking of these 6 conditions. |
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Definition
1) HPT, 2) AS, 3) ENTEROPATHIC, 4) RA, 5) REITERS, 6) PSORIATIC |
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Term
161. HPT causes _____ which causes thick radio-opaque cortical vertebral endplates. |
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Definition
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Term
162. _____ is the most common cause of osteomyelitis. |
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Definition
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Term
163. 4 major pathways of staph spread. |
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Definition
1) HEMATOGENOUS, 2) CONTIGUOUS SOURCE, 3) DIRECT IMPLANTATION OF INFECTION, 4) POST-OP INFECTION |
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Term
164. _____% of cortical bone must be destroyed to be seen on a plain film. |
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Definition
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Term
165. _____ is the gold standard for diagnosing osteomyelitis. |
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Definition
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Term
166. _____ is a localized form of osteomyelitis. It causes pain that is worse at night relieved by aspirin. |
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Definition
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Term
167. _____ is the drainage port seen in a Brodie’s abscess. |
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Definition
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Term
168. _____ is caused when osteomyelitis spreads to the joint. |
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Definition
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Term
169. Septic arthritis presents with a positive _____ sign in the pelvis. |
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Definition
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Term
170. What is the typical Waldenstrom measurement? |
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Definition
>6-11mm; no >2mm BETWEEN SIDES |
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Term
171. _____ is the pathogen that causes tuberculosis. |
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Definition
MYCOBACTERIUM TUBERCULOSIS |
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|
Term
172. 2 modes of TB spread. |
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Definition
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Term
173. _____ is the most common site of TB spread from the lungs. |
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Definition
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Term
174. There is a _____day latent period between lung and spine TB. |
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Definition
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Term
175. _____ are diseases that usually affect the epiphyses of growing bones resulting in necrosis most likely on a vascular basis. |
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Definition
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|
Term
176. _____ is osteochondroses of the femoral head. |
|
Definition
LEGG-CALVE PERTHES DISEASE |
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|
Term
177. What is the age group to develop LCPD? |
|
Definition
|
|
Term
|
Definition
1) AVASCULAR, 2) REVASCULARIZATION, 3) REPAIR, 4) DEFORMITY |
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Term
179. _____ is osteochondroses of the femoral condyles and dome of the talus. It presents with joint pain often aggravated by movement and joint locking and swelling. |
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Definition
OSTEOCHONDRITIS DESSICANS |
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Term
180. Osteochondritis dessicant affects people aged _____. |
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Definition
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Term
181. _____ is a condition seen in patients aged 30-60. It is most common in the hip, and seen due to a disrupted femoral head supply. |
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Definition
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|
Term
182. _____ is a break in the cortical margin of the femoral head seen with AVN. |
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Definition
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|
Term
183. _____ is not an avascular condition, but an inflammatory condition seen in patients aged 11-15. Caused by an apophysitis of the tibial tuberosity. |
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Definition
OSGOOD-SCHLATTER’S DISEASE |
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Term
184. _____ is a traction apophysitis of the calcaneous and not an osteochondrosis. |
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Definition
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Term
185. Sever’s disease is most commonly seen in patients aged _____. |
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Definition
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Term
186. _____ is osteochondrosis of the navicular commonly seen in 5 year old patients. It causes a smaller navicular with fragmentation. |
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Definition
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Term
187. _____ is osteochondrosis of the 2nd metatarsal head commonly seen in women. It causes a flat 2nd metatarsal head with widening of its space. |
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Definition
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|
Term
188. _____ is juvenile kyphosis that affects males aged 13-17. |
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Definition
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Term
189. For scheuermann’s disease to be diagnosed, it must affect _____ continuous vertebral segments. |
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Definition
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|
Term
190. _____ is osteochondrosis of the proximal humeral epiphysis. |
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Definition
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|
Term
191. _____ and _____ are the 2 signs seen with Hass’ disease. |
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Definition
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|
Term
192. _____ is osteochondrosis of the capitellum. |
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Definition
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|
Term
193. Panner’s disease affects patients aged _____. |
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194. _____ is osteochondrosis of the lunate. |
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195. Keinbock’s disease affects patients aged _____. |
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196. _____ is a condition that causes an enlarged sella turcica in the skull, widened mandibular angle, widened diaphysis of the phalanges, and large disc spaces in the spine. |
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197. When a patient has a heel fat pad > _____mm, then the doctor should suspect acromegaly. |
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198. 3 most common sites of aneurysms. |
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Definition
1) ABDOMINAL AORTA, 2) COMMON ILIAC, 3) SPLENIC ARTERIES |
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199. _____ is the most common cause of pancreatic calculi. |
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Term
200. _____ causes a popcorn ball appearance above the pubic symphysis. |
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