Question 1

The pedicle sign refers to which of the following?

Accepted Answer

A)  An increase in the visibility of a pedicle due to blastic disease 
B)  A decrease in the visibility of a pedicle due to lytic disease 
C)  The loss of contrast between a pedicle and the spinal canal due to an infection 
D)  The increase in contrast between a pedicle and the spinal canal due to hyperthyroidism 
A)  An increase in the visibility of a pedicle due to blastic disease 
B)  A decrease in the visibility of a pedicle due to lytic disease 
C)  The loss of contrast between a pedicle and the spinal canal due to an infection 
D)  The increase in contrast between a pedicle and the spinal canal due to hyperthyroidism B

Question 2

Which of the following cervical fractures are typically stable?

Accepted Answer

A)  Teardrop 
B)  Bilateral facet 
C)  Anterior wedge compression 
D)  Hangman's 
A)  Teardrop 
B)  Bilateral facet 
C)  Anterior wedge compression 
D)  Hangman's C

Question 3

This image shows that the patient has which of the following?

Accepted Answer

A)  Severe dehydration of the vertebral disks 
B)  Transected spinal cord 
C)  Spinal cord tumor 
D)  Cerebrospinal fluid (CSF) infection 
A)  Severe dehydration of the vertebral disks 
B)  Transected spinal cord 
C)  Spinal cord tumor 
D)  Cerebrospinal fluid (CSF) infection B

Question 4

Which of the following radiographic views BEST displays a pars interarticularis fracture?

Accepted Answer

A)  AP 
B)  PA 
C)  Lateral 
D)  Oblique 
A)  AP 
B)  PA 
C)  Lateral 
D)  Oblique

Question 5

Which of the following is NOT associated with a bamboo spine?

Accepted Answer

A)  Bridging syndesmophytes 
B)  Sacroilitis 
C)  Facet joint hypertrophy 
D)  HLA-B27 genotype 
A)  Bridging syndesmophytes 
B)  Sacroilitis 
C)  Facet joint hypertrophy 
D)  HLA-B27 genotype

Question 6

Which radiographic view is BEST for evaluating suspected rotational subluxation at C1/C2?

Accepted Answer

A)  Open-mouth odontoid 
B)  Lateral C-spine with flexion and extension 
C)  AP view with cephalad angulation 
D)  Posterior oblique views 
A)  Open-mouth odontoid 
B)  Lateral C-spine with flexion and extension 
C)  AP view with cephalad angulation 
D)  Posterior oblique views

Question 7

DISH is radiologically defined by the presence of:

Accepted Answer

A)  overhanging osteophytes on four or more contiguous facet joints. 
B)  spondylolisthesis in four or more contiguous vertebrae. 
C)  bridging syndesmophytes on four or more contiguous vertebral bodies. 
D)  vacuum disks in four or more sequential disks. 
A)  overhanging osteophytes on four or more contiguous facet joints. 
B)  spondylolisthesis in four or more contiguous vertebrae. 
C)  bridging syndesmophytes on four or more contiguous vertebral bodies. 
D)  vacuum disks in four or more sequential disks.

Question 8

Modic changes refer to:

Accepted Answer

A)  facet joint osteoarthritis. 
B)  vacuum disks. 
C)  bone marrow changes associated with disk degeneration. 
D)  annular fibrosis tears. 
A)  facet joint osteoarthritis. 
B)  vacuum disks. 
C)  bone marrow changes associated with disk degeneration. 
D)  annular fibrosis tears.

Question 9

The image shows that this patient has:

Accepted Answer

A)  anterolisthesis of the sacrum. 
B)  retrolisthesis of L5 in relation to the sacrum. 
C)  bamboo spine. 
D)  sacral fracture. 
A)  anterolisthesis of the sacrum. 
B)  retrolisthesis of L5 in relation to the sacrum. 
C)  bamboo spine. 
D)  sacral fracture.

Question 10

Which of the following is NOT associated with an osteoarthritic facet joint?

Accepted Answer

A)  Decreased density of subchondral bone 
B)  Osteophytes 
C)  Reduction in joint space 
D)  Narrowing of the neuroforamen 
A)  Decreased density of subchondral bone 
B)  Osteophytes 
C)  Reduction in joint space 
D)  Narrowing of the neuroforamen

Question 11

Your diagnosis based on the image shown is:

Accepted Answer

A)  C4/C5 disk herniation. 
B)  dens fracture. 
C)  metastatic disease of the spine. 
D)  soft tissue neck injury. 
A)  C4/C5 disk herniation. 
B)  dens fracture. 
C)  metastatic disease of the spine. 
D)  soft tissue neck injury.

Question 12

The patient in this image has which of the following?

Accepted Answer

A)  A fractured arch at C1 
B)  A fractured hyoid bone 
C)  A vertebral body compression fracture 
D)  A spinal metastatic disease 
A)  A fractured arch at C1 
B)  A fractured hyoid bone 
C)  A vertebral body compression fracture 
D)  A spinal metastatic disease

Question 13

Which of the following statements about disk herniations is INCORRECT?

Accepted Answer

A)  Larger disk herniations always produce more severe radiculopathy than smaller disk herniations. 
B)  Midline disk herniations may produce less severe symptoms than foraminal herniations. 
C)  Chronic disk herniations are more likely to be associated with spondylosis than soft herniations. 
D)  They may contribute to the development of spinal stenosis. 
A)  Larger disk herniations always produce more severe radiculopathy than smaller disk herniations. 
B)  Midline disk herniations may produce less severe symptoms than foraminal herniations. 
C)  Chronic disk herniations are more likely to be associated with spondylosis than soft herniations. 
D)  They may contribute to the development of spinal stenosis.

Question 14

In patients who have severe spine trauma but do not show neurologic signs, the procedure of choice is:

Accepted Answer

A)  CT. 
B)  MRI. 
C)  radiography. 
D)  ultrasound. 
A)  CT. 
B)  MRI. 
C)  radiography. 
D)  ultrasound.

Question 15

Which of the following is NOT true of degenerative disk disease?

Accepted Answer

A)  It is typically associated with marginal osteophytes. 
B)  It is typically associated with disk dehydration. 
C)  It is always associated with back pain. 
D)  It does not require advanced imaging, such as MRI, for diagnosis. 
A)  It is typically associated with marginal osteophytes. 
B)  It is typically associated with disk dehydration. 
C)  It is always associated with back pain. 
D)  It does not require advanced imaging, such as MRI, for diagnosis.

Question 16

The arrow in the above image indicates:

Accepted Answer

A)  a pars interarticularis defect. 
B)  a Chance fracture. 
C)  an arthritic facet joint marginal osteophyte. 
D)  a calcified herniated disk. 
A)  a pars interarticularis defect. 
B)  a Chance fracture. 
C)  an arthritic facet joint marginal osteophyte. 
D)  a calcified herniated disk.

Question 17

What would be your diagnosis based on the image of this patient?

Accepted Answer

A)  The patient has disk herniation with nerve compression. 
B)  The patient has left L5/S1 facet joint osteoarthritis. 
C)  The patient has bilateral L5 pedicle fractures. 
D)  The patient has cauda equina impingement syndrome. 
A)  The patient has disk herniation with nerve compression. 
B)  The patient has left L5/S1 facet joint osteoarthritis. 
C)  The patient has bilateral L5 pedicle fractures. 
D)  The patient has cauda equina impingement syndrome.

Question 18

This image likely shows a patient with:

Accepted Answer

A)  lytic bone disease. 
B)  scoliosis. 
C)  vertebral body compression fracture. 
D)  degenerative disk disease. 
A)  lytic bone disease. 
B)  scoliosis. 
C)  vertebral body compression fracture. 
D)  degenerative disk disease.

Question 19

Which type of fracture(s) does the image indicate?

Accepted Answer

A)  Chance fracture 
B)  Clay-shoveler's fracture 
C)  Hangman's fracture 
D)  Cervical facet fractures 
A)  Chance fracture 
B)  Clay-shoveler's fracture 
C)  Hangman's fracture 
D)  Cervical facet fractures

Question 20

The above image depicts a patient with:

Accepted Answer

A)  degenerative disk disease. 
B)  DISH. 
C)  lytic bone disease. 
D)  facet joint osteoarthritis. 
A)  degenerative disk disease. 
B)  DISH. 
C)  lytic bone disease. 
D)  facet joint osteoarthritis.

The pedicle sign refers to which of the following?

Which of the following cervical fractures are typically stable?

This image shows that the patient has which of the following?

Which of the following radiographic views BEST displays a pars interarticularis fracture?

Which of the following is NOT associated with a bamboo spine?

Which radiographic view is BEST for evaluating suspected rotational subluxation at C1/C2?

DISH is radiologically defined by the presence of:

Modic changes refer to:

The image shows that this patient has:

Which of the following is NOT associated with an osteoarthritic facet joint?

Your diagnosis based on the image shown is:

The patient in this image has which of the following?

Which of the following statements about disk herniations is INCORRECT?

In patients who have severe spine trauma but do not show neurologic signs, the procedure of choice is:

Which of the following is NOT true of degenerative disk disease?

The arrow in the above image indicates:

What would be your diagnosis based on the image of this patient?

This image likely shows a patient with:

$Which type of fracture(s) does the image indicate?$ Which type of fracture(s) does the image indicate?

The above image depicts a patient with:

Modalities of Medical Imaging

Shoulder, Pelvis, and Limbs

Brain

Eyes, Ears, Nose, and Throat

Chest

Breast

Abdomen

Male and Female Urinary Tract and Male Genital Tract

Female Pelvic Imaging

Imaging of Bone Disease and Endocrine Disorders

Filters

Exam 3: Spine and Spinal Cord

The pedicle sign refers to which of the following?

Which of the following cervical fractures are typically stable?

This image shows that the patient has which of the following?

Which of the following radiographic views BEST displays a pars interarticularis fracture?

Which of the following is NOT associated with a bamboo spine?

Which radiographic view is BEST for evaluating suspected rotational subluxation at C1/C2?

DISH is radiologically defined by the presence of:

Modic changes refer to:

The image shows that this patient has:

Which of the following is NOT associated with an osteoarthritic facet joint?

Your diagnosis based on the image shown is:

The patient in this image has which of the following?

Which of the following statements about disk herniations is INCORRECT?

In patients who have severe spine trauma but do not show neurologic signs, the procedure of choice is:

Which of the following is NOT true of degenerative disk disease?

The arrow in the above image indicates:

What would be your diagnosis based on the image of this patient?

This image likely shows a patient with:

Which type of fracture(s) does the image indicate?

The above image depicts a patient with:

Modalities of Medical Imaging

Shoulder, Pelvis, and Limbs

Brain

Eyes, Ears, Nose, and Throat

Chest

Breast

Abdomen

Male and Female Urinary Tract and Male Genital Tract

Female Pelvic Imaging

Imaging of Bone Disease and Endocrine Disorders

Filters

$Which type of fracture(s) does the image indicate?$ Which type of fracture(s) does the image indicate?