Question 1

Which of the following statements accurately characterizes polymositis?

Accepted Answer

A)  It affects more men than women. 
B)  It has bilateral, symmetrical muscle involvement. 
C)  It is a suppurative inflammatory disorder. 
D)  It involves the cardiac muscle after rheumatic fever. 
A)  It affects more men than women. 
B)  It has bilateral, symmetrical muscle involvement. 
C)  It is a suppurative inflammatory disorder. 
D)  It involves the cardiac muscle after rheumatic fever. B

Question 2

Which of the following findings of psoriatic arthropathy is not present in patients with rheumatoid arthritis?

Accepted Answer

A)  Proximal interphalangeal joint involvement 
B)  Bony erosions 
C)  Normal bone density 
D)  Joint effusion 
A)  Proximal interphalangeal joint involvement 
B)  Bony erosions 
C)  Normal bone density 
D)  Joint effusion C

Question 3

Radiographic examination of the shoulder in a 34-year-old female reveals complete resorption of the proximal humerus with a sharp transverse demarcation at the proximal metadiaphysis. Which of the following conditions is the most likely cause?

Accepted Answer

A)  Diabetes 
B)  Spinal cord trauma 
C)  Amyotrophic lateral sclerosis 
D)  Syringohydromyelia 
A)  Diabetes 
B)  Spinal cord trauma 
C)  Amyotrophic lateral sclerosis 
D)  Syringohydromyelia D

Question 4

The classic joint distribution of rheumatoid arthritis in the hands involves the __________.

Accepted Answer

A)  MCP and DIP articulations 
B)  PIP and DIP articulations 
C)  MCP and PIP articulations 
D)  MCP and carpal articulations 
A)  MCP and DIP articulations 
B)  PIP and DIP articulations 
C)  MCP and PIP articulations 
D)  MCP and carpal articulations

Question 5

Jaccoud's arthropathy should be mentioned in the differential diagnosis for __________.

Accepted Answer

A)  rheumatoid arthritis 
B)  ankylosing spondylitis 
C)  chronic arthritis 
D)  polymyositis 
A)  rheumatoid arthritis 
B)  ankylosing spondylitis 
C)  chronic arthritis 
D)  polymyositis

Question 6

The osseous erosions of rheumatoid arthritis, occurring at areas where panus has direct contact with bone, are found at the __________.

Accepted Answer

A)  distal tufts of the phalanges 
B)  intraarticular bare areas 
C)  metadiaphysis of long bones 
D)  epiphysis of long bones 
A)  distal tufts of the phalanges 
B)  intraarticular bare areas 
C)  metadiaphysis of long bones 
D)  epiphysis of long bones

Question 7

Intervertebral disc herniation is more common among __________.

Accepted Answer

A)  45-year-old to 65-year-old patients 
B)  25-year-old to 45-year-old patients 
C)  Women 
D)  Nonsmokers 
A)  45-year-old to 65-year-old patients 
B)  25-year-old to 45-year-old patients 
C)  Women 
D)  Nonsmokers

Question 8

Which of the following inflammatory arthritides would reveal antibodies directed against cell nuclei on blood laboratory evaluation?

Accepted Answer

A)  Rheumatoid arthritis 
B)  Systemic lupus erythematosus 
C)  Polymyositis 
D)  Jaccoud's arthropathy 
A)  Rheumatoid arthritis 
B)  Systemic lupus erythematosus 
C)  Polymyositis 
D)  Jaccoud's arthropathy

Question 9

Swan-neck, boutonniere, and hitchhiker are some characteristic deformities seen with which inflammatory joint disease?

Accepted Answer

A)  Juvenile idiopathic arthritis 
B)  Rheumatoid arthritis 
C)  Systemic lupus erythematosus 
D)  Reactive arthritis 
A)  Juvenile idiopathic arthritis 
B)  Rheumatoid arthritis 
C)  Systemic lupus erythematosus 
D)  Reactive arthritis

Question 10

The most common cause for neuropathic arthropathy in the foot and ankle is __________.

Accepted Answer

A)  syringomyelia 
B)  congestive heart failure 
C)  diabetes 
D)  liver failure 
A)  syringomyelia 
B)  congestive heart failure 
C)  diabetes 
D)  liver failure

Question 11

Which of the following is a major site of involvement with hydroxyapatite deposition disease?

Accepted Answer

A)  Supraspinatus tendon of the shoulder 
B)  Quadriceps tendon of the knee 
C)  Trochanteric bursae of the hip 
D)  Extensor tendons of the wrist 
A)  Supraspinatus tendon of the shoulder 
B)  Quadriceps tendon of the knee 
C)  Trochanteric bursae of the hip 
D)  Extensor tendons of the wrist

Question 12

What type of signal intensity is expected in the nucleus pulposus of a dessicated intervertebral disc on magnetic resonance imaging examination?

Accepted Answer

A)  High on STIR 
B)  Low on T2 
C)  High T1 
D)  High T2 
A)  High on STIR 
B)  Low on T2 
C)  High T1 
D)  High T2

Question 13

What is the term for a free fragment of a herniated disc?

Accepted Answer

A)  Bulge 
B)  Protrusion 
C)  Extrusion 
D)  Sequestration 
A)  Bulge 
B)  Protrusion 
C)  Extrusion 
D)  Sequestration

Question 14

A 22-year-old male patient presents with foot pain. Radiographic examination reveals fluffy periosteal new bone formation at the origin of the plantar fascia and Achilles insertion. Which infectious organism is most likely linked to triggering this reaction?

Accepted Answer

A)  Chlamydia trachomatis 
B)  Yersinia 
C)  Salmonella 
D)  Streptococcus pyogenes 
A)  Chlamydia trachomatis 
B)  Yersinia 
C)  Salmonella 
D)  Streptococcus pyogenes

Question 15

Purely productive (nonerosive) enthesopathic hyperostosis involving the pelvis, calcaneus, and patella is associated with which of the following conditions?

Accepted Answer

A)  Psoriatic arthritis 
B)  Diffuse idiopathic skeletal hyperostosis 
C)  Neuropathic arthropathy 
D)  Enteropathic arthropathy 
A)  Psoriatic arthritis 
B)  Diffuse idiopathic skeletal hyperostosis 
C)  Neuropathic arthropathy 
D)  Enteropathic arthropathy

Question 16

In what percent of patients with inflammatory bowel disease would you expect to see sacroiliitis?

Accepted Answer

A)  3% to 18% 
B)  19% to 25% 
C)  26% to 40% 
D)  41% to 60% 
A)  3% to 18% 
B)  19% to 25% 
C)  26% to 40% 
D)  41% to 60%

Question 17

Which of the following radiographic findings best differentiates hydroxyapatite deposition disease (HADD) from calcium pyrophosphate deposition disease (CPPD)?

Accepted Answer

A)  Bare area erosions 
B)  Juxtaarticular soft tissue swelling 
C)  Juxtaarticular osteopenia 
D)  Periarticular soft tissue calcification 
A)  Bare area erosions 
B)  Juxtaarticular soft tissue swelling 
C)  Juxtaarticular osteopenia 
D)  Periarticular soft tissue calcification

Question 18

Which of the following arthropathies is seropositive?

Accepted Answer

A)  Ankylosing spondylitis 
B)  Enteropathic arthritis 
C)  Psoriatic arthritis 
D)  Scleroderma 
A)  Ankylosing spondylitis 
B)  Enteropathic arthritis 
C)  Psoriatic arthritis 
D)  Scleroderma

Question 19

Which of the following arthritides has a metabolic etiology?

Accepted Answer

A)  Gout 
B)  Systemic lupus erythematosus 
C)  Ankylosing spondylitis 
D)  Reiter's syndrome 
A)  Gout 
B)  Systemic lupus erythematosus 
C)  Ankylosing spondylitis 
D)  Reiter's syndrome

Question 20

Which of the following causes of spinal stenosis is more common in women?

Accepted Answer

A)  Degenerative spondylolisthesis 
B)  Idiopathic 
C)  Endocrine 
D)  Posttraumatic 
A)  Degenerative spondylolisthesis 
B)  Idiopathic 
C)  Endocrine 
D)  Posttraumatic

Exam 9: Arthritides

Which of the following statements accurately characterizes polymositis?

Which of the following findings of psoriatic arthropathy is not present in patients with rheumatoid arthritis?

Radiographic examination of the shoulder in a 34-year-old female reveals complete resorption of the proximal humerus with a sharp transverse demarcation at the proximal metadiaphysis. Which of the following conditions is the most likely cause?

The classic joint distribution of rheumatoid arthritis in the hands involves the __________.

Jaccoud's arthropathy should be mentioned in the differential diagnosis for __________.

The osseous erosions of rheumatoid arthritis, occurring at areas where panus has direct contact with bone, are found at the __________.

Intervertebral disc herniation is more common among __________.

Which of the following inflammatory arthritides would reveal antibodies directed against cell nuclei on blood laboratory evaluation?

Swan-neck, boutonniere, and hitchhiker are some characteristic deformities seen with which inflammatory joint disease?

The most common cause for neuropathic arthropathy in the foot and ankle is __________.

Which of the following is a major site of involvement with hydroxyapatite deposition disease?

What type of signal intensity is expected in the nucleus pulposus of a dessicated intervertebral disc on magnetic resonance imaging examination?

What is the term for a free fragment of a herniated disc?

A 22-year-old male patient presents with foot pain. Radiographic examination reveals fluffy periosteal new bone formation at the origin of the plantar fascia and Achilles insertion. Which infectious organism is most likely linked to triggering this reaction?

Purely productive (nonerosive) enthesopathic hyperostosis involving the pelvis, calcaneus, and patella is associated with which of the following conditions?

In what percent of patients with inflammatory bowel disease would you expect to see sacroiliitis?

Which of the following radiographic findings best differentiates hydroxyapatite deposition disease (HADD) from calcium pyrophosphate deposition disease (CPPD)?

Which of the following arthropathies is seropositive?

Which of the following arthritides has a metabolic etiology?

Which of the following causes of spinal stenosis is more common in women?

Plain Radiographic Imaging

Specialized Imaging

Radiographic Positioning

Roentgenometrics

Film Interpretation and Report Writing

Normal Anatomy

Normal Variants

Congenital Diseases

Trauma

Hematologic Bone Diseases

Infections

Bone Tumors and Related Diseases

Endocrine, Metabolic, and Nutritional Diseases

Miscellaneous Bone Diseases

Skull Patterns

Spine Patterns

Extremity Patterns

General Skeletal Patterns

Magnetic Resonance Imaging Patterns

Introduction to Chest Radiography

Diseases of the Airways

Circulation and the Heart

Pulmonary Infections

Thoracic Neoplasms

Miscellaneous Chest Diseases

Chest Patterns

Introduction to Abdomen Radiography

Genitourinary Diseases

Gastrointestinal Diseases

Miscellaneous Abdomen Diseases

Abdomen Patterns

Brain and Spinal Cord

Filters