Deck 19: General Skeletal Patterns

Question 1

The underlying etiology of the disease observed in Figure 19-3A and Figure 19-3B is__________.

A) Autoimmune disease
B) Infection
C) Degenerative osteoarthritis
D) Endocrine/metabolic disease

Answer 1

Endocrine/metabolic disease

Question 2

Which radiographic pattern of disease is representative in Figure 19-3A and Figure 19-3B?

A) Arthritides
B) Generalized osteosclerosis
C) Dwarfism
D) Polyostotic bone lesions

Answer 2

Arthritides

Question 3

Which radiographic pattern of disease is observed in Figure 19-2?

A) Generalized osteosclerosis
B) Arthritides
C) Soft tissue calcification
D) Soft tissue ossification

Answer 3

Generalized osteosclerosis

Question 4

The salient radiographic abnormality and Figure 19-3A and Figure 19-3B is observed in the __________.

A) Femorotibial joint space
B) Femoral and tibial metaphyses
C) Musculature and subcutaneous tissues
D) Subchondral cortical and medullary bone

Question 5

For what other areas of the skeleton should radiographic examination be considered to assess full extent of this patient's disease?

A) Chest
B) Knees and forearms
C) Skull and sinuses
D) Cervical and thoracic spine

Question 6

The radiographic abnormalities observed in Figure 19-1 are the result of __________.

A) Faulty enchondral ossification
B) Multiple osteochondromas
C) Metastasis
D) Heavy-metal exposure

Question 7

Chronic failure of which organ(s) is responsible for the changes observed between Figure 19-2A and Figure 19-2B?

A) Lymphatics
B) Lungs
C) Heart
D) Kidneys

Question 8

Development of pain in the regions of involvement with enlargement of the lesions is a sign of __________.

A) Metastasis
B) Pathologic fracture
C) Malignant degeneration
D) Accessory bursa formation

Question 9

Which laboratory value is likely to be elevated in this patient?

A) Alkaline phosphatase
B) Urinary hydroxyproline
C) Serum calcium
D) Acid phosphatase

Question 10

At what age are the lesions observed in Figure 19-1 generally diagnosed?

A) Younger than 20
B) 20-40
C) 40-60
D) Older than 60

Question 11

The primary site of abnormality in Figure 19-2B is observed within the __________.

A) Lung parenchyma
B) Ribs
C) Vertebral bodies adjacent to the endplates
D) Centrally within the vertebral bodies

Question 12

Which of the following general skeletal radiographic patterns of disease is evident in Figure 19-1?

A) Acetabular protrusion
B) Dwarfism
C) Generalized osteosclerosis
D) Polyostotic bone lesions

Question 13

Which of the following may be expected in radiographic examination of the hands of this patient?

A) Osteosclerotic bone lesions
B) Subperiosteal bone resorption
C) Changes in the size and shape of the epiphyses
D) Uniform joint space narrowing

Question 14

Which of the following diagnostic studies provide greatest sensitivity in assessing bone mineral density?

A) Bone scan
B) Digital radiography
C) SPECT
D) DEXA

Question 15

Which radiographic views are provided in Figure 19-3A and Figure 19-3B?

A) PA knee and tunnel
B) AP knee and tunnel
C) Merchant and AP
D) Sunrise and tunnel

Question 16

The endplate alterations observed in Figure 19-4A and Figure 19-4B are representative of __________.

A) Stress fractures
B) Insufficiency fractures
C) Congenital vertebral variant
D) Osteoarthritis

Question 17

The most common cost to the abnormalities observed in Figure 19-4A and Figure 19-4B is __________.

A) Autoimmune
B) Genetics
C) Age-related changes in bone composition
D) Nutritional disorder

Question 18

Which of the following treatments is not beneficial in addressing the underlying cause of the abnormalities observed in Figure 19-4A and Figure 19-4B?

A) Corticosteroids
B) Calcium supplementation
C) Calcitonin
D) Weight-bearing exercise

Question 19

Which of the following tests is considered diagnostic for this patient's disease?

A) Biopsy
B) Joint aspiration with microscopic assessment
C) Blood laboratory
D) Magnetic resonance imaging

Question 20

Which radiographic pattern of disease is observed in Figure 19-4A and Figure 19-4B?

A) Dwarfism
B) Generalized osteoporosis
C) Generalized osteosclerosis
D) Soft tissue calcification