EVMS Unofficial Radiology Reading Quiz January!

It is January 2020! Let's start this year out right! Let's live life like the good book says - "Blessed are those who find wisdom, those who gain understanding, for she is more profitable than silver and yields better returns than gold." Proverbs 3:13-14

Questions base on Ch 16-20

1. Name 5 important considerations in evaluating arthritis radiographs:

2. What is pannus?

3. What is ankylosis?

4.  What are the 3 types of erosions?

5. Rheumatoid Arthritis is the most common purely ___ inflammatory arthropathy.

6. What are 5 general key concepts of Rheumatoid Arthritis?

7. What is adult Still Disease?

8. Enlarged Epiphyses and shortened limb - patient may have had what process?

9. If I say the patient has asymmetric joint space narrowing, osteophyte formation, subchondral sclerosis and subchondral cysts, what disease am I most likely describing?

10. What are Modic changes? What types are there?

11. On a shoulder x-ray, the humeral head is absent and appears almost surgically excised at the anatomical neck, what process should be considered? What spinal disease is this associated?

12. Patient has DISH diffusely involving the spine and has a fall and complaining of back pain. The x-ray is negative. I can tell the ER to send the patient home - why or why not?

13. Ankylosing spondylitis, psoriatic arthritis, and reactive arthritis are highly associated with what positivity on what laboratory test?

14. What is a Romanus Lesion?

15. I am debating between RA and psoriatic arthritis in an adult hand x-ray - the presence of what will sway me toward psoriasis?

16. Heel pain which can be debilitating is seen in 61% of patients with what disease?

17. Reducible ulnar subluxation of the MCP joints is seen in patients with what disease?

18. I have a patient with acroosteolysis, subcutaneous calcifications and erosive changes. What disease should I include in my differential?

19. What is the differential diagnosis for Acroosteolysis (no more than 5)?

20. What is the role of MRI in the setting of polymyositis/dermatomyositis?

Bonus: Share with me a funny meme - extra points if I laugh out loud