As Always - Never Disrespect the Wu-Tang Clan! Now prepare yourself for the great EVMS Unofficial Reading Quiz of February 2020!
1. Gout may occur seconary to:
a. Sun exposure
b. Elevated HLA-B27
c. Moonshine
d. Positive birefringent crystal deposition
2. Gouty tophus -
a. Character from "that 70's show"
b. Intraarticular crystals
c. monosoduium urate crystal in bursa or periarticular soft tissues
d. a subchondral cyst
3. Gouty tophi have a universal appearance on MRI which makes them easy to diagnose. T or F
4. CPPD is most common which joints?
5. A patient has bronze skin, cirrhosis, and diabetes presents with an arthropathy - what might his MCP look like?
6. Older lady on dialysis has an MRI of the lumbar spine. Patient has irregular endplates of several levels. Nodules are noted in the adjacent soft tissue which are low in signal on all sequences. This patient might have?
7. Early osteonecrosis is pathognomonic on MRI. T or F
8. What does the clinician want to know regarding Avascular Necrosis?
9. A 4 yo or an 10 yo is more likely to have a better prognosis? Why?
10. 40 yo man has an MRI of the hip. There are erosions of the femoral neck. Multiple low signal same sized foci are noted in the joint space. What should be considered and what differential might you consider?
11. 55 yo man shows up with bilateral foot and hand xray. Images demonstrate bilaterally symmetric benign appearing periosteal reaction. When the referring doctor stops by to review the images, what do you recommend and why?
12. Andre the Giant gets hand x-ray and foot xray - what might you see?
13. A patient with elevated parathyroid hormone and abnormal calcium levels has a pelvic x-ray. What might one notice at the SI joints?
14. A hand x-ray demonstrates radial sided resorption in the phalanges. Vascular calcifications are present. The radius has a lucency which is not subchondral. What might cause this lucency?
15. A medical student walks up to you and asks "What is a looser zone"? What do you tell him/her?
16. A child is in the x-ray department with flared metaphyses in the wrists. What might the patient's ribs look like?
17. What is a Rugger Jersey? Why do I care?
18. What is the differential diagnosis for dense metaphyseal bands?
19. What is the differential diagnosis of diffuse increased bone density?
20. Define the following - Wimberger sign; Frankel line; Trummerfield zone - what disease are they associated with and what is the association between this disease and the epithet "Limey"?
Bonus: Podcast - to listen or not to listen - what do you recommend or who can you not stand?
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