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Kettner Trimester 7 SP Caution: Please check all answers to ensure their correctness Secondary causes of gout (multiple) Hyperparathyroidism Leukemia Xanthinine oxidase deficiency Psoriasis Which of the following angles below represent cervical instability? 2.0 5.0 9.5 11.0 Matching a. Splenomegally b. Sarcoidosis c. Metastatic carcinoma d. Pneumonia e. Pneumoperitineum One-eyed pedicle C Air under diaphragm E 1,2,3 sign B Silhoutte sign D Extrapleural sign (C?) Matching a. Cyst b. Conduit c. Concretion d. Mass Vas deferens B Pelvic veins C Granuloma C Leiomyoma D Aneurysm A Matching A. Galliazie’s Fracture B. Colles Fracture C. Mount Fracture D. Jefferson’s Fracture E. Smiths Fracture F. Clay Shoveler’s Fracture Radial fracture A Radial fracture with posterior dislocation B Spinous fracture C7 F Ulnar fracture C Neuroarch burst fractureD Radius fracture with anterior dislocation E Matching a. Anterior Mediastinum b. Posterior Mediastinum c. Middle Mediastinum Lymphoma A Neuroma B Aortic Aneurysm A Adenoma A Thymoma A *Aneurysm of the ascending aorta *Aorta (unfolded, dilated, or ruptured) Matching Maxillary soft tissue mass - behind the eye - water’s view- blowout fracture? Maxillary sinus - osteoma - sinusitis Missing tooth TMJ ?????? (This set was incomplete) Matching: Correct search sequence for chest film 1,2,3,4,5 Cental shadow 3 Hilum 4 Skeleton 2 Lung fields 5 Soft tissue 1 Matching: Correct search pattern for the skull 1,2,3,4,5 Base of skull 3 Face 4 C-spine 5 Size and shape of the joint 1 Soft tissues 2 Matching: Correct search pattern for the skull 1,2,3,4,5,6 Base of skull 3 Calavarium (vault) 2 Cervical spine 6 Pituitary fossa 4 Soft tissues (scalp) 1 Calcifications 5 (Instructor did not include size and shape in this set of matching) Matching: Correct search pattern for bone and joints 1,2,3,4,5 Cortex Medullary Soft Tissue Periosteum Joint Capsule Matching: Correct search pattern for bone and joints 1,2,3,4,5,6 Cortex 3 Medullary 4 Soft Tissue 1 Periosteum 2 Joint Capsule 5 *Subarticular Bone Type of liver calcification seen in alcoholics? Liver Kidney Pancreas Gallbladder Which type of stone is rarely seen on plain films? Renal stones Gallbladder stones Appendicoliths Pleboliths Complication of emphysema which produces pneumothorax? Fibrosis Rib fracture Bullous SOB Best radiographic position to view pneumothorax? Erect abdomen Lateral decubitus Supine abdomen Side posture Best patient position to view pleural effusion? Erect abdomen Lateral decubitus Supine abdomen Side posture Cause of inferior rib notching? Hyperparathyroidism Xanthine oxidase deficiency Leukemia Coarctation of the aorta When osteosarcoma presents in a 75 year old patient, which is likely to have preceded the lesion? Osteochondroma Radiotherapy Hemangioma Cellulitis (Also check osteochondroma one PONY said also a correct response) What would cause tracheal deviation? Osteoporosis Increased ADI Goiter RA Which of the following represents one of the phases of vertebral joint dysfunction? (Multiple) Reversal dysfunction Fixation Stability Instability The most common region where bronchogenic carcinoma metatases to? Cervical spine Thoracic spine Lumbar spine Pelvis Which of the radiologic patterns of subluxation are determined by stress views? Flexion/extension Rotation Spondylolisthesis Hypomobility Altered interosseous spacing With a patient with L5 anterolisthesis, which is the best follow up study? Lumbar oblique Traction/compression Flexion/extension Lateral projection The leading cause of mechanical obstruction? Post-surgical adhesions Hernia Colon carcinoma Diabetic neuropathy What modality is for evaluation of abdominal mass found in front of L-spine? Venography Bone scan Sonography Angiography What is the most common primary malignancy of bone? Multiple myeloma Metastic carcinoma Osteosarcoma Hamartoma What is the most common malignant tumor of the skeleton? Multiple myeloma Metastic carcinoma Osteosarcoma Hamartoma What will make the central heart shadow bigger on chest films? Anode heel effect Atrial fibrillation Systemic hypertension Valvular defect What will remove the border of the central heart shadow? Infection Emphysema Coarctation of the aorta Tortous aorta (Also check CHF) What will a chest film reveal? Pancoast Pantoma Chordoma Glioma What is the disorder that effects the base of the skull and increases its density? (multiple) Blodget’s Paget’s Metastatic carcinoma (check this one) Granuloma Alcoholics get neuropathy in the?(multiple) Feet Ankles Knees Thighs Most common benign cancer of bone? Granuloma Hemangioma Chordoma Lipoma What subluxation do x-ray people see the most? Postural Non-postural A and B None of the above Rib fracture can cause? (multiple) Spleen to rupture Air in abdomen Viscus rupture Neuropathy A patient 15-40 year old is most likely to have? Bronchogenic carcinoma Lymphoma Wilm’s tumor Testicular carcinoma Which of the following is an anterior mediastinal calcification which causes neuromuscular symptoms of the thoracic spine? Granuloma Neurofibroma Thymoma Aneurysm X-ray presentations of bronchogenic carcinoma? Tracheal deviation Mediastinal widening Extrapleural sign Solitary soft tissue calcification Most common presentation of bronchogenic carcinoma? Single pulmonary nodule Double pulmonary nodules Both occur with equal frequency Which is used for bone scan? I -131 Tech- 99 U- 132 Barium Which of the following suggest “extrapleural sign”? SOB Obtuse mass Multiple calcifications Pleural separation Which test would be useful as a follow up to diagnose thoracic pain without other radiographic evidence? (multiple) Upper GI Bone scan Cystogram Lower GI Which of the following would explain multiple air fluid levels in a 60 year old patient AP lumbar radiograph? Pneumoperitineum Pneumonia Obstruction Obtuse mass Which of the following is a cause of pneumoperitineum? Viscus rupture Herniation Sarcoidosis Notched rib Bilateral lymphadenopathy is due to? (multiple) Sarcoidosis Pneumothorax Pneumonia Lymphoma Pathologic fracture on x-ray? Triangulated Angular Curved end plate Posterior scalloping What will make the central heart shadow larger? Congestive heart failure Acute MI Atelectasis Brochogenic carcinoma Café au lait spots are a clinical finding in? (multiple) Fibrous dysplasia Neurofibramotosis Enchondromatosis Cystic fibrosis Fever and chronic cough associated with? Bronchogenic carcinoma Pneumothrax Pneumonia Infiltrative granuloma Heart chest ratio should not exceed? 20 % 30 % 40% 50% Everyone is different Fracture through physis? Salter Harris 5 Salter Harris 1 Salter Harris 3 Salter Harris 2 Salter Harris 4 The hallmark of RA is? Decreased joint space Sclerosis Soft tissue swelling Osteophytosis Soft tissue calcification occurs in? (multiple) Hypercalcemia Parasitic infection Arteriosclerosis All of the above Fracture that heals with out complication? Comminuted Impacted Shear or torsional Colle’s Signs of elbow fracture are? (multiple) Pronator quadratus fat pad sign Navicular fat stripe Posterior pad sign Anterior fat pad sign Which trauma causes cord compression? Spondolytic spondolysis Atlantoaxial instability Clay Shoveler’s fracture Colle’s fracture Most common cause of malignancy of the skeleton is? Osteosarcoma Metastasis Osteochondrosis Giant cell tumor Syrigomyelia causes neuropathic joints in what area? Knee Shoulder Pelvis Foot Charcot’s joint has? Debris Destruction Dislocation Density increases Horner’s syndrome has? (multiple) Pupil constriction (meiosis) Anhydrosis Lid ptosis Pupil dilation Decreased disc height, endplate sclerosis, and vacuum phenomenon are indicative of? Intervetebral osteochondrosis DISH RA Uncovertebral arthrosis Match the description of the fracture with the name a. Galleazzi b. Monteggia c. Colle’s d. Jefferson’s e. Hangman’s Fracture of the atlas arch Fracture of C2 lamina Extension fracture of the radius Ulna fracture with dislocation of the radial head Radial fracture with dislocation of the ulna COPD features include? Horizontal ribs Increased retrosternal space Hyperlucency Unilateral hilar lympadenopathy Differential diagnosis of a solitary pulmonary nodule that is calcified includes? CA Granuloma METS Nipple Unilateral elevation of paralytic diaphragm suggests? Obesity Pulmonary neoplasia Emphysema Pulmonary hypertension Apical infiltrates with rib destruction with evidence of Horner’s warrants consideration of? Pneumonia Goiter Pancoast tumor Acute pneumonia Direct sign of atelectasis? (multiple) Fissure displacement Horizontal ribs Increased density Tracheal deviation Match the following lesions with there respective mediastinal compartments ? a. Anterior b. Middle c. Posterior Neurofibroma Multiple myeloma Thyroid Teratoma Thoracic aortic aneurysm Paraspinal hematoma (PONY unsure) Chest pain, fever, productive cough, with homogenous lobar density suggests? Atelectasis Pneumothorax Pneumococcal pneumonia Bronchogenic carcinoma Extrapleural sign is found in? Consolidation Mesothelioma Atelectasis None of the above Differential diagnosis of hilar enlargement includes? Azygous lobe Bronchogenic carcinoma Myocardial infarction Acute pneumonia The normal cardiaothoracic ratio is? Greater than 75 % 0.50 1.0 None of the above Skull radiographic features suggestive of intracranial mass are? Sella erosion Calavarial thickening Displaced pineal gland calcification Enlargement of the sella turcica Matching: List the search pattern in order 1,2,3,4,5, Medulla Cortex Joint Capsule Soft Tissue Periosteum Matching: Intracranial calcifications a. Physiologic calcification b. pathologic calcification Pineal gland Falx cerbri Diffuse and multiple Choroid plexus Aneurysm Carotid siphon Petroclinoid ligament Which of the following are cause of atelectasis? Neoplasm Asthma (mucous plug) Foreign body All of the above With of the following is compatible with the radiographic diagnosis of emphysema? Hyperaeration Small heart Rtrosternal space increased Flattened diaphragm What is the differential diagnosis of a coin lesion? Old TB Nipple Asthma Neoplasm Which of the following cause elevation of the of a hemidiaphragm? Hepatomegally Pulmonary infection Asthma All of the above A thoracic scoliosis results in? Diaphragm elevation of the convex side Diaphragm elevation of the concave side Diaphragm depression of the convex side No change in diaphragmatic levels Which of the following best assist in differentiating neoplasm from vascular structures? “Snorting” “Sniffing” Valsalva maneuver Inspiration A patient who presents with neck pain which radiates into the arm, who has meiosis and opacification of the upper lobe should cause you to consider? Thoracic outlet syndrome Pectus excavatum TB Pancoast tumor Indication(s) for a chest x-ray include? (multiple) Increasing chest pain Hemoptysis Sudden onset of dyspnea Long term smoker Calcific hilar nodes and a parenchymal nodule of calcification should be considered? (multiple) Evidence of old TB Carcinoma Ghon complex None of the above The differential diagnosis of secondary pulmonary hypertension includes? Pneumothorax Pneomoconiosis Emphysema Acute pneumonia The normal adult cardiothoracic ratio should not exceed which one of the following? 0.40 0.50 0.65 0.75 Which AP skull radiographic feature(s) is suggestive of intracranial mass? Sella turcica Sutural widening Displaced pineal gland calcification Enlargement of the sella turcica The differential for solitary calcified pulmonary nodule would include? Carcinoma Granuloma Hamartoma Nipple (PONY undecided is it just granuloma or is hamartoma in too) Unilateral elevation of hemidiaphragm suggest the possibility of: Obesity Pulmonary neoplasm Emphysema Atelectasis (PONY undecided is it just neoplasm or is atelectasis in too) Lateral displacement of the mediastinum can occur with? Poor inspiration Emphysema Pulmonary infection Pectus excavatum (PONY unsure) A fracture line that extends through the epiphyseal plate and results in a crushed cartilage layer is ? Salter Harris 5 Salter Harris 4 Salter Harris 3 None of the above Which of the following benign tumor(s) of bone can degenerate into malignant lesion(s) Osteochondroma Neurofibroma Enchondroma All of the above Which of the following are causes of generalize osteoporosis: (multiple) Metastasis Dietary deficiency Endocrine abnormalities Senility Which of the following is a measurement for calcaneal fractures? Koeler’s angle Boehler’s angle Klein’s line None of the above Causes of protrusso acetabuli (Otto’s pelvis) include? Osteoarthritis RA Paget’s None of the above Matching: Place in correct order of search (1-14) Calcifications Base Vault Facial region Size and shape Pituitary fossa Scalp Cervical spine Hilus Central shadow Soft tissue Lung fields Bony cage Your patient’s heart shadow measures 18 cm and his thoracic cage transverse diameter is 36 cm consider? Cardiac hypertrophy Malnutrition Cardiomegally Normal Which of the following are compatible with the radiographic diagnosis of emphysema. (multiple) Hyperlucency Increased retrosternal air space Flattened diaphragms Increased transverse thoracic diameter An infiltrate is seen silouhetting the right cardiac margin. The infiltrate is located? Middle lobe Lingula Posterior segment ALL None of the above The radiographic signs of atelectasis (pony said atelectosis) include? (multiple) Fissural displacement Pleural effusion Diaphragmatic elevation Tracheal deviation Cause of intrathoracic calcification as viewed on a chest radiograph include? (multiple) Aortic atherosclerosis Healed granuloma Cardiac valves Bronchogenic carcinoma Normal causes of intracranial calcifications include? (multiple) Pituitary gland Falx cerebri Choroid plexus Glioma Pathologic causes of intracranial calcification include? Paget’s disesae Hyperostosis frontalis interna Craniopharyngioma Glioma Pituitary fossa expansion could result from? Increased intracranial pressure Chromophilic adenoma Cerebral aneurysm Paget’s disease The radiographic evidence of features of increased intracranial pressure include? Radiolucency of the cranial vault Deepenig of the sella tursica Sutural widening Sharpening of the cleinoid process The horizontal fissure of the right lung should be located near? 5th anterior rib 5th posterior rib 7th anterior rib 7th posterior rib The nomal adult cranial facial ratio is? 4:1 3:2 3:1 4:2 The normal adult cardiac thoracic ratio is ? 1:5 1:4 1:3 1:2 The differential for a solitary pulmonary nodule includes? (multiple) Carcinoma Calcified cardiac valves Granuloma Pneumonia A unilateral hyperlucent lung could be the result of? (multiple) Rotation of the patient Mastectomy Pneumonia Pleural effusion The differential diagnosis of a cavity lesion of the lung should include? (multiple) Abscess Asbestosis Scleroderma Carcinoma Hilar enlargement could be the result of pathology of which of the following? (multiple) Left atrium Pulmonary veins Pulmonary arteries Lymph glands Hilar lymhadenopathy has which of the following etiologies? (multiple) Lymphoma Connective tissue Metastasis Congestive failure Peripheral lung disease of chronic duration can result in which of the following? (multiple) Sarcoidosis Prominent pulmonary artery Cor pulmonale Lymphoma The differential diagnosis of pleural effusion should include? (multiple) Connective tissue diseases CHF Asthma Pleurisy The gamut of posterior mediastinal masses should include? (multiple) Neurofibroma Descending thoracic aneurysm Thymoma Pericarditis Significant clinical evidence for fracture would include? (multiple) Shortening Pain Angulation Midshaft crepitus Which of the following would be likely to retard healing at the fracture site? (multiple) Anemia Osteoporosis Infection Radiation Otto’s pelvis may have its etiology from which of the following? (multiple) Paget’s Hyperarathyroidism Gout Osteomalacia Features of chronic obstructive pulmonary disease on the chest radiograph include? Horizontally oriented ribs Increased retrosternal air space Hyperaeration (hyperlucency) Unilateral hilar adenopathy An apical infiltrate with rib destruction accompanied by clinical evidence of Horner’s syndrome warrants consideration of? Pneumonia Goiter Pancoast’s syndrome Compensatory or indirect signds of mediastinal shift include? Fissural displacement Extrapleural sign Air bronchogram Mediastinal shift Lateral displacement of the mediastinum could follow? Poor inspiration Atelectasis Pulmonary infection Pectus carinatum Fractures of the extremity include? (multiple) Smith Monteggia Gallezzi None of the above A disorder which can effect the skull base & increase its density? (multiple) Metastosis Multiple myeloma Paget’s disease None of the above The best view of the maxillary and ethmoid sinuses would be provided by? Stenver’s Water’s Townes None of the above What is the maximum distance for the retrotracheal soft tissue? 7mm 2.5mm 18mm 22mm Cause(s) of periosteal elevation include? (multiple) Osteomyelitis Ewing’s sarcoma Osteosarcoma Myositis ossificans Causes of an abnormal cortex include? (multiple) Lipoma Osteoporosis Paget’s Fracture Indication(s) for chest x-ray include? (multiple) Increasing chest pain Hemoptysis Sudden onset of dyspnea Long term smoker Which of the following cause expansion of the joint space? Osteoarthritis Hemarthrosis (bleed) Metastasis Ewing’s sarcoma Osteomyelitis of the spine resembles? Gout Spondlolysis deformans DISH Osteoporosis Heterotrophic ossification can occur with? Sarcoidosis Spinal cord injury Acromegaly Osteoporosis Soft tissue calcication occurs in? (multiple) Hypocalcemia Hypercalcemia Hypophoshatemia Increased sodium in the plasma Distorted facial plane lines are a result of? Infection Osteoma Osteochondroma Ostoid osteoma A 3cm patch of calcification is present in the abdominal aorta. What should be indicated for diagnosis? Orthogram Ultrasound CT MRI Communuted fractures include which of the following? (multiple) Greenstick fracture Y fracture of humerus Crush fracture all of the above Which of the following are incomplete fractures? (multiple) Pathologic Open fracture Torus Greenstick Of the following sign and symptoms which one is the most suspicious of a fracture? Pain Swelling Deformity Tenderness Which of the following effect the rate of fracture healing? (multiple) Age Nutrition Location of fracture Blood supply Which of the following is not a cause of delayed non-union? Comminution Severe trauma Osteoporosis Distraction When a fracture heals with angulations or deformity which of the following is present? Non-union Malunion Psuedoarthrosis Delayed union Causes of dislocation include? Trauma Congenital Altered articular surface Muscle imbalance (PONY unsure) Clinical presentation of dislocation include? Crepitus Reduction of ROM Contour abnormality All of the above (PONY unsure) Which of the following findings are compatible with the radiographic diagnosis of emphysema? (multiple) Hyperlucency Increased retrosternal airspace Flattened diaphragms Increased transverse diameter The differential diagnosis of secondary pulmonary hypertension includes? (multiple) TB Chronic bronchitis Emphysema Acute pneumonia A defect in solitary pulmonary nodule suggestive of carcinoma is called? Hill-Sachs deformity Rigler’s notch Extrapleural sign None of the above Which of the following are causes of unilateral hyperlucent lung field? (multiple) Bacterial pneumonia Obstruction of the lobar bronchus Rotation of the patient None of the above Which of the following are need to be considered when encountering a solitary pulmonary nodule? (multiple) Carcinoma Hamartoma Granuloma Hematoma The horizontal fissure of the right lung should be found near the? 5th anterior rib 5th posterior rib 7th anterior rib 7th posterior rib What is the normal distance of the TMJ opening? 5-10mm 10-20m 20-40mm 60-70mm (PONY unsure) Which of the following reduces the volume of the IVF? flexion subluxation Herniation Osteophytosis Rostrocaudal subluxation Distension of the ellbow capsule produces which finding? Anterior fat pad displacement Supinator sign Biceps sign Posterior fat pad displacement Which of the following would be likely to cord compression (multiple) Anterior vertebral avulsion fracture Atlantoaxial instability Ossification of the PLL Pilar fracture (PONY unsure) The etiology of a degenerative subluxation? Capsule traction Distortion of capsule/ligaments Increased blood flow Synovial fluid The pediatic injury which is characterized by a fracture of the epiphyseal plate is? Salter Harris 2 Salter Harris 5 Salter Harris 3 Salter Harris 1 Matching: Finger prints of injury Flexion Rotational Extension Shearing C2 anterior body avulsion fracture C Widened interspinous space A Anteriorly widened disc space C4/C5 Grade III Sprain C (?) Bilateral facet dislocation A (?) Matching: a. Cartilage erosion b. Periosteal stimulation c. Dislocation of capsule d. Synovial intrusion e. Fragmentation Joint mice Deformity Osteophyte Joint space loss Subchondral cyst True or false The left diaphragm is normally higher than the right. F The right hilus is higher on the left. F The lordotic view highlights the lung bases. T or F The hilus is enlarged because of vessels or lymph nodes. T The shape of the hilus is concave to the heart. F Gas in soft tissue comes from gangrene. T Greenstick fractures can only occur in children. T The spinal compression fracture is a type of transverse fracture. F A dislocation is described by the next most distal articulation. F Spinal subluxation can be evaluated by clinical biomechanical or radiographic methods. T Air entering the pleural space results in pneumonia. F The azygous lobe is a normal variant. T Most of the adult heart shadow is due to the right ventricle. T The most common cause of calcification on the chest film are due to neoplasms. F Mass that silhouette the right side of heart on a PA film can be placed into the middle lobe. T *Fractures of the appendicular skeleton are most likely to be missed??? *Reduction is the restoration of fracture fragments to their normal anatomical position??? *Fixation of a fracture occurs prior to external fixation??? *Necrotic tissue about the fracture site stimulates vasoconstriction and plasma exudation? *The second phase of fracture healing is repair??? X ray Tri & Review 1. Most common bone primary bone carcinoma = Multiple myeloma 2. Most common malignancy of bone = METS 3. Central shadow is larger on chest film = hypertension, left ventricular hypertrophy and chronic heart failure 4. Infection changes the blank of chest film? Border 5. Pancoast tumor is in the _______? Apex 6. Osteochondrosis dissecans- 3:1 m, axial load w/ rot., valgus deformity, bent knee w/ patellar dislocation, dissecting bone from cart., delayed evulsion fx., mc lat. Aspect of the femoral condyle 7. Transient synovitis is most common pediatric hip pain 8. Hurdler’s - avulsion of the ischium 9. Fracture of the pelvic ring - must have SI joint injury 10. Complication of dislocaton? Neurological and vascular problems 11. Bone deformity without joint space narrowing = Osteonecrosis (not DJD) 12. OA can predispose one to? Osteonecrosis 13. Severe osteonecrosis can cause? OA 14. T2 weighted image, water is _____? Bright 15. Brain tumor = glial cell tumor (CT of the brain) 16. Paget’s destroys? The petrous portion of the temporal bone 17. Depressed skull fracture = ping-pong fracture, flattening of the cranium 18. Blowout fracture = Fat and edema cause the fracture, see mass in the maxillary sinus 19. #1 sensory pathway to the brain? Jaw 20. Most common linear fracture in the skull? Parietal bone 21. Craniofacial ratio? Infants 3:1 Adults 3:2 22. Most projection of heart film? Right ventricle 23. Diaphragm decreased because of ? Emphysma or arthritis 24. Fixed diaphragm on one side? Phrenic nerve paralysis 25. Elevated diaphragm? SOL, pneumothorax, atelectasis, pneumonia, rib fracture 26. Carina is located at? T5/6 27. 5T’s are Terrible aneurysm and lymphoma, Teratoma, Thymoma, Thyroid 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. Most commonly taken radiograph? Chest Can’t see coronary vessels on film? T Can see pulmonary vessels on film? T Artery of death and MI prone to ______? LAD Peanut shaped, well marginated, hilar opacity? Calcific granuloma Most common of pneumothorax? Bleb Apical tumor? Pancoast tumor, sympathetic ganglion, Horner’s (anhydrosis, ptosis, myosis) Scoliosis patient needs chest film at _____? 55 degrees Solitary pulmonary nodule is not calcified? T Apical capping? Pleural calcification Bullae? Not fluid just air caused by emphysema Gliosis? Scar in the central nervous system Cicartrization? Scar in lung field Anterior mediastinum? Lymphoma, aneurysm, thymoma, adenoma, thyroid, teratoma Middle mediastinum? Bronchogenic, carcinoma, lymphoma Posterior mediastinum? Neuroma, aneurysm, and oma’s Thigh (Quadricep femoris) is the most common site for myositis ossificans (can mimic malignant osteosarcoma and the first x-ray will be negative) Aneurysm? >3.7cm Stress fracture is diagnsois for? Osteosarcoma MRI uses H+ atom? T Most dangerous x-ray finding? Acute hematoma of RPI Fingerprint? Interspinous gap Runners? Stress fracture Translation > 3.5 mm? Instability If adjust grade 3 sprain? Dislocation Mechanical to electrical? Pizoelectric Benett’s Fracture? Proximal head of first metacarpal, dislocated from trapezium Jone’s Fracture? Base of fifth metatarsal Monteggia’s Fracture? Ulnar shaft 4” below olecranon, dislocation of the radius, ruptured annular ligment Pott’s Fracture? Lower fibula Smith’s Fracture? Radius with palmar displacement Jefferson’s Fracture? C1 arch burst Galliaie’s Fracture? Radius with posterior dislocation Hangman’s Fracture? C2 lamina Clay Shoveler’s Fracture? C7 spinous Non-union? Horse’s foot, elephant foot (healing has stopped) Spine Fracture? Impaction Long bone? Transverse, longitudinal Charcot’s Joints? Neuropathic joint, diabetics 6C’s of Charcot’s joints? Destruction, Debris, Density, Disorganization, Distention, Dislocation Most common stress fracture? Pars interarticularis Grade 3 sprain caused by a __________? Rotation injury Things that can cause spinal stenosis? Negative at metaphysis in normal bones, positive in shaft, electrons migrate around fracture Single pulmonary lesion? Granuloma, METS, hamartoma Direct sign of atelectasis? Elevation of the horizontal fissure Hypervascularization? Osteophytes Atelectasis? Tracheal deviation and elevated diaphragm Silhouette Sign? Pulmonary deviation in pneumonia Physiological calcification? Pineal gland, chroid plexus, falx cerbri Myositis ossficans? Quadriceps femoris, calcification of muscles Class 3 sprain? Flexion Instability of C4/5? Translation > 3.5 Somatovisceral? Latency period 81. 82. 83. 84. 85. 86. Cord compression? DISH DJD? Retrolisthesis, anterolysthesis, lateral listhesis Osteoarthrosis? Destruction of articular cartilage, spurring, lipping, and impaired function DJD categories? Primary (idiopathic) and secondary (known factor/event) Spondlolysis deformans? DISH? Ossification of the ALL Search sequence for chest film Soft tissue Skeleton Central shadow Hilum Lung fields Search Pattern for the skull Size and shape of the joint Soft tissues Base of skull Face C-spine Search pattern for bones and joint Soft tissue Periosteum Cortex Medullary Joint capsule Notes: Remember the 5T’s that live in the anterior mediastinum Terrible aneurysm Thymus Teratoma Thyroid Terrible lymphoma Notes: CT will make the diagnosis between Thyroid Lymphoma Thyroma
