Bones Shifting
Bones Shifting: An Orthopedic Challenge
Test your knowledge on bone disorders, rheumatoid arthritis, and related conditions with our comprehensive quiz. Consisting of 20 multiple-choice questions, this quiz is designed for healthcare professionals and students alike.
Key features:
- In-depth questions on bone-related diseases
- Suitable for students and professionals in orthopedics
- Engaging and informative format
A 40 year old female with rheumatoid arthritis presents with a synovial cyst that forms in the popliteal space. What is the most likely diagnosis? X
Baker cyst
Tenosynovial giant cell tumor
Pigmented villionodular synovitis
Ganglion cyst
A 5 month old boy was brought to the OPD with chief complaints of short limbs and progressive enlargement of the head, Physical Examination revealed height of less than 3rd percentile and head circumference more than 97th percentile. The head appeared large with frontal bossing, wide open anterior fontanelle with midfacial hypoplasia, depressed nasal bridge and short neck with redundant skin folds. The clinical findings are compatible with:
Osteogenesis Imperfecta
Thanatophoric Dysplasia
Achondroplasia
Brachydactyly
A 70 year old Australian man presents with pain on the left leg, Radiograph of the right leg shows bwoing of the tibia and the affected portion is enlarged sclerotic and exhibits irregular thickening of both the cortical and and cancellous bone. What is the histomorphologic finding compatible with this condition?
Fine, Lacelike pattern of neoplastic bone
Mosaic pattern of lamellar bone
Histologically normal bone
Decreased Bone quantity
A benign cartilage-capped tumor attached to the underlying skeleton by a bony stalk
Osteochondroma
Chondrosarcoma
Chondromyxoid Fibroma
Osteoid Osteoma
This is a polyostotic fibrodysplasia, asssociated with cafe au lait skin pigments and endocrine anomaly especially precocious puberty.
Mazabraud Syndrome
McCune Albright Syndrome
Marie Strumpell Disease
Heberden nodes
All of the following are true in Juvenile Idiopathic Arthritis compared to RA, EXCEPT:
In, JIA, oligoarthritis is more common
ANA is common
Small joints are more affected than large joints
Systemic Disease is more frequent
Which of the following diseases is associated with desmoid tumors?
Renal cell cancer
Familial Adenomatous Polyposis
Osteosarcoma
Fibrosarcoma
A clinical subtype of superficial fibromatosis that has irregular, nodular thickenin of palmar fascia, causing puckering and dimpling, with slowly progressive flexion contracture of the 4th and 5th fingers.
Dupuyutren Contracture
Plantar Subtype
Peyronie Disease
Penila Subtype
Most common soft tissue sarcoma in children and adolescent
Rhabdomyosarcoma
Lipoma
Fibrosarcoma
Leiomyoma
Which of the following is true about osteoclasts:
Attaches to bone matrix via integrins and creates a sealed extracellular trench
Synthesizes, transports, and assemble matrix and regulate mineralization
Made up of Type I collagen with small amounts of glycosaminoglycans
Governed by RUNX2/CBAF1 transcription factor network
Lethal type of Osteogenesis Imperfecta:
Type I
Type II
Type III
Type IV
The clinical phenotype of this skeletal disease produces abnormal clavicles, wormian bones and supernumerary teeth. The affected molecule is a transcription factor identified as RUNX2. This disease is called:
Brachydactyly Type D
Camptomelic Dysplasia
Cleidocranial Dysplasia
Holt-Oram Syndrome
Casser John, a 35 year old father of two, presented in the clinic with a pencil in a cup deformity that affected his peripheral and axial joints. He was diagnosed with a chronic inflammatory arthropathy. This pathology is called:
Ankylosing Spondylitis
Reactive Arthritis
Enteritis Associated Arthritis
Psoriatic Arthtritis
Pathognomic hallmark of gout
Long slender, needle-shaped, negative birefringent.
Pannus formation, destroying underlying cartilage that leads to bone erosion
Tophi formed by large aggregations of urate crystals surrounded by intense inflammatory reaction
Synovium becomes hyperplastic, fibrotic and thickened
A 70 year old man has experienced pain in the area around the knee for the past weeks. MRI shows and infiltrative tumor that measures 4 cm wide and is located inferior to the patella. The mass is within soft tissue and bony erosion is noted at the adjacent bone. A biopsy of the mass is done; microscopically, the specimen shows sheets of large anaplastic cells with bizzare nuclei. Immunohistochemical stains for myogenin and smooth muscle actin were nonreactive. Which of the following is the most diagnosis?
Undifferentiated Pleomorphic Sarcoma
Pleomorphic Rhabdomyosarcoma
Leiomyosarcoma
Pleiomorphic Liposarcoma
The morphologic hallmarks in osteoarthritis include loose body formation, bone eburnation and osteophyte formation. In women, what do you call the osteophytes seen at the distal intraphalangeal joints?
Bouchard nodes
Heberden nodes
Boutonniere deformity
Rheumatoid nodules
A 17 year old with knee and elbow pain for 7 weeks was seen in the clinic. Anti CCP and RF was negative but ANA was positive. Which of the following is the most likely diagnosis?
Gout
Rheumatoid Arthritis
Juvenile Rheumatoid Arthritis
Suppurative Arthritis
Which of the following is TRUE of Rheumatoid arthritis?
Morning stiffness
Systemic disease is more frequent
Large joints are are affected than small joints
(+) ANA
Which of the following coordinates chondrocytes proliferation and differentiation and osteoblast proliferation?
T3
IHH
PTHrP
GH
A 40 year old woman has experienced malaise, fatigue, and joint pain for the past five months. On PE, the joint involvement is symmetric and most of the affected joints are in the hands and feet. The third digits have a "swan neck" deformity, and there is ulnar deviation of both hands. Which of the following laboratory findings is most likely to be reported in this patient?
Calcium pyrophosphate crystals in a joint aspirate
Serum positive for anti CCP
Hyperuricemia
Positive burgdorferi serologic test
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