Di-Bbt And Malignant Neoplasms

Front 1

most common BBT of appendicular spine

Back 1

osteochondroma

Front 2

multiple osteochondroma 20% undergo malignacy

Back 2

HME-hereditary multiple exostosis

Front 3

either pedunclated (aka coat hanger exostosis/cauliflower like or sessile-broad based

Back 3

osteochondroma

Front 4

Unicarmel Bone cyst AKA

Back 4

Simple Bone Cyst

Front 5

Diahyseal/metaphyseal location, centrally located less than20 y.o. dont cause balloning of bone

Back 5

SBC

Front 6

Fallen Fragment sign

Back 6

SBC

Front 7

BBT that needs to be referred to orthopedist

Back 7

SBC, ABC, GCT, Chondrobastoma

Front 8

encapsulated, short zone of trasition, geographic lessions, incidental findings

Back 8

BBT

Front 9

Diaphyseal/metaphyseal location, ecentrally located, less than 20 y.o., balloning, hot tender swollen on palpation

Back 9

ABC

Front 10

Ephyseal/Metaphyseal location, 20-40 y.o. 20% quasi-malignant-chondrosarcoma

Back 10

GCT

Front 11

Soap bubble

Back 11

GCT

Front 12

Epiphyseal/Metaphyseal location less than 20 years old

Back 12

Chondroblastoma

Front 13

Night pain relieved by asprin. Radiolucent central nidus with severe reactive sclerosis

Back 13

Osteoid Osteoma

Front 14

Night pain relieved by asprin: appears like an osteoid ostoma

Back 14

Brodies Abscess

Front 15

Brodies Abscess AKA

Back 15

Chronic Oseomyelitis

Front 16

M/c BBT of the hand that may have a stippled appearance

Back 16

Enchondroma

Front 17

Multiple Enchondromas

Back 17

Ollier's Disease

Front 18

Ollier's with soft tissue calicification

Back 18

Maffucci's syndrome

Front 19

M/c BBT of the spine

Back 19

Hemangioma

Front 20

Corduroy cloth or jail bar vertebrae,vascular defect, can cause bone expansion and compression fracture

Back 20

Hemangioma

Front 21

Hemangioma that involves the skull

Back 21

Calvarum involvement

Front 22

Bone island: round or oblong radiopaque lession

Back 22

Enostoma

Front 23

Multiple bone islands that asymptomatic that have no labs and self resolving

Back 23

Oseopoikilosis

Front 24

Where is Oseopoikilosis m/c found

Back 24

pelvis, humerus, hands and feet

Front 25

M/c BBT to affect the neural arch

Back 25

osteoblastoma

Front 26

Osteoblastoma cause

Back 26

bone expansion, radiation theraphy, currattage, scollosis,SC compression canal stenosis

Front 27

M/c BBT to affect the skull

Back 27

Osteoma

Front 28

Found in frontal sinus and best seen on Caldwell projection

Back 28

Osteoma

Front 29

Rind sign, Saber Shin Tibia and Sheppards Crook, Ground Glass Appearance, Cafe au lait spots with cost of Maine(jagged border), makes bone darker

Back 29

Fibrous Dysplasia

Front 30

Cafe au lait spots with coast of California (smooth border)

Back 30

Neurofibromatosis

Front 31

long zones of trasition, non encapsulated, permative pattern, moth eaten appearance, punch out lessions can cause pathological fracture

Back 31

Malignacies

Front 32

what to do with all malignacies

Back 32

refer to oncologist

Front 33

what malignacies turn bone darker

Back 33

MM and lytic mets

Front 34

pathological fracture cause what

Back 34

loss of anterior and posterior body parts

Front 35

osteoporosis dont cause decrease in what

Back 35

posterior body part

Front 36

Is bone scan a specific test

Back 36

no it measure the body's attempt to lay down new bone

Front 37

MM AKA

Back 37

Plasma Cell Sarcoma

Front 38

Over 50 y.o mostly women, anemia, m/c primary malignancy of bone

Back 38

MM

Front 39

Punched out lessions(multiple dark densities similar in size),can cause pathological collapse (vertebral plana), rain drop skull

Back 39

MM

Front 40

Labs for MM

Back 40

M spike (most specific),Reversal of Albumin/Globulin Ratio (incr in G),Bence Jones proteinuria, elevated ESR (not specific for infammation)

Front 41

Special Test for MM

Back 41

Bone Scan Cold

Front 42

M/c malignant tumor of bone

Back 42

Metastatic Disease (lytic and Blastic)

Front 43

Malignacy that turns bone whiter

Back 43

Hodkins Lymphoma,Blastic Mets, Paget's

Front 44

over 40 y.o, skeletal pain that worse at night and nothing relieves it

Back 44

Lytic mets

Front 45

eats away at pedicle of bone

Back 45

Lytic mets

Front 46

Swiss cheese appearance in skull

Back 46

Lytic mets

Front 47

Labs and Special test for lytic ments

Back 47

Alkaline phosphatase and Bone Scan

Front 48

Most common form of mets in ages 20-40

Back 48

Hodgkins

Front 49

bone becomes more radiopaque with ivory white vertebrae with anterior body scalloping

Back 49

Hodgkins

Front 50

Uni-lateral hilar lymphadenopathy in caucasians seen on P-A chest view

Back 50

Hodgkins

Front 51

Need to biopsy what cells for Hodgkins

Back 51

Reed Sternberg cells

Front 52

Blastic mets is most commonly caused from what

Back 52

prostatic carcinoma

Front 53

Labs for Blastic mets

Back 53

Increased Alkaline phosphatase and Bone Scan-hot

Front 54

AKA for Paget's

Back 54

Osteitis Deformans

Front 55

Over 50 y.o males with picure frame vertebrae

Back 55

Paget's

Front 56

Stages of Pagets

Back 56

Lytic or destructive,Combined (blastic and lytic),Sclerotic or healing, Malignacy

Front 57

What stage ivolves over 60 y.o

Back 57

Malignacy

Front 58

cause cortical thicking, increased bone density, deformity, coarsened trabeculae,bone expansion, picure frame vertebrae

Back 58

Paget

Front 59

Radiographic signs of Paget's

Back 59

Sheave of wheat grass, Blades of grass, sheaves of grain, cotton woll candle flame, brim sign, osteoporosis curcumscripta

Front 60

labs and ST for Paget's

Back 60

AP,Urinary Hydroxyproline and BS-hot

Front 61

What cause deformity

Back 61

Paget's and Fibrous Dysplasia

Front 62

Most common mallignacy in children ages 10-30

Back 62

osteosarcoma

Front 63

causes a periosteal reaction that is spiculated, radiating sunburst appearance

Back 63

Osteosarcoma

Front 64

Labs and ST for osteosarcoma

Back 64

Increased AP and Bone Scan

Front 65

over 40 and creates a spiculated, radiating, sunburst periosteal reaction of bone

Back 65

Chondrosarcoma and fibrosarcoma

Front 66

Similar to an infection-warm hot swollen,most commonly found in diaphysis of long bones. 10-25 y.o

Back 66

Ewing Sarcoma

Front 67

Multi paralleded onion skin,bone expansion, codman's triangle and saucerization

Back 67

Ewing's Sarcoma

Front 68

over 40 y.o aberrant notchordal cell tumor

Back 68

Chordoma

Front 69

M/c found in sacurm and second m/c in skull

Back 69

Chordoma