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40 Cards in this Set

  • Front
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Generalised osteoporosis is characterized by:
- deficiency of bone mass
- increase of T-score in densitometry
- structural disorder of bones
- increased formation of osteoid
Generalised osteoporosis is characterized by:
- deficiency of bone mass+
- structural disorder of bones+
In osteoporosis we find:
- elevation of Ca level in blood
- decreased Ca level in blood
- inhibition of osteoblastic activity
- increased fragility of bones
In osteoporosis we find:
- inhibition of osteoblastic activity+
- increased fragility of bones+
Normal bone in adultes:
- containes about 90% of mineral salts
- containes about 30% of organic matter
- is able to remodel after displaced fracture
- is not able to remodelate after displaced fracture
Normal bone in adultes:
- containes about 30% of organic matter+
- is not able to remodel after displaced fracture+
Osteoclasts:
- stimulate calcification of bone
- stimulate production of osteoid
- stimulate resorption of bone
- proliferate in hyperparathyreoidism
Osteoclasts:
- stimulate resorption of bone+
- proliferate in hyperparathyreoidism+
Total bone mass is increasing by:
- stimulation of osteoblastic activity
- stimulation of osteoclastic activity
- inhibition of osteoblastic activity
- inhibition of osteoclastic activity
Total bone mass is increasing by:
- stimulation of osteoblastic activity+
- inhibition of osteoclastic activity+
Estrogens:
- enhance calcification of bone
- induce osteolysis
- inhibit osteoblastic activity
- increase density of bone
Estrogens:
- enhance calcification of bone+
- increase density of bone+
Localised osteoporosis can be considered:
- periarticular porosis in rheumatoid arthritis
- involutional osteoporosis in seniors
- postmenopausal osteoporosis
- Sudeck´s dystrophy
Localised osteoporosis can be considered:
- periarticular porosis in rheumatoid arthritis+
- Sudeck´s dystrophy+
Bone densitometry:
- is a qualitative method of osteoporosis evaluation
- determines the degree of osteoporosis by means of a T-score
- measures absorption of X-rays in bone
- determines the degree of osteoporosis by means of the cortical index
Bone densitometry:
- determines the degree of osteoporosis by means of a T-score+
- measures absorption of X-rays in bone+
Radiological signs of vertebral osteoporosis are:
- blurring of end plates of vertebral bodies
- wedge-like compresssion of vertebral bodies
- excavation of end plates of vertebral bodies
- localised ostelysis of vertebral bodies
Radiological signs of vertebral osteoporosis are:
- wedge-like compresssion of vertebral bodies+
- excavation of end plates of vertebral bodies+
Typical osteoporotic fractures are:
- pertrochanteric fracture of femur
- burst fracture of tibia
- fracture of distal radius
- scaphoid fracture
Typical osteoporotic fractures are:
- pertrochanteric fracture of femur+
- fracture of distal radius+
Rachitis, unlike osteoporosis, is characterised by:
- cup-like blurring of metaphyses
- increased number of fractures
- acceleration of bone aging
- overproduction of osteoid
Rachitis, unlike osteoporosis, is characterised by:
- cup-like blurring of metaphyses+
- overproduction of osteoid+
Technics of bone densitometry are:
- DEXA
- measurement of Singh´s index
- Q CT
- HRCT
Technics of bone densitometry are:
- DEXA+
- Q CT+
Which are used for treatment of osteoporosis:
- stroncium ranelate
- bisphosphonates
- chondroprotective drugs
- corticoids
Which are used for treatment of osteoporosis:
- stroncium ranelate+
- bisphosphonates+
Marked osteoporosis may be seen in:
- Albers-Schonberg disease
- osteogenesis imperfecta
- morbus Cushing
- fluorosis
Marked osteoporosis may be seen in:
- osteogenesis imperfecta+
- morbus Cushing+
Successful recalcification therapy is reflected on radiographs by:
- densification of growth areas in children
- increase of BMD in adults
- decrease of T-score
- decrease of bone density
Successful recalcification therapy is reflected on radiographs by:
- densification of growth areas in children+
- increase of BMD in adults+
If fracture is suspected the following imaging methods can be used:
- radiography
- ultrasound
- CT
- MRI
If fracture is suspected the following imaging methods can be used:
- radiography+
- CT+
Injury of following tissues may be verified by ultrasound:
- bone
- tendon
- cartilage
- ligament
Injury of following tissues may be verified by ultrasound:
- tendon+
- cartilage+
Typical childhood fractures are:
- pertrochanteric
- subperiostal
- epiphyseolysis
- Monteggia
Typical childhood fractures are:
- subperiostal+
- epiphyseolysis+
As avulsion fracture occurs in association with:
- femoral neck
- olecranon
- scaphoid
- spina ilica anterior inferior
As avulsion fracture occurs in association with:
- olecranon+
- spina ilica anterior inferior+
Compressive fractures occur in:
- vertebral bodies
- calcaneus
- clavicle
- metacarpals
Compressive fractures occur in:
- vertebral bodies+
- calcaneus+
Fissures are usually seen in:
- flat bones
- skull bones
- vertebral bodies
- the coccyx
Fissures are usually seen in:
- flat bones+
- skull bones+
Fracture with many fragments is:
- comminutive
- compressive
- intraarticular
- burst
Fracture with many fragments is:
- comminutive+
- burst+
Angular displacement of fragments can be:
- ad latus (transversal)
- with impaction
- valgus
- varus
Angular displacement of fragments can be:
- valgus+
- varus+
In displacement of the ad longitudinem fragments can be:
- distracted
- contracted
- rotated
- subluxated
In displacement of the ad longitudinem fragments can be:
- distracted+
- rotated+
As stress fractures can be classified:
- pathologic fractures
- march fractures
- greenstick fractures
- fatigue fractures
As stress fractures can be classified:
- march fractures+
- fatigue fractures+
Callus in fracture healing is:
- periostal
- endostal
- subcortical
- epiphyseal
Callus in fracture healing is:
- periostal+
- endostal+
As complication of fracture healing may be considered:
- avascular necrosis
- osteomyelitis
- osteosclerosis
- osteomalacia
As complication of fracture healing may be considered:
- avascular necrosis+
- osteomyelitis+
To verify an occult fracture we can use:
- repeated radiograph
- CT
- MRI
- contrast examination
To verify an occult fracture we can use:
- CT+
- MRI+
In recurrent dislocation of shoulder we look for:
- Hill-Sachs lesion of humeral head
- Bankart lesion of glenoid
- Salter-Harris chondral lesion
- SLAP lesion of glenoid labrum
In recurrent dislocation of shoulder we look for:
- Hill-Sachs lesion of humeral head+
- Bankart lesion of glenoid+
In Monteggia fracture we find:
- fracture of radius
- fracture of ulna
- dislocation of radial head
- distal radio-ulnar subluxation
In Monteggia fracture we find:
- fracture of ulna+
- dislocation of radial head+
Total endoprosthesis (arthroplasty) can have:
- one component
- two components
- three components
- more components
Total endoprosthesis (arthroplasty) can have:
- two components+
- three components+
Cervicocapital endoprosthesis (hemiarthroplasty) can be used in replacement of :
- hip
- knee
- shoulder
- ankle
Cervicocapital endoprosthesis (hemiarthroplasty) can be used in replacement of :
- hip+
- shoulder+
Indication for hip joint replacement is:
- femoral head necrosis
- osteomyelitis
- advanced osteoarthritis
- morbus Perthes
Indication for hip joint replacement is:
- femoral head necrosis+
- advanced osteoarthritis+
“Halo effect“ makes difficult assessment of prosthesis loosening:
- on radiographic film
- on digital radiography
- on conventional tomography
- on CT
“Halo effect“ makes difficult assessment of prosthesis loosening:
- on digital radiography+
- on CT+
Varus position of femoral component in hip endoprosthesis leads to:
- break of prosthesis
- loosening of femoral component
- perforation of the tip of component
- aseptic necrosis
Varus position of femoral component in hip endoprosthesis leads to:
- loosening of femoral component+
- perforation of the tip of component+
X-ray sign of aseptic loosening of endoprosthesis is:
- soft rim
- hard rim
- migration of prosthesis
- osteoporosis
X-ray sign of aseptic loosening of endoprosthesis is:
- soft rim+
- migration of prosthesis+
In loosening of femoral component we can find:
- periostal reaction
- sclerotisation
- focal osteolysis
- fistulisation
In loosening of femoral component we can find:
- periostal reaction+
- focal osteolysis+
Paraarticular ossifications around the endoprosthesis:
- appear in acute infection
- appear in creeping infections
- restrict the joint movement
- preceed the periprosthetic fracture
Paraarticular ossifications around the endoprosthesis:
- appear in creeping infections+
- restrict the joint movement+
Girdlestone operation:
- is a simple extraction of endoprosthesis
- is indicated in periprosthetic fracture
- is indicated in infected prosthesis
- means re-implatation of prosthesis
Girdlestone operation:
- is a simple extraction of endoprosthesis+
- is indicated in infected prosthesis+
Harris acetabuloplasty:
- is indicated after prosthesis extraction
- means supra-acetabular graft implantation
- means infra-acetabular graft implantation
- prevents femoral component dislocation
Harris acetabuloplasty:
- means supra-acetabular graft implantation+
- prevents femoral component dislocation+