Bones notes rad 3 lab f

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Last updated 5:44 PM on 6/4/26
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40 Terms

1
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Elevated alkaline phospahte

Refferal to PCP or endocrinologist (Pagets?)

63 year old male. What is the most likely lab finding and what is the next step in Managment

<p>63 year old male. What is the most likely lab finding and what is the next step in Managment</p>
2
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Osteoma

The most Ikely diagnosis for the finding in the froetal sinus is

<p>The most Ikely diagnosis for the finding in the froetal sinus is</p>
3
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All of the provided options are possible

Sinus infections

Asymptomatic

Headaches

The most likely symptom/finding for the patient above is?

<p>The most likely symptom/finding for the patient above is?</p>
4
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Fibrous dysplasia

37 year old male with hip pain.

The most Bely dagnosis is

<p>37 year old male with hip pain.</p><p>The most Bely dagnosis is</p>
5
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Cafe au lait - coast of maine

Rind of sclerosis

37 year old male with hip pain

Based on the above findings, please pick one possible physical exam finding and an associated radiog aphic name sign that may not necessarly be seen here but could be seen in a patient with this condition

Pick two of these

- Cafe au lait » coant of Maine

• Fibroma moluscum

• hortased hat size

• Petic brim sign

• ribbon rib appearance

•rind of sclerosis

<p>37 year old male with hip pain</p><p>Based on the above findings, please pick one possible physical exam finding and an associated radiog aphic name sign that may not necessarly be seen here but could be seen in a patient with this condition</p><p>Pick two of these</p><p>- Cafe au lait » coant of Maine</p><p>• Fibroma moluscum</p><p>• hortased hat size</p><p>• Petic brim sign</p><p>• ribbon rib appearance</p><p>•rind of sclerosis</p>
6
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Osteosarcoma

13 year old male with shoulder pain.

Most likely diagnosis:

<p>13 year old male with shoulder pain.</p><p>Most likely diagnosis:</p>
7
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Ill defined

Cortical destruction

Colman's triangle

Aggressive appearing

13 year old male with shoulder pain.

Please describe the lesion above with appropriate answer options.

Select 4 correct answers

<p>13 year old male with shoulder pain.</p><p>Please describe the lesion above with appropriate answer options.</p><p>Select 4 correct answers</p>
8
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Osteomyelitis

10 month old infant with 1 week history of knee pain and swelling.

The most likely diagnosis is:

<p>10 month old infant with 1 week history of knee pain and swelling.</p><p>The most likely diagnosis is:</p>
9
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Urgent referral to emergency department

Elevated WBC

10 month old infant with 1 week history of knee pain and swelling

Please choose the best management and most likely lab finding.

Select 2 correct answers

<p>10 month old infant with 1 week history of knee pain and swelling</p><p>Please choose the best management and most likely lab finding.</p><p>Select 2 correct answers</p>
10
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Cotton wool skull

76 year old male.

The name sign seen above is:

<p>76 year old male.</p><p>The name sign seen above is:</p>
11
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Pagets

Basilar invagination

76 year old male

Please choose the diagnosis and most clinically significant finding.

<p>76 year old male</p><p>Please choose the diagnosis and most clinically significant finding.</p>
12
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Neurofibromatosis

Adult patient with known chronic condition. The patient also demonstrates multiple smooth margin, non-elevated darkly pigmented skin lesions on their thorax.

Most likely diagnosis?

<p>Adult patient with known chronic condition. The patient also demonstrates multiple smooth margin, non-elevated darkly pigmented skin lesions on their thorax.</p><p>Most likely diagnosis?</p>
13
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Kyphoscoliosis

Adult patient with known chronic condition. The patient also demonstrates multiple smooth margin, non-elevated darkly pigmented skin lesions on their thorax.

The most common radiographic finding for this patient's diagnosis is:

• Cortical khickening

• Ground glass appearance

• Kyphoscoliosis

• Subligamentous vertebral destruction

<p>Adult patient with known chronic condition. The patient also demonstrates multiple smooth margin, non-elevated darkly pigmented skin lesions on their thorax.</p><p>The most common radiographic finding for this patient's diagnosis is:</p><p>• Cortical khickening</p><p>• Ground glass appearance</p><p>• Kyphoscoliosis</p><p>• Subligamentous vertebral destruction</p>
14
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Avascular necrosis

54 year old male with chronic bilateral hip pain. History reveals the patient suffers from alcoholism.

Best diagnosis:

• Septic arthritis

• Paget disease

• Osteomalacia

• Avascular necrosis

<p>54 year old male with chronic bilateral hip pain. History reveals the patient suffers from alcoholism.</p><p>Best diagnosis:</p><p>• Septic arthritis</p><p>• Paget disease</p><p>• Osteomalacia</p><p>• Avascular necrosis</p>
15
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Corticosteroid use

54 year old male with chronic bilateral hip pain. History reveals the patient suffers from alcoholism.

The most common cause for the above diagnosis is:

Vitamin D deficiency

Staphylococcus aureus

Paramyxovirus

Corticosteroid use

<p>54 year old male with chronic bilateral hip pain. History reveals the patient suffers from alcoholism.</p><p>The most common cause for the above diagnosis is:</p><p>Vitamin D deficiency</p><p>Staphylococcus aureus</p><p>Paramyxovirus</p><p>Corticosteroid use</p>
16
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avascular necrosis

54 year old male with chronic bilateral hip pain. History reveals the patient suffers from alcoholism.

Best diagnosis:

• Septic arthritis

• Paget disease

• Osteomalacia

• Avascular necrosis

<p>54 year old male with chronic bilateral hip pain. History reveals the patient suffers from alcoholism.</p><p>Best diagnosis:</p><p>• Septic arthritis</p><p>• Paget disease</p><p>• Osteomalacia</p><p>• Avascular necrosis</p>
17
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Infectious discitis

Diabetic patient with low back pain of 3 weeks that is getting progressively worse.

Most likely diagnosis:

Chordoma

Metastasis

Kummel's disease

Infectious discitis

<p>Diabetic patient with low back pain of 3 weeks that is getting progressively worse.</p><p>Most likely diagnosis:</p><p>Chordoma</p><p>Metastasis</p><p>Kummel's disease</p><p>Infectious discitis</p>
18
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Urgent referral to emergency department

Diabetic patient with low back pain of 3 weeks that is getting progressively worse.

Best management:

Urgent referral to emergency department

No referral necessary; begin chiropractic care

Refer for bone scan to find other areas of involvement

Refer to oncologist

<p>Diabetic patient with low back pain of 3 weeks that is getting progressively worse.</p><p>Best management:</p><p>Urgent referral to emergency department</p><p>No referral necessary; begin chiropractic care</p><p>Refer for bone scan to find other areas of involvement</p><p>Refer to oncologist</p>
19
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Neurofibromatosis

The patient above demonstrates dilation of the thecal sac along with numerous nerve sheath tumors.

Most likely diagnosis:

Chordoma

Tubercular meningitis

Fibrous dysplasia

Neurofibromatosis

<p>The patient above demonstrates dilation of the thecal sac along with numerous nerve sheath tumors.</p><p>Most likely diagnosis:</p><p>Chordoma</p><p>Tubercular meningitis</p><p>Fibrous dysplasia</p><p>Neurofibromatosis</p>
20
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All of the above

The patient above demonstrates dilation of the thecal sac along with numerous nerve sheath tumors.

Which of the following conditions could also cause the vertebral body changes?

Choose all that apply.

Acromegaly

Marfan syndrome

Achondroplasia

Spinal tumor

<p>The patient above demonstrates dilation of the thecal sac along with numerous nerve sheath tumors.</p><p>Which of the following conditions could also cause the vertebral body changes?</p><p>Choose all that apply.</p><p>Acromegaly</p><p>Marfan syndrome</p><p>Achondroplasia</p><p>Spinal tumor</p>
21
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Corduroy cloth

Name sign seen above:

Vertebra plana

Rugger jersey spine

Corduroy cloth

Picture frame vertebra

<p>Name sign seen above:</p><p>Vertebra plana</p><p>Rugger jersey spine</p><p>Corduroy cloth</p><p>Picture frame vertebra</p>
22
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Hemangioma

The most likely diagnosis for the above finding is:

Lytic metastasis

Hyperparathyroldism

Hemangioma

Paget disease-

<p>The most likely diagnosis for the above finding is:</p><p>Lytic metastasis</p><p>Hyperparathyroldism</p><p>Hemangioma</p><p>Paget disease-</p>
23
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Elevated parathyroid hormone??

Based on the findings seen above, the most likely lab finding is:

Vitamin D deficiency

Elevated alkaline phosphatase

Elevated parathyroid hormone

Elevated growth hormone

<p>Based on the findings seen above, the most likely lab finding is:</p><p>Vitamin D deficiency</p><p>Elevated alkaline phosphatase</p><p>Elevated parathyroid hormone</p><p>Elevated growth hormone</p>
24
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Hyperparathyroidism??

The most likely diagnosis is:

• Acromegaly

• Osteomalacia

• Hyperparathyroidism

• Paget disease

<p>The most likely diagnosis is:</p><p>• Acromegaly</p><p>• Osteomalacia</p><p>• Hyperparathyroidism</p><p>• Paget disease</p>
25
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Tuberculous spondylitis

54 year old homeless man with chronic severe mid back pain and also complains of having a long standing cough.

The above changes are consistent with:

Neurofibromatosis

Transient regional osteoporosis

Dialysis related spondyloarthropathy

Tuberculous spondylitis

<p>54 year old homeless man with chronic severe mid back pain and also complains of having a long standing cough.</p><p>The above changes are consistent with:</p><p>Neurofibromatosis</p><p>Transient regional osteoporosis</p><p>Dialysis related spondyloarthropathy</p><p>Tuberculous spondylitis</p>
26
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Phemister's

54 year old homeless man with chronic severe mid back pain and also complains of having a long standing cough.

Which triad may be seen with involvement of the above condition in the extremities.

• Gardners

• McCune's

• Puttis

• Phemister's

<p>54 year old homeless man with chronic severe mid back pain and also complains of having a long standing cough.</p><p>Which triad may be seen with involvement of the above condition in the extremities.</p><p>• Gardners</p><p>• McCune's</p><p>• Puttis</p><p>• Phemister's</p>
27
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Multiple myeloma

54 year old male with severe fatigue.

Based on the x-ray findings seen above, what is the most likely diagnosis:

Multiple myeloma

Paget disease

Blastic metastasis

Fibrous dysplasia

<p>54 year old male with severe fatigue.</p><p>Based on the x-ray findings seen above, what is the most likely diagnosis:</p><p>Multiple myeloma</p><p>Paget disease</p><p>Blastic metastasis</p><p>Fibrous dysplasia</p>
28
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Raindrop skull

54 year old male with severe fatigue.

The most likely SKULL radiographic name sign seen with this condition is:

Asterion defect

Cotton wool skull

Pepper pot sign

Raindrop skull

<p>54 year old male with severe fatigue.</p><p>The most likely SKULL radiographic name sign seen with this condition is:</p><p>Asterion defect</p><p>Cotton wool skull</p><p>Pepper pot sign</p><p>Raindrop skull</p>
29
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Crescent sign

Snowcap sign

Please choose two name signs seen above.

Select 2 correct answeria

Rind of sclerosis sign

Coxga manga sign

Crescent sign

Snowcap sign

Sagging rope sign

<p>Please choose two name signs seen above.</p><p>Select 2 correct answeria</p><p>Rind of sclerosis sign</p><p>Coxga manga sign</p><p>Crescent sign</p><p>Snowcap sign</p><p>Sagging rope sign</p>
30
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Legg Calve Perthes

6 year old male with right hip pain.

The most likely diagnosis is:

Septic arthritis

Legg Calve Perthes

Slipped capital femoral epiphysis

Acetabular dysplasia

<p>6 year old male with right hip pain.</p><p>The most likely diagnosis is:</p><p>Septic arthritis</p><p>Legg Calve Perthes</p><p>Slipped capital femoral epiphysis</p><p>Acetabular dysplasia</p>
31
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Paintbrush metaphysis

18 month old female with joint pain and irritability.

Which radiographic finding is seen above?

Dense ring epiphysis

Subperiosteal hemorrhage

Narrowed growth plate cartilage

Paintbrush metaphysis

Previous Page

Nut Pro

<p>18 month old female with joint pain and irritability.</p><p>Which radiographic finding is seen above?</p><p>Dense ring epiphysis</p><p>Subperiosteal hemorrhage</p><p>Narrowed growth plate cartilage</p><p>Paintbrush metaphysis</p><p>Previous Page</p><p>Nut Pro</p>
32
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Rickets

18 month old female with joint pain and irritability.

Most likely diagnosis:

McCune albright

Scurvy

Rickets

Neurofibromatosis

<p>18 month old female with joint pain and irritability.</p><p>Most likely diagnosis:</p><p>McCune albright</p><p>Scurvy</p><p>Rickets</p><p>Neurofibromatosis</p>
33
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Freiberg

The condition seen above is known as:

Haas

Freiberg

Kohler

The Panner

<p>The condition seen above is known as:</p><p>Haas</p><p>Freiberg</p><p>Kohler</p><p>The Panner</p>
34
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High heeled shoes

Elongated second digit

Please choose two possible causes for the condition seen above.

Select 2 correct answers:

High heeled shoes

Septic arthritis

Metatarsal crush injury

Elongated second digit

<p>Please choose two possible causes for the condition seen above.</p><p>Select 2 correct answers:</p><p>High heeled shoes</p><p>Septic arthritis</p><p>Metatarsal crush injury</p><p>Elongated second digit</p>
35
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Ivory vertebrae

Name sign seen above?

Sandwich vertebra

Jail bar vertebra

Picture frame vertebra

Ivory vertebra

<p>Name sign seen above?</p><p>Sandwich vertebra</p><p>Jail bar vertebra</p><p>Picture frame vertebra</p><p>Ivory vertebra</p>
36
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Multiple myeloma

All of the following may cause the above findings EXCEPT:

Blastic metastasis

Paget disease

Lymphoma

Multiple myeloma

<p>All of the following may cause the above findings EXCEPT:</p><p>Blastic metastasis</p><p>Paget disease</p><p>Lymphoma</p><p>Multiple myeloma</p>
37
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Osteomalacia??

Secondary hyperparathyroidism??

Please choose two possible diagnoses:

Select 2 correct answers:

• Fibrous dysplasia

• Osteomalacia

• Secondary hyperparathyroldism

• Paget disease

<p>Please choose two possible diagnoses:</p><p>Select 2 correct answers:</p><p>• Fibrous dysplasia</p><p>• Osteomalacia</p><p>• Secondary hyperparathyroldism</p><p>• Paget disease</p>
38
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Elevated parathormone??

Low serum calcium??

Please choose two likely lab findings.

Select 2 correct answer

Low alkaline phosphatase

Elevated parathormone

Elevated phosphorus

Low serum calcium

<p>Please choose two likely lab findings.</p><p>Select 2 correct answer</p><p>Low alkaline phosphatase</p><p>Elevated parathormone</p><p>Elevated phosphorus</p><p>Low serum calcium</p>
39
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Aneurysmal bone cyst

13 year old male with right ankle pain and swelling of approximately 3 months duration.

Best diagnosis:

• Aneurysmal bone cyst

• Osteochondroma

• Plasmacytoma

• Ewing sarcoma

<p>13 year old male with right ankle pain and swelling of approximately 3 months duration.</p><p>Best diagnosis:</p><p>• Aneurysmal bone cyst</p><p>• Osteochondroma</p><p>• Plasmacytoma</p><p>• Ewing sarcoma</p>
40
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Fluid fluid sign

13 year old male with right ankle pain and swelling of approximately 3 months duration.

Which name sign may be associated with the above condition?

• Fluid fluid sign

• Cumulus sign

• Double line sign

• Rim sign

<p>13 year old male with right ankle pain and swelling of approximately 3 months duration.</p><p>Which name sign may be associated with the above condition?</p><p>• Fluid fluid sign</p><p>• Cumulus sign</p><p>• Double line sign</p><p>• Rim sign</p>