DXI Exam Study Guide Questions and Answers
30-50%
Metastatic lesions become radiographically apparent when __________ of the bone is destroyed.
McCune-Albright syndrome
Which of the following conditions comprises unilateral polyostotic fibrous dysplasia, precocious puberty, and cutaneous ...
30-50% - Metastatic lesions become radiographically apparent when __________ of the
bone is destroyed.
McCune-Albright syndrome - Which of the following conditions comprises unilateral
polyostotic fibrous dysplasia, precocious puberty, and cutaneous hyperpigmentations
(café au lait spots)?
systemic lupus erythematosus - A patient presenting with a malar "butterfly" rash,
arthralgia, and ulcers in the nose and mouth is most likely suffering from __________.
supraspinatus tendon - Which of the following is a major site of involvement with
hydroxyapatite deposition disease?
Pyrophosphate Arthropathy - Which condition is marked by radiographic findings of
severe joint degeneration along with chondrocalcinosis of hyaline and fibrocartilage?
scleroderma - The progressive thickening of the skin from increased collagen deposits
is characteristic of ___________.
intraarticular bare areas - The osseous erosions of rheumatoid arthritis, occurring at
areas where pannus has direct contact with bone, are found at the __________.
intervertebral disc - * Spinal fusion associated with ankylosing spondylitis is often
associated with dystrophic calcification in which structure?
This does not represent an absolute contraindication to chiropractic manipulation. - A
32-year-old female presents with aching low back pain. She recently had her second
child via uncomplicated vaginal delivery. She has seen her primary care provider for this
complaint who ordered radiographs of her lumbar spine. Radiographs reveal sclerosis
of the bilateral ilia adjacent to the sacroiliac joint. The sacroiliac joint spaces are
maintained. There are no erosions. Please choose the correct statement regarding
chiropractic manipulation of this patient.
Gout - Which of the following disorders is associated with monosodium urate crystal
deposition in various tissues?
enteropathic arthritis - The arthritide associated with disorders of the gut and most
commonly related to inflammatory bowel disease (IBD) is __________.
, rheumatoid arthritis - The most common inflammatory arthritide is __________.
conjunctivitis - The classic triad associated with reactive arthritis includes arthritis,
urethritis, and __________.
rheumatoid arthritis - Which of the following arthropathies is seropositive?
MCP and PIP articulations - The classic joint distribution of rheumatoid arthritis in the
hands involves the __________.
Diffuse Idiopathic Skeletal Hyperostosis (DISH) - Purely productive (nonerosive)
enthesopathic hyperostosis involving the pelvis, calcaneus, and patella is associated
with which of the following conditions?
Men are affected more than women. - Which of the following statements is false
regarding rheumatoid arthritis?
facet joint fusion - Which is NOT a feature of diffuse idiopathic skeletal hyperostosis?
neurologist - A 62-year-old patient complains of sharp, shooting pain into the bilateral
upper extremities with neck flexion. On exam you note bilateral hyperreflexia of the C7
deep tendon reflexes. Radiographs reveal ossification within the region of the posterior
longitudinal ligament from C3-C7. What is the most appropriate provider referral
recommendation for this patient?
The findings on the radiograph ARE AN ABSOLUTE contraindication to chiropractic
manipulation - A 29-year-old female presents with a primary complaint of "fullness"
within the left knee. She describes a locking sensation with knee movement and states
that movement is painful when the locking occurs. On radiograph you note multiple
calcified loose bodies within the knee joint capsule, each measuring approximately 5mm
in diameter. There is no joint space loss and no osteophyte formation.
Select the correct statement below regarding contraindications to chiropractic
manipulation of the patient.
Type 1 Modic Changes - The findings of para-endplate bone marrow edema and
inflammation on magnetic resonance imaging are consistent with
heberden nodes - A 68-year-old female presents with bilateral hand stiffness which she
describes as worse in the morning. The patient states "the stiffness starts to feel better
after holding my cup of hot tea and reading the paper each morning." Only clinical
inspection you note non-mobile, hard, nodules overlying the region of several of the
patient's distal interphalangeal joints. What is the term for this finding?
extension - A 78-year-old female presents with low back pain. Lumbar radiographs
reveal approximation, hypertrophy, and sclerosis of the spinous processes from L3
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