DXI Exam 2 Questions and Answers
Subchondral cysts in degenerative joint disease are found in what type of joints?
Synovial
Name the condition:
Inflamed synovium from an autoimmune disease that causes pressure erosion of the bare area
Pannus
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DXI Exam 2 Questions and Answers
Subchondral cysts in degenerative joint disease are found in what type of joints? -
answer Synovial
Name the condition:
Inflamed synovium from an autoimmune disease that causes pressure erosion of the
bare area - answer Pannus
What does LOSS stand for regarding degenerative joint disease? - answer L - Loss
of joint space
O - Osteophytes
S - Subchondral sclerosis
S - Subchondral cysts
DJD can most commonly affect which bones? - answer AC, First MTP, First
metacarpal-trapezium, distal interphalangeal joint (DIP) of the hands
Which 3 joint complexes can undergo degeneration in the cervical spine? - answer 1.
Facet
2. Uncovertebral
3. Intervertebral disc
Degeneration in cervical spine is most common in which segments? - answer C5/C6
and C6/C7
Canal stenosis should be expected when the central canal is less than ____ mm and
the patient should be referred for an MRI - answer 12
Annular rents probably indicate degeneration over infection. True or false? - answer
True
What conditions result in vertical osteophytes in the spine? - answer Ankylosing
spondylitis; Reiters; Psoriatic Arthritis; Enteropathic Arthritis
What is Baastrup's Syndrome? - answer Spinous processes become enlarge and
touch each other
What are subchondral cysts in the acetabular region called? - answer Egger's Cysts
Which side (medial or lateral) of the knee commonly wears out first? - answer Medial
Carries 60% of weight
, If you see degeneration in patellofemoral joint but not in other joints what should you
suspect? - answer CPPD
On a patella sunrise view, what is the sign seen with degeneration? - answer Patella
tooth sign
Gout is most commonly first discovered at which joint? - answer 1st metatarsal-
phalangeal joint
What are nodes at the distal phalangeal joints in the hand called? What are nodes at
the proximal phalangeal joints in the hand called? - answer Heberden's Nodes;
Bouchard's Nodes
What does DISH stand for? - answer Diffuse Idiopathic Skeletal Hyperostosis
What is another name for DISH? - answer Forestier's Disease
Where is DISH most commonly found? - answer Anterior Longitudinal Ligament
What are the 3 strict diagnostic criteria for DISH? - answer 1. Flowing calcification
and ossification along the anterolateral aspect of at least four contiguous vertebral
bodies
2. Relative preservation of disc height and absence of other degenerative changes
3. Absence of facet joint ankylosis
What are clinical features of DISH? - answer 1. Morning stiffness
2. Low grade pain
3. Restricted motion
4. Cervical dysphagia (difficulty swallowing)
5. Tendinosis
HLA-B8 is found in 40% of patients with what condition? - answer DISH
Ossification of the Posterior Longitudinal Ligament is also called what? - answer
Japanese Disease
What are the 8 essential signs of degenerative joint disease? - answer 1.
Asymmetric distribution
2. Non-uniform loss of joint space
3. Osteophytes
4. Subchondral sclerosis
5. Subchondral cysts
6. Intra-articular loose bodies
7. Intra-articular deformity
8. Joint subluxation
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