Which of the following findings is present
1on this study?
Osseouos disruption right posterior
ilium
Identify the true statement regarding the
abnormality depicted in this study.
Stable b/c only break in one part of pelvic
ring = E-This is considered a stable injury
and is a leave me alone injury
The findings on this study of a 77 year old
male are most consistent with which of
the following differential diagnosis?
Paget disease, blastic metastasis,
enostoma
Maybe endochondroma, bone infarct?
Bottom right of pic
What is the best next step in the
evaluation of the visualized lesion on this
study of a 77 year old male?
MRI of the region of concern
Four different radiographic cases are
provided. Which of the cases
demonstrates radiographic findings most
consistent with primary ostetoarthritis?
3rd pic
The compilation of findings in this case of
a 65 year old male are most likely
associated with what diagnosis?
Gout
Identify the correct statement with reegard
to the identtifieed diagnosis.
Metatarsal phalangeal and
interphalangeal joints of teh first digit
aree the most common joints affect by
this disease process
Which of the following findings is present
on this study?
Cortical offset right lateral femoral
head/neck junction
Choose the correct statement with regard
to thee abnormality demonstrated in this
case
Intracapsular in location
43 year old male presents with first digit
pai for past 3 weeks. Patient remembers
stepping on a pin approximately 4 weeks
previous but denies any of other trauma
or joint complaints. What is the most likely
diagnosis given the history and
radiographic findings?
Septic arthritis
Maybe gout
43 year old male presents with first digit
pain fr past 3 weeks. Patient remembers
stepping on a pin approximatetly 4 weeks
previous butt denies any of other trauma
or joint complaints. Identify the correct
stattetment regarding this case.
Immediate medical referral for possible
antibiotic therapy is indicated
Four different radiographic cases aree
provided. Which of the cases
demonstrates radiographic findings msott
consistent with rheumatoid arthritis
1st
12 year old female with noticeable
enlargement of bone along the lateral
ankle. Which of the following would be a
good differential diagnosis foor this case?
Aneurysmal bone cyst
12 year old female with noticeable
enlargement of bone along the lateral
ankle. Which of the following
complicatioons is moost likely to occur in
this case?
Fracture
Identify the finding present on this view
Sclerosis left femoral head
What is the most likely diagnosis for the
abnormal findings on this view?
Avascular necrosis
Could be slipped femoral capital epiphysis
Four different radiographic cases are
provided. This of the cases demonstrates
radiographic findings most consistent with
a segond fracture?
3
Which of the following findings is present
in this study of a 50 year old male?
Multiple small regions of sclerosis
The findings in this study, of a 50 year old
male, are consistent with what differential
diagnosis?
Osteopoikilosis/blastic metastasis
Maybe CAM
Based on the limited information provided
by this lateral ankle view what is the most
likely diagnosis?
Supination external rotation stage 3
Identify the correct statement regarding
this case.
The anterior tibial fibular ligament has
likely been disrupted
Long bone study in a 22 year old male.
Which oof the following is a contributing
factor to the transverse fracture of tthe
mid tibia and fibula?
Patient suffers from osteopetrosis
Long bone study ina 22 year old male.
Identify the correct statement regarding
this case.
Erlenmeyer flask deformities
commonly accompany the depicted
disorder
Four different radiographic cases are
provided. Which oof the cases
demonstrates radiographic findings most
consistent with a giant cell tumor?
1st pic is right im pretty sure
Which of the following findings is present
on this study?
Poorly defined superior pubic symphysis
What is the most likely diagnosis based
on the findings in the study?
Septic arthritis
14 year old female with bilateral hip pain.
Which of the following findings is present
on this film?
Bilateral symmetric distribution of joint
disease
Which of the following statements is
consistent with this case?
Patients with this disease often
develop acetabular protusion
64 year old female presents with chronis
right knee pain. Which of the following
findings is present on this study?
Non-uniform loss of femoral tibial joint
space
What diagnosis is most likely in this study
of a 64 year old female?
Synovial ostetochondromatosis
Osteoarthritis of the foot is most
commonly seen in what location?
57 year old male presents with right hip
pain. A radiographic exam demonstrates
permeative/moth eaten appearance to the
right ischial tuberosity with an adjacent
soft tissue mass. Calcification are present
throughout the osseous and soft tissue
First metatarsal phalangeal joint
Osteosarcoma
Could be multiple myeloma
components of the abnormality. The
remaining bone and soft tissue are
unremarkable. Choose the most likely
diagnosis.
67 year old alcoholic male presents with
acute pain in the first interphalangeal joint
of the left foot which began the night
before. History reveals no other joint
complaints. A radiographic exam of the
left foot demonstrates soft tissue
swelling/edema medial to the first
interphalangeal joint. Given this
information you are considering what
diagnosis as most likely in the case?
52 year old female presents with chronic
right knee pain with no history of trauma.
A right knee radiographic exam
demonstrates severe loss of the patellar
femoral joint with associated subchondral
sclerosis and large subchondral cysts in
the femoral tibial joints spaces are well
maintained. No other significant
radiographic findings are present. What is
the most likely primary diagnosis causing
the described degenerative changes?
10 year old male patient presents with
acute onset right lower leg pain below the
knee for approximately 2 weeks.
Radiographic exam demonstrates a
subtle permeative/motheeaeten pattern of
bone destruction involving the proximal
tibial metaphysis with adjacent solid to
laminated periosteal reactions. No other
abnormal findings are present. Choose
the most likely diagnosis.
A 17 year old female suffers an ankle
injury while playing volleyball. A
radiographic exam demonstrates a
transverse fracture through the lateral
malleoulus below the level of the ankle
mortise joint. No other abnormal
radiographic findings are present. Choose
the true statement in regards to the
Weber classification system and this
injury.
Acute goutly arthritis
Calcium pyrophosphate deposition
disease
Maybe RA
Acute osteomyelitis
This case has the best prognosis
according the Weber classification system
Maybe consistent with weber SER stage
4 injury
A radiographic study is performed of the
knee in a 25 year old athlete. A small
linear vertically oriented osseous density
is present adjacent to the lateral tibial
plateau with an associated defect in the
adjacent cortex of the tibia. A
suprrapatellar joint effusion is also
visualized. Identify the correct statement
regarding this case.
A 7 year old male presents with right hip
pain for the past 2 months of insidious
onset. A radiographic exam oof the right
hip demonstrates mild flattening the right
femoral capital epiphysis with associated
incccreased density and fragmentation.
The acetabulum bilaterally are
unremarkable. The medial femoral
acetabular joinot on the right is
approximately 3mm wider than the left
sidee. What is the most likely diagnosis?
Disruption of the anterior cruciate
ligament is likely in this case
Legg-calve-perthes disease
Which of the following pelvic injuries
would be considered unstable?
Bucket handle fracture
Which of the following are good
differentials for protrusio acetabuli?
Rheumatoid arthritis, Pagets,
osteomalacia
61 year old male presents with pubic pain
that begins shortly after prostatic surgery
several months previously. A pelvic
radiographic exam reveals bilateral
subchondral sclerosis of the pubic
symphysis with irregular ill-defined
borders. No other abnormal findings were
present on the study. Choose the most
likely diagnosis.
Osteitis pubis
A 47 year old female diabetic complains
of recent mild left ankle instability. Patient
reports no history of trauma or previous
problems with the ankle. A radiographic
exam demonstrates exuberant
subchondral sclerosis and fragmentation,
nonuniform less of joint space, and
surrounding soft tissue
calcification/ossification with distension.
Extensive calcification of the small blood
vessels about the ankle is also noted.
Choose the most likely diagnosis
Neuropathic arthropathy
A radiographic exam is performed on a 12 Non-ossifying fibroma
year old male. A lucency with this
sclerotic rim is present in the cortex of the
distal medial metaphysis of the femur. It
has a soap bubbly appearance with mild
expansion with associated mild cortical
thinning. It measures approximately 3.5
centimeters in length. No periosteal
responses or soft tissues involvement is
visualized. No other abnormal findings are
present. Which of the following is the
most likely diagnosis for this described
abnormality?
17 year old female presents with right
posterior knee pain and a noticeably
growing mass in the region. A knee
radiographic exam demonstrates an
osteoblastic appearance to the distal
femoral metaphysis with a codman's
triangle on the posterior distal metaphysis
and a large dense (like bone) fluffy soft
tissue mass. Choose the most likely
diagnosis
osteosarcoma
Avascular necrosis of the right femoral
head is clinically suspected in a patient
being treated with corticosteroid for
systemic lupus erythematosus. Choose
the correct statement regarding this
scenario
The most sensitive and specific modality
to evaluate for this disorder is MRI
5 year old female presents with chronic
right knee pain, swelling, and stiffness. A
radiographic study demonstrated
epiphyseal overgrowth, squaring of the
inferior pole of the patella, widened
intercondylar notch and juxta-articular
osteopenia. No other joint complaints are
present. A careful review of system
reveals no other abnormalities laboratory
evaluations demonstrates an elevated
ERS and C-reactive protein and the
presence of anti-nuclear antibodies
Hemophilic arthropathy
A 28 year old male trips while walking
across a parking lot and falls directly on
his right knee. A radiographic exam of the
right knee demonstrates an oval shaped
region of the lateral superior patella that
Bipartite patella
is separated from the remainder of the
patella. This region demonstrates a
smooth well corticoid border. What is the
most likely cause of this finding in this
case?
20 year old female presents with right hip
pain following a fall down stairs. A
radiographic exam demonstrates an oval
lucent lesion, 3cm in diameter, within the
right femoral neck surrounded by a thick
rim of well defined sclerosis. No other
abnormal findings are visualized. Which
of the following diagnoses is most likely?
Fibrous dysplasia
Choose the differential diagnosis that
includes all of the following: epiphyseal
avascular necrosis, bone island,
osteopoikilosis, osteomas, blastic
metastasis, paget disease,
melorheostosis
Osteosclerotic bone lesions
A 43 year old male suffers a motor vehicle Posterior hip dislocation
accident after running a red light and
slamming into another car passing
through the intersection. Patient was not
wearing a seatbelt and their knee
slammed into the dashboard. Which of
the following injuries would be likely to
occur with this mechanism
The rectus femoris tendon can cause an
avulsion fracture of what region?
Anterior inferior iliac spine
18 year old male presents with knee pain
immediately following a soccer game.
Knee radiographic study demonstrates
flocculent calcification within the
medullary space of the proximal tibial
metaphysis. No changes are noted to the
cortex and no periosteal reactions are
present. Which of the following should be
on the differential diagnosis for the
lesion?
enchondroma
17 year old male complains of right foot
which started approximately 1 week ago.
Patient has been unable to train for the
cross country running team, which he
recently joined, that has a big competition
Fatigue fracture
in two weeks. A radiographic exam
demonstrates subtle solid periosteal
reaction along the medial aspect of the
distal 2nd metacarpal shaft. No other
significant findings are visualized. What
diagnosis is most likely given this
information?
18 year old male presents with right hip
pain following a simple trip and fall while
walking. Radiographic exam of the pelvis
demonstrates diffuse sclerosis of all the
visualized bones and acute transverse
fracture of the proximal right femoral
diaphysis. Choose the disorder that is
consistent with this presentation
osteopetrosis
A 15 year old female is hit by a car and
suffers multiple comminuted fractures of
the right femur, tibia, and fibula. Extensive
when reduction and internal ___tion of
these fractures is performed and the
entire right leg is casted. Patient is not
allowed to bear weight on the right leg for
3 months while it heals. Which disorder is
most likely to develop in this patient?
Regional Osteoporosis
A 22 year old male suffers a direct blow to
his pubic region during a motorcycle
accident. Which of the following injuries is
most likely to occur given this mechanism
of injury?
Straddle fracture
Choose the differential diagnosis that
includes all of the following: degenerative
joint disease, trauma, neuropathic joint,
osteochondritis dissecans, synovial
osteochondromatosis
Calcified intra articular loose bodies
A 35 year old male with chronic renal
failure presents with knee pain. A
radiographic exam of the knee
demonstrates severe osteopenia of the
visualized structures, with subperiosteal
resorption along medial proximal
metaphysis of the tibia. A large mass of
calcification is noted in the soft tissues
posterior to the distal femur. No other
abnormal findings are visualized. What is
the most likely diagnosis?
Secondary hyperparathyroidism
5 year old female patient presents with
Pyogenic septic arthritis
acute onset left hip pain of 2 weeks
duration. A left hip radiographic exam
demonstrates periarticular osteopenia and
uniform loss of joint space at the left
femoral acetabular joint. Choose the most
likely diagnosis
Extensive cortical thickening can be seen
along the medial femoral neck with which
of the following disorders
Osteoarthritis