Imaging Modalities for Osteoarthritis Quiz
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Questions and Answers

What is the main difference between rheumatoid arthritis (RA) and osteoarthritis (OA) on imaging?

  • Presence of bone erosion in RA and mal-alignment in OA (correct)
  • Soft tissue swelling in RA and bone erosion in OA
  • Mal-alignment due to ligament/tendon disruption in RA and uniform asymmetric joint space loss in OA
  • Presence of osteopenia in RA and soft tissue swelling in OA

Which imaging feature is characteristic of psoriatic arthritis?

  • Bony bridging (ankylosis) and uniform joint space narrowing
  • Mixed erosive and productive features (correct)
  • Punched-out lytic lesions and overhanging sclerotic margins
  • Soft tissue swelling and ulnar deviation

What distinguishes gout from other arthritic conditions on imaging?

  • Presence of tophi and punched-out lytic lesions (correct)
  • Erosions with overhanging sclerotic margins
  • Uniform joint space narrowing next to joints
  • Aggressive erosions with soft tissue swelling

Which condition is characterized by the presence of syndesmophytes in the spine?

<p>Ankylosing spondylitis (B)</p> Signup and view all the answers

What imaging feature can help diagnose rheumatoid arthritis (RA) earlier?

<p>Erosions, synovitis, and osteitis shown by ultrasound (U/s) and MRI (A)</p> Signup and view all the answers

Which type of arthritis presents with overhanging sclerotic margins on imaging?

<p>Gout (A)</p> Signup and view all the answers

What distinguishes septic arthritis from other forms of arthritis?

<p>'Punched-out' lytic lesions on radiographs (C)</p> Signup and view all the answers

'Bamboo spine' is a characteristic finding in which condition?

<p>'Ankylosing spondylitis' (B)</p> Signup and view all the answers

'Calcium pyrophosphate dihydrate deposition disease' is commonly known as:

<p>'Pseudogout' (A)</p> Signup and view all the answers

'Triad of pseudogout, chondrocalcinosis, and pyrophosphate arthropathy' is associated with which condition?

<p>'CPPD / Pseudogout' (C)</p> Signup and view all the answers

'Erosive similar to RA but involve DIP joints; MCPs normal' describes which condition?

<p>'Psoriatic arthritis' (B)</p> Signup and view all the answers

What is the best imaging modality for looking for bone pathology in OA?

<p>X-rays (A)</p> Signup and view all the answers

Which of the following is NOT a classic x-ray finding for OA?

<p>Soft tissue effusion (C)</p> Signup and view all the answers

What does ulnar deviation refer to in the context of OA?

<p>Bones bending toward the ulnar side (D)</p> Signup and view all the answers

Which imaging modality is best for looking at synovium in OA?

<p>Ultrasound (A)</p> Signup and view all the answers

What is a secondary cause of OA related to metabolic issues?

<p>Hemophilia (B)</p> Signup and view all the answers

Which of the following is characteristic of inflammatory arthritis on imaging?

<p>Effusion where synovium meets bone (C)</p> Signup and view all the answers

What type of bone formation is associated with ankylosing spondylitis on imaging?

<p>'Ankylosis' (B)</p> Signup and view all the answers

What feature differentiates inflammatory arthritis from degenerative arthritis on imaging?

<p>'Lumpy-bumpy' swelling (D)</p> Signup and view all the answers

'Subchondral cysts' are a classic x-ray finding in which joint affected by OA?

<p>Hip (C)</p> Signup and view all the answers

'Buttressing' as seen on imaging is characteristic of OA in which joint?

<p>'Hips' (C)</p> Signup and view all the answers

'Acetabular cysts' are a classic x-ray finding in OA affecting which joint?

<p>'Hips' (A)</p> Signup and view all the answers

Which of the following imaging modalities is BEST for evaluating surrounding soft tissues in OA?

<p>Ultrasound (D)</p> Signup and view all the answers

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