Paget's Disease Quiz
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Questions and Answers

Osteitis deformans is most common in which demographic group?

  • Whites (correct)
  • Asians
  • African Americans
  • Hispanics
  • What is the hallmark feature of the 'burned-out' osteosclerotic stage of Paget's disease?

  • Mosaic lamellar bone with smooth appearance
  • Presence of osteoclasts
  • High levels of osteoblastic activity
  • Prominent cement lines in sclerotic phase (correct)
  • What is the most common type of Paget's disease presentation involving multiple bones?

  • Bilateral
  • Monostotic
  • Multifocal
  • Polyostotic (correct)
  • What is the term for the enlargement of the facial skeleton seen in Paget's disease?

    <p>Lion face (leon&amp;asis ossea)</p> Signup and view all the answers

    What is the common treatment for Paget's disease to suppress mild symptoms?

    <p>Calcitonin and bisphosphonates</p> Signup and view all the answers

    Which gene mutation is associated with increased osteoclastic activity in Paget's disease?

    <p>Alters the protein signals</p> Signup and view all the answers

    What is the most common type of fracture resulting from a mechanical injury or failure with diminished bone strength?

    <p>Simple</p> Signup and view all the answers

    What type of fracture communicates with the skin surface?

    <p>Compound</p> Signup and view all the answers

    What is the term for a slow-developing fracture following a period of increased physical activity?

    <p>Stress fracture</p> Signup and view all the answers

    What type of bone fracture involves fragmentations of the bone?

    <p>Comminuted</p> Signup and view all the answers

    Which factor can impede fracture healing?

    <p>Infection</p> Signup and view all the answers

    What is the most common cause of pyogenic osteomyelitis?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    Which type of muscle tumor is most common in the uterus and can cause infertility and menorrhagia?

    <p>Leiomyoma</p> Signup and view all the answers

    What is the cause of 40% of cases of tuberculous spondylitis?

    <p>Bloodborne organism reaching the vertebrae</p> Signup and view all the answers

    Which type of rhabdomyosarcoma develops in the walls of hollow viscera like the urinary bladder or vagina?

    <p>Sarcoma Botryoides</p> Signup and view all the answers

    What is the condition called when a malformed callus undergoes cystic degeneration and forms a false joint?

    <p>Pseudoarthrosis</p> Signup and view all the answers

    Which type of bone is initially deposited in the fracture gap during the healing process?

    <p>Woven bone</p> Signup and view all the answers

    What is the primary cause of osteonecrosis (avascular necrosis)?

    <p>Blockage in a blood vessel</p> Signup and view all the answers

    What is the most common cause of mechanical disruption of vessels leading to osteonecrosis?

    <p>Bone ischemia</p> Signup and view all the answers

    What is the primary factor that determines the location of osseous infection in pyogenic osteomyelitis?

    <p>Osseous vascular circulation</p> Signup and view all the answers

    Study Notes

    Osteitis Deformans

    • Osteitis deformans is most common in older adults.

    Paget's Disease

    • The hallmark feature of the 'burned-out' osteosclerotic stage of Paget's disease is a mixed pattern of bone resorption and formation.
    • The most common type of Paget's disease presentation involving multiple bones is polyostotic.
    • The enlargement of the facial skeleton seen in Paget's disease is called leontiasis ossea.
    • Bisphosphonates are commonly used to suppress mild symptoms of Paget's disease.

    Genetics of Paget's Disease

    • The SQSTM1 gene mutation is associated with increased osteoclastic activity in Paget's disease.

    Fractures

    • Stress fractures are the most common type of fracture resulting from a mechanical injury or failure with diminished bone strength.
    • Open fractures communicate with the skin surface.
    • Fatigue fractures are slow-developing fractures following a period of increased physical activity.
    • Comminuted fractures involve fragmentations of the bone.
    • Factors that can impede fracture healing include smoking, diabetes, and vitamin D deficiency.

    Osteomyelitis

    • Pyogenic osteomyelitis is most commonly caused by Staphylococcus aureus.
    • Mycobacterium tuberculosis is the cause of 40% of cases of tubercular spondylitis.

    Bone Tumors

    • Leiomyomas are the most common type of muscle tumor in the uterus and can cause infertility and menorrhagia.
    • Embryonal rhabdomyosarcoma develops in the walls of hollow viscera like the urinary bladder or vagina.

    Fracture Healing

    • A malformed callus that undergoes cystic degeneration and forms a false joint is called a pseudoarthrosis.
    • Woven bone is the type of bone initially deposited in the fracture gap during the healing process.

    Osteonecrosis (Avascular Necrosis)

    • The primary cause of osteonecrosis is interruption of blood supply to the bone.
    • The most common cause of mechanical disruption of vessels leading to osteonecrosis is fracture.

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    Description

    Test your knowledge of Paget's disease, also known as osteitis deformans. Learn about the phases of the disease, genetic and environmental factors, and its prevalence in individuals over 40, particularly in the white population.

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