Lower Limb Imaging - Part 1 (Msq Drill 191)
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- 1.
What view of the pelvis is this?
- A.
PA view
- B.
AP view
Correct Answer
B. AP view -
- 2.
What is the diagnosis?
- A.
Avulsion fracture sacrum
- B.
Avulsion fracture ischial tuberosity
- C.
Avulsion fracture lesser trochanter
- D.
Avulsion fracture greater trochanter
Correct Answer
B. Avulsion fracture ischial tuberosity -
- 3.
What is the diagnosis?
- A.
Avulsion fracture lesser trochanter
- B.
Avulsion fracture pubic tubercle
- C.
Avulsion fracture greater trochanter
Correct Answer
A. Avulsion fracture lesser trochanter -
- 4.
Diganosis?
- A.
Pubic tubercle avulsion fracture
- B.
AIIS avulsion fracture
- C.
ASIS avulsion fracture
- D.
Pubic symphisis avulsion fracture
Correct Answer
C. ASIS avulsion fracture -
- 5.
Diagnosis?
- A.
ASIS avulsion fracture
- B.
Head of the humerus avulsin fx
- C.
AIIS avulsion fx
- D.
Ilial avulsion fracture
Correct Answer
C. AIIS avulsion fx -
- 6.
Diagnosis?
- A.
Legg-calve-perthes diisease
- B.
Congenital hip dysplasia
- C.
Avascular necrosis
- D.
Slipped capital epiphysis
Correct Answer
D. Slipped capital epipHysis -
- 7.
Diagnosis?
- A.
Slipped capital epiphysis
- B.
Proximal femoral fracture - subcapital fracture
- C.
Pubic tubercle avulsion fracture
- D.
Iliac crest avulsion fracture
Correct Answer
A. Slipped capital epipHysis -
- 8.
Diagnosis?
- A.
Femoral subcapital fracture
- B.
AIIS avulsion fracture
- C.
Osteoarthritis left femur
- D.
Legg calve perthes disease
Correct Answer
D. Legg calve perthes disease -
- 9.
Diagnosis?
- A.
Slipped capital epiphysis
- B.
Osgood slaughter disease
- C.
Legg calve perthes disease
- D.
Bilateral pubic tubercle avulsion fractures
Correct Answer
C. Legg calve perthes disease -
- 10.
Diagnosis?
- A.
Leg calve perthes disease
- B.
Congenital hip dysplasia
- C.
Slipped capital epiphysis
Correct Answer
B. Congenital hip dysplasia -
- 11.
DIAGNOSIS?
- A.
Osteoarthritis right hip
- B.
Osteoarthritis left hip
- C.
Osteochondritis dessicans left hip
- D.
Avascular necrosis of the femoral head
- E.
Correct Answer
D. Avascular necrosis of the femoral headExplanation
Early on are completely normal, but with ongoing problem, one sees progressively :
Osteopenia
Central radiolucency with a sclerotic border
A Subchondral lucency - making up the “crescent sign”
Flattening of the head.
Collapse of the head.
Secondary changes of Osteoarthritis.
Joint space narrowing
Progressive joint destruction
Since the X-Rays may be completely normal - it is essential to be able to see the problem early.
Two main methods exist for early diagnosis.
Magnetic Resonance Scanning.
This was first used for AVN in 1983
One Requires T1 and T2 axial and coronal views.
Signs on MRI are:
Low Subchondral intensity (96%)
A margin of low signal (60-80%)
A double line sign (50-80%)
Joint fluidRate this question:
-
- 12.
- A.
Billteral femoral head avascular necrosis
- B.
Bilateral osteochondritis dessicans
- C.
Left femoral neck fracture
- D.
Right femoral neck fracture
Correct Answer
A. Billteral femoral head avascular necrosis -
- 13.
- A.
Osteochondritis dessicans right femoral head
- B.
Proximal femoral fx - intertrocanteric neck of femur
- C.
Greater trochanter fracture left femur
- D.
Correct Answer
B. Proximal femoral fx - intertrocanteric neck of femur -
- 14.
- A.
Proximal femoral fx - left subcapital fx
- B.
ASIS avulsion fracture
- C.
AIIS avulsion fracture
- D.
Left lesser trochanteric avulsion fracture
Correct Answer
A. Proximal femoral fx - left subcapital fx -
- 15.
- A.
Knee PA view
- B.
Knee AP view
Correct Answer
B. Knee AP view -
- 16.
- A.
Knee lateral view
- B.
Knee medial view
Correct Answer
A. Knee lateral view -
- 17.
- A.
Tilt sign
- B.
Pelligrini-stieda lesion
- C.
Sail sign
- D.
Osteochondritis dessicans
Correct Answer
B. Pelligrini-stieda lesion -
- 18.
- A.
Sail sign
- B.
Pelligrini stieda
- C.
Osteoarthritis
- D.
Osteocondritis dessicans
Correct Answer
D. Osteocondritis dessicans -
- 19.
- A.
Humeral condyle avulsion fx
- B.
Proximal tibial avulsion fracture
- C.
Osteocondirits dessicans
Correct Answer
C. Osteocondirits dessicans -
- 20.
This patient has suffered what type of injury?
- A.
Osteochondral
- B.
Bony
- C.
Articular
- D.
Epiphyseal
Correct Answer
A. Osteochondral -
- 21.
- A.
Charcot 2
- B.
Neuropathic charcot arthropathy
- C.
Osteochondritis dessicans
Correct Answer
B. Neuropathic charcot arthropathy -
- 22.
- A.
Knee avulsion fracture
- B.
Osteochondritis dessicans
- C.
Charcot neuropathy
Correct Answer
C. Charcot neuropathy -
- 23.
- A.
Osgood slaughter
- B.
Osteocondritis dessicans
- C.
Patella fracture
- D.
Patella avulsion fracture
- E.
Tibial plateau fx
Correct Answer
E. Tibial plateau fx -
- 24.
- A.
Patella fracture
- B.
Tibial fracture
- C.
Osgood-Schlatter disease
- D.
Legg calve perthes disease
Correct Answer
C. Osgood-Schlatter disease -
- 25.
- A.
Tibial plateau fracture
- B.
Osgood-schlatter disease
- C.
Proximal tibial fracture
- D.
Patella fracture
Correct Answer
B. Osgood-schlatter disease -
- 26.
The arrows are pointing to:
- A.
Osteochondral defects
- B.
Osteochondritis dessicans
- C.
Sail sign
- D.
Osgood slaughter
Correct Answer
A. Osteochondral defects -
- 27.
- A.
Patella avulsion
- B.
Patella fracture
- C.
Humeral condyle fracture
Correct Answer
B. Patella fracture -
- 28.
- A.
Humeral condyle fracture
- B.
Tibial plateau fracture
- C.
Patella fracture
Correct Answer
C. Patella fracture -
- 29.
This patient has calcification of the:
- A.
Humeral condyles
- B.
Meniscus
- C.
Ankle mortise
- D.
Subtalar joint
Correct Answer
B. Meniscus -
- 30.
- A.
Knee chondrocalcinosis
- B.
Aseptic arthritis
- C.
Ankle chondrocalcinosis
- D.
Hip chondrocalcinosis
Correct Answer
A. Knee chondrocalcinosis -
- 31.
- A.
Ankle PA
- B.
Ankle AP
Correct Answer
B. Ankle AP -
- 32.
- A.
Ankle lateral view
- B.
Ankle oblique view
- C.
Ankle mortise view
Correct Answer(s)
B. Ankle oblique view
C. Ankle mortise view -
- 33.
- A.
Ankle obllique view
- B.
Ankle medial view
- C.
Ankle lateral view
- D.
Ankle mortise view
Correct Answer
C. Ankle lateral view -
- 34.
- A.
Weber type A
- B.
Weber type B
- C.
Weber type C
Correct Answer
B. Weber type B -
- 35.
- A.
Weber type A
- B.
Weber type B
- C.
Weber type C
Correct Answer
C. Weber type C -
- 36.
- A.
Trimalleolar fracture
- B.
Middle malleolar avulsion fracture
- C.
Lateral malleolus avulsion fracture
Correct Answer
B. Middle malleolar avulsion fracture -
- 37.
Which of the following are characteristics of a Maisonneuve fracture?
- A.
Unstable fracture
- B.
Involves medial tibial malleolus
- C.
May also include disruption of the distal tibiofibular syndesmosis
- D.
May also include a fracture of the proximal fibula shaft
- E.
Deltoid ligaments can be frequently disrupted
Correct Answer(s)
A. Unstable fracture
B. Involves medial tibial malleolus
C. May also include disruption of the distal tibiofibular syndesmosis
D. May also include a fracture of the proximal fibula shaft
E. Deltoid ligaments can be frequently disrupted -
- 38.
- A.
Webber type B fracture
- B.
Lateral malleolus fracture
- C.
Syndesmotic injury
- D.
Maisonneuve fracture
Correct Answer
D. Maisonneuve fracture -
- 39.
- A.
Foot AP view
- B.
Foot oblique view
- C.
Foot lateral view
Correct Answer
A. Foot AP view -
- 40.
- A.
Foot AP view
- B.
Foot oblique view
- C.
Foot lateral view
Correct Answer
B. Foot oblique view -
- 41.
- A.
Foot lateral view
- B.
Foot medial view
Correct Answer
A. Foot lateral view -
- 42.
- A.
Bimalleolar fracture
- B.
Trimalleolar fracture
- C.
Weber type C fracure
Correct Answer
B. Trimalleolar fracture -
- 43.
- A.
Weber's fracture
- B.
Jones fracture
- C.
Liss franc fracrure
Correct Answer
B. Jones fracture -
- 44.
- A.
Avulsion fracture 5th metatarsal styloid
- B.
Pesudo jones fracture
- C.
Jones fracture
- D.
Liss franc fracture
Correct Answer(s)
A. Avulsion fracture 5th metatarsal styloid
B. Pesudo jones fractureExplanation
AKA pseudo jones fractureRate this question:
-
- 45.
- A.
Subtalar dislocation
- B.
Osteochondritis dessicans
- C.
Jones fracture
- D.
Liss franc fracture dislocation
Correct Answer
D. Liss franc fracture dislocationExplanation
AKA lisfranc injuryRate this question:
-
- 46.
- A.
Pseudo jones fracture
- B.
Jones fracture
- C.
Liss franc fracture
- D.
Intermetatarsal neuroma
Correct Answer
B. Jones fracture -
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Feb 07, 2019Quiz Edited by
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