Question 1

Which of the following is NOT associated with an osteoarthritic facet joint?

Accepted Answer

A)   Decreased density of subchondral bone
B)   Osteophytes
C)   Reduction in joint space
D)   Narrowing of the neuroforamen

Question 2

The pedicle sign refers to which of the following?

Accepted Answer

A)   An increase in the visibility of a pedicle due to blastic disease
B)   A decrease in the visibility of a pedicle due to lytic disease
C)   The loss of contrast between a pedicle and the spinal canal due to an infection
D)   The increase in contrast between a pedicle and the spinal canal due to hyperthyroidism B

Question 3

The arrow in the above image indicates:

Accepted Answer

A)   a pars interarticularis defect.
B)   a Chance fracture.
C)   an arthritic facet joint marginal osteophyte.
D)   a calcified herniated disk.

Question 4

Which radiographic view is BEST for evaluating suspected rotational subluxation at C1/C2?

Accepted Answer

A)   Open-mouth odontoid
B)   Lateral C-spine with flexion and extension
C)   AP view with cephalad angulation
D)   Posterior oblique views

Question 5

This image shows that the patient has which of the following?

Accepted Answer

A)   Severe dehydration of the vertebral disks
B)   Transected spinal cord
C)   Spinal cord tumor
D)   Cerebrospinal fluid (CSF)  infection B

Question 6

Which of the following statements about disk herniations is INCORRECT?

Accepted Answer

A)   Larger disk herniations always produce more severe radiculopathy than smaller disk herniations.
B)   Midline disk herniations may produce less severe symptoms than foraminal herniations.
C)   Chronic disk herniations are more likely to be associated with spondylosis than soft herniations.
D)   They may contribute to the development of spinal stenosis.

Question 7

Your diagnosis based on the image shown is:

Accepted Answer

A)   C4/C5 disk herniation.
B)   dens fracture.
C)   metastatic disease of the spine.
D)   soft tissue neck injury.

Question 8

The image shows that this patient has:

Accepted Answer

A)   anterolisthesis of the sacrum.
B)   retrolisthesis of L5 in relation to the sacrum.
C)   bamboo spine.
D)   sacral fracture.

Question 9

What would be your diagnosis based on the image of this patient?

Accepted Answer

A)   The patient has disk herniation with nerve compression.
B)   The patient has left L5/S1 facet joint osteoarthritis.
C)   The patient has bilateral L5 pedicle fractures.
D)   The patient has cauda equina impingement syndrome.

Question 10

This image likely shows a patient with:

Accepted Answer

A)   lytic bone disease.
B)   scoliosis.
C)   vertebral body compression fracture.
D)   degenerative disk disease.

Question 11

Which of the following is NOT associated with a bamboo spine?

Accepted Answer

A)   Bridging syndesmophytes
B)   Sacroilitis
C)   Facet joint hypertrophy
D)   HLA-B27 genotype

Question 12

Which type of fracture(s)  does the image indicate?

Accepted Answer

A)   Chance fracture
B)   Clay-shoveler's fracture
C)   Hangman's fracture
D)   Cervical facet fractures

Question 13

Which of the following radiographic views BEST displays a pars interarticularis fracture?

Accepted Answer

A)   AP
B)   PA
C)   Lateral
D)   Oblique

Question 14

The above image depicts a patient with:

Accepted Answer

A)   degenerative disk disease.
B)   DISH.
C)   lytic bone disease.
D)   facet joint osteoarthritis.

Question 15

Which of the following is NOT true of degenerative disk disease?

Accepted Answer

A)   It is typically associated with marginal osteophytes.
B)   It is typically associated with disk dehydration.
C)   It is always associated with back pain.
D)   It does not require advanced imaging, such as MRI, for diagnosis.

Question 16

Which of the following cervical fractures are typically stable?

Accepted Answer

A)   Teardrop
B)   Bilateral facet
C)   Anterior wedge compression
D)   Hangman's C

Question 17

In patients who have severe spine trauma but do not show neurologic signs, the procedure of choice is:

Accepted Answer

A)   CT.
B)   MRI.
C)   radiography.
D)   ultrasound.

Question 18

DISH is radiologically defined by the presence of:

Accepted Answer

A)   overhanging osteophytes on four or more contiguous facet joints.
B)   spondylolisthesis in four or more contiguous vertebrae.
C)   bridging syndesmophytes on four or more contiguous vertebral bodies.
D)   vacuum disks in four or more sequential disks.

Question 19

Modic changes refer to:

Accepted Answer

A)   facet joint osteoarthritis.
B)   vacuum disks.
C)   bone marrow changes associated with disk degeneration.
D)   annular fibrosis tears.

Question 20

The patient in this image has which of the following?

Accepted Answer

A)   A fractured arch at C1
B)   A fractured hyoid bone
C)   A vertebral body compression fracture
D)   A spinal metastatic disease

Exam 3: Spine and Spinal Cord

Which of the following is NOT associated with an osteoarthritic facet joint?

Correct Answer
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The pedicle sign refers to which of the following?

Correct Answer
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B

$The arrow in the above image indicates: A) a pars interarticularis defect. B) a Chance fracture. C) an arthritic facet joint marginal osteophyte. D) a calcified herniated disk.$ The arrow in the above image indicates:

Correct Answer
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Which radiographic view is BEST for evaluating suspected rotational subluxation at C1/C2?

Correct Answer
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This image shows that the patient has which of the following?

Correct Answer
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B

Which of the following statements about disk herniations is INCORRECT?

Correct Answer
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$Your diagnosis based on the image shown is: A) C4/C5 disk herniation. B) dens fracture. C) metastatic disease of the spine. D) soft tissue neck injury.$ Your diagnosis based on the image shown is:

Correct Answer
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$The image shows that this patient has: A) anterolisthesis of the sacrum. B) retrolisthesis of L5 in relation to the sacrum. C) bamboo spine. D) sacral fracture.$ The image shows that this patient has:

Correct Answer
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Correct Answer
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$This image likely shows a patient with: A) lytic bone disease. B) scoliosis. C) vertebral body compression fracture. D) degenerative disk disease.$ This image likely shows a patient with:

Correct Answer
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Which of the following is NOT associated with a bamboo spine?

Correct Answer
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$Which type of fracture(s) does the image indicate? A) Chance fracture B) Clay-shoveler's fracture C) Hangman's fracture D) Cervical facet fractures$ Which type of fracture(s) does the image indicate?

Correct Answer
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Which of the following radiographic views BEST displays a pars interarticularis fracture?

Correct Answer
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The above image depicts a patient with:

Correct Answer
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Which of the following is NOT true of degenerative disk disease?

Correct Answer
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Which of the following cervical fractures are typically stable?

Correct Answer
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C

In patients who have severe spine trauma but do not show neurologic signs, the procedure of choice is:

Correct Answer
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DISH is radiologically defined by the presence of:

Correct Answer
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Modic changes refer to:

Correct Answer
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$The patient in this image has which of the following? A) A fractured arch at C1 B) A fractured hyoid bone C) A vertebral body compression fracture D) A spinal metastatic disease$ The patient in this image has which of the following?

Correct Answer
verified

Exam 3: Spine and Spinal Cord

Which of the following is NOT associated with an osteoarthritic facet joint?

Correct AnswerverifiedShow Answer

The pedicle sign refers to which of the following?

Correct AnswerverifiedB

The arrow in the above image indicates:

Correct AnswerverifiedShow Answer

Which radiographic view is BEST for evaluating suspected rotational subluxation at C1/C2?

Correct AnswerverifiedShow Answer

This image shows that the patient has which of the following?

Correct AnswerverifiedB

Which of the following statements about disk herniations is INCORRECT?

Correct AnswerverifiedShow Answer

Your diagnosis based on the image shown is:

Correct AnswerverifiedShow Answer

The image shows that this patient has:

Correct AnswerverifiedShow Answer

What would be your diagnosis based on the image of this patient?

Correct AnswerverifiedShow Answer

This image likely shows a patient with:

Correct AnswerverifiedShow Answer

Which of the following is NOT associated with a bamboo spine?

Correct AnswerverifiedShow Answer

Which type of fracture(s) does the image indicate?

Correct AnswerverifiedShow Answer

Which of the following radiographic views BEST displays a pars interarticularis fracture?

Correct AnswerverifiedShow Answer

The above image depicts a patient with:

Correct AnswerverifiedShow Answer

Which of the following is NOT true of degenerative disk disease?

Correct AnswerverifiedShow Answer

Which of the following cervical fractures are typically stable?

Correct AnswerverifiedC

In patients who have severe spine trauma but do not show neurologic signs, the procedure of choice is:

Correct AnswerverifiedShow Answer

DISH is radiologically defined by the presence of:

Correct AnswerverifiedShow Answer

Modic changes refer to:

Correct AnswerverifiedShow Answer

The patient in this image has which of the following?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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B

$The arrow in the above image indicates: A) a pars interarticularis defect. B) a Chance fracture. C) an arthritic facet joint marginal osteophyte. D) a calcified herniated disk.$ The arrow in the above image indicates:

Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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$Your diagnosis based on the image shown is: A) C4/C5 disk herniation. B) dens fracture. C) metastatic disease of the spine. D) soft tissue neck injury.$ Your diagnosis based on the image shown is:

Correct Answer
verified

$The image shows that this patient has: A) anterolisthesis of the sacrum. B) retrolisthesis of L5 in relation to the sacrum. C) bamboo spine. D) sacral fracture.$ The image shows that this patient has:

Correct Answer
verified

Correct Answer
verified

$This image likely shows a patient with: A) lytic bone disease. B) scoliosis. C) vertebral body compression fracture. D) degenerative disk disease.$ This image likely shows a patient with:

Correct Answer
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Correct Answer
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$Which type of fracture(s) does the image indicate? A) Chance fracture B) Clay-shoveler's fracture C) Hangman's fracture D) Cervical facet fractures$ Which type of fracture(s) does the image indicate?

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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C

Correct Answer
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Correct Answer
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Correct Answer
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$The patient in this image has which of the following? A) A fractured arch at C1 B) A fractured hyoid bone C) A vertebral body compression fracture D) A spinal metastatic disease$ The patient in this image has which of the following?

Correct Answer
verified