NBCE PART 4 COMBINED SET EXAM QUESTIONS AND ANSWERS

NBCE PART 4 COMBINED SET EXAM QUESTIONS AND ANSWERS Blury Cervical films - Answer-Linear Tomograph: better view Dens, unstable Dens(osodontoidium) Osodontoidium mgt - Answer-flex/ext(if stable light adjust), stabilize neck(philadephia brace), refer ER Hypertrophic Ant tuberacle - Answer-atlas hyperplasia from stress of congenital agensis 3 Primary Growth Centers - Answer-1.Vert body, 2.Lamina, 3.Arches 5 Secondary Growth Centers - Answer-2-subchondral, 2-TPs, 1-SP, Not Pedicles Hangmans Fx - Answer-hyperextension/whiplash. Tx: Brace Neck, ER Pathological Compression Fx - Answer->25% body ht. 1.Lytic Mets, 2.MM Subluxation vert - Answer-<10% slippage. still in articulating line. Segmental dysfunction Dislocation - Answer->25% slippage vertebral body w facets overriding/perched, spinous fanning Congenital - Answer-1 spinous + 1 lamina line Multiple congenital blocks - Answer-KlipperFeil(web neck, low hairline, less ROM, assoc w Springels Deformity, congenital elevated clavicle Acquired vert blocks - Answer-1.RA: non-marginal, 2. AS: marginal. (2SP + 2Facets=acquired) Bone Teeth Marks - Answer-1st: Metastasis Joint Teeth Marks - Answer-1st: inflamm arthritis White Density in joint - Answer-1st: DJD Spondyloschisis - Answer-spina bifida= neural tube defect= failure primary growth centers, hypovitaminosis folic acid B9 ADI adult, child - Answer-Adult <3mm, Child <5mm ADI increase causes - Answer-1. Rheumatoid, 2. Trauma Marginal Syndesmophytes - Answer-AS, EA Non-Marginal Syndesmophytes - Answer-PA, Reactive Psoriatic Arthritis - Answer-silver scales, pitted nails, unguinal indentations, non-marginal Enteropathic Arthritis - Answer-B/L syndesmophytes, Abdominal issues (bl & mucus, cramps) AS - Answer-mc male, 15-35yr, morning stiffness, LBP, starts SI then down spine, B/L syndesmophytes Reactive Arthritis - Answer-(Reiters Syndrome) male 20-30yr, cant see, pee, dance w me, eye problems(red eye, conjunctivitis), heel pain, assoc. w Chlamydia(lovers heel) DISH - Answer-adj, Foriesters Dx=Ankylosing Hyperostosis, bulging Ca ALL=candlewax drippings, 4involved segments, spinal bridging=ant bridging, disc space preserved, assoc w DM, mc males 50s, fasting blood sugar DJD - Answer-lipping, spurring, osteophytes, spondylophytes, traction spurs, spondylosis, thickened endplates=subchondral sclerosis=ebernation, Chondrosamine Non-Marginal Syndesmophytes - Answer-PA, Reactive Marginal Syndesmophytes - Answer-AS, Enteropathic Bone Darker - Answer-Lytic Mets/Metastatic Dx(missing pedicle, hot scan), MM=plasma cell sarcoma/leukemia: labs: A/G reverse, M-spike=immunophoresis, Bence Jones, ESR increase Compression Fx - Answer-vertebral planar, coin on edge vertebra, silver dollar vertabra, wrinkled vertebra. Fx needs 25% loss anterior body height Infection Disc - Answer-Discitis, Infective arthritis, infective spondylitis. disc + endplate involvement. Change in shape, color. If TB-->Potts Dx Congenital Vert - Answer-no anterior disc bulging WBC - Answer-Norm: 5-7k, infection: 11-20k, Big infection: 25-50k, leukemia: >50k Acquired fusion SP - Answer-RA & AS: marginal syndesmophytes. Comgt w Rhematologist