Clinical Challenge 1, Norwegian Chiropractors' Association
Publisert av Norsk Kiropraktorforening/Published by Norwegian Chiropractors' AssociationQuizMaster: Peter W. Bull DC, MappSc, FICC, FACCSenior LecturerDirector of Postgraduate & Professional StudiesDepartment of Health & ChiropracticMacquarie University Over thirty years experience in diagnostic & chiropractic radiology. Holds a Doctor of Chiropractic degree. A Masters degree in Medical Imaging – Image Interpretation. Was admitted as a Fellow of the International College of Chiropractors and the Australian College of Chiropractors. Inaugural Fellow of the Australasian College of Chiropractic Is the author of in excess of fifteen scientific papers and book chapters regarding radiology & spinal syndromes. Has
- 1.
Which of the following conditions would not be considered to be a cause of the above radiologic features:- A.
Marfan’s syndrome
- B.
Neurofibromatosis
- C.
Hodgkin’s disease
- D.
Achondroplasia
- 2.Which USA President was thought to have suffered from Marfan’s syndrome?:
- A.
George Washington
- B.
Abraham Lincoln
- C.
Richard Nixon
- D.
George Bush Snr.
- 3.The café-au-lait spots associated with neurofibromatosis are typically:
- A.
One or two large and irregular margined
- B.
Six or more large and irregular margined
- C.
One or two small and smooth margined
- D.
Six or more small and smooth margined
- 4.Which of the following is least likely to produce a solitary ivory vertebra:
- A.
Hodgkin’s disease
- B.
Paget’s disease
- C.
Fluoride poisoning
- D.
Osteoblastic metastasis
- 5.A major concern for the chiropractor associated with the treatment of an achondroplastic patient is:
- A.
Scoliosis
- B.
Spinal stenosis
- C.
Osteoporosis
- D.
No specific contraindications
- 6.A major concern for the chiropractor associated with the treatment of a patient with Marfan’s syndrome is:
- A.
Osteoporosis
- B.
Dural ectasia
- C.
Atlanto-axial instability
- D.
Scoliosis
- 7.Focal gigantism is a bizarre feature associated with?:
- A.
Acromegaly
- B.
Marfan’s syndrome
- C.
Neurofibromatosis
- D.
Achondroplasia
- 8.An 8 year old girl complained of failing vision, and was found to have severely reduced acuity and constricted fields. On examination she had reduced growth, precocious puberty and obesity. Several cafe au lait spots were evident and characteristic changes around the iris. On thin-section axial and coronal CT studies a mass is identified lying in the chiasmatic cistern and interpeduncular fossa. Skeletal changes that may be found in association with this disorder may include :
- A.
Scoliosis with posterior vertebral scalloping
- B.
Multiple osteomas
- C.
Enchondromatosis
- D.
Polyostotic fibrous dysplastic lesions
- 9.The pain of Hodgkin’s lymphoma to bone is intensified by:
- A.
Bed rest
- B.
Physical activity
- C.
Heat
- D.
Alcohol consumption
- 10.A 25-year old male demonstrates mild bowing of the proximal aspect of the right thigh. Radiographs of the hip and thigh region reveal a coxa vara type bowing deformity of the proximal femur. The femur also demonstrates a large, geographic lucent region, which has a hazy or "ground glass" appearance. The most likely cause for these changes would be:
- A.
Paget's disease
- B.
Fibrous dysplasia
- C.
Neurofibromatosis
- D.
Hodgkin's lymphoma
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