Question 1068
{"accessible":true,"alternatives":[{"id":5353,"text":"A"},{"id":5354,"text":"B"},{"id":5355,"text":"both"},{"id":5356,"text":"neither"}],"archived":false,"correctAlternativeId":5356,"explanation":"\u003cp\u003e\u003cstrong\u003ePatient A\u003c/strong\u003e has \u003ca href=\"/articles/osteopetrosis\"\u003eosteopetrosis \u003c/a\u003ewith \u003ca href=\"/articles/sandwich-vertebral-body\"\u003esandwich vertebral body\u003c/a\u003e\u0026nbsp;appearance. This is similar to, but distinct from,\u0026nbsp;the \u003ca href=\"/articles/rugger-jersey-spine\"\u003erugger jersey spine\u003c/a\u003e appearance in \u003ca href=\"/articles/renal-osteodystrophy\"\u003erenal osteodystrophy\u003c/a\u003e. The former creates very dense, well-defined endplates and dense posterior elements, while the latter produces relatively ill-defined endplate density and reduced bone density elsewhere. \u003cstrong\u003ePatient B\u003c/strong\u003e has \u003ca href=\"/articles/osteogenesis-imperfecta-1\"\u003eosteogenesis imperfecta\u003c/a\u003e with\u0026nbsp;\u003ca href=\"/articles/zebra-stripe-sign-bones\"\u003ezebra stripe sign\u003c/a\u003e due to\u0026nbsp;cyclical bisphosphonate therapy.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eFrom:\u003c/strong\u003e\u0026nbsp;\u003ca href=\"https://radiopaedia.org/courses/radiology-review-course-online\"\u003eRadiology Review Course - Online\u003c/a\u003e\u003c/p\u003e","id":1068,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/676/images-for-mcqs-2-3_big_gallery.jpeg","imageAttribution":{"kind":"external","attribution":"Case A: Osteopetrosis (rID: 16553) contributed by Chris O'Donnell. Case B: Zebra sign - pamidronate therapy (rID: 8448) contributed by Frank Gaillard."},"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1068","nextQuestionPath":null,"relatedArticles":[{"id":3935,"title":"Renal osteodystrophy","link":"/articles/renal-osteodystrophy?lang=us"}],"alsoUsedIn":[{"id":232,"kind":"Course","title":"Radiology Review Course - Melbourne - page 232","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/232"},{"id":232,"kind":"Course","title":"Radiology Review Course - Melbourne - page 232","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2018/pages/232"},{"id":232,"kind":"Course","title":"Radiology Review Course - Melbourne - page 232","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/232"},{"id":232,"kind":"Course","title":"Radiology Review Course - page 232","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/232"}],"stem":"\u003cp\u003eWhich patient has renal osteodystrophy?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1068"}],"attemptsPercentages":[{"alternativeId":"5353","percentage":47},{"alternativeId":"5356","percentage":21},{"alternativeId":"5355","percentage":22},{"alternativeId":"5354","percentage":10}],"promptToLogin":false,"questionManager":false,"articleId":"rugger-jersey-spine-hyperparathyroidism"}