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Radiology · Musculoskeletal imaging
Sample itemWhat is the radiographic hallmark of osteonecrosis of femoral head?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Subchondral crescent sign
The crescent sign represents subchondral fracture from osteonecrotic bone and may precede femoral-head collapse in avascular necrosis.
Option by option
A. Diffuse periosteal reaction
Periosteal reaction suggests other bone processes.
B. Multiple air-fluid levels
Air-fluid levels are not femoral-head osteonecrosis.
C. Subchondral crescent sign (correct)
Correct: subchondral crescent is classic osteonecrosis.
D. Uniform joint-space widening
Joint space is not widened uniformly.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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