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WorksheetsPHYA520-Ortho-CO2027
Total questions: 18
Worksheet time: 18mins
There is a familial form of osteochondroma that has a 5% risk of malignant transformation. What is the inheritance pattern?
Autosomal recessive
Autosomal Dominant
X-Linked Dominant
X-Linked Recessive
Incomplete Dominance
Which pt is most likely to have an osteochondroma?
12 yo, right proximal humerus, painless
8 yo, proximal humerus, painless
12 yo, right ankle, painless
12 yo, proximal humerus, painful
8 yo, right ankle, painless
Which pt is most likely to have osteoblastoma?
8 yo, night pain, naproxen responsive, proximal femur
16 yo, early morning pain, naproxen responsive, proximal femur
22 yo, early morning pain, naproxen unresponsive, lumbar spine
6 yo, daytime pain, naproxen unresponsive, tibia
14 yo, night pain, naproxen unresponsive, thoracic spine
Which of the following radiographs is most consistent with an osteoid osteoma?
Which of the following patients is most likely to have a fibrous dysplasia?
45 yo, male, proximal femur, thyrotoxicosis
8 yo, female, distal femur, cafe au lait
9 yo, female, distal femur, precocious puberty
25 yo, female, proximal femur, Cushing's syndrome
35 yo, male, distal femur, somatroph tumor
Which skin lesion would be expected in a patient with McCune-Albright Syndrome?
Which patient is most likely to have a giant cell tumor?
15 yo, female, knee, painless, joint swollen
25 yo, female, knee, painful, joint swollen
8 yo, male, proximal femur, painful, joint swollen
20 yo, male, knee, painless, no joint swelling
12 yo, female, proximal femur, painful, no joint swelling
Giant Cell Tumor can metastasize to a certain organ. What organ would this be?
Colon
Brain
Lung
Bladder
Breast
Which imaging study should not be done in a pt suspected of having or who has been diagnosed with multiple myeloma?
Bone scan
MRI whole body
CT whole body
PET CT
Skeletal survey radiographs
What abnormality of bone density does multiple myeloma cause?
Diffuse increased density
Focal increased density
Diffuse decreased density
Focal decreased density
Which patient is most likely to have osteosarcoma?
55 yo, female, night pain, ESR elevated, Alk phos nl
35 yo, male, daytime pain, ESR nl, Alk phos elevated
8 yo, female, daytime pain, ESR elevated, Alk phos nl
45 yo, male, daytime pain, ESR nl, Alk phos nl
13yo, male, night pain, ESR nl, Alk phos elevated
What treatment is NOT recommended for Osteosarcoma?
Radiation Therapy
Doxorubicin
Limb-Sparing Surgery
Cisplatin
Which patient is most likely to have a Ewing Sarcoma?
5 yo, male, humerus, pain worse with exercise, LDH elevated
15 yo, male, sacrum, pain worse with exercise, LDH elevated
5 yo, female, femur, pain worse with rest, LDH elevated
15 yo, female, humerus, pain worse with rest, LDH elevated
What is a radiologic finding unique to Ewing Sarcoma?
moth eaten osteolysis
codman triangle
Onion peel
Sunburst appearance
Which patient is most likely to have Chondrosarcoma?
25 yo, shoulder, non-swollen joint, nl LDH
15 yo, femur, swollen joint, elevated LDH
45 yo, femur, non-swollen joint, elevated LDH
55 yo, femur, non-swollen joint, elevated LDH
35 yo, shoulder, swollen joint, nl LDH
In what type of Chondrosarcoma is chemotherapy a first line treatment?
Classic
Dedifferentiated
High Grade
Endochondral
What is the most common location to develop bone metastases?
Femur
Ribs
Spine
Pelvis
Humerus
What is a primary tumor site that commonly causes bony metastases?
Colon
Ovaries
Liver
Parathyroid
Prostate
