Bone tumor - Quiz
Bone tumor
  • 1. What is a bone tumor?
A) A muscle abnormality.
B) A skin condition.
C) A type of blood cell.
D) An abnormal growth of tissue in bone.
  • 2. Where can cancerous bone tumors originate from?
A) Only from the bone itself.
B) From the liver.
C) From the brain.
D) From cancers in another part of the body such as lung, breast, thyroid, kidney, and prostate.
  • 3. What might a bone tumor present with?
A) A pathologic fracture.
B) A broken rib.
C) A dislocated shoulder.
D) A sprained ankle.
  • 4. What are some symptoms of a bone tumor?
A) Coughing and sneezing.
B) Blurred vision.
C) Hearing loss.
D) Fatigue, fever, weight loss, anemia, and nausea.
  • 5. How is a bone tumor generally diagnosed?
A) By X-ray and other radiological tests such as CT scan, MRI, PET scan, and bone scintigraphy.
B) By urine color analysis.
C) By a physical exam alone.
D) By blood pressure measurement.
  • 6. What might blood tests for bone tumor diagnosis include?
A) Cholesterol levels.
B) Complete blood count, inflammatory markers, serum electrophoresis, PSA, kidney function, and liver function.
C) Hemoglobin A1c.
D) Blood sugar levels.
  • 7. What is tested in urine for bone tumor diagnosis?
A) Glucose.
B) Protein levels.
C) Bence Jones protein.
D) Urea.
  • 8. What is required for confirmation of a bone tumor diagnosis?
A) A dietary consultation.
B) A biopsy for histological evaluation.
C) A blood transfusion.
D) A physical therapy session.
  • 9. What is the most common bone tumor?
A) Non-ossifying fibroma.
B) Ewing sarcoma.
C) Chondrosarcoma.
D) Osteosarcoma.
  • 10. What is the average five-year survival rate in the United States after being diagnosed with bone and joint cancer?
A) 50%.
B) 85%.
C) 68%.
D) 90%.
  • 11. Where was the earliest known bone tumor discovered?
A) In a hand bone in Egypt.
B) In a rib bone in India.
C) In a foot bone in South Africa.
D) In a skull bone in China.
  • 12. What are primary bone tumors?
A) Tumors that originate in the liver.
B) Tumors that originate in the brain.
C) Tumors that originate in the lungs.
D) Tumors that originate in bone or from bone-derived cells and tissues.
  • 13. What are secondary bone tumors?
A) Tumors that originate in the heart.
B) Tumors that originate in other sites and spread to the skeleton.
C) Tumors that originate in the kidneys.
D) Tumors that originate in the skin.
  • 14. Which carcinomas most commonly metastasize to bone?
A) Lungs, liver, and pancreas.
B) Prostate, breasts, lungs, thyroid, and kidneys.
C) Skin, brain, and ovaries.
D) Stomach, colon, and bladder.
  • 15. What is an example of a benign bone tumor?
A) Chondrosarcoma.
B) Osteosarcoma.
C) Osteochondroma.
D) Ewing sarcoma.
  • 16. What is a malignant primary bone tumor called?
A) Metastatic tumor.
B) Bone sarcoma.
C) Benign tumor.
D) Hamartoma.
  • 17. What is a common location for primary tumors?
A) Chest and abdomen.
B) Spine and pelvis.
C) Distal femur and proximal tibia.
D) Shoulder and elbow.
  • 18. What is a hematologic cancer that presents as bone lesions?
A) Leukemia.
B) Multiple myeloma.
C) Thrombocytopenia.
D) Lymphoma.
  • 19. Where do germ cell tumors often originate?
A) In the midline of the sacrum, coccyx, or both.
B) In the lungs.
C) In the kidneys.
D) In the liver.
  • 20. What is the current trend for classifying undifferentiated tumors?
A) Using only physical exams.
B) Using only X-rays.
C) Using specialized studies like genetic and immunohistochemical tests.
D) Using only blood tests.
  • 21. What is a rare primary bone malignancy that can spread to other bones?
A) Fibrosarcoma
B) Chondrosarcoma
C) Ewing sarcoma
D) Osteosarcoma
  • 22. What might be a neurological sign if a bone tumor presses a nerve?
A) Neurological signs
B) Increased muscle tone
C) Improved reflexes
D) Enhanced coordination
  • 23. What might be a reason for not performing a biopsy in cases of widely metastatic carcinomas?
A) They do not require diagnosis
B) They are always benign
C) They are easily treated with medication
D) They are rarely ever curable
  • 24. What is the best-reported survival protocol for chemotherapy in bone tumors?
A) Intravenous chemotherapy
B) Oral chemotherapy
C) Intra-arterial protocol with serial arteriogram
D) Topical chemotherapy
  • 25. When is surgical intervention planned in the intra-arterial chemotherapy protocol?
A) When tumor response has reached >90% necrosis
B) After 6 months of treatment
C) When tumor response is <50% necrosis
D) Immediately after chemotherapy starts
  • 26. Which medication helps increase bone strength and is taken once a week?
A) Strontium-89 chloride
B) Non-hormonal bisphosphonates
C) Chemotherapy drugs
D) Radiotherapy
  • 27. Which surgical reconstruction option involves using a vascularized fibula graft?
A) Radiotherapy
B) Chemotherapy
C) Joint preservation surgical reconstruction
D) Limb amputation
  • 28. What is the standard of care for localized bone pain due to metastatic disease?
A) Chemotherapy
B) External beam radiation therapy
C) Surgical resection
D) Pain medication
  • 29. What is the expected prognosis for individuals with noncancerous (benign) bone tumors?
A) The outcome is generally good.
B) The outcome is always fatal.
C) The outcome is poor.
D) The outcome is uncertain.
  • 30. Can benign bone tumors become cancerous?
A) No, they remain benign forever.
B) Yes, some types may eventually become malignant.
C) No, they never become cancerous.
D) Yes, all benign tumors become cancerous.
  • 31. What is the cure rate for malignant bone tumors that have not spread?
A) All patients are cured.
B) Cure rate is independent of tumor type, location, and size.
C) Cure is impossible.
D) Most patients achieve a cure, but it depends on various factors.
  • 32. What percentage of all tumors are bone tumors originating from bone?
A) Around 0.2%.
B) Around 50%.
C) Around 5%.
D) Around 10%.
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