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