Page: 2 (Malignant Bone Tumors)

Question 1

_____: refers to the most common primary malignancy of bone?

a. ) Metastatic disease
b. ) Multiple myeloma
c. ) Hodgkin’s disease
d. ) Osteosarcoma

Answer 1

b.) Multiple myeloma

Question 2

_____: refers to the most common form of metastasis in ages 20-40?

a. ) Metastatic disease
b. ) Multiple myeloma
c. ) Hodgkin’s disease
d. ) Osteosarcoma

Answer 2

c.) Hodgkin’s disease

Question 3

_____: refers to the most common malignancy found in children ages 10-30?

a. ) Ewing’s sarcoma
b. ) Multiple myeloma
c. ) Hodgkin’s disease
d. ) Osteosarcoma

Answer 3

d. ) Osteosarcoma

- Has a periosteal reaction that is speculated/radiating/sunburst appearance.

Question 4

_____: refers to the most common malignant tumor of bone?

a. ) Metastatic disease
b. ) Multiple myeloma
c. ) Hodgkin’s disease
d. ) Osteosarcoma

Answer 4

a.) Metastatic disease (Lytic and Blastic)

Question 5

_____: has a “Swiss Cheese” appearance in the skull?

a. ) Multiple myeloma
b. ) Hemolytic anemia
c. ) Lytic metastasis
d. ) Sickle cell anemia

Answer 5

c.) Lytic metastasis

Question 6

_____: has a “Rain Drop” or “Punched out lesion” appearance in the skull?

a. ) Multiple myeloma
b. ) Hemolytic anemia
c. ) Lytic metastasis
d. ) Sickle cell anemia

Answer 6

a.) Multiple Myeloma

Question 7

Which of the following is most commonly found in the sacrum?

a. ) Fibrosarcoma
b. ) Chondrosarcoma
c. ) Chordoma
d. ) Neurofibroma

Answer 7

c. ) Chordoma

- 2nd MC location is the skull.

Question 8

_____: found in patients 10-25 y/o and causes a permeative lesion that causes a multi-paralleled onion skin (laminated) type of periosteal reaction known as “Codman’s Triangle”?

a. ) Chondrosarcoma
b. ) Osteosarcoma
c. ) Osteitis deformans
d. ) Ewing’s sarcoma

Answer 8

d.) Ewing’s sarcoma

Question 9

_____: refers to the 2nd most common malignancy found in children?

a. ) Lytic metastasis
b. ) Blastic metastasis
c. ) Ewing’s sarcoma
d. ) Osteosarcoma

Answer 9

c.) Ewing’s sarcoma

Question 10

_____: found in children 10-30 y/o and causes a periosteal reaction that is speculated/radiating/sunburst in appearance?

a. ) Chondrosarcoma
b. ) Osteosarcoma
c. ) Osteitis deformans
d. ) Ewing’s sarcoma

Answer 10

b.) Osteosarcoma

Question 11

_____: found in patient over 40 y/o and causes a periosteal reaction that is speculated/radiating/sunburst in appearance?

a. ) Chondrosarcoma
b. ) Osteosarcoma
c. ) Osteitis deformans
d. ) Ewing’s sarcoma

Answer 11

a. ) Chondrosarcoma

- and Fibrosarcoma

Question 12

Ewing’s sarcoma is primarily found in which location of LONG bones?

a. ) Epiphysis
b. ) Metaphysis
c. ) Diaphysis
d. ) Articular cartilage

Answer 12

c.) Diaphysis

Question 13

What are the stages of Paget’s Disease (Osteitis Deformans)?

Answer 13

1. ) Lytic or destructive
2. ) Combined
3. ) Sclerotic
4. ) Malignant (Osteosarcoma)

Question 14

_____: found in Males, over 50 y/o and causes Ivory White Vertebrae with cortical thickening, picture frame vertebra, increased bone density, coarsened trabeculae, bone expansions, and bowing deformities?

a. ) Lytic metastasis
b. ) Blastic metastasis
c. ) Osteitis deformans
d. ) Hodgkin’s lymphoma

Answer 14

c.) Osteitis deformans (aka: “Paget’s”)

Question 15

_____: found in patients over 40 y/o and causes Ivory White Vertebrae with NO cortical thickening or bone enlargement?

a. ) Lytic metastasis
b. ) Blastic metastasis
c. ) Osteitis deformans
d. ) Hodgkin’s lymphoma

Answer 15

b.) Blastic metastasis

Question 16

_____: found in Caucasian males 20-40 y/o and causes Ivory White Vertebrae with anterior body scalloping and uni-lateral lymphadenopathy?

a. ) Lytic metastasis
b. ) Blastic metastasis
c. ) Osteitis deformans
d. ) Hodgkin’s lymphoma

Answer 16

d. ) Hodgkin’s lymphoma

- Reed Sternberg Cells!!!

Question 17

_____: found in patients over 40 y/o and causes a moth eaten or permeative pattern of destruction associated with a “one eyed pedicle shadow”?

a. ) Lytic metastasis
b. ) Blastic metastasis
c. ) Osteitis deformans
d. ) Hodgkin’s lymphoma

Answer 17

a.) Lytic metastasis

Question 18

_____: seen in patients over 40 y/o and is an aberrant notochordal cell tumor?

a. ) Neurofibroma
b. ) Syrinx
c. ) Chordoma
d. ) Hemangioma

Answer 18

c.) Chordoma