Past papers

Question 1

The following is not true, regarding osteosarcomas:

a) They mostly involve the diaphysis of long bones
b) With chemotherapy the 10 year survival rate is around 70%
c) Alkaline phosphatase is frequently elevated
d) Pain is usually the first symptom

Answer 1

a) They mostly involve the diaphysis of long bones

Question 2

171.	In which tumor CT is mandatory?
Hand
Pelvis
Humerus
Femur

Answer 2

??

Question 3

Most cases (60%) of osteosarcomas occur:

a) In the ribs
b) In the metacarpuses
c) In the scapula
d) Around the knee

Answer 3

d) Around the knee

Question 4

Surgical treatment of osteosarcomas is:

a) Mainly amputation
b) Wide resection + bone defect replacement
c) Curettage
d) Marginal excision

Answer 4

b) Wide resection + bone defect replacement

Question 5

The following is true regarding osteosarcomas:

a) Treatment is based on surgical excision and radiation therapy
b) Histology is usually similar to that of the osteoid osteomas
c) They are typical of adults and the elderly
d) Good response to preoperative chemotherapy is a prognostic factor

Answer 5

d) Good response to preoperative chemotherapy is a prognostic factor

Question 6

Parosteal osteosarcoma must be treated:

a) With chemotherapy
b) Surgically with wide margin resection
c) With radiotherapy
d) With plaster

Answer 6

b) Surgically with wide margin resection

Question 7

Giant cell tumor of bone must be treated:

a) With chemotherapy and radiotherapy
b) Surgically with wide en bloc resection and chemotherapy
c) With plaster
d) Surgically with curettage and bone grafting

Answer 7

d) Surgically with curettage and bone grafting

Question 8

osteomyelitis??

Answer 8

amputation antibiotics?

Question 9

First choice of treatment of giant cell tumor is:

a) Curettage and filling the cavity with bone chips, or cement
b) Irradiation
c) Joint resection
d) Chemotherapy

Answer 9

a) Curettage and filling the cavity with bone chips, or cement

Question 10

The following is true regarding giant cell bone tumors:

a) They lead to osteoplastic metastases
b) A small percentage transforms into malignant tumors (less than 1% of the cases)
c) They are aggressive, malignant tumors
d) They are accompanied by a periosteal reaction

Answer 10

b) A small percentage transforms into malignant tumors (less than 1% of the cases)

Question 11

The most common soft tissue sarcoma in children is:

a) Angiosarcoma
b) Rhabdomyosarcoma
c) Fibrosarcoma
d) Liposarcoma

Answer 11

b) Rhabdomyosarcoma

Question 12

Ewing-sarcoma is most common at age of:

a) 10-20 years
b) Over 60 years
c) 30-40 years
d) 1-10 years

Answer 12

a) 10-20 years

Question 13

Enneking group I tumors:

a) Are treated by chemotherapy only
b) Are of low malignancy
c) Have already developed distant metastases
d) Are highly malignant

Answer 13

b) Are of low malignancy

Question 14

The following is true regarding chondrosarcomas:

a) They are semi-malignant
b) The most common treatment is complete curettage and bone grafting
c) Treatment is based on chemotherapy, surgical excision and radiation therapy
d) They are typical of adults and the elderly

Answer 14

b) The most common treatment is complete curettage and bone grafting

Question 15

5-year survival rate for high grade chondrosarcomas is:

a) Medium, about 50%
b) Low, about 36%
c) High, about 90%
d) High, about 75%

Answer 15

b) Low, about 36%

Question 16

The following is true regarding chondrosarcomas:

a) They are chemo-resistant tumors
b) The most common treatment is marginal surgical excision and radiation therapy
c) They are benign
d) They usually occur in childhood

Answer 16

a) They are chemo-resistant tumors

Question 17

The following is true regarding rhabdomyosarcomas:

a) They are generally localized in the eyes
b) They are benign tumors consisting entirely of mature white fat
c) They are semi-malignant
d) They are the most frequent soft tissue sarcomas in children

Answer 17

d) They are the most frequent soft tissue sarcomas in children

Question 18

The following is true of rhabdomyosarcomas:

a) Treatment is based on chemotherapy, surgical excision and…
b) They are benign tumors consisting entirely of mature white fat
c) The only treatment option is surgical
d) They are the most frequent soft tissue sarcomas in adults

Answer 18

a) Treatment is based on chemotherapy, surgical excision and…

Question 19

The following is true for osteoblastomas:

a) They are typical of adults and the elderly, respond well to chemotherapy
b) They are malignant
c) Histology is usually similar to that of the osteoid osteomas
d) Treatment is based on chemotherapy, surgical excision and radiation therapy…

Answer 19

c) Histology is usually similar to that of the osteoid osteomas

Question 20

The following is not true regarding osteoblastomas:

a) Presents with severe pain that is typically relieved by aspirin
b) It is a benign tumor
c) Radiologically it appears as a radiolucent lesion surrounded by dense bone
d) X-ray shows a “sunburst” appearance

Answer 20

d) X-ray shows a “sunburst” appearance

Question 21

Treatment of enchondroma is:

a) Chemotherapy and irradiation
b) Amputation
c) Complete resection of the tumor
d) Curettage and filling the cavity with autologous cancellous bone

Answer 21

d) Curettage and filling the cavity with autologous cancellous bone

Question 22

Multiple myeloma can be treated:

a) With chemotherapy and radiotherapy
b) With a plaster
c) Surgical with curettage and bone grafting
d) Surgical with wide margin resection

Answer 22

a) With chemotherapy and radiotherapy

Question 23

In the treatment of common multiple myeloma, the most decisive role is played by:

a) Stem cell re-implantation
b) Chemotherapy
c) Surgery
d) Radiotherapy

Answer 23

b) Chemotherapy

Question 24

The most common localization of bone metastasis is the:

a) Femur diaphysis
b) Lumbar spine
c) Scapula
d) Distal radius

Answer 24

b) Lumbar spine

Question 25

Not true regarding osteoid osteoma:

a) It is a benign bone tumor
b) It is a malignant tumor
c) Presents with severe pain that is typically relieved by aspirin
d) Radiologically appears as a radiolucent lesion surrounded by dense bone

Answer 25

b) It is a malignant tumor

Question 26

Aneurysmal bone cyst must be treated:

a) With a plaster
b) With radiotherapy
c) Surgically with curettage and bone grafting
d) With chemotherapy

Answer 26

c) Surgically with curettage and bone grafting