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Short Practice of Surgery

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Part 5: Elective Orthopaedics
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Chapter 42: Musculoskeletal Tumours
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Chapter 42: Musculoskeletal Tumours

Multiple Choice Questions

Chapter 42: Musculoskeletal Tumours

The following Multiple Choice Questions are not endorsed by an Exam Board.

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Multiple Choice Question 1 of 7

1. Question

A patient with a 6-cm soft-tissue mass of the forearm presents to you. What is the first step?

Urgent ultrasound scan or referral to a sarcoma diagnostic centre
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Surgical referral
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Orthopaedic referral
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Routine ultrasound scan
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Multiple Choice Question 2 of 7

2. Question

A patient who had breast cancer 10 years previously presents with a solitary painful lytic lesion in the left hip. What is the first step?

Refer for radiotherapy
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Urgent intramedullary nailing of the left femur
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Refer for urgent specialist opinion and consideration of biopsy
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Urgent left hip replacement
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Multiple Choice Question 3 of 7

3. Question

A patient with metastatic prostate cancer and a large sclerotic lesion in the left hip presents because she is unable to weight bear due to pain. What is the Mirels score?

8
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10
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12
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9
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Multiple Choice Question 4 of 7

4. Question

A 17-year-old patient presents with pain in the knee and a bone-forming lesion in the distal femur. What should you do?

Refer urgently to a bone tumour centre
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Take a biopsy
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Request a computed tomography (CT) scan
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Request a magnetic resonance imaging (MRI) scan
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Multiple Choice Question 5 of 7

5. Question

A patient presents with a 10-cm high-grade osteoblastic osteosarcoma of the distal femur with a soft-tissue component but no metastases. What is the Enneking stage?

1A
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1B
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2A
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2B
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Multiple Choice Question 6 of 7

6. Question

A patient presents with a 10-cm high-grade osteoblastic osteosarcoma of the distal femur with a soft-tissue component but no metastases. What is the TNM?

T1N0M0
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T2N0M0
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T2N1M0
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T2N0M1
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Multiple Choice Question 7 of 7

7. Question

A patient was coincidentally found to have a non-ossifying fibroma of the distal tibia. What is the Enneking stage?

Quiet
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Active
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Aggressive
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Latent
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Short Practice of Surgery

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Parts

Part 1: Basic Principles
Part 2: General Paediatrics
Part 3: Perioperative Care
Part 4: Trauma
Part 5: Elective Orthopaedics
Part 6: Skin, Plastic and Reconstructive
Part 7: Head and Neck
Part 8: Endocrine and Breast
Part 9: Cardiothoracic
Part 10: Vascular
Part 11: Abdominal
Part 12: Genitourinary
Part 13: Transplantation

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