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