PG NEET Orthopaedics MCQS 41 – Bone Tumor

  1. Osteoid osteoma arises from
    1. the medullary cavity
    2. Cortex
    3. Periosteum
    4. All of the above
      1. Ans(4)
  2. “Corduroy” appearance on X-ray  is a characteristic feature of
    1. Histiocytosis
    2. Hemangioma
    3. Synovial sarcoma
    4. Osteomyelitis
      1. Ans(2)
  3. M/C site for Osteosarcoma is
    1. Upper end of humerus
    2. Lower end of femur
    3. Upper end of femur
    4. Lower end of humerus
      1. Ans(2)
  4. Which of the following statements about osteoblastoma is correct
    1. It is usually seen in the 6th decade
    2. Tends to occur in the spoon and the flat bones
    3. Pain is a very rare complaint
    4. Histologically it resembles a seminoma testes
      1. Ans(2)
  5. Second M/C primary malignant bone tumor
    1. Secondaries
    2. Multiple myelomas
    3. Osteosarcoma
    4. Osteochondroma
      1. Ans(3)
  6. Mild pressure of the swelling of GCT is supposed to  produce a characteristic eggshell cracking which of the following statements regarding this exclusive clinical feature is correct
    1. This finding is seen at all stages of GCT
    2. It is seen only in the early stages
    3. It is a finding seen only GCT upper end of fibula
    4. This finding is noted in the later stage of GCT
      1. Ans(4)
  7. Identify the tumor of bony origin
    1. Osteoma
    2. myeloma
    3. Leukemia
    4. Osteoclastoma
      1. Ans(1)
  8. Cryosurgery is generally used to prevent local recurrence, the chemo color method used commonly for treatment of GCT is
    1. Liquid chlorine
    2. Liquid Nitrogen
    3. Dry ice
    4. Nd-YAG probe
      1. Ans(2)
  9. One of the following is an epiphyseal tumor
    1. Osteoclastoma
    2. Ewing’s sarcoma
    3. Osteochondroma
    4. Osteosarcoma
      1. Ans(1)
  10. All the following are accepted methods of treatment of a GCT except
    1. Curettage and bone grafting
    2. Curettage and acrylic cementation
    3. Intracystic injection of steroids
    4. Curettage and cryosurgery
      1. Ans(3)
  11. Aneurysmal bone cyst-true is
    1. More common in vertebra
    2. Commonly occurs in long bones
    3. common after the age of 50 years
    4. Due to atherosclerosis
      1. Ans(2)
  12. All the following are commonly used methods of treatment of a GCT except:
    1. Curettage and bone grafting
    2. Megavoltage radiotherapy
    3. Cryosurgery
    4. EN bloc resection and replacement with allografts
      1. Ans(2)
  13. M/C site of osteogenic sarcoma is
    1. Ribs
    2. Distal end of femur
    3. Proximal end of humerus
    4. Distal end of tibia
      1. Ans(2)
  14. Giant cell tumor is commonest in the following age group
    1. Infancy
    2. Early childhood
    3. Young adults after fusion of growth plate
    4. Old age
      1. Ans(2)
  15. The most uncommon site for bony metastasis
    1. Skull
    2. Upper end of humerus
    3. Spine
    4. Below elbow & knee
      1. Ans(4)
  16. Soap bubble appearance on X-ray is the classical presentation of which of the tumors
    1. synovial cell sarcoma
    2. Prostatic secondaries
    3. Myeloblastoma
    4. Osteoclastoma
      1. Ans(3)
  17. All the following are excepted treatment options for excision of an osteoid osteoma except
    1. Block excision of the nidus
    2. Shaving of reactive bone till the nidus is encountered and then curetting the nidus
    3. Radiotherapy with Bracty therapy using a cesium needle
    4. Introduction of a wire into the nidus after CT localization and then introduction of a Biopsy punch over the wire
      1. Ans(3)
  18. Which of the following is a varient of giant cell tumor
    1. Ossifying fibroma
    2. Non ossifying fibroma
    3. Myeloblastoma
    4. Osteoclastoma
      1. Ans(4)
  19. All the following are true about ivory exostoses except
    1. Seen in adolescents or young adults
    2. usually seen on the outer surface of the skull and on the subcutaneous surface of the tibia
    3. If it occurs on the inner table of the skull it may cause focal epilepsy
    4. The commonest  presentation is severe pain
      1. Ans(4)
  20. Which of the following is a  varient of gaint cell tumor
    1. Ossifying fibroma
    2. Non ossifyng fibroma
    3. Osteogenic sarcoma
    4. Chondroblastoma
      1. Ans(2)
  21. A 19 years old boy presents with a small circumscribed sclerotic margin over the diaphysis of the bone. The most likely diagnosis is
    1. Osteoid osteoma
    2. Osteosarcoma
    3. Ewing’s sarcoma
    4. Osteoclastoma
      1. Ans(1)
  22. Pulsating tumor:
    1. Osteosarcoma
    2. Ewing
    3. Chondrosarcoma
    4. OsteclastomaA
      1. Ans(4)
  23. Double density sign on bone scam is said to be diagnostic of
    1. Aneurysmal bone cyst
    2. Osteochondroma
    3. osteoid osteoma
    4. Unicameral bone cyst
      1. Ans(3)
  24. Eosinopjilic granuloma most commonly affects which of the following bones;
    1. Phalanges
    2. Skull
    3. Radius
    4. Fibula
      1. Ans(2)
  25. Regarding osteoid osteoma
    1. It is a benign bone tumor
    2. The femur and tibia  are the commonest bones involves
    3. presents with severe pain that is typically relieved by aspirin
    4. Local excision or curettage is curative
      1. Ans(1)
  26. Histiocytosis X comprises of a group of disease characterized by the proliferation of histiocytes in the bone, three of The below mentaioned are clinical entities of histiocytosis X the exception is
    1. Eosinophilic granuloma
    2. Hand Schuller Christian disease
    3. Uttered Siwe disease
    4. Pellegrini Stieda disease
      1. Ans(4)
  27. All the following are fracture of Ollier’s disease except
    1. This is a condition which is usually bilateral and involves multiple bones
    2. The fingers or toes contain multiple enchondromata
    3. An affected limb is short
    4. Common deformities include valgus or Varus at the knee
      1. Ans(1)
  28. Which of the following are Histological features of osteosarcoma?
    1. Malignant cartilage
    2. Large stromal cells resembling osteoblasts with malignant characteristics like anisocytosis nuclear pyknosis pleomorphism
    3. Direct formation of tumor osteoid and bone by the malignant connective tissue
    4. All of the above
      1. Ans(4)
  29. Osteosarcoma occurs most commonly at which of the following site:
    1. Lower end of femur
    2. Upper end of Fibula
    3. Lower end of Radius
    4. Skull
      1. Ans(1)
  30. An enchondroma rarely exhibits aggressive behavior but which of the following is an ominous symptom in a patient with enchondroma signaling malignant change
    1. Constitutional symptoms like fever
    2. Weight loss
    3. pain in the absence of fracture
    4. Breathlessness
      1. Ans(3)
  31. All the following X-ray finding of osteosarcoma are correct except:
    1. Hazy osteolytic areas may alternate with unusually dense osteoblastic areas
    2. The endosteal margin is poorly defined
    3. Codman’s triangle is the reactive new bone which forms at the angle of periosteal elevation
    4. Sunburst appearance is diagnostic of osteosarcoma
      1. Ans(4)
  32. The most common site for an exostosis is
    1. The scapula
    2. The skull
    3. Around the knee
    4. Phalanges
      1. Ans(3)
  33. Most common site of Osteosarcoma
    1. the upper end of a femur
    2. Lower end of femur
    3. Upper end of humerus
    4. Lower end of tibia
      1. Ans(2)
  34. Which of the following is the rare condition which features many cartilaginous tumors appear in both the large and small tubular bones and in flat bones? Deformities resulting from the tumors include shortening caused by lack of epiphyseal growth
    1. Adson’s disease
    2. Benelli’s disease
    3. ollier’s disease
    4. bell’s disease
      1. Ans(3)
  35. Radioresistant tumor among the following is:
    1. Osteosarcoma
    2. Ewing’s sarcoma
    3. Neuroblastoma
    4. Wilm’s tumor
      1. Ans(1)
  36. Tamoxifen is supposed to reduce the size of which of the following tumor:
    1. Osteosarcoma
    2. Chondrosarcoma
    3. Synovial cell sarcoma
    4. Desmoplastic fibroma
      1. Ans(4)
  37. A 15 years old boy presented with the mass in the lower femur, which on X-ray shows sunray appearance and Codman’s triangle. The diagnosis is:
    1. Osteoclastoma
    2. Osteomyelitis
    3. Osteosarcoma
    4. Ewings sarcoma
      1. Ans(3)
  38. Which of the following is wrong regarding non-ossifying fibroma
    1. It is a developmental defect which a nest of fibrous tissue appears in bone and persists
    2. commonest sites are metaphysis or long bones
    3. There is high risk for malignant transformation
    4. If the defect is large may require curettage and bone grafting
      1. Ans(3)
  39. Which of the following is a pulsating bone tumor?
    1. Osteoclastoma
    2. osteosarcoma
    3. Ewing’s sarcoma
    4. Chondroma
      1. Ans(2)
  40. Radiological appearance of which of the following lesions has been described as “Ground Glass”  appearance
    1. Compact osteoma
    2. Fibrous Dysplasia
    3. Osteochondroma
    4. Achondroplasia
      1. Ans(2)
  41. regarding osteosarcomas
    1. Affects the epiphyses of long bones
    2. Are most commonly seen around the knee and in the proximal humerus
    3. Haematogenous spread can result in pulmonary metastases
    4. Is exclusively a disease of adolescence and early adult life
      1. Ans(2)
  42. Shepherd Crook deformity is s a feature of:
    1. Fibrous dysplasia
    2. post polio paralysis
    3. Cerebral palsy
    4. Perthe’s disease
      1. Ans(1)
  43. Treatment of choice in Ewing’s tumor is:
    1. radical excision
    2. Chemotherapy and radiotherapy
    3. Ambulation
    4. Immunotherapy
      1. Ans(2)
  44. A unicameral bones cyst presents most often as
    1. Distal metastases
    2. Fracture through the cyst
    3. Distal neurovascular deficit
    4. Night pains
      1. As(2)
  45. Onion peel appearance is often associated with which of the following diaphyseal lesions
    1. Sclerosing osteomyelitis
    2. Syphilitic gumma
    3. Ewing’s sarcoma
    4. Metastatic bone disease
      1. Ans(3)
  46. An elevated level of prostaglandin PGE2 has been noted in the fluid aspirated from which of the following cyst
    1. Aneurysmal bone cyst
    2. Hydatid cyst
    3. Unicameral bone cyst
    4. fibrous cortical cyst
      1. Ans(3)
  47. 21 years old patient with Ewing sarcoma having radio & chemotherapy which of the following indicates poor prognosis?
    1. B2 microglobulin
    2. Fever
    3. Thrombocytosis
    4. Young age
      1. Ans(2)
  48. A unicameral bone cyst has been called active when
    1. The cyst abuts on the physics without any intervening normal bone
    2. the cyst is larger than 1.5 cm in diameter
    3. There is tenderness in population
    4. The cyst has high levels of PGE2
      1. Ans(1)
  49. 8 years old child complaints of swelling in middle of the thigh with commands triangle on x-ray on biopsy round cells with glycogen positivity are seen. Diagnosis is
    1. Ewings sarcoma
    2. Osteosarcoma
    3. Neuroblastoma
    4. Rhabdomyosarcoma
      1. Ans(1)
  50. Solitary bone cyst is most common in the
    1. upper end of the humerus
    2. Lower end of humerus
    3. Upper end of fibula
    4. All
      1. Ans(1)

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