PG NEET Orthopaedics MCQS 42 – Bone Tumor

  1. A 10 years old girl presents with a tibial mass. Histopathological examination reveals a small round cell tumor. Which of the following molecular findings is most likely to be presents
    1. 11,22 translocation
    2. 11q deletion
    3. 7p translocation
    4. n-my amplification
      1. Ans(5)
  2. Which of the following is the most common complication following Chopart’s amputation
    1. Posterior migration of the heel pad
    2. Neuroma of the digital nerves
    3. Severe equinovarus deformity
    4. Flexion deformity at the knee
      1. Ans(3)
  3. Chordoma arises from all the following EXCEPT
    1. Sacrum
    2. Vertebrae
    3. Clavicle
    4. Ribs
      1. Ans(4)
  4. Which of the following is the ideal lendth of bone for a below knee stubp
    1. 12.5 cm to 17.5 cm
    2. laee than 5 cm long
    3. 7.5 cm to 10 cm long
    4. 20 cm long
      1. Asn(1)
  5. Osteosclerotic lesions are seen in:
    1. Prostate ca
    2. Kidney ca
    3. Breas ca
    4. lung ca
      1. Ans()
  6. The best site for performing a conventional above knee amputation is which of the following
    1. 9 to 10 cm proximal to the knee
    2. 10 cm distal to the anterior superior lilac spine
    3. 30 cm proximal to the knee
    4. 5 cm distal to the pubic tubercle
      1. Ans(1)
  7. Intraarterial perfusion of drugs such as doxorubicin and cisplatin have been found useful in all the following situations except
    1. Reducing the size of osteosarcomas
    2. Facilitate limb-sparing resection
    3. reduce vascularity in vascular  tumors like metastatic renal lesions
    4. Assist in the choice of postoperative protocol
      1. Ans(3)
  8. Ideal length for a above elbow amputation is
    1. Atleast 3.8 cm proximal to the elbow
    2. 3.8 cm distal to the greater tuberosity
    3. At the level of the deltoid tubercle
    4. At the level of the condyles
      1. Ans(1)
  9. All the following are complication of multiple myeloma except
    1. Pathological fracture
    2. Polycythemia
    3. Amyloidosis
    4. Impaired immune function
      1. Ans(2)
  10. All teh folllowing structures are removed in a foreqarter amputation except
    1. Scapula
    2. Humers
    3. Sternum
    4. Lateral border of the clavicle
      1. Ans(3)
  11. All the following are useful investigation for the diagnosis of multiple myeloma except
    1. Urine analysis for Bence Jones proteins
    2. Bone scan
    3. Urine / plasma electrophoresis
    4. ESR
      1. Ans(2)
  12. Which of the following amputation of the foot does not involves sectioning of the calcaneum
    1. Pirogroff’s amputation
    2. Boyd’s amputation
    3. Ankle joint
    4. Below knee joint
      1. Ans(3)
  13. Hypercalcemia is associated with
    1. Multiple myelomas
    2. Ewings
    3. Osteosarcoma
    4. Chondrosarcoma
      1. Ans(1)
  14. Syme’s amputation is an amputation at:
    1. Mid torsal joint
    2. Subtalar joint
    3. Ankle joint
    4. below knee joint
      1. Ans(3)
  15. Generally, radiotherapy should not be used for treating benign conditions. Only possible exception being
    1. Chondromyxoid fibroma
    2. Desmoplastic fibroma so extensive that it cannot be surgically excised
    3. Benign fibrous histiocytoma
    4. Extensive pigmented villonodular synovitis
      1. Ans(4)
  16. In post radical neck dissection syndrome all are seen except?
    1. Shoulder dropping
    2. Restricuted range of movement of shoulder hoint
    3. Shoulder pain
    4. Normal electromyographic finding
      1. Ans(4)
  17. All the following are features of Von  Recklinghausen’s Disease except
    1. Transmission is autosomal dominant
    2. Patients develop numerous skin nodules and cafe a lait patches
    3. malignant transformation is unheard of
    4. Treatment is needed only if pain or paresthesia become troublesome  or if a tumor become very large
      1. Ans(3)
  18. Knee disarticulation has the following advantages over above -knee amputation:
    1. Longer lever arm
    2. Better cosmetic result
    3. Easier prosthetic fitting
    4. End- bearing stump
      1. Ans(1)
  19. Pigmented villonodular synovitis presents as a long-standing boggy swelling of a joint most  commonly
    1. Wrist
    2. Hip
    3. Elbow
    4. Shoulder
      1. Ans(2)
  20. All the following are advantages of the jaipur foot over the conventional such foot except
    1. Apperance of the Jaiput foot is that of normal foot
    2. It is suitable for bare foot walking
    3. Allows movements at fore foot and midfoot
    4. Jaipur foot is electrically operated
      1. Ans(1)
  21. Synovial sarcoma All true except
    1. Originates in synovium
    2. Seen in >50 yrs
    3. Occurs at extraarticular sites more often
    4. Seen in sites as knee and foot
      1. Ans(1)
  22. All are true about SACH except
    1. Solia ankle comfort heal
    2. Lower limb prosthesis
    3. Central wooden keel
    4. Shoes REQUIRED
      1. Ans(1)
  23. Hyperthermic perfusion in combination with radiotherapy and chemotherapy has been used for which of the following tumors:
    1. Soft tissue sarcomas of the extremities
    2. Multiple myelomas
    3. Chondrosarcoma of the pelvis
    4. Hemangioma of the spine
      1. Ans(1)
  24. Terminal overgrowth of bones is a frequent complication of amputations in children. Which of the following bones most commonly overgrow
    1. Humerus
    2. Clavicle
    3. Metacarpals
    4. Radius
      1. Ans(1)
  25. Which of the following is a lesion that frequently arises from the epiphysis
    1. Ewing’s sarcoma
    2. Chondroblastoma
    3. Eosinophilic granuloma
    4. Fibrosarcoma
      1. Ans(2)
  26. __________________________ is a type of operation which splits the radius and ulna to provida crocodile which type jaws with sensation
    1. Elbow disarticulation
    2. Krukenberg’s operation
    3. Clininnati opeartion
    4. Pirogoff operation
      1. Ans(2)
  27. Which bone tumor appears in epiphysis?
    1. Osteoclastoma
    2. Ewing’s sarcoma
    3. Chondromyxoid fibroma
    4. Osteosarcoma
      1. Ans(1)
  28. Tension myositis is contraindicated in amputations done for which of the following indications
    1. Post-traumatic
    2. Infection
    3. Ischemia
    4. Congenital malformation
      1. Ans(3)
  29. In Enneking’s terminology wide local excision refers to:
    1. Removal of the tumor together with a wide margin of Normal Tissue
    2. Removal of entire bone or muscle compartment in which the tumor lies
    3. Amputation of the concerned limb
    4. Curettage and removal of tumor
      1. Ans(1)
  30. The most common cause  of pain in amputation stump especially those resulting from traumatic injuries is
    1. Development of callosity
    2. A neuroma located near the end of the stump
    3. Ischaemia of the muscle and soft tissues at the tip of the stump
    4. Neurosis of the skin a the tip of the stump
      1. Ans(2)
  31. Active benign tumor all are true except
    1. Intracapsular
    2. Well defined margins
    3. Wide area of activity(>5 cm)
    4. Treated by extended curettage
      1. Ans(3)
  32. The level of amputation in a dysvascular extremity is determined by:
    1. Clinical inspection
    2. Xenon skin clearance
    3. Doppler systolic blood pressure ratios
    4. Transcutaneous oxygen measurements
      1. Ans(1)
  33. Staging of bone tumors is done by:
    1. Enneking
    2. Manchester
    3. Edmonton
    4. TNM
      1. Ans(1)
  34. Enneking has denoted specific terms for surgical treatment of tumors according to him what type of excision is achieved when the dissection is carried out entirely through normal tissue at a distance from the lesson
    1. marginal excision
    2. Wide excision
    3. radical excision
    4. Intralesional excision
      1. Ans(2)
  35. Which of the following is TRUE regarding a phantom limb
    1. Occurs in leprosy
    2. Follows amputation
    3. Follows a psychiatric illness
    4. After filariasis
      1. Ans(2)
  36. Biopsy incision for an extremity lesion should be
    1. Longitudinal
    2. Violate only one compartment
    3. Definitive procedure must remove the biopsy site
    4. All of the above
      1. Ans(4)
  37. Treatment of neuroma after amputation
    1. Ultrasound therapy
    2. Infrared therapy
    3. UV therapy
    4. TENS
      1. Ans(4)
  38. All the following  are local physical modalities that have been used to extend the effectiveness of intralesional curettage except
    1. Cryosurgery using liquid nitrogen
    2. Acrylic cementation
    3. Application of phenol
    4. Chemotherapy with vincristine
      1. Ans(4)
  39. All the following are differential dianoses for tumors of the bone except
    1. Hematoma
    2. Taumatic nerve injury
    3. Myositis ossificans
    4. Gout
      1. Ans(2)
  40. Which of the following imaging technique is the most sensitive to detect silent metastases in bone
    1. Tomogram
    2. radio scintigraphy
    3. Spiral CT
    4. levels of alkaline phosphatase in blood
      1. Ans(2)
  41. Which of the following are fracture of Gorham’s diseases
    1. Progressive disappearance of bone assoc with multiple hemangiomatosis or multiple lymphangiectatsis
    2. Usually the progression involves contiguous bones, but ossasionally multiple sites are affected
    3. Patients presents with mild pain or with pathological fracture
    4. All of the above
      1. Ans(4)
  42. Which of the following tumors shows maximal response to radiotherapy
    1. Chondrosarcoma
    2. Osteosarcoma
    3. Fibrosarcoma
    4. Ewing’s sarcoma
      1. Ans(4)
  43. The commonest site for a glomus tumor is the
    1. Knee joint
    2. skull
    3. Ribs
    4. Phslanges
      1. Ans(4)
  44. Which of the following statements regarding imaging studies in bone tumors incorrect
    1. Generally, imaging studies should be performed before biopsy
    2. Imaging studies are best-done post-biopsy
    3. It makes no difference when  the biopsy is done
    4. Scintigraphy should be done prior to biopsy and all other imaging studies are performed after biopsy
      1. Ans(1)
  45. Background lesions simulating bone tumors are all except
    1. Fibrous dysplasia
    2. Bone Island
    3. Hurler’s syndrome
    4. Bone infarct
      1. Ans(3)
  46. Mangled extremity severity score does not include
    1. Ischaemic shock
    2. Neurogenic
    3. Cardiogenic
    4. Energy of wound
      1. Ans(2)
  47. Which of the following is not a known complication of syme’s amputation
    1. heel pad migration
    2. Lengthening of the limb
    3. Formation of exostoses
    4. Flaring of the distal tibial metaphysis
      1. Ans(2)
  48. All the following are known complication of Boyd’s amputation except
    1. Flaring of the distal tibial metaphysis
    2. Augualtion into equinus of the calcaneum
    3. posterior migration of the heel pad
    4. non union of the calcaneus and the distal tibia
      1. Ans(3)

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