Rad III Quiz 2

T/F. Metastasis is more common in the extremities than in the axial skeleton.

a. True

b. False

b. False

1 multiple choice option

T/F. A painful 6cm, expansile, lytic lesion which demonstrates a narrow zone of transition with geographic pattern of destruction is probably malignant.

a. True

b. False

b. False

1 multiple choice option

T/F. Cortical thickening is highly suggestive of a benign process.

a. True

b. False

a. True

1 multiple choice option

T/F. Soft tissue mass involvement is more likely to be found in METS than primary bone malignancy.

a. True

b. False

b. False

1 multiple choice option

Rank common primary osseous malignancies from most to least common.

a. MM, Osteosarcoma, Chondrosarcoma, Ewing's

b. Osteosarcoma, MM, Ewing's, Chondrosarcoma

c. Chondrosarcoma, Ewing's, MM, Osteosarcoma

d. Ewing's, Chondrosarcoma, Osteosarcoma, MM

a. MM, Osteosarcoma, Chondrosarcoma, Ewing's

3 multiple choice options

What are the top 3 most common causes of pathological compression fracture of the vertebral body?

a. osteoporosis

b. metastasis

c. multiple myeloma

d. all of the above

d. all of the above

3 multiple choice options

What are the top 3 most common causes of ivory vertebrae?

a. blastic metastasis

b. Paget's disease

c. Hodgkin's lymphoma

d. all of the above

d. all of the above

3 multiple choice options

T/F. All of the following are characteristics of malignancy... cortical destruction, ill-defined, laminated periosteal response, aggressive.

a. True

b. False

a. True

1 multiple choice option

The multiple snowball appearance describes:

a. Blastic metastasis lesions on the pelvis

b. Multiple punched-out lytic lesions of multiple myeloma

c. Soap-bubble expansile lesion of a giant cell tumor

d. Ground-glass matrix seen in fibrous dysplasia

a. Blastic metastasis lesions on the pelvis

3 multiple choice options

Which of the following conditions prefers the knee?

a. MM

b. Osteosarcoma

c. Chondrosarcoma

d. Ewing's

b. Osteosarcoma

3 multiple choice options

A solitary painful expansile soap-bubble tumor in a 60 yo is most consistent with:

a. Plasmacytoma

b. Giant cell tumor

c. Aneurysmal bone cyst

d. Ewing's sarcoma

a. Plasmacytoma

3 multiple choice options

What is typically the first radiographic feature for multiple myeloma?

a. Multiple punched-out lytic lesions

b. Ivory vertebra

c. Pathologic compression fracture

d. Osteoporosis

d. Osteoporosis

3 multiple choice options

Multiple lytic lesions are observed in the ilium of a 56 yo male. Of the following which 2 are most likely:

a. Lytic metastatic disease and multiple myeloma

b. Osteosarcoma and Ewing's sarcoma

c. Chondrosarcoma and fibrous dysplasia

d. Paget's disease and blastic metastasis

a. Lytic metastatic disease and multiple myeloma

3 multiple choice options