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QUESTION 1 OF 5

A 26-year-old falls and injures her right hand. There is no bony injury identified on x-ray, but she is noted to have a lytic lesion at the base of her middle finger proximal phalanx. The lesion demonstrates geographic bone destruction, bony expansion and cortical thinning. The lesion is asymptomatic.
What is the most appropriate management plan for this patient?

QUESTION ID: 1254

1. CT Scan
2. MRI scan and review
3. Reassurance and discharge
4. Reassurance and observation with serial radiographs
5. Screening Blood tests and chest x-ray

QUESTION 2 OF 5

An 8 year old boy is brought to the ED by his parents. He complains of right arm pain following a minor fall. His radiographs are show below.

ks 6.png

Which of the following is the most likely diagnosis?

QUESTION ID: 1277

1. Aneurysmal bone cyst
2. Ewing’s sarcoma
3. Fibrous dysplasia
4. Giant cell tumour
5. Unicameral bone cyst

QUESTION 3 OF 5

A 30-year-old female presents to the ED with swelling in the back of knee and difficulty in bending the knee. Radiographs  demonstrate  a large lobulated mass attached to the posterior cortex of the femur.

KS8 .png
Which of the following statements is NOT TRUE about this tumour?

QUESTION ID: 1280

1. An X;18 translocation is characteristic
2. De-differentiation into a higher-grade tumour is infrequent but possible
3. It is associated with an excellent prognosis, with over 90% survival at 5 years
4. Radiotherapy before surgery is not required
5. Treatment is complete surgical excision

QUESTION 4 OF 5

A 30-year-old female physiotherapist presents with left wrist pain and swelling with no history of trauma. X-ray demonstrates an eccentric, lytic lesion in the distal radius. MRI demonstrates a breach in the cortex with a small soft tissue component. Biopsy reveals a tumour comprising multinucleated giant cells and stromal cells. female physiotherapist presents with right wrist pain and swelling with no history of trauma. X-ray demonstrates an eccentric, lytic lesion in the distal radius. MRI demonstrates a breach in the cortex with a small soft tissue component. Biopsy reveals a tumour comprising multinucleated giant cells and stromal cells.

KS 10.jpg

Which of the following statements is NOT TRUE about this tumour?

QUESTION ID: 1281

1. Campanacci system is used for radiological grading
2. Denosumab is a recognised adjuvant treatment in selected cases
3. Patients with lung metastases have a poor outcome
4. Recurrence rates can be high following curettage
5. This tumour rarely affects skeletally immature patients

QUESTION 5 OF 5

A 15-year-old girl has a painful thoracolumbar scoliosis, worse at night and relieved by Ibuprofen. 
What is her most appropriate definitive treatment?

QUESTION ID: 1315

1. Adjuvant chemotherapy and surgical excision
2. Adjuvant radiotherapy and surgical excision
3. CT-guided radiofrequency ablation
4. En block surgical excision
5. Radiotherapy alone