Question 1

A patient reports to the physical therapy assistant (PTA)that she has pain at night that awakens her from sleep.What should the PTA do with this information?

Accepted Answer

A)  increase intensity of current rehabilitation 
B)  decrease intensity of current rehabilitation 
C)  continue at the current intensity of rehabilitation and monitor the patient closely 
D)  contact the referring physician or supervising physical therapist 
A)  increase intensity of current rehabilitation 
B)  decrease intensity of current rehabilitation 
C)  continue at the current intensity of rehabilitation and monitor the patient closely 
D)  contact the referring physician or supervising physical therapist D

Question 2

A physician observes a plain film radiograph of a patient's tibia.At this time he suspects a bone island in the tibia.What is the next best choice of test to determine if this is a bone island or cancer?

Accepted Answer

A)  bone scan 
B)  needle biopsy 
C)  CT scan 
D)  MRI 
A)  bone scan 
B)  needle biopsy 
C)  CT scan 
D)  MRI A

Question 3

What is the most common site of metastases for individuals with extremity sarcomas?

Accepted Answer

A)  other bone sites 
B)  lung 
C)  liver 
D)  stomach 
A)  other bone sites 
B)  lung 
C)  liver 
D)  stomach B

Question 4

Which of the following is not contained at the leading edge of a soft tissue tumor?

Accepted Answer

A)  edema 
B)  inflammatory cells 
C)  tumor cells 
D)  osteoblasts 
A)  edema 
B)  inflammatory cells 
C)  tumor cells 
D)  osteoblasts

Question 5

What is the most common primary neoplasm of bone?

Accepted Answer

A)  multiple myeloma 
B)  metastatic neoplasm 
C)  osteosarcoma 
D)  Ewing's sarcoma 
A)  multiple myeloma 
B)  metastatic neoplasm 
C)  osteosarcoma 
D)  Ewing's sarcoma

Question 6

Which of the following types of malignant tumors have the poorest survival rate?

Accepted Answer

A)  fibrosarcoma 
B)  liposarcoma 
C)  neurofibrosarcoma 
D)  leiomyosarcoma 
A)  fibrosarcoma 
B)  liposarcoma 
C)  neurofibrosarcoma 
D)  leiomyosarcoma

Question 7

What type of malignant bone tumor is most responsive to high-dose radiation?

Accepted Answer

A)  osteosarcoma 
B)  chondrosarcoma 
C)  Ewing's sarcoma 
D)  multiple myeloma 
A)  osteosarcoma 
B)  chondrosarcoma 
C)  Ewing's sarcoma 
D)  multiple myeloma

Question 8

Why is multiple myeloma most common in the spine,pelvis,and skull?

Accepted Answer

A)  Multiple myeloma is found only in flat bones. 
B)  Multiple myeloma will never be present where any epiphyseal growth plate was once present. 
C)  Bone marrow is found in high concentrations in these bones. 
D)  Multiple myeloma will not be present in weight-bearing bones. 
A)  Multiple myeloma is found only in flat bones. 
B)  Multiple myeloma will never be present where any epiphyseal growth plate was once present. 
C)  Bone marrow is found in high concentrations in these bones. 
D)  Multiple myeloma will not be present in weight-bearing bones.

Question 9

Which of the following is the current treatment of choice for osteosarcoma?

Accepted Answer

A)  radiation 
B)  chemotherapy 
C)  amputation 
D)  surgical removal of the primary tumor 
A)  radiation 
B)  chemotherapy 
C)  amputation 
D)  surgical removal of the primary tumor

Question 10

Which of the following choices describes a rotationplasty?

Accepted Answer

A)  A custom-made rotating hinge prosthesis is implanted at the knee. 
B)  The leg is amputated above the knee, and the tibia bone from the lower leg is inverted, making it possible for the ankle end of the tibia to be fused to the bottom of the femur. 
C)  The tibia is resected, and the ankle joint is fused to the distal tibia at 180 degrees. 
D)  The surgeon removes the affected bone in the femur, rotates the lower portion of the leg 180 degrees so that the foot faces in the opposite direction, and reattaches it to the upper femoral area. 
A)  A custom-made rotating hinge prosthesis is implanted at the knee. 
B)  The leg is amputated above the knee, and the tibia bone from the lower leg is inverted, making it possible for the ankle end of the tibia to be fused to the bottom of the femur. 
C)  The tibia is resected, and the ankle joint is fused to the distal tibia at 180 degrees. 
D)  The surgeon removes the affected bone in the femur, rotates the lower portion of the leg 180 degrees so that the foot faces in the opposite direction, and reattaches it to the upper femoral area.

Question 11

What type of benign soft tissue tumor is usually seen in the popliteal area?

Accepted Answer

A)  lipoma 
B)  Baker's cyst 
C)  nerve sheath tumor 
D)  schwannoma 
A)  lipoma 
B)  Baker's cyst 
C)  nerve sheath tumor 
D)  schwannoma

Question 12

Which of the following is the most sensitive test in detecting pulmonary metastases?

Accepted Answer

A)  angiography 
B)  bone scan 
C)  computed tomography (CT) scan 
D)  magnetic resonance imaging (MRI) 
A)  angiography 
B)  bone scan 
C)  computed tomography (CT) scan 
D)  magnetic resonance imaging (MRI)

Question 13

Which of the following is the correct definition of a wide surgical excision of a tumor?

Accepted Answer

A)  removing the tumor at its border, resulting in some of the tumor remaining 
B)  removing some of the normal tissue surrounding the tumor, leaving none of the tumor 
C)  removing the entire involved bone and all tissue components adjacent to the tumor 
D)  Probing the tumor with a needle and obtaining a core sample 
A)  removing the tumor at its border, resulting in some of the tumor remaining 
B)  removing some of the normal tissue surrounding the tumor, leaving none of the tumor 
C)  removing the entire involved bone and all tissue components adjacent to the tumor 
D)  Probing the tumor with a needle and obtaining a core sample

Question 14

Which of the following is a malignant tumor of the bone marrow?

Accepted Answer

A)  osteoma 
B)  leukemia 
C)  chondroma 
D)  fibroma 
A)  osteoma 
B)  leukemia 
C)  chondroma 
D)  fibroma

Question 15

At what age is a male most likely to be seen with chondrosarcoma?

Accepted Answer

A)  10 years old 
B)  20 years old 
C)  30 years old 
D)  50 years old 
A)  10 years old 
B)  20 years old 
C)  30 years old 
D)  50 years old

Question 16

Which type of chondrosarcoma originates in the periosteum?

Accepted Answer

A)  central chondrosarcoma 
B)  peripheral chondrosarcoma 
C)  juxtacortical chondrosarcoma 
D)  medullary chondrosarcoma 
A)  central chondrosarcoma 
B)  peripheral chondrosarcoma 
C)  juxtacortical chondrosarcoma 
D)  medullary chondrosarcoma

Question 17

Which of the following lab values is elevated with osteosarcoma and Paget's disease?

Accepted Answer

A)  erythrocyte sedimentation rate 
B)  serum calcium 
C)  alkaline phosphatase 
D)  serum protein electrophoresis 
A)  erythrocyte sedimentation rate 
B)  serum calcium 
C)  alkaline phosphatase 
D)  serum protein electrophoresis

Question 18

Which of the following is true regarding osteoblastoma?

Accepted Answer

A)  It is smaller than osteoid osteoma. 
B)  Pain of osteoblastoma is relieved with aspirin. 
C)  Osteoblastoma is common in the spine, sacrum, and flat bones. 
D)  There is usually no tenderness over the lesion. 
A)  It is smaller than osteoid osteoma. 
B)  Pain of osteoblastoma is relieved with aspirin. 
C)  Osteoblastoma is common in the spine, sacrum, and flat bones. 
D)  There is usually no tenderness over the lesion.

Question 19

What type of bone destruction is regarded as the most serious?

Accepted Answer

A)  type IA 
B)  type IB 
C)  type IC 
D)  type II 
A)  type IA 
B)  type IB 
C)  type IC 
D)  type II

Question 20

Which of the following bones is least likely to develop osteosarcoma?

Accepted Answer

A)  vertebra 
B)  femur 
C)  humerus 
D)  tibia 
A)  vertebra 
B)  femur 
C)  humerus 
D)  tibia

Exam 16: Musculoskeletal Neoplasms

A patient reports to the physical therapy assistant (PTA)that she has pain at night that awakens her from sleep.What should the PTA do with this information?

A physician observes a plain film radiograph of a patient's tibia.At this time he suspects a bone island in the tibia.What is the next best choice of test to determine if this is a bone island or cancer?

What is the most common site of metastases for individuals with extremity sarcomas?

Which of the following is not contained at the leading edge of a soft tissue tumor?

What is the most common primary neoplasm of bone?

Which of the following types of malignant tumors have the poorest survival rate?

What type of malignant bone tumor is most responsive to high-dose radiation?

Why is multiple myeloma most common in the spine,pelvis,and skull?

Which of the following is the current treatment of choice for osteosarcoma?

Which of the following choices describes a rotationplasty?

What type of benign soft tissue tumor is usually seen in the popliteal area?

Which of the following is the most sensitive test in detecting pulmonary metastases?

Which of the following is the correct definition of a wide surgical excision of a tumor?

Which of the following is a malignant tumor of the bone marrow?

At what age is a male most likely to be seen with chondrosarcoma?

Which type of chondrosarcoma originates in the periosteum?

Which of the following lab values is elevated with osteosarcoma and Paget's disease?

Which of the following is true regarding osteoblastoma?

What type of bone destruction is regarded as the most serious?

Which of the following bones is least likely to develop osteosarcoma?

Introduction to Concepts of Pathology

Problems Affecting Multiple Systems

Injury, Inflammation, and Healing

The Immune System

Infectious Disease

Oncology

The Integumentary System

The Endocrine and Metabolic Systems

The Cardiovascular System

The Hematologic System

The Respiratory System

The Hepatic, Pancreatic, and Biliary Systems

Introduction to Pathology of the Musculoskeletal System

Genetic and Developmental Disorders

Infectious Diseases of the Musculoskeletal System

Bone, Joint, and Soft Tissue Diseases and Disorders

Introduction to Central Nervous System Disorders

Infectious Disorders of the Central Nervous System

Degenerative Diseases of the Central Nervous System

Stroke

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Cerebral Palsy

The Peripheral Nervous System

Behavioral, Social, and Environmental Factors Contributing to Disease and Dysfunction

The Psychosocial-Spiritual Impact on Health Care

Environmental and Occupational Medicine

The Gastrointestinal System

The Renal and Urologic Systems

Central Nervous System Neoplasms

Epilepsy

Headache

The Male Genital or Reproductive System

The Female Genital or Reproductive System

Vestibular Disorders

Laboratory Tests and Values

Filters