Assessment Test

• 1. Soft Tissue Sarcomas:

  • Only occur in the extremities.
  • Are a complex group of diseases that need multiple modes of management.
  • Can be easily diagnosed by an Ultrasound Scan
  • Are best diagnosed with a Fine Needle Aspirate.

• 2. In the treatment of malignant primary bone tumours (bone sarcomas), Radiation Therapy has an important role in the primary treatment of:

  • Ewing Family Tumour
  • Osteosarcoma
  • Chondrosarcoma

• 3. Ewing Family Tumor is characterized by the following:

  • Simple translocation, large soft tissue mass and affects younger people.
  • Simple translocation, large soft tissue mass and affects older people.
  • Complex genetic changes, no soft tissue mass and affects older people.
  • Complex genetic changes, large soft tissue mass and affects younger people.

• 4. Osteochondromas:

  • Can be associated with a hereditary condition.
  • Continue growing throughout life, and as such need to be resected.
  • Do not undergo malignant change.
  • Are difficult to diagnose on a plain X-Ray.

• 5. A 14 year old boy has a swollen tibia and pain for 6 months. You suspect a bone tumour. What would be the best first radiological investigation?

  • MRI scan.
  • Plain film X-ray.
  • A radionuclide bone scan.
  • An ultrasound scan.

• 6. A patient presents to his family doctor with a 4 cm mass that has been stable. How would you first try to determine if it was superficial?

  • If soft, it is probably on top of the fascia.
  • Have the patient tense the underlying muscle, if it becomes fixed it is superficial.
  • Have the patient tense the underlying muscle, if it becomes fixed it is deep.
  • Order an ultrasound scan.

• 7. A patient undergoes treatment including 5000cGy of external beam radiation and wide resection surgery for a large, deep high grade soft tissue sarcoma in the thigh. There is no evidence of metastases. How will you counsel the patient?

  • They will almost certainly succumb to the disease, so arrange for palliative care.
  • Most patients survive, but regular follow up is required.
  • The chance of further tumours is basically nil, so just get on with it.
  • There are no long term effects from the radiation treatment they received.

• 8. Multidiscplinary teams include specialists from which of the following disciplines?

  • Radiation Oncology
  • Orthopaedic Oncology
  • Medical Oncology
  • Pathology
  • Radiology
  • All of the above

• 9. Giant Cell Tumor of Bone:

  • Is an aggressive cancer requiring major surgery
  • Typically occurs in the hands and feet.
  • Represents 20% of all benign bone tumour
  • Is a disease of childhood.

• 10. Referring to the causation of sarcomas

  • Most occur sporadically.
  • Most are associated with familial conditions.
  • Are mostly iatrogenic.
  • Can be related to trauma