Assessment Test

• 1. 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

• 2. 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.

• 3. An MRI scan can definitively diagnose a soft tissue sarcoma:

  • Yes
  • No

• 4. 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.

• 5. 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.

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

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

• 7. Osteosarcoma:

  • Only occurs in childhood.
  • Cure rates as high as 75% can be achieved.
  • Is a benign tumour of bone.
  • Almost always results in an amputation.

• 8. A patient has a superficial lesion that is 4 cm in size. It feels like a lipoma. Is it safe for the family doctor to remove this in her office?

  • Yes
  • No

• 9. Referring to the causation of sarcomas

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

• 10. 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.