Name: Nicholas Mottram
Theme: Bone Disease
OPTION LIST
|
A |
Osteosarcoma |
I |
Metastases |
|
B |
Osteitis |
J |
Simple bone cyst |
|
C |
|
K |
Osteoarthritis |
|
D |
Osteoid osteoma |
L |
Trauma |
|
E |
Osteoporosis |
M |
Fibrous dysplasia |
|
F |
Rheumatoid arthritis |
N |
Echondroma |
|
G |
Osteochondroma |
O |
Chondrosarcoma |
|
H |
Osteoclastoma |
P |
|
For each scenario below, choose the most appropriate
answer from the list above. Each option may be used once, more than once or not
at all.
1. An 18 year old student
presents to his GP with focal pain in his left fore-arm which is tender to
touch and worsens at night. The pain is relieved with aspirin. An X-ray shows a 1cm are of radio-lucency in the
tibia surrounded by dense bone.
2. A 14 year old boy complains
to you of a painless lump on his left thigh, just above the knee which is
slowly growing. Your past medical history reveals that he fractured his femur
in the same location several years before.
3. A 15 year old girl shows
you a small lump on her upper arm on routine examination. She says the lump has
been present for a couple of years and has slowly moved down, away from her
shoulder.
4. A 50 year old lady
presents with pain in her jaw. She suffers from Paget’s
disease. A ‘sunburst’ appearance is seen on X-ray along with a lifted periosteum (Codman’s triangle).
5. An 8 year old boy is
brought to his GP by his parents with pain in his hips and a fever. Blood
results demonstrate a raised ESR and biopsy histology shows droplets of
glycogen in the cytoplasm of small round cells in the pelvic bones.
ANSWERS
|
1. D |
2. G |
3. J |
4. A |
5. C |