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Musculoskeletal and Dermatology · USMLE Step 1

USMLE Musculoskeletal: Bone Tumors and Metabolic Bone Disease

Benign and malignant bone tumors plus osteoporosis, osteomalacia, and Paget disease with their imaging and lab clues.

34 cards · basic cards · AI-written, checked twice. Edit anything.

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What is the most common benign bone tumor overall?
Osteochondroma
What clinical feature is classic for osteoid osteoma?
Night pain that is dramatically relieved by NSAIDs
How does osteoblastoma typically differ from osteoid osteoma?
It is larger (over 2 cm) and most often occurs in the vertebrae
Where do giant cell tumors of bone typically arise?
The epiphysis of long bones, often near the knee
What is the classic x-ray appearance of a giant cell tumor of bone?
A soap bubble appearance
In what age group do giant cell tumors of bone most commonly occur?
Young adults, roughly 20 to 40 years old
Where do enchondromas typically arise?
In the medullary cavity of the small bones of the hands and feet
What is the characteristic x-ray finding in fibrous dysplasia?
A ground-glass appearance
What syndrome pairs fibrous dysplasia with precocious puberty and cafe-au-lait spots?
McCune-Albright syndrome
What is the most common primary malignant bone tumor?
Osteosarcoma
Where does osteosarcoma most often arise?
The metaphysis of long bones, especially around the knee (distal femur or proximal tibia)
What is the age distribution of osteosarcoma?
Bimodal: adolescents during growth spurts, and older adults with predisposing conditions like Paget disease
What periosteal x-ray sign, from the tumor lifting the periosteum off the bone, is classic for osteosarcoma?
Codman triangle
What radiating, spiculated periosteal pattern is seen in osteosarcoma?
A sunburst pattern
Name three risk factors for developing osteosarcoma.
Paget disease of bone, prior radiation exposure, and hereditary retinoblastoma (RB1 mutation)

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