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Musculoskeletal and Dermatology · USMLE Step 1 · Healthcare and Nursing

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.

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34 basic cards for USMLE Step 1 Musculoskeletal and Dermatology. Set 1 of 4 in USMLE Musculoskeletal. It opens with "What is the most common benign bone tumor overall?" and "What clinical feature is classic for osteoid osteoma?". Study it alongside the other USMLE Step 1 sets below.

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What is the most common benign bone tumor overall?
Show answerOsteochondroma
What clinical feature is classic for osteoid osteoma?
Show answerNight pain that is dramatically relieved by NSAIDs
How does osteoblastoma typically differ from osteoid osteoma?
Show answerIt is larger (over 2 cm) and most often occurs in the vertebrae
Where do giant cell tumors of bone typically arise?
Show answerThe epiphysis of long bones, often near the knee
What is the classic x-ray appearance of a giant cell tumor of bone?
Show answerA soap bubble appearance
In what age group do giant cell tumors of bone most commonly occur?
Show answerYoung adults, roughly 20 to 40 years old
Where do enchondromas typically arise?
Show answerIn the medullary cavity of the small bones of the hands and feet
What is the characteristic x-ray finding in fibrous dysplasia?
Show answerA ground-glass appearance
What syndrome pairs fibrous dysplasia with precocious puberty and cafe-au-lait spots?
Show answerMcCune-Albright syndrome
What is the most common primary malignant bone tumor?
Show answerOsteosarcoma
Where does osteosarcoma most often arise?
Show answerThe metaphysis of long bones, especially around the knee (distal femur or proximal tibia)
What is the age distribution of osteosarcoma?
Show answerBimodal: 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?
Show answerCodman triangle
What radiating, spiculated periosteal pattern is seen in osteosarcoma?
Show answerA sunburst pattern
Name three risk factors for developing osteosarcoma.
Show answerPaget disease of bone, prior radiation exposure, and hereditary retinoblastoma (RB1 mutation)

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