Bone Pain Quiz

Created by Chris Galbraith and Connor Bohlken
Edited by Dr. Paris Ingledew

Osteolytic lesions are most commonly associated with:

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Myeloma

Prostate Cancer

Breast Cancer

Lung Cancer

Renal Cancer

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You are seeing a new patient, a rather distinguished fellow named Mr. Bach Hertz. He is a 78 year old musician, with metastatic prostate cancer to his vertebra. His bone pain is being treated with radiation therapy and zoledronic acid. Today, the nature of his visit is a new scary looking mole he found on his back. You take a quick peak, and are confident it is nothing but a lonely seborrheic keratosis. Reassured, your patient goes to leave, but just as he is leaving says “Hey Doc, I haven’t been to a dentist in a while but feel like i’ve had some tooth or jaw pain recently”. An alarm bell go off. Why?

1 point

Giant Cell Arteritis

Ludwig's Angina

Trigeminal Neuralgia

Osteonecrosis of the Jaw

Your Car Just Got Broken Into

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You are a nursing student on a placement with a Nurse Practitioner in the Cancer Agency. You are doing your shift in the pain clinic. You have noticed that the cause of many of the patient’s pain seems to be related to bone metastasis. On your lunch break you decide to read up a little on bone metastasis. Which of the following is NOT a complication of bone metastasis?

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Bone Pain

Hypercalcemia

Prutitus

Pathological Fracture

Spinal Cord Compression

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You are a third year medical student doing a research internship at the cancer agency. You are working with Dr. Blastem, a Radiation Oncologist who treats bone metastasis. Dr. Blastem is known for his laser-like focus, humor, and his love of Star Wars. Dr. Blastem enjoys teaching, and one day on a lunch break he asks, which of the following patients with bone metastasis would be the most likely to benefit from Radiation treatment?

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Mrs. Skywalker, who is known with diffuse bone metastasis.

Mr. Solo, who has a single bone metastasis on his 5th rib.

Mrs. Chew-bacca, who has a bone metastasis in his spine that has been treated before with high dose radiation and was found to not respond to the treatment.

Ms. R2D2, who does not have a confirmed bone metastasis, but rather nonspecific pain.

Mr. Maul, who has suspicious bony spurs growing out of his forehead.

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