Orthopaedic oncology: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Orthopaedic oncology

Sample item

A teenager has persistent night pain, progressive swelling near the knee, and an aggressive metaphyseal lesion on radiograph. What is the appropriate next step?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Urgent referral to a specialist bone-tumor service before biopsy planning

Suspected primary bone sarcoma requires urgent specialist referral, and biopsy should be planned by the tumor team to avoid contaminating surgical planes. Night pain and an aggressive lesion are red flags.

Option by option

  • A. Inject intra-articular steroid

    Steroid injection does not treat an aggressive bone lesion.

  • B. Urgent referral to a specialist bone-tumor service before biopsy planning (correct)

    Correct. Specialist multidisciplinary planning is essential before biopsy or definitive treatment.

  • C. Begin unrestricted sports

    Sports may risk pathologic fracture.

  • D. Reassure and repeat imaging in a year

    Delay can allow progression and compromise limb-sparing options.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, Urgent referral to a specialist bone-tumor service before biopsy planning. Suspected primary bone sarcoma requires urgent specialist referral, and biopsy should be planned by the tumor team to avoid contaminating surgical planes.

Why is "Inject intra-articular steroid" not the answer?

Steroid injection does not treat an aggressive bone lesion.

Why is "Begin unrestricted sports" not the answer?

Sports may risk pathologic fracture.

Why is "Reassure and repeat imaging in a year" not the answer?

Delay can allow progression and compromise limb-sparing options.

What concept does this question test?

It tests Orthopaedic oncology in Orthopaedics. Night pain and an aggressive lesion are red flags.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Orthopaedic oncology?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.