Multiple Myeloma Quiz
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Questions and Answers

What is the most common primary bone tumor?

  • Metastasis
  • Multiple myeloma (correct)
  • Chondrosarcoma
  • Plasmacytoma

What percentage of multiple myeloma patients are older than 40 years of age?

  • 90%
  • 100%
  • 80%
  • 95% (correct)

What is the characteristic radiographic feature of plasmacytoma?

  • Calcified matrix
  • Diffuse osteopenia
  • Sclerotic margins
  • Lytic expansile geographic lesions with a narrow zone of transition (correct)

What is the distribution of plasmacytoma occurrence in the skeleton?

<p>Distribution follows the red (hematopoietic) marrow in the skeleton (D)</p> Signup and view all the answers

What is the differential diagnosis of plasmacytoma based on?

<p>Radiographic appearance (C)</p> Signup and view all the answers

What is the characteristic size of lytic lesions in multiple myeloma?

<p>Generally smaller than 1 cm (B)</p> Signup and view all the answers

What percentage of multiple myeloma cases are associated with symptomatic amyloidosis?

<p>10-15% (C)</p> Signup and view all the answers

What is the term for the syndrome associated with sclerotic patterns in multiple myeloma?

<p>POEMS syndrome (D)</p> Signup and view all the answers

What is the primary role of imaging in multiple myeloma detection and staging?

<p>To assess the overall tumor burden (C)</p> Signup and view all the answers

What is the most accurate test for assessing disease response and posttreatment surveillance in multiple myeloma?

<p>FDG PET-CT (C)</p> Signup and view all the answers

What is the significance of a variegated pattern on MRI in multiple myeloma?

<p>It suggests diffuse marrow infiltration (A)</p> Signup and view all the answers

What is the primary difference between multiple myeloma and metastatic disease?

<p>Pattern of bone marrow infiltration (D)</p> Signup and view all the answers

What is the prognosis for patients with multiple myeloma who have a high tumor burden and elevated serum tumor markers?

<p>Poor prognosis (C)</p> Signup and view all the answers

What is the primary treatment for patients with multiple myeloma who have spinal cord compression?

<p>Radiation therapy (C)</p> Signup and view all the answers

What is the significance of unexplained generalized osteopenia in a middle-aged patient?

<p>It may suggest multiple myeloma (B)</p> Signup and view all the answers

What is the current 5-year survival rate for patients with multiple myeloma in the US?

<p>&gt;50% (D)</p> Signup and view all the answers

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