Orthopaedics & Trauma

20 learning units • 100 chapter sections • 200 explained questions. Assess musculoskeletal disease and injury, recognise limb-threatening emergencies and plan treatment, rehabilitation and prevention.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 17 / 20

Bone Tumours, Soft-Tissue Masses & Pathological Fractures

Recognise concerning lesions and protect future treatment through appropriate referral.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. Which soft-tissue finding warrants further assessment? A. A stable resolved bruiseB. A healed small abrasionC. An unexplained enlarging lumpD. Normal symmetric muscle bulk

Question 02. Does night pain alone prove malignancy? A. YesB. NoC. Only in childrenD. Only in a long bone

Question 03. Should persistent bone pain be dismissed solely because minor trauma preceded it? A. YesB. NoC. Only if the patient is youngD. Only after one visit

Question 04. What is appropriate for suspicious bone imaging? A. Casual reassurance from one featureB. Immediate unplanned excisionC. No further review if analgesia helpsD. Specialist tumour-pathway assessment

Question 05. Who should coordinate biopsy of a suspected sarcoma? A. The specialist team responsible for definitive treatmentB. Any available clinician without planningC. The patient independentlyD. A routine dressing service

Question 06. Why can an unplanned biopsy be harmful? A. It always cures the tumourB. It eliminates the need for imagingC. Its track may compromise definitive surgeryD. It proves a benign diagnosis

Question 07. Is every pathological fracture due to metastatic cancer? A. YesB. NoC. Only after age fiftyD. Only if painful

Question 08. What clue supports investigation of a pathological fracture? A. A normal unrelated jointB. The side of hand dominance aloneC. A healed skin scarD. Pain preceding injury and abnormal underlying bone

Question 09. What should precede routine fixation through a suspicious lesion? A. Automatic implantation without reviewB. No investigationC. Only a stronger castD. A coordinated diagnostic and stabilisation plan

Question 10. What is essential after ordering tumour investigations? A. Named results review and confirmed referral follow-upB. Assuming silence means benignC. Discharge without contact adviceD. No discussion of uncertainty

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG12 — Suspected cancer referral

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.