Pathophysiology of Osteosarcoma
Osteosarcoma arises from primitive bone-forming cells, known as osteoblasts, which undergo malignant transformation. The exact cause of this transformation is not fully understood. However, it is believed to involve genetic mutations that disrupt normal cell growth and differentiation. These mutations result in uncontrolled proliferation of osteoblasts, leading to the formation of a tumor.
The tumor usually starts within the medullary cavity of the bone and gradually extends into the surrounding tissues, including the cortex, periosteum, and soft tissues. Osteosarcoma has a predilection for the metaphyseal region of long bones, where rapid bone growth occurs during adolescence.
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Questions on Pathophysiology of Osteosarcoma
Correct Answer is A
Explanation
Individuals with Paget's disease have a decreased risk of developing Osteosarcoma.
Rationale: This statement is not accurate.
Paget's disease of the bone is actually associated with an increased risk of Osteosarcoma.
Paget's disease involves abnormal bone remodeling, which can create an environment conducive to the development of Osteosarcoma, although it is still a relatively rare complication.
Correct Answer is B
Explanation
The tumor primarily extends into the muscle tissues surrounding the bone.
Rationale: This statement is not accurate.
Osteosarcoma primarily affects the bone itself, with the tumor originating within the bone tissue.
While it can extend into nearby soft tissues, such as muscles, it does not primarily start in muscle tissues.
Correct Answer is B
Explanation
Physical therapy.
Rationale: Physical therapy may be used as part of the comprehensive care plan for Osteosarcoma patients, especially after surgery or during the recovery phase.
However, it is not a primary treatment modality for the disease itself.
Correct Answer is B
Explanation
Consume a diet rich in saturated fats to decrease the risk of Osteosarcoma.
Rationale: This statement is not accurate.
A diet rich in saturated fats is not associated with a decreased risk of O .
Questions
Correct Answer is B
Explanation
"My joint pain seems to worsen at night." While joint pain can be a symptom of Osteosarcoma, it alone is not a characteristic presentation.
The key characteristic of Osteosarcoma is the development of a palpable mass, often accompanied by localized pain and swelling.
The mention of worsening pain at night is not specific enough to differentiate Osteosarcoma from other conditions.
Correct Answer is A
Explanation
"Performing amputation as the primary treatment." While amputation may be necessary in some cases of Osteosarcoma, the primary goal of surgical treatment is to preserve the affected limb whenever possible.
Amputation is considered when limb preservation is not feasible or when the tumor is very large and invasive.
Correct Answer is ["A","C","D"]
Explanation
"Perform a neurological examination." A neurological examination is not a standard assessment for Osteosarcoma.
This cancer primarily involves the bones and surrounding tissues, and neurological symptoms are not typically associated with it.
Correct Answer is B
Explanation
"To administer radiation therapy." Chemotherapy is not the primary treatment for administering radiation therapy in Osteosarcoma cases.
Radiation therapy is typically considered when there is residual disease after surgery or in cases where surgery is not possible.
"Targeting residual tumor cells with radiation therapy." While radiation therapy may be used postoperatively to target residual tumor cells, it is not the primary goal of surgical treatment.
The primary goal of surgery in Osteosarcoma is to remove the tumor and preserve limb function.
Questions
Collaborating with physical therapists for rehabilitation is a valuable part of the patient's overall care plan, but it is not the immediate priority when the patient is experiencing significant pain.
Rehabilitation and physical therapy can be considered once the pain is under control and the patien
"Chemotherapy is used to manage pain" is not the main purpose of chemotherapy in Osteosarcoma.
Pain management is typically achieved through analgesics and other pain-relieving measures.
Chemotherapy may indirectly help with pain by shrinking the tumor and reducing pressure on surrounding tissues, b
Development of autoimmune disorders is not a known complication of Osteosarcoma.
Osteosarcoma primarily involves the growth of malignant bone tissue and is not typically associated with autoimmune-related issues.
No explanation
<p>Evaluating the patient's cognitive function.</p>
<p>Rationale: Evaluating the patient's cognitive function is generally not directly relevant to assessing Osteosarcoma.</p>
<p>It may be important for other conditions or as part of a comprehensive patient assessment but is not specif
<p>Collaborating with occupational therapists for rehabilitation is a valuable nursing intervention for patients with Osteosarcoma.</p>
<p>Occupational therapy can help patients regain functional independence and improve their quality of life after surgery or treatment.</p>
<p>It focuses on ac
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