Bone tumours: Enneking staging: 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 · Bone tumours: Enneking staging

Sample item

In the Enneking staging of musculoskeletal tumours, which description corresponds to stage IIB?

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

The answer and the reasoning

C. High-grade lesion extending beyond the compartment without metastasis

Enneking stages malignant tumours by grade (G), local extent (T) and metastasis (M): stage IA is low-grade intracompartmental, IB is low-grade extracompartmental, IIA is high-grade intracompartmental, IIB is high-grade extracompartmental and III denotes metastasis.

Option by option

  • A. Any lesion with distant metastases

    This is stage III.

  • B. Low-grade intracompartmental lesion

    This is stage IA.

  • C. High-grade lesion extending beyond the compartment without metastasis (correct)

    Correct. IIB is high-grade and extracompartmental.

  • D. High-grade intracompartmental lesion

    This is stage IIA.

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.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is C, High-grade lesion extending beyond the compartment without metastasis. Enneking stages malignant tumours by grade (G), local extent (T) and metastasis (M): stage IA is low-grade intracompartmental, IB is low-grade extracompartmental, IIA is high-grade intracompartmental, IIB is high-grade extracompartmental and III denotes metastasis.

Why is "Any lesion with distant metastases" not the answer?

This is stage III.

Why is "Low-grade intracompartmental lesion" not the answer?

This is stage IA.

Why is "High-grade intracompartmental lesion" not the answer?

This is stage IIA.

What concept does this question test?

It tests Bone tumours: Enneking staging in Orthopaedics. The correct option holds because: Correct. IIB is high-grade and extracompartmental.

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 Bone tumours: Enneking staging?

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.