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Osteoarthritis of the knee — UKMLA MCQ

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MediumMusculoskeletal Medicine & RheumatologyOsteoarthritis of the kneeUKMLAMRCGP AKTMRCEM SBAMRCP Part 1

A 70-year-old with osteoarthritis of the knee has severe pain affecting daily activities despite NSAIDs and physiotherapy. What is the next recommended step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Knee replacement surgery referral

Severe knee OA with significant functional limitations often warrants surgical referral for possible joint replacement. In practice, apply this recommendation to the complete clinical context, including contraindications, comorbidity, interactions, patient preference and the current local pathway. The alternative options require findings or treatment circumstances that are not present in the stem. Review response and safety-net for deterioration, treatment failure or unexpected adverse effects. Reassess the diagnosis if the expected response does not occur.

Reference: NICE Osteoarthritis Care and Management: https://bnf.nice.org.uk/