A 59-year-old man presents with progressive stiffness and aching in both knees, worse with activity and improving with rest. There is crepitus on move...

Question

A 59-year-old man presents with progressive stiffness and aching in both knees, worse with activity and improving with rest. There is crepitus on movement and bony enlargement but no significant warmth or effusion. Radiographs show joint space narrowing and osteophytes. What is the most appropriate initial management?

Accepted Answer

Education, exercise, weight loss, and paracetamol or topical NSAIDs

Answer

High-dose systemic corticosteroids

Answer

Long-term opioids

Answer

Immediate total knee replacement

Answer

Disease-modifying antirheumatic drugs

ca-mccqe1 MCQ (SBA): Osteoarthritis of the knee