OA Replacement Referral — SCE Rheumatology MCQ
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Correct answer: B — Refer after age and BMI meet local surgical eligibility thresholds
The best answer is “Refer after age and BMI meet local surgical eligibility thresholds”. NICE 2022: QoL impact and refractoriness to non-surgical management not radiographic severity (poor symptom correlation). No arbitrary thresholds. Adequate non-surgical trial required. Shared decision making. The competing options represent related diagnoses, tests or treatments, but they do not match the decisive phenotype, safety constraint or management point in this stem.
Reference: NICE NG226 osteoarthritis recommendations: https://www.nice.org.uk/guidance/ng226/chapter/Recommendations