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Osteoarthritis — MCCQE Part 1 MCQ

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EasyJoint PainOsteoarthritisMCCQE Part 1

A 64-year-old woman has chronic knee pain worse with activity, brief morning stiffness under 15 minutes and crepitus. X-ray shows joint-space narrowing and osteophytes. Which of the following is the most appropriate initial management?

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

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Correct answer: E — Exercise therapy, weight management if relevant and topical/oral analgesia according to risk

Osteoarthritis causes mechanical pain with brief stiffness and is initially managed with exercise, strengthening, weight management and analgesia individualized to risk. Surgery is for severe refractory disease after conservative measures. Bed rest worsens function.

Reference: Canadian Rheumatology Association osteoarthritis resources; Choosing Wisely Canada