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Stress fracture — ABFM Board MCQ

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ModerateMusculoskeletal/Sports medicineStress fractureABFM Board

A 22-year-old woman training for a marathon has progressive focal tibial pain that worsens with running and persists after exercise. Radiographs are normal. Which of the following is the most appropriate next step?

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

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Correct answer: D — MRI of the tibia

Stress fractures may have normal initial radiographs; MRI is preferred when suspicion remains high.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html