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MCL sprain — MRCGP AKT MCQ

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HardKnee InjuriesMCL sprainMRCGP AKT

A 69-year-old with knee osteoarthritis has pain during stairs and reduced quadriceps strength. Radiographs show moderate changes. Which core treatment should be offered regardless of age or imaging severity?

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

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Correct answer: E — Use person-specific therapeutic exercise

The best answer is “Use person-specific therapeutic exercise”. NICE identifies tailored therapeutic exercise as core osteoarthritis treatment, with education and weight management where relevant. Pain may transiently increase when exercise begins, but consistent strengthening and aerobic activity improve function and quality of life. Imaging severity does not determine whether exercise is worthwhile; opioids and arthroscopy are not routine substitutes.

Reference: NICE NG226: Osteoarthritis: https://www.nice.org.uk/guidance/ng226/chapter/Recommendations