7 board-style questions on knee pain in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 62-year-old overweight woman (BMI 32 kg/m2) presents with bilateral knee pain that has worsened over the past year. The pain is worse with activity and improves with rest. She has morning stiffness lasting about 15 minutes. X-rays show joint space narrowing and osteophytes in both knees. She has no history of inflammatory arthritis. What is the most appropriate initial treatment approach?
A 28-year-old man presents to the emergency department after twisting his right knee during a basketball game 2 hours ago. He felt a pop and developed immediate swelling. He was able to bear weight and limp off the court. On examination, he has a moderate effusion and tenderness along the medial joint line. He can flex his knee to 90 degrees, though with pain. He is able to bear weight for 4 steps in the ED. His fibular head is nontender and he has no isolated patellar tenderness. According to the Ottawa Knee Rules, does he need an X-ray?
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