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Phys Written Answersrheumatological

Phys Written Answers · rheumatological

Osteoarthritis — Written Clinical Reasoning

DCE-style written reasoning for Osteoarthritis.

1 min readVerification in progress

Target exams

FRACP DCEMRCP Part 2
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Study tools

Target exams

FRACP DCEMRCP Part 2
Prompt
DCE-style written reasoning for Osteoarthritis.

SAQ 1 — Integrated plan (12 marks)

Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]

Model Answer

1. Frame and red flags (3 marks) [1]

State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]

2. Discriminating assessment (3 marks) [2]

List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]

3. Treatment sequence (4 marks) [1]

Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2]

4. Follow-up and communication (2 marks) [2]

Disposition, safety-net advice, and who owns follow-up. [1] [2]

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References2ShowHide
  1. [1]Kolasinski SL, Neogi T, Hochberg MC et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee Arthritis care & research, 2020.PMID 31908149
  2. [2]Katz JN, Arant KR, Loeser RF Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review JAMA, 2021.PMID 33560326
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