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Orthopaedics · Bone infection
Sample itemWhich investigation is most useful for identifying the causative organism in suspected osteomyelitis when feasible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Bone or deep tissue culture
Deep bone or tissue sampling for culture can identify the pathogen and guide targeted antimicrobial therapy in osteomyelitis.
Option by option
A. Bone or deep tissue culture (correct)
Correct: deep culture provides microbiological diagnosis.
B. Peak flow measurement
Peak flow assesses airway obstruction, not bone infection.
C. Serum sodium level
Serum sodium is not a diagnostic culture test.
D. Plain radiograph alone
Radiographs show structure but not reliably the organism.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.