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Orthopaedics · Septic arthritis
Sample itemWhat is the most appropriate next step for a hot, swollen joint with fever and suspected septic arthritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Urgent joint aspiration and specialist assessment
Septic arthritis can rapidly damage cartilage and requires urgent aspiration for analysis and prompt coordinated treatment.
Option by option
A. Reassure and review in one month
Delay risks joint destruction and systemic infection.
B. Start physiotherapy only
Physiotherapy does not treat an infected joint.
C. Apply a splint without further evaluation
Immobilization alone leaves the infection untreated.
D. Urgent joint aspiration and specialist assessment (correct)
Correct: aspiration supports diagnosis and urgent treatment.
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.
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