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Orthopaedics · Osteoarthritis
Sample itemWhich feature is most characteristic of osteoarthritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Pain worsened by use with brief morning stiffness
Osteoarthritis commonly causes activity-related pain, crepitus, and brief stiffness after rest, unlike persistent inflammatory stiffness.
Option by option
A. Fever and rigors
Fever and rigors suggest infection or systemic disease.
B. Symmetric small-joint swelling in every case
Distribution varies and swelling is not universal.
C. Prolonged morning stiffness over two hours
Long inflammatory stiffness suggests another arthropathy.
D. Pain worsened by use with brief morning stiffness (correct)
Correct: mechanical pain and short stiffness are typical.
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.