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Orthopaedics · Pediatric orthopaedics
Sample itemA child with a limp and hip pain has fever and refuses to bear weight. What diagnosis must be excluded urgently?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Septic arthritis of the hip
Fever, inability to bear weight, and hip pain can indicate septic arthritis, an orthopedic emergency because delayed treatment damages the joint.
Option by option
A. Simple muscle soreness
Simple soreness does not usually cause fever or refusal to bear weight.
B. Septic arthritis of the hip (correct)
Correct: this pattern warrants urgent exclusion of hip sepsis.
C. Physiological bow legs
Physiological bowing is usually painless and bilateral.
D. Osgood-Schlatter disease
Osgood-Schlatter disease causes anterior knee pain, not septic hip signs.
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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