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Orthopaedics · Hip
Sample itemWhich investigation is most useful to confirm suspected septic arthritis of the hip?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Urgent joint aspiration for microscopy and culture
Joint aspiration provides synovial fluid for cell count, Gram stain, culture, and crystal analysis, guiding urgent management of suspected septic arthritis.
Option by option
A. Plain radiograph alone
Radiographs may be normal early and do not identify organisms.
B. Urgent joint aspiration for microscopy and culture (correct)
Correct: synovial sampling identifies infection and guides therapy.
C. Nerve conduction study
Nerve studies do not test a joint infection.
D. Serum calcium only
Calcium alone cannot diagnose septic arthritis.
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.