ABFM Sports Medicine Practice Questions - American Board Of Family Medicine Sports Medicine Certificate Of Added Qualifications Exam

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A 60-year-old patient with Kellgren-Lawrence grade 3 knee osteoarthritis presents for office-based treatment. Regarding intra-articular corticosteroid injections for knee OA, which of the following is most accurate?

No limit exists on the frequency of injections — monthly injections are encouraged Injections provide short-term pain relief (typically 4-8 weeks); total exposure is generally limited to ≤3-4 per year due to cartilage toxicity concerns Corticosteroid injections are curative for knee OA and delay need for arthroplasty There is strong evidence that hyaluronic acid outperforms corticosteroid at 12 months

Correct Answer:

Injections provide short-term pain relief (typically 4-8 weeks); total exposure is generally limited to ≤3-4 per year due to cartilage toxicity concerns

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