#february2020mccqe1
A 78-year-old obese woman is evaluated because right hip pain that worsens when she goes up and down stairs. She says that she cannot sleep on her right side because of pain over the hip and can localize the pain by pointing the lateral aspect of her hip. She has been active and in good health.
On physical examination, moving the hip through rotation, flexion, and extension does not elicit pain, but abduction reproduces the pain minimally. There is full, unrestricted range of motion. There is tenderness to pressure over the lateral aspect of the right hip. Which of the following is the most likely diagnosis?
(A) Avascular necrosis of the femoral head
(B) Osteoarthritis
(C) Rheumatoid arthritis
(D) Trochanteric bursitis
A 78-year-old obese woman is evaluated because right hip pain that worsens when she goes up and down stairs. She says that she cannot sleep on her right side because of pain over the hip and can localize the pain by pointing the lateral aspect of her hip. She has been active and in good health.
On physical examination, moving the hip through rotation, flexion, and extension does not elicit pain, but abduction reproduces the pain minimally. There is full, unrestricted range of motion. There is tenderness to pressure over the lateral aspect of the right hip. Which of the following is the most likely diagnosis?
(A) Avascular necrosis of the femoral head
(B) Osteoarthritis
(C) Rheumatoid arthritis
(D) Trochanteric bursitis
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