Archive Of Standardized Exam Questions: Osteonecrosis (Avascular Necrosis)


This page is dedicated to organizing various examples of standardized exam questions whose answer is osteonecrosis (avascular necrosis). While this may seem a odd practice, it is useful to see multiple examples of how osteonecrosis (avascular necrosis) will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a traditional question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.


Question # 1

45-year-old woman comes to the office because she has pain in her left hip for the past month. The pain is worse with weight-bearing. She denies any morning stiffness, warmth, redness, or pain and other joints. The patient’s past medical history is notable for a diagnosis of stomach flu this about eight years ago. Her current medications include prednisone, hydroxychloroquine, and lansoprazole. Patient does not use tobacco products, alcohol, or any illicit drugs. She is afebrile, vital signs are within normal limits. Physical exam there is no tenderness over any of the joints, and range of motion of the left it is normal. Plain film radiographs of the hip are normal. What is the likely diagnosis of this patient?

Explanation: hip pain + lupus + steroid usage = osteonecrosis (avascular necrosis)


Page Updated: 02.09.2017