Q.1
The introduction of a new exercise programme for Marie should be… *

The correct answer is gradual. Marie was prescribed an exercise programme, to be implemented gradually, and advised about patellar taping or use of a knee sleeve for additional support.

Q.2
Marie has significant patella-femoral disease. Which of the following exercises is unsuitable for Marie? *

The correct answer is squatting. Due to her patella-femoral disease, Marie was counselled to avoid activities that load the patellofemoral joint, such as squatting and ascending and descending stairs.

Q.3
Marie suffers from activity-limiting pain in both knees and was referred to a specialist because of increasing pain. Should pain reduction therefore be Marie’s only goal? *

The correct answer is no. Having pain reduction as a solitary goal puts patients at risk for frustration, depression, and decreased adherence to treatment14. HCPs should help patients recognise that while their pain may or may not improve, their level of functioning and management of their condition will.

Q.4
Marie’s doctor uses a goal-setting approach to help control her OA pain and increase her ability to function. Which of the following acronyms is commonly used when setting goals for patients with osteoarthritis? *

The correct answer is SMART. Given that treatment for OA, at least initially, involves patient self-care strategies such as regular exercise and weight reduction[12], setting specific, measurable, achievable, relevant and timebound (SMART) goals for patients enables HCPs and physicians to work together to reduce the symptoms of osteoarthritis[13].

Q.5
What was the main purpose of including muscle strength training for quadriceps and hamstrings and proprioceptive retraining in Marie’s exercise programme? *

The correct answer is to increase range of motion and flexibility, especially in the hamstrings. The importance of stretching all major muscle groups that cross the joint to maintain range of motion was stressed. Tight hamstrings can exacerbate knee pain, and Marie showed evidence of this.

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