Osteoarthritis Viva

Long Case Viva Defence

Opening statement

"This patient presents with a problem best framed as Osteoarthritis. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]

Examiner questions

Q1: "What makes this urgent?" [1]

"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]

Q2: "What is your first investigation package?" [2]

"I order tests that change management now, not a scattergun panel." [1] [2]

Q3: "Walk me through treatment." [1]

"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]

Q4: "What is the classic trap?" [2]

"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]

Short case

Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]

References

[1]Yang T, Zhang Y, Wang J, Luo W, et al. Keypoint detection and functional evaluation of human lower limbs based on YOLOv8 and HRNet Sci Rep, 2026.PMID 42469374
[2]Dong H, Zhang X, Luo Y, Jin J, et al. Mechanisms and research progress of statins in osteoarthritis Int Immunopharmacol, 2026.PMID 42468167
[3]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
[4]Liu L, Santapur P, Checkley T, Suarez A, et al. Dynamic Versus Stable Fixation of Distal Tibiofibular Joint Injuries: A Meta-Analysis Comparing Functional Outcomes Cureus, 2026.PMID 42445633
[5]Hattori T, Matsubara T Pain sensitization as a potentially modifiable factor in people with knee osteoarthritis: insights from behavioral graded activity Front Pain Res (Lausanne), 2026.PMID 42440582
[6]Trulsson AMC, Risør T, Reventlow S, Skou ST, et al. General practitioners' perceptions and experiences of knee osteoarthritis management: a qualitative study of barriers and facilitators to delivering guideline-recommended treatments Scand J Prim Health Care, 2026.PMID 42400934
[7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
[8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922

Long Case Viva Defence

Opening statement

Examiner questions

Q1: "What makes this urgent?" [1]

"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]

Q2: "What is your first investigation package?" [2]

"I order tests that change management now, not a scattergun panel." [1] [2]

Q3: "Walk me through treatment." [1]

"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]

Q4: "What is the classic trap?" [2]

"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]

Short case

Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]

References

[1]Yang T, Zhang Y, Wang J, Luo W, et al. Keypoint detection and functional evaluation of human lower limbs based on YOLOv8 and HRNet Sci Rep, 2026.PMID 42469374
[2]Dong H, Zhang X, Luo Y, Jin J, et al. Mechanisms and research progress of statins in osteoarthritis Int Immunopharmacol, 2026.PMID 42468167
[3]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
[4]Liu L, Santapur P, Checkley T, Suarez A, et al. Dynamic Versus Stable Fixation of Distal Tibiofibular Joint Injuries: A Meta-Analysis Comparing Functional Outcomes Cureus, 2026.PMID 42445633
[5]Hattori T, Matsubara T Pain sensitization as a potentially modifiable factor in people with knee osteoarthritis: insights from behavioral graded activity Front Pain Res (Lausanne), 2026.PMID 42440582
[6]Trulsson AMC, Risør T, Reventlow S, Skou ST, et al. General practitioners' perceptions and experiences of knee osteoarthritis management: a qualitative study of barriers and facilitators to delivering guideline-recommended treatments Scand J Prim Health Care, 2026.PMID 42400934
[7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
[8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922

Osteoarthritis — Viva Defence

Osteoarthritis Viva

Long Case Viva Defence

Opening statement

Examiner questions

Short case

References

Osteoarthritis — Viva Defence

Osteoarthritis Viva

Long Case Viva Defence

Opening statement

Examiner questions

Short case

References