NBME Form 14 Step 2 Practice Test

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What is the recommended management for meniscus tears without severe symptoms?

Surgical intervention immediately

Conservative management with rest and physical therapy

For meniscus tears that are not associated with severe symptoms, the recommended approach is conservative management, which includes rest and physical therapy. This strategy is based on the understanding that many meniscus tears, especially those without significant locking or debilitating pain, can heal with non-invasive treatments.

Conservative management typically involves activity modification to avoid aggravating the injury, as well as physical therapy to strengthen the surrounding muscles and improve function. This approach helps restore range of motion and stability to the knee joint without the risks associated with surgical intervention. Moreover, by allowing for the body’s natural healing processes and focusing on rehabilitation, many patients experience improvement in their symptoms and functionality over time.

In cases where surgery is not immediately warranted, conservative treatments are often effective and can prevent unnecessary risks and complications associated with surgical procedures. This is particularly relevant for patients who may not experience clear-cut indications for surgery, such as significant mechanical symptoms or persistent pain that does not improve with basic interventions.

Injections of corticosteroids

Extended bed rest with no activity

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