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42. A 3-year-old child presents with limping and hip pain without a history of trauma. The most
               likely diagnosis is:
               A. Septic arthritis
               B. Legg-Calvé-Perthes disease
               C. Osgood Schlatter’s disease
               D. Osteosarcoma

               43. Which of the following is considered an acute orthopaedic condition?
               A. Osteoarthritis
               B. Tennis elbow
               C. Rotator cuff tear due to trauma
               D. Rheumatoid arthritis


               44. A patient with chronic knee pain reports difficulty climbing stairs and morning stiffness that
               lasts less than 30 minutes. The most likely diagnosis is:
               A. Osteoarthritis
               B. Gout
               C. Septic arthritis
               D. Patellar dislocation


               45. A newborn is diagnosed with developmental dysplasia of the hip (DDH). Which of the
               following is the preferred initial treatment?
               A. Hip spica casting
               B. Pavlik harness
               C. Total hip replacement
               D. Rehab only


               46. Which of the following injuries is most commonly associated with a fall onto an outstretched
               hand (FOOSH)?
               A. Colles’ fracture
               B. Lisfranc injury
               C. Tibial plateau fracture
               D. Achilles tendon rupture


               47. A patient presents with chronic Achilles tendinitis. Which of the following treatment
               strategies is recommended?
               A. Immediate surgical repair
               B. Corticosteroid injection into the tendon
               C. Eccentric strengthening exercises and activity modification
               D. Casting and non-weight-bearing for six weeks
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