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 Best of Five 241

 

   

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BOF: 241

A 36-year-old female has been on long-term steroids for management of Crohn’s disease. She complains of pain in her right groin radiating down the anteromedial thigh. She has an antalgic gait and on examination of the hip there is decreased range of movement especially flexion, abduction and internal rotation.

In this condition which of the following statements is true?

a)      An x-ray of the hip will show early changes

b)      CT scan is useful to show early changes

c)      Bone scanning is very sensitive and specific and should be used to detect early changes

d)      MRI is specific but not sensitive and hence not useful for early disease

e)      CT scan is useful to rule out advanced disease if duration is not clear

 

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