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Bursitis (Pre-Patellar) (P)
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1. What is the most common cause of pre-patellar bursitis?
*
Running long distances
Trauma or prolonged kneeling
High protein diet
Obesity
2. Which profession is classically associated with an increased risk of pre-patellar bursitis?
*
Teachers
Cleaners
Clergy
Gardeners
3. What is the typical presentation of pre-patellar bursitis?
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Pain in the back of the knee
Swelling over the kneecap
Swelling in the popliteal fossa
Locking of the knee joint
4. What is 'housemaid’s knee'?
*
Osteoarthritis of the knee
Pre-patellar bursitis
Meniscal tear
Septic arthritis
5. Which of the following is most suggestive of septic bursitis?
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Warm, erythematous swelling with fever
Pain only on exertion
Swelling with no redness
Asymptomatic swelling
6. What is the first-line investigation for suspected septic pre-patellar bursitis?
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MRI scan
Bursa aspiration and culture
Knee X-ray
Ultrasound Doppler
7. Which organism is most commonly isolated in septic pre-patellar bursitis?
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Escherichia coli
Pseudomonas aeruginosa
Staphylococcus aureus
Candida albicans
8. How is non-infective pre-patellar bursitis usually managed?
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Immediate antibiotics
Aspiration and corticosteroid injection
Surgical debridement
Knee replacement
9. Which of the following is an indication for referral in pre-patellar bursitis?
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Recurrent or persistent bursitis despite conservative management
No signs of infection
Mild swelling after kneeling
Normal examination
10. Which of the following is NOT a recommended conservative treatment for mild pre-patellar bursitis?
*
Rest and ice
Compression and elevation
Knee padding
Arthroscopy
11. Which diagnostic test confirms infection in pre-patellar bursitis?
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Blood pressure monitoring
Serum uric acid levels
CRP
Bursal fluid analysis
12. In pre-patellar bursitis, which symptom would suggest the need for antibiotic therapy?
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Purulent discharge from bursa
History of kneeling
Swelling and heat
Intermittent pain only
13. What is the preferred antibiotic for empiric treatment of septic pre-patellar bursitis?
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Co-amoxiclav
Flucloxacillin
Nitrofurantoin
Clindamycin
14. Which feature helps differentiate pre-patellar bursitis from intra-articular pathology?
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Pain on joint movement
Diffuse joint swelling •
Well-localised anterior knee swelling
Crepitus
15. Which patient factor increases the risk of developing septic bursitis?
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Regular exercise
Well-controlled diabetes
Immunosuppression
Vegetarian diet
16. How long should antibiotic treatment for septic bursitis typically continue?
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1 day
3 days
5–7 days
12 weeks
17. When should joint imaging be considered in pre-patellar bursitis?
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Always
When mild swelling is present
If infection is confirmed
Only if trauma is suspected
18. What complication can occur with repeated corticosteroid injections into a bursa?
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Improved mobility
Permanent cure
Skin atrophy and tendon rupture
Increased muscle mass
19. What is the long-term prognosis of pre-patellar bursitis with appropriate treatment?
*
Chronic disability
Progression to cancer
Development of osteoarthritis
Complete recovery in most cases
20. Which of the following is a preventive measure for people prone to pre-patellar bursitis?
*
Use of knee pads during kneeling activities
Weight loss
Vitamin C supplements
Daily running