Question

Patient with progressively increasing pain that worsens at night without relation to physical activity, commonly proximal femur, pain improved by NSAIDs:

a) Osteomyelitis
b) Osteoarthritis
c) Ewing sarcoma
d) Osteoid osteoma

Answer 1

The patient's symptoms indicate d)osteoid osteoma, a bone tumor causing pain that worsens at night and improves with NSAIDs, unlike osteoarthritis, osteomyelitis, or Ewing sarcoma.

Step-by-step explanation:

The patient with progressively increasing pain that worsens at night and does not relate to physical activity, commonly along the proximal femur, and shows improvement with NSAIDs, is likely suffering from osteoid osteoma. Osteoid osteoma is a bone tumor that characteristically causes severe pain, often at night, that responds well to non-steroidal anti-inflammatory drugs. This presents differently from osteoarthritis, which is characterized by pain that typically worsens after prolonged activity and improves with rest. Osteomyelitis is an infection of the bone which generally wouldn't show improvement with NSAIDs alone, and Ewing sarcoma is another type of bone tumor that tends to have systemic symptoms and doesn't typically respond to NSAIDs as well.

Therefore, the correct answer to the question would be d) Osteoid osteoma.