American Board of Internal Medicine (ABIM) Certification Practice Exam

What are the primary treatment options for acromioclavicular joint degeneration?

1. Glucocorticoid injections and surgery

2. NSAIDs and activity modification

3. Heat therapy and physical therapy

4. Opioids and corticosteroids

The correct answer is: NSAIDs and activity modification

The primary treatment options for acromioclavicular joint degeneration focus on managing symptoms and improving function while limiting more invasive measures initially. Using non-steroidal anti-inflammatory drugs (NSAIDs) helps to alleviate pain and reduce inflammation associated with joint degeneration. Activity modification is essential in this context, as adjusting movements and activities can prevent exacerbation of symptoms and allow for recovery. This conservative approach typically addresses mild to moderate cases effectively. Other treatment options such as glucocorticoid injections and surgery are generally reserved for more severe cases or when conservative management fails to provide adequate relief. Heat therapy and physical therapy can certainly play a role in rehabilitation and overall treatment strategies but are often part of a broader treatment plan rather than primary standalone options. The use of opioids and corticosteroids may carry risks, especially with long-term use, and is not considered a primary treatment for this condition.