American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the most appropriate management for hand osteoarthritis to improve activity performance?

1. Intra-articular glucocorticoids

2. Acetaminophen

3. Home-based hand exercise program

4. Topical NSAIDs

The correct answer is: Home-based hand exercise program

The most appropriate management for hand osteoarthritis to improve activity performance is a home-based hand exercise program. Engaging in a structured exercise program is highly beneficial for individuals with osteoarthritis. Exercise can enhance strength, flexibility, and function of the hands, which helps improve overall performance in daily activities. Research has demonstrated that exercise can reduce pain and stiffness, increase range of motion, and improve grip strength in those with hand osteoarthritis. These improvements not only aid in managing symptoms but also encourage active participation in everyday tasks. While other options, like intra-articular glucocorticoids, acetaminophen, and topical NSAIDs, can address pain management, they do not specifically target the functional improvement that is derived from an exercise program. Intra-articular glucocorticoids may provide temporary relief of inflammation and pain but do not contribute to long-term functional gains. Acetaminophen can help with pain but does not improve function or performance. Topical NSAIDs may provide localized pain relief but likewise do not enhance overall activity performance. In summary, a home-based hand exercise program is tailored to improve both the physical capabilities and quality of life for individuals with hand osteoarthritis, making it the optimal choice for enhancing activity performance.