EDITION 2 · Musculoskeletal practice
Make exercise fit the person
Choose your answer and name the finding that supports it before opening the explanation.
This week’s question
An adult with knee osteoarthritis has reduced their home exercise because a long session leaves too little time for work and family. They demonstrate the exercises correctly, want to continue and report no new concerning symptoms. Reassessment supports ongoing exercise, but you have not explored shorter formats. What is the best next adjustment to discuss?
- Retain the session duration and provide more education about exercise benefits.
- Replace home exercise with appointments until their daily schedule becomes easier.
- Agree on shorter feasible sessions and review the response to the revised plan.
- Increase exercise intensity immediately to preserve the original total workload.
See the answer and reasoning
Best answer: C
A sound treatment principle still needs a feasible plan for the person using it.
The deciding detail: Correct technique and willingness are present; available time is the limiting factor.
- Why this is not the best answer. They already want to continue; more education does not directly address session feasibility.
- Why this is not the best answer. This changes access and cost without first exploring a suitable home format.
- Best answer. Tailoring the format addresses the stated barrier while preserving an active approach.
- Why this is not the best answer. Intensity is not automatically interchangeable with duration and requires individual assessment.
STUDY TIP
Make the reasoning stick
Choose the finding that distinguishes the two most plausible options. Here, it is the specific barrier to completion.
References
NICE NG226 — Osteoarthritis, therapeutic exercise. Checked 9 October 2026. Clinical guidance supports tailored exercise; this is an original application scenario, not an official examination item.
Original, AI-assisted study material; no independent human clinical review. Sources support the principle, not official exam scoring or endorsement. Apply current local standards in practice.
Turn the reasoning into another practice session
Explain why the closest alternative is less suitable in this case. Then ask which changed fact might make it reasonable. A missed question identifies something to review; it does not predict your exam result.
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