Practice question for #FamilyMedicine board exam: A 35-year-old - TopicsExpress

Practice question for #FamilyMedicine board exam: A 35-year-old man sustained severe low back pain while lifting furniture several hours earlier. He notes no radiation to the pain and no history of prior back injury. He also reports progressive weakness in both lower extremities. On physical exam he appears in pain. He has minimal plantar flexion and dorsiflexion of his feet and hip. Flexion is mildly diminished. He has absent Achilles and patellar DTRs. The most consistent finding associated with this patients most likely diagnosis is? A. Increased rectal tone B. Low back pain C. Sensory dysfunction in a saddle distribution (saddle anesthesia) D. Bilateral lower extremity hyperreflexia E. Urinary retention

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