Deck 160: Low Back Pain

Question 1

A patient has an acute onset of lower back pain associated with lifting heavy objects at work. A physical examination reveals no loss of lower extremity function or neurological symptoms. What is the initial intervention for this patient?

A) Magnetic resonance imaging (MRI) to evaluate soft tissue involvement
B) Plain radiographs to evaluate the extent of the injury
C) Traction therapy to minimize complications
D) Treatment with a nonsteroidal anti-inflammatory drug (NSAID)

Answer 1

D

Question 2

A patient reports severe back pain located in the lumbar spine. To evaluate whether the patient has axial pain or radicular pain, which assessment is necessary?

A) Asking the patient to perform the Valsalva maneuver
B) Assessing reflexes and asking about tingling or numbness
C) Determining whether the pain is present with prolonged sitting
D) Noting whether pain is mitigated with frequent position shifts

Answer 2

A

Question 3

A patient has recurrent lumbar pain which is sometimes severe. The patient reports that prescription of nonsteroidal anti-inflammatory drugs (NSAIDs) is no longer effective for pain relief. What will the provider recommend?

A) Adjunctive treatment with physical therapy
B) Beginning treatment with opioid analgesics
C) Complementary and alternative therapies
D) Referral to an interventional spine physician

Answer 3

D