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A 33-Year-Old Man Arrives at the Office Complaining of Back

Question 76

Multiple Choice

A 33-year-old man arrives at the office complaining of back discomfort. He has a 2-week history of mild lumbar discomfort that began after a hard day of yard labor. There is no temperature, muscle weakness, or urine symptoms. The patient has no history of severe trauma and a normal medical history. Lower extremity strength, sensibility, and reflexes are all normal, according to the examination. The straight-leg raising test results are negative. The patient declares, "My brother experienced comparable symptoms last year, and an MRI revealed a bulging disc. Could you please order the test for me?" The physician suggests symptomatic relief choices but advises against any imaging investigations. Which of the following is the most likely outcome of this suggestion?


A) Increased diagnostic uncertainty
B) Increased fragmentation of care
C) Increased health care disparity
D) Increased malpractice risk
E) Reduced clinical standardization
F) Reduced overutilization

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