Q:

A 50 year old man presents to the emergency department with acute back pain radiating down to his legs. Pain which is usually relieved by lying down and exacerbated by long walks and prolong sitting. What investigation would be the best option?

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A 50 year old man presents to the emergency department with acute back pain radiating down

to his legs. Pain which is usually relieved by lying down and exacerbated by long walks and

prolong sitting. What investigation would be the best option?


  1. MRI
  2. CT spine
  3. XR spine
  4. Dual energy XR abruptiometry
  5. Serum paraprotein electrophoresis

All Answers

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The key is A. MRI. [Back pain radiating to leg, pain releaved by lying down and exacerbated by long

walk and prolonged sitting are characteristic of lumber (intervertebral) disc disease].

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