young_doc
Forum Guru
Topics: 56
Posts: 735
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3.A 68-year-old man with locally advanced non-small cell lung cancer is evaluated because of the new onset of low-back pain over the past 2 weeks. It is relieved with ibuprofen, and he has no other symptoms. He completed combined chemotherapy and radiation therapy 6 months ago, and restaging scans afterward showed marked shrinkage of the right perihilar mass. He has no muscle weakness. Plain radiographs of the thoracic and lumbar spine shows no abnormalities other than signs of mild osteoarthritis. Neurologic examination is unremarkable.
Which of the following is the most appropriate next step?
( A ) Computed tomography scan of the spine
( B ) Gallium bone scan
( C ) Magnetic resonance imaging scan of the spine
( D ) Reevaluation in 2 weeks
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| doc_clotaire
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C ) Magnetic resonance imaging scan of the spine
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| Justice
Forum Fanatic
Topics: 117
Posts: 2,323
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( C ) Magnetic resonance imaging scan of the spine
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| usmle12
Forum Senior
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Posts: 194
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why not bone scan...MRI should be done if neurological impairment is supected i think
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