One of the most common presentations to General Practice, see whether you have broken the back of this topic!
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Approach to the patient with Back Pain
Stem 1, question 1 of 4
Saddiq, a 55 year old man, presents to his GP with a 3 week history of lower back pain.
Which of the following must be excluded in someone presenting with back pain?
Lumbar spine stenosis
Cauda equina syndrome
Stem 1, question 2 of 4Which structure extends between the lamina of adjacent vertebrae?
Stem 1, question 3 of 4Saddiq walked with a forward flexed gait and on examination has diminished pulses and mottled skin of his legs. What is the most likely diagnosis for his back pain?
Mechanical back pain
Lumbar spin stenosis
Stem 1, question 4 of 4Saddiq is referred for surgical decompression of his stenosis and is given corticosteroids. Which of the following is a corticosteroid?
Stem 2, question 1 of 6
Edith, an 84 year old female, presents to the emergency department with back pain following a fall while out shopping
What would be an appropriate initial investigation to perform?
Plain X-ray of spine
MRI of spine
Blood alcohol level
Stem 2, question 2 of 6Osteomyelitis is another cause of back pain, which of the following is not a risk factor for this condition?
Intravenous drug use
History of penetrating injury around the spine
Stem 2, question 3 of 6Edith is diagnosed with a vertebral fracture and given codeine. What class of drug does codeine interact with?
Dopamine depleting drugs
H2 receptor antagonists
Stem 2, question 4 of 6Back pain is is a leading cause of disability worldwide. What is the social model definition of disability?
Bodily, mental or intellectual limitation or condition
Loss or limitation of opportunities to take part in society on an equal basis
An individual deficit within an individual
The outcome of complex interactions between impairments and the social, environmental and cultural contexts
A physical or mental impairment and the impairment has a substantial and long-term adverse effect on the individuals ability to carry out normal day to day activities
Stem 2, question 5 of 6Back pain can also be caused by cancer metastases to the spinal column. Which of the following is not a cancer likely to metastasise to the spinal column?
Stem 2, question 6 of 6Whilst at the GP Edith sees an advert about a change in the law around organ donation. What is the current organ donation system in England?
Opt out system
Opt in system
Living donations only
Donation after neurological death
Donation after cardiac death