NBCE SPEC Practice Questions - NBCE Special Purposes Examination For Chiropractic Exam

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A 62-year-old patient reports new low back pain, unintentional 15-pound weight loss over three months, and a remote history of breast cancer. What is the most appropriate next step?

Begin a course of HVLA lumbar adjustments and reassess in two weeks Order standing AP and lateral lumbar radiographs and refer to the primary care physician for malignancy workup Prescribe McKenzie extension exercises and re-evaluate in six visits Apply moist heat and instrument-assisted soft tissue mobilization only

Correct Answer:

Order standing AP and lateral lumbar radiographs and refer to the primary care physician for malignancy workup

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