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

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A 34-year-old patient with acute low back pain reports new urinary retention and saddle-distribution numbness. The most appropriate action is:

Schedule an MRI in 7-10 days and continue conservative care Refer immediately to the emergency department for suspected cauda equina syndrome Perform Cox flexion-distraction at L4-L5 and reassess Order standing lumbar films and follow up in 48 hours

Correct Answer:

Refer immediately to the emergency department for suspected cauda equina syndrome

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