Acute Medicine SCE Practice Questions - Specialty Certificate Examination In Acute Medicine Exam

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A 70-year-old with metastatic prostate cancer develops new severe thoracic back pain, bilateral leg weakness and urinary retention. What is the key next step?

Start simple analgesia and arrange routine outpatient MRI Treat as suspected metastatic spinal cord compression with urgent MRI and immediate corticosteroid discussion Request lumbar puncture to exclude infection first Reassure because urinary retention is common with opioids

Correct Answer:

Treat as suspected metastatic spinal cord compression with urgent MRI and immediate corticosteroid discussion

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