Approach to back pain Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 35-year-old woman presents to the clinic with a two-week history of low back pain. She describes the pain as a constant dull ache, localized to the lower lumbar region, and without radiation. The pain initially started after she bent over to lift a heavy box at work. She has no history of trauma, fever, weight loss, or changes in bowel or bladder habits. The patient has a past medical history of hyperlipidemia that is managed with atorvastatin. Vitals signs are within normal limits. There is no tenderness to palpation over the lumbar spine, but there is mild paraspinal tenderness at L4/L5. There is normal range of motion, and no neurological deficits are noted. Strength, sensation, and reflexes in the lower extremities are normal. Which of the following is the best next step in management? 

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