A 29-year-old man with a 3-year history of hip and lower back pain complains of morning stiffness of his back that improves with exercise. He is otherwise healthy and currently not taking any medications. His physical examination
is unremarkable except for a decrease in chest expansion. X-ray of the spine is shown in the image. To prevent potential serious adverse effects associated with the preferred treatment, which test should be administered first?
click image to enlarge
(A) Blood pressure measurement
(B) Erythrocyte sedimentation rate
(C) Neisseria gonorrhoeae nucleic acid hybridization test
(D) Pulmonary function test
(E) Purified protein derivative skin test
is unremarkable except for a decrease in chest expansion. X-ray of the spine is shown in the image. To prevent potential serious adverse effects associated with the preferred treatment, which test should be administered first?
click image to enlarge
(A) Blood pressure measurement
(B) Erythrocyte sedimentation rate
(C) Neisseria gonorrhoeae nucleic acid hybridization test
(D) Pulmonary function test
(E) Purified protein derivative skin test