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Old 03-16-2012
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Rheumatology/Orthopedics 70-yr-old woman with lower back pain

A 77-year-old woman comes to the physician because of low back pain for 3 months. She has hypertension controlled with a calcium-channel blocking agent and type 2 diabetes mellitus controlled with diet. Her vital signs are within normal limits. Examination shows no spinal or costovertebral angle tenderness; straight-leg raising produces pain in the low back at the L2–4 range. Knee jerk and ankle reflexes are 2+ bilaterally. Babinski's sign is absent bilaterally. Urinalysis shows 5–10 epithelial cells/hpf, 2–5 leukocytes/hpf, and few bacteria.
Which of the following is the most appropriate pharmacotherapy?

A) Acetaminophen
B) Gold
C) Methotrexate
D) Prednisone
E) Probenecid
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Old 03-16-2012
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D
) Prednisone
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Old 03-16-2012
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A
) Acetaminophen
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Old 03-16-2012
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Looks like disc herniation so acetaminophen and short period of rest...so A..
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Old 03-18-2012
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THE ANS IS A. acetamenophen
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Internal-Medicine-, Rheumatology-, Step-2-Questions

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