Question

question 55
a patient reports persistent lower back pain and constipation. a digital rectal examination
reveals a mass at the sacrum. what will the primary care provider do to manage this patient?
order spinal radiographs in 3 months
perform an mri of the sacrum
refer the patient to an oncologist
schedule the patient for a biopsy

Explanation:

When a patient has persistent lower back pain, constipation, and a mass at the sacrum found on digital rectal examination, an MRI of the sacrum is appropriate. MRI provides detailed images of soft tissues and bones, which helps in accurately visualizing the mass and its characteristics (such as its relation to surrounding structures). Ordering spinal radiographs in 3 months would delay proper diagnosis as the patient has concerning symptoms now. Referring to an oncologist or scheduling a biopsy would be steps after further imaging (like MRI) to better characterize the mass.

Answer:

Perform an MRI of the sacrum