A 65-year-old patient with a history of lumbar disc herniation presents with severe low back pain, bilateral leg weakness, and urinary incontinence. The patient’s symptoms began suddenly and have been progressively worsening. Which of the following conditions is the most likely cause of the patient’s symptoms?

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May 29, 2023 No Comments

A 72-year-old patient presents with low back pain and neurogenic claudication. The patient reports that walking and standing exacerbate their pain, while sitting and leaning forward provide relief. Based on the patient’s history and symptoms, which of the following conditions is the most likely cause?

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May 29, 2023 No Comments

A 58-year-old patient presents with chronic low back pain. Imaging studies reveal spondylosis. Based on the following description, which condition is most consistent with the patient’s imaging findings?

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May 29, 2023 No Comments

A 40-year-old patient presents with low back pain, groin pain, and a positive Thomas test. Which of the following osteopathic manipulative treatment (OMT) techniques would be the most appropriate initial treatment for this patient?

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May 29, 2023 No Comments

A 35-year-old patient presents with complaints of low back pain that has been progressively worsening over the past few weeks. The pain radiates to the groin and anterior thigh. The patient reports a history of prolonged sitting due to work. On physical examination, the patient exhibits an antalgic gait and tenderness to palpation over the lumbar paraspinals. There is also a positive Thomas test. Based on the patient’s history and examination findings, what is the most likely diagnosis?

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May 29, 2023 No Comments

A 48-year-old patient presents with complaints of progressive muscle weakness and atrophy in her right hand. On examination, you observe decreased muscle tone, muscle atrophy, and fasciculations. The patient is seeking relief from her symptoms and asks if osteopathic manipulative treatment (OMT) could be beneficial. Which of the following is the most appropriate response regarding the use of OMT for this patient’s condition?

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May 29, 2023 No Comments

A 48-year-old patient presents with complaints of progressive muscle weakness and atrophy in her right hand. On examination, you observe decreased muscle tone, muscle atrophy, and fasciculations. The patient reports that the symptoms are more pronounced when performing fine motor tasks. Based on the clinical presentation and symptoms, which of the following is the most likely underlying pathology and the most appropriate initial diagnostic test?

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May 29, 2023 No Comments

A 65-year-old patient presents with complaints of difficulty walking and maintaining balance. You perform a neurological examination and note increased muscle tone, hyperreflexia, and a positive Babinski sign. Based on these findings, which of the following is the most likely underlying pathology?

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May 29, 2023 No Comments

A 58-year-old patient presents with complaints of localized chest pain, particularly during inhalation. On examination, you find that the patient’s 3rd to 7th ribs on the left side are elevated at rest and do not move downward during exhalation as expected. You suspect a group of inhalation dysfunctions affecting these ribs. Which of the following treatment approaches would be most appropriate for this patient?

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May 29, 2023 No Comments

A 52-year-old patient presents with complaints of localized chest pain, particularly during inhalation. On examination, you find that the patient’s 7th rib on the left side is elevated at rest and does not move downward during exhalation as expected. You determine that the patient has a left rib 7 inhalation dysfunction. Which of the following techniques would be most appropriate for treating this rib dysfunction?

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May 29, 2023 No Comments