A Patient Reports Persistent Lower Back Pain and Constipation

question 1

Multiple Choice

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?

• A) Order spinal radiographs in 3 months
• B) Perform an MRI of the sacrum
• C) Refer the patient to an oncologist
• D) Schedule the patient for a biopsy

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Definitions:

Impression Management

The process by which individuals attempt to control the impressions others form of them, often through the manipulation of information in social interactions.

Autonomy

The right or condition of self-government, or freedom from external control or influence.

Non-verbal Signals

Communication cues without the use of words, including gestures, facial expressions, and body language.

Culturally Defined

Aspects or norms that are determined and influenced by the culture in which they are found.