Solved

A 45-Year-Old Man Comes to the Office for Evaluation of Pain

question 946

Multiple Choice

A 45-year-old man comes to the office for evaluation of pain in his right lateral thigh. The pain has been present for 2 weeks and is described as a "pins and needles" sensation; it is exacerbated when he strains for bowel movements. The patient has never had this pain before and has no associated leg weakness or back pain. Medical history is significant for recently diagnosed type 2 diabetes mellitus, for which he was prescribed metformin 3 months ago. Vital signs are normal. BMI is 37 kg/m². Examination shows loss of light touch and pinprick sensation in an area of the upper lateral thigh. There is no tenderness to palpation of the lateral femoral epicondyle. Knee and hip examinations are normal. A straight leg raising test is negative bilaterally and strength is 5/5 in both extremities. Which of the following is the most appropriate next step in management?

Apply knowledge of evolutionary psychology to explain the existence of complex human emotions like anxiety.

Evaluate the biological arguments for personality traits as proposed by Eysenck.

Understand the concepts of bailment and the responsibilities of a bailee.

Recognize the legality of transferring control of goods through documents of title.

Definitions:

Intellectual Functions

Cognitive capabilities related to reasoning, problem-solving, planning, abstract thinking, comprehension, and learning.

Cerebral Cortex

The outermost layer of the brain, involved in high-level functions such as sensation, voluntary muscle movement, thought, reasoning, and memory.

Basal Ganglia

A group of structures in the brain involved in coordinating movement, as well as aspects of cognition and emotion.

Voluntary Movements

Actions initiated and controlled by an individual's conscious mind, involving the mobilization of muscle groups to perform deliberate actions.