A 65-Year-Old Man Comes to the Office Due to a 4-Month

question 1247

Multiple Choice

A 65-year-old man comes to the office due to a 4-month history of periodic back pain radiating to his buttocks and thighs.  The pain is exacerbated by walking or prolonged standing, although he can tolerate bicycling without significant discomfort.  Associated symptoms include occasional tingling and numbness in both lower extremities.  Medical history is notable for benign prostatic hyperplasia, hypertension, and hypercholesterolemia, for which he takes appropriate medications.  The patient does not use tobacco, alcohol, or illicit drugs.  His blood pressure is 140/80 mm Hg, pulse is 76/min, and respirations are 14/min.  On examination, distal pulses are full and symmetric.  Neurologic examination shows normal motor strength, deep tendon reflexes, and plantar reflexes in the lower extremities bilaterally.  Which of the following is the most likely cause of this patient's condition?

• A)Cervical spondylotic myelopathy
• B)Iliac artery atherosclerosis
• C)Lumbar disk herniation
• D)Lumbar spinal stenosis
• E)Metastatic disease
• F)Seronegative spondyloarthritis
• G)Vitamin B₁₂ deficiency

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Definitions:

Merchandise Inventory

The total value of a company's goods available for sale to customers, typically recorded as an asset on the balance sheet.

Accounts Payable

Liabilities owed by a business to creditors for purchases of goods and services on credit.

Merchandise Inventory

The goods a company has in stock that are ready to be sold as part of its regular business operations.

Accounts Payable

Money that a company owes to its suppliers or vendors for goods and services received but not yet paid for.