Family Medicine Aquifer Test-| Questions Solved 100% Correct

Mr. Brown is a 42-year-old male accountant with a significant past medical history of obesity who presents to his primary care physician after one week of lower back pain. After moving into a new home three days ago, he woke up the next morning with bilateral lower back pain without any radiation. He denies any recent trauma, fever, chills, numbness, tingling, or incontinence. He has not had any urinary frequency or dysuria. He takes no medications and has no significant past medical history. Which additional findings in his history or physical exam would make the diagnosis of lumbosacral sprain/strain more likely? A.) Abnormal gait B.) Increased pain with coughing C.) Loss of ankle jerk D.) Point tenderness on spinous processes E.) Spasm of paraspinous muscles - ANSWER E.) Spasm of paraspinous muscles