A 28-year-old man presents with back pain and stiffness worse in the morning, improving with exercise, and lasting more than 3 months. He has reduced ...

Question

A 28-year-old man presents with back pain and stiffness worse in the morning, improving with exercise, and lasting more than 3 months. He has reduced chest expansion. According to NICE guidelines, what imaging modality is recommended to investigate suspected ankylosing spondylitis if X-rays are inconclusive?

Accepted Answer

MRI of the sacroiliac joints

Answer

Repeat X-ray of the lumbar spine in 6 months

Answer

CT scan of the lumbar spine

Answer

Bone scintigraphy

Answer

Ultrasound of the lumbar spine

ukmla MCQ (SBA): Ankylosing Spondylitis