A 60-year-old man with a history of prostate cancer presents with lower back pain, urinary retention, and bilateral leg weakness. He has tenderness ov...

Question

A 60-year-old man with a history of prostate cancer presents with lower back pain, urinary retention, and bilateral leg weakness. He has tenderness over the lumbar spine. According to NICE, what is the most appropriate next step?

Accepted Answer

MRI spine urgently

Answer

Analgesia alone

Answer

CT scan in 2 weeks

Answer

Bone scan in 1 month

Answer

Immediate physiotherapy referral

ukmla MCQ (SBA): Metastatic Spinal Cord Compression

A 60-year-old man with a history of prostate cancer presents with lower back pain, urinary retention, and bilateral leg weakness. He has tenderness over the lumbar spine. According to NICE, what is the most appropriate next step?