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Lateral Epicondylitis (Tennis Elbow) — MRCGP AKT MCQ

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HardMusculoskeletalLateral Epicondylitis (Tennis Elbow)MRCGP AKTUKMLAPARA

A 42-year-old has 3 weeks of non-specific low-back pain without neurological deficit, cancer history, trauma, fever or systemic symptoms. What imaging is appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — No routine imaging with activity and safety advice

The best answer is “No routine imaging with activity and safety advice”. Routine imaging is not recommended for non-specific low-back pain without features suggesting serious pathology because incidental findings can drive unnecessary intervention. The patient should remain active, receive symptom management and be told to return for neurological or systemic red flags.

Reference: NICE NG59: Low back pain and sciatica: https://www.nice.org.uk/guidance/ng59/chapter/recommendations