A 47-year-old Métis woman with chronic low back pain due to osteoarthritis reports that she has been offered imaging repeatedly but is more concerned ...

Question

A 47-year-old Métis woman with chronic low back pain due to osteoarthritis reports that she has been offered imaging repeatedly but is more concerned about her ability to work and care for family. Which physician response best integrates Choosing Wisely principles and cultural safety?

Accepted Answer

Explain that repeated imaging is unlikely to help, explore her functional goals, and co-develop a management plan including exercise, workplace adaptation and pain strategies

Answer

Order another MRI to reassure her

Answer

Suggest that pain is 'all in her head'

Answer

Prescribe long-term high-dose opioids without exploring other options

Answer

Tell her nothing more can be done

ca-mccqe1 MCQ (SBA): Low back pain management and cultural safety

A 47-year-old Métis woman with chronic low back pain due to osteoarthritis reports that she has been offered imaging repeatedly but is more concerned about her ability to work and care for family. Which physician response best integrates Choosing Wisely principles and cultural safety?