Question 2 (1 point) On day 10 of a month-long

32.4 A 45-year-old man presents to the office for lower back pain of 2 weeks’ duration related to a motor vehicle collision. After the collision, he did not initially seek medical care and took acetaminophen over the counter. However, for the past day, he has complained of decreased sensation in his buttock area, problems voiding (urine dribbling), and inability to achieve an erection. On examination, he has decreased anal sphincter tone and decreased ankle reflexes bilaterally. Which of the following is the next best step in management? OA Bed rest and follow-up in 4 to 6 weeks OB Plain film x-ray of lumbosacral spine OC Determination of sedimentation rate and CBC OD Immediate referral for advanced imaging and surgical evaluation

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