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Post-test: Current Management of Symptomatic Lumbar Disc Herniation

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Question 1

A 35 year old man presents with acute back pain associated with severe bilateral leg pain, saddle paresthesias and urinary retention. The next step should be:
Take the patient to the operating room for urgent surgical exploration.
Arrange of an emergent MRI of the lumbar spine.
Send in an urgent referral to the local spine surgeon.
Start oral steroid medications and follow closely.