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Surgery General 39817c71

A previously healthy 45 yrs old laborer suddenly develops acute lower back pain with right-leg pain and weakness of dorsiflexion of the right great toe. Which of the following is TRUE?

A
Immediate treatment should include analgesics muscle relaxants and back strengthening exercises
B
The appearance of the foot drop indicate early surgical intervention
C
If the neurological sign resolve within 2 to 3 weeks but low back pain persists, the proper treatment would include fusion of affected Lumbar veebra
D
If the neurological signs fail to resolve within 1 week, Lumbar laminectomy and exscision of any herniated nucleus pulposus should be done
High-Yield Explanation
This seems to be a case of interveebral disk prolapse at L4 - L5 level involving L5 root. Here since there is muscular weakness, surgical intervention is indicated. Ref: Schwaz Pretest Surgery, Q. 720
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