A 25-year-old woman presents with a 3-month history of chronic low back pain without trauma, neurological deficit, or systemic symptoms. She is anxiou...

Question

A 25-year-old woman presents with a 3-month history of chronic low back pain without trauma, neurological deficit, or systemic symptoms. She is anxious and requests an MRI. According to Choosing Wisely Canada and CanMEDS Communicator role, what is the best response?

Accepted Answer

Explain that imaging is not indicated without red flags, provide education, and develop a plan for active self-management and follow-up

Answer

Order the MRI to reassure her

Answer

Tell her that her pain is purely psychological

Answer

Refuse imaging without explanation

Answer

Recommend bed rest until the pain resolves

ca-mccqe1 MCQ (SBA): Shared decision-making in low back pain

A 25-year-old woman presents with a 3-month history of chronic low back pain without trauma, neurological deficit, or systemic symptoms. She is anxious and requests an MRI. According to Choosing Wisely Canada and CanMEDS Communicator role, what is the best response?