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Orthopaedics · Spine
Sample itemWhat is a red-flag symptom in suspected cauda equina syndrome?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Urinary retention with saddle numbness
The key Spine principle supports Urinary retention with saddle numbness; this answer most directly accounts for the clinical finding, investigation, or initial management described.
Option by option
A. Urinary retention with saddle numbness (correct)
Correct. Urinary retention with saddle numbness is the best response to the defining feature given.
B. Itchy scalp
Itchy scalp does not explain the condition or address the appropriate priority.
C. Isolated hiccups
Isolated hiccups may apply in another setting but is not the best answer here.
D. Mild muscle ache
Mild muscle ache is not supported by the important spine clue.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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