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Orthopaedics · Spine
Sample itemWhat symptom combination suggests cauda equina syndrome?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Saddle numbness and urinary retention
Saddle sensory loss and new bladder dysfunction suggest compression of cauda equina roots and require urgent assessment to prevent permanent neurologic deficit.
Option by option
A. Saddle numbness and urinary retention (correct)
Correct: saddle anesthesia with retention is a spinal emergency pattern.
B. Ear pain and fever
Ear pain and fever suggest otitis or another infection.
C. Photophobia and rash
Photophobia and rash suggest different neurologic or infectious conditions.
D. Hand tremor only
Isolated hand tremor does not indicate cauda equina compression.
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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