FNP Family Nurse Practitioner Exam Prep

Category - FNP Practice Questions

Your 51-year-old male patient complains of lower back pain, lower extremity radicular pain, and paresthesia.  This could be:

  1. Spondylolysis
  2. Lumbar spinal stenosis
  3. Posterolateral disc herniation
  4. Degenerative disc disease
  5. Hamstring tightness
Explanation

Answer: C - A posterolateral disc herniation may be present in a client who complains of low back pain, lower extremity radicular pain, and paresthesia. Nerve compression caused by this condition can result in neck or back pain, radicular pain, and paresthesia.

A posterolateral disc herniation is a condition that occurs when the soft, gel-like center of a spinal disc (known as the nucleus pulposus) protrudes outward through a tear or weakness in the outer layers of the disc (known as the annulus fibrosus). A posterolateral disc herniation occurs when the herniated disc material extends to the spinal column's back and side (posterolateral).

Disc herniations can occur in any part of the spine, but they are most common in the lower back (lumbar spine) and the neck (cervical spine). A posterolateral disc herniation can cause pain, numbness, weakness in the affected area, difficulty with movement, and changes in bowel or bladder function if the herniated disc is pressing on a nerve.

The treatment for a posterolateral disc herniation may depend on the severity of the herniation and the symptoms it is causing. Non-surgical treatments, such as rest, physical therapy, and pain management, may be recommended for mild or moderate herniations. In more severe cases, surgery may be necessary to remove the herniated disc material and relieve pressure on the nerves.

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