2 Days Of Worsening in Medicine / Internal Medicine — 42yo Man | Neurology | SMLE Q#17455
SMLE Question #17455
Medicine / Internal Medicine
Neurology
Objective: OBJ-NEURO-SCC-001
Last updated: February 2026
A 42-year-old man presents with 2 days of worsening mid-back pain and progressive bilateral leg weakness. Over the past 12 hours, he developed urinary incontinence. He denies recent trauma. Examination shows reduced power in both legs, brisk deep tendon reflexes, and a sensory level at T10. The clinician suspects acute spinal cord compression. What is the most appropriate test to confirm the diagnosis?
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