A 63-year-old male with a diagnosis of non-small-cell lung cancer, undergoing weekly chemotherapy and radiation to a left upper lobe mass, presents to your office. He complains of dull, nonradiating back pain in the lower thoracic area. He denies trauma or any new activities. He has no associated weakness or paresthesias. He denies difficulties with bowel or bladder function. His past medical history includes COPD, hypertension, and osteoarthritis, and he currently takes an albuterol MDI and hydrochlorothiazide.

1		What is you initial diagnostic and/or therapeutic approach to this patient?
			A)	History and physical, plain films of the thoracic spine, NSAIDs.
			B)	History and physical, prescription for physical therapy, NSAIDs.
			C)	History and physical, MRI of thoracic and lumbar spine, NSAIDs.
			D)	History and physical, plain films of the thoracic and lumbar spine, COX-2 inhibitor.
			E)	History and physical, urinalysis with culture, antibiotics.
2		The patient undergoes MRI of the spine and a compressing lesion is found at L1. Which of the following is NOT an appropriate therapeutic modality?
			A)	Dexamethasone 10 mg bolus IV, followed by 6mg every 6 hours.
			B)	Decompression surgery.
			C)	Radiation therapy to the affected area.
			D)	Observation with pain control (e.g., with morphine PCA).