]> 2026-07-31T07:52:10+00:00 WBR0408 0 en Order MRI spine in 3 months Order HLA B 27 in 3 months '''Incorrect''' : HLA B27 high levels at the start of the disease may indicate poor overall prognosis. But it is not used to monitor disease activity. Order RF and ANA levels in 3 months Order ESR and C-reactive protein in 3months Order CT spine in 3 months Primary Care Office 27 year old male presents to the office with several day history of low back pain. He says he has been having such pain for the past 4 months. His pain is more severe early morning and improves during the day and feels better on taking NSAID's. His past medical history is insignificant. He is a chronic smoker and alcoholic. He is sexually active and does not use condoms. Physical examinations shows hip joint tenderness with restriction of spine. Examination of the other joints are normal. Initial lumbosacral X-ray shows mild disease involving the sacroiliac joints. What is most appropriate plan to monitor the disease activity? D Musculoskeletal/Rheumatology 2020-10-28T00:28:20Z 2459150.5196759 WBR0408