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Review Question - QID 210834

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QID 210834 (Type "210834" in App Search)
A 34-year-old man presents to his physician with a complaint of lower back pain and stiffness for the past few months. He describes the pain as being worse in the morning and then gradually improving with activity throughout the day. On physical exam, he has decreased anterior flexion of the lumbar spine. A radiograph of his lumbar spine is obtained and is shown in Figure A. What is the patient’s most likely diagnosis?
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