question: Q:A 75 year-old gentleman presents to the primary care physician with a 2 week history of right sided achilles tendon pain. He states that the pain has had a gradual onset and continues to worsen, now affecting the left side for the past 2 days. He denies any inciting event. Of note the patient performs self-catheterization for episodes of urinary retention and has been treated on multiple occasions for recurrent urinary tract infections. What is the most important next step in management for this patient's achilles tendon pain?? 
  {'A': 'Refer patient to an orthopedic surgeon', 'B': 'Switch medication and avoid exercise', 'C': 'Place permanent urinary catheter', 'D': 'Perform MRI', 'E': 'Perform CT scan'},