Which of the following choices may result in an INSIGNIFICANT increase in prostate specific antigen (PSA)
a. digital rectal exam
b. ejaculation
c.
... [Show More] prostatitis
d. prostate biopsy - ANSWER a. digital rectal exam
A sexually active adolescent male reports that he has dysuria. How should he be managed?
a. prescribe azithromycin
b. prescribe azithromycin and ceftriaxone
c. urethral/urine cultures should be collected and screening done for STD's
d. collect a urethral culture and schedule a return appointment - ANSWER c. urethral/urine cultures should be collected and screening done for STD's
a 22 year old male who is otherwise healthy complains of scrotal pain. His pain has developed over the past 4 ays. He is diagnosed with epididymitis. What is the most likely etiology
a. phimosis
b. infection with chlamydia
c. underlying hydrocele
d. urinary tract infection - ANSWER b. infection with chlamydia
What symptom listed below might be seen in a male patient with benign prostatic hyperplasia?
a. dysuria
b. nocturia
c. low back pain
d. pain with bearing down - ANSWER b. nocturia
Hematuria is NOT a common clinical manifestation in:
a. early prostate cancer
b benign prostatic hyperplasia
c. bladder cancer
d. renal cancer - ANSWER a. early prostate cancer
a 13 year old male has exhibited the first sign that he is experiencing sexual maturation. He has:
a. increase in testicular size
b. an enlargement of the scrotum
c. an increase in length of his penis
d. scrotal and penile changes - ANSWER a. increase in testicular size
What is the recommendation of the American Cancer Society for initial screening of an African-American male for prostate cancer?
a. digital rectal exam starting at age 40 years
b. PSA starting at 45
c. discussions starting at age 40-45
d. he should be screened starting at age 50 - ANSWER c. discussions starting at age 40-45
A 65 year old caucasian male has a firm, nontender symmetrically enlarged prostate gland on examination. His PSA is 3.9. His PSA level is influenced by
a. race only
b. age and race
c. prostate volume
d. race, age and volume - ANSWER d. race, age and volume
A 71 year old male patient is taking dutasteride (Avodart), a 5-alpha-reductase inhibitor. What might affect this have on his PSA level
a. it will increase
b. it will decrease
c. there is no predictable change
d. there will be a clinically insignificant increase - ANSWER b. it will decrease
noninfectious epididymitis is common in:
a. soccer players
b. truck drivers
c. marathon runners
d. men who wear "boxers" - ANSWER b. truck drivers
a 70 year old male presents to your clinic with a lump in his breast. How should this be evaluated?
a. palpation and ultrasound
b. mammogram and ultrasound
c. ultrasound only
d. mammogram only - ANSWER b. mammogram and ultrasound
5 -alpha-reductase inhibitors work by producing: [Show Less]