Benign prostatic hypertrophy and prostate cancer Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 58-year-old man presents for a follow-up regarding persistent urinary symptoms. Six months ago, he was diagnosed with mild benign prostatic hypertrophy (BPH) after reporting difficulty initiating urination, a weak urinary stream, and nocturia twice per night. At that time, he had no hematuria, dysuria, or systemic symptoms. The International Prostate Symptom Score (IPSS) was 7, and a digital rectal examination revealed a symmetrically enlarged prostate without nodules. Urinalysis was unremarkable at that time, and the prostate-specific antigen (PSA) level was within normal limits. The patient was advised to make lifestyle modifications, including reducing evening fluid intake, avoiding caffeine and alcohol, and performing pelvic floor exercises. At today’s visit, he states the symptoms are now interfering with his daily activities. A repeat IPSS score is 14. Which of the following is the best next step in management?

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Start a 5-alpha reductase inhibitor

Refer for transurethral resection of the prostate (TURP)

Start an alpha-blocker

Continue lifestyle modifications and reassess in three months

Perform a transrectal ultrasound (TRUS)