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 63-year-old man presents to the clinic with a concern about developing prostate cancer. He has been experiencing worsening urinary frequency, difficulty initiating urination, and waking up three to four times per night to urinate over the past year. There is no associated hematuria, weight loss, or back pain. Past medical history is significant for hypertension, managed with lisinopril. He has no family history of prostate cancer and does not smoke or drink alcohol. He has a co-worker who was recently diagnosed with prostate cancer, and the patient is worried he needs screening. On physical examination, the abdomen is soft, non-tender, and without palpable bladder distension. A digital rectal examination (DRE) reveals a nontender symmetrically enlarged prostate without nodules. Urinalysis is negative for infection, and there is no hematuria. Which of the following is the most appropriate next step in management?

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Repeat DRE and prostate-specific antigen (PSA) testing in 6 months

Multiparametric magnetic resonance imaging (MRI) of the prostate

Engage in shared decision-making regarding whether to pursue prostate cancer screening

Check prostate-specific antigen (PSA) levels annually

Order prostate biopsy to rule out malignancy