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 70-year-old man presents to the clinic with a six-month history of worsening urinary frequency, nocturia, difficulty initiating urination, and a weak urinary stream. He reports occasional dribbling at the end of urination. He has no hematuria, dysuria, unintentional weight loss, bone pain, or recent illnesses. Past medical history includes hypertension and type 2 diabetes, both well-controlled. He has no family history of prostate cancer. On physical examination, the abdomen is soft, non-distended, and non-tender. A digital rectal examination (DRE) reveals a nontender symmetrically enlarged prostate with a firm palpable nodule in the right lobe. Neurologic examination is within normal limits. Using the urinary symptom score/International Prostate Symptom Score (IPSS), the patient has a 10. Laboratory tests show a prostate-specific antigen (PSA) level of 10.2 ng/mL (normal <4 ng/mL). Urinalysis is negative for signs of infection and hematuria. What is the best next step in management?

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Start alpha-blocker and recheck PSA in six months

Repeat DRE and PSA in three months

Multiparametric magnetic resonance imaging (MRI) of the prostate

Transurethral resection of the prostate (TURP)

Transrectal ultrasound-guided prostate biopsy