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 71-year-old man comes to the office because of progressive lower back pain for the past 4 months. The pain is relatively constant, non-radiating, aching and interferes with his sleep at night. It is not relieved by rest or change in position. He also reports feeling tired all day and not being able to get out of bed without help. He has smoked a pack of cigarettes daily for 35 years. Vitals are within normal limits. Physical examination shows point tenderness at the level of L4-L5 vertebrae. Forward flexion does not alleviate the pain. A hard lump is palpated on digital rectal examination. Hemoglobin is 9.8 g/dL (reference range: 13.5-17.5 g/dL), and leukocyte count is 10,000/mm3 (reference range: 4,500-11,000/mm3). Serum chemistry is shown below:  

Serum prostate specific antigen is 15 ng/mL (reference range: 1-1.5 ng/mL). Further evaluation of this patient will show which of the following?  

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