Urinary incontinence Quiz: Ace Your Exams
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A 75 year-old African-American male comes to the office because of continuous dribbling of urine which began one month ago. In addition, the patient endorses difficulty initiating and maintaining a urinary stream. Past medical records indicate that he has hypertension and type 2 diabetes mellitus. The patient has a 40-pack-year smoking history. His temperature is 37.0°C (98.6°F), blood pressure is 150/86 mmHg, pulse is 70/min, and respirations are 15/min. Cardiac, pulmonary, and abdominal examinations are non-contributory. Digital rectal exam reveals an enlarged, symmetrical, and smooth prostate. Laboratory study results are as follows:
*Normal PSA < 4.0 ng/ml
Which of the following is the most likely cause of the patient’s urinary symptoms?
| Laboratory value | Result |
| Glucose | 118 mg/dL |
| HbA1c | 6.9% |
| Prostate-specific antigen (PSA)* | 3.6 ng/ml |
Which of the following is the most likely cause of the patient’s urinary symptoms?
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