USMLE® Step 1 style questions USMLE
A 59-year-old man comes to clinic for a check-up. He was diagnosed with prostate cancer 3 years ago. He says he was supposed to follow-up every few months. His last check-up was 1 year ago. At that time he was told his cancer was well-managed, so he began skipping appointments. He says he has chronic erectile dysfunction, moderate hip pain, and difficulty passing urine, but the hip pain is his only concern right now. Prior documentation shows a Prostate-Specific Antigen level of 10 ng/ml and Gleason score of 5. An X-ray is obtained. Which of the following most accurately describes the patient’s predominant condition?