Question 1

A male patient reports nocturia and daytime urinary frequency and urgency without changes in the force of the urine stream. What is the likely cause of this?&#10;A) Bladder outlet obstruction&#10;B) Lower urinary tract symptoms (LUTS)&#10;C) Prostate cancer&#10;D) Urinary tract infection (UTI)

Accepted Answer

Nocturia, daytime urinary frequency and urgency without changes in the force of the urine stream are typical symptoms of Lower Urinary Tract Symptoms (LUTS). Bladder outlet obstruction and prostate cancer can also cause LUTS, but without any changes in the force of urine stream, they are less likely. UTI usually presents with dysuria, frequent urination, and urgency, but force of urine stream is typically not affected.

Question 2

A patient has been taking terazosin daily at bedtime to treat benign prostatic hyperplasia (BPH) and reports persistent daytime dizziness. What will the provider do?&#10;A) Prescribe finasteride instead of terazosin&#10;B) Recommend taking the medication in the morning&#10;C) Suggest using herbal preparations&#10;D) Switch the prescription to doxazosin

Accepted Answer

Finasteride is an alternative treatment for BPH that does not typically cause dizziness, unlike terazosin, which is an alpha-blocker that can cause orthostatic hypotension and dizziness.

Question 3

A 70-year-old male reports urinary hesitancy, postvoid dribbling, and a diminished urine stream. A digital rectal exam (DRE) reveals an enlarged prostate gland that feels rubbery and smooth. Which tests will the primary care provider order based on these findings?

A) Bladder scan for postvoid residual
B) Prostate-specific antigen (PSA) and bladder imaging
C) Urinalysis and serum creatinine
D) Urine culture and CBC with differential

C

Accepted Answer

C

Deck 129: Prostatic Hyperplasia Benign