A 51-year-old man is receiving his annual physical exam, and his care provider is explaining the rationale for performing a digital rectal exam (DRE). Which of the following statements best captures the rationale for the procedure?
A) DRE, combined with a measurement of prostate-specific antigen (PSA), is the easiest way to confirm or rule out benign prostatic hyperplasia (BPH).
B) The presence of an enlarged prostate provides a definitive diagnosis of prostate cancer.
C) If the prostate is hardened on examination, a biopsy is indicated for further investigation.
D) DRE is a screening test recommended for men who are experiencing either reduced urine flow or pain on urination.

Question

Quizplus · Accepted Answer

Abnormalities detected during a DRE provide a rationale for further investigation by biopsy. PSA is used to screen for prostate cancer; however, it is also positive in BPH. The anatomic location of the prostate at the bladder neck contributes to the pathophysiology and symptomatology of BPH. A BPH is not a definitive sign of prostate cancer. DRE is recommended annually for all men over age 50.

A 51-Year-Old Man Is Receiving His Annual Physical Exam, and His