COMLEX Osteopathic Medicine

Category - Asymptomatic

Mr. Dune is a new, 50-year-old patient who comes to see you in the clinic for a routine physical. You review his “List of Symptoms within the Last Year” checklist that all new patients are required to complete. He checks off that he has had trouble urinating. Which of the following disease(s) may you want to begin to rule out?
  1. Prostate cancer
  2. Benign Prostatic Hypertrophy
  3. Neither A or B
  4. Both A and B
Explanation
Answer - D - Men who have trouble urinating may have an enlarged prostate. By the age of 50, it is estimated that 1 in 4 men may have cancerous cells in the prostate. However, not all men who have an enlarged prostate have cancer. The sooner a diagnosis can be made distinguishing between BPH or cancer, the better outcome the patient will have. It will also determine the proper course of treatment.
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