WBR0506
| Author | [[PageAuthor::Gonzalo A. Romero, M.D., Serge Korjian M.D. (Reviewed by Serge Korjian)]] |
|---|---|
| Exam Type | ExamType::USMLE Step 1 |
| Main Category | MainCategory::Pathology |
| Sub Category | SubCategory::Reproductive |
| Prompt | [[Prompt::A 60-year-old man presents to the outpatient clinic with complaints of increased urinary frequency and difficulty initiating urination. He was diagnosed with hypertension 10 years ago, and is maintained on amlodipine. His heart rate is 67/min, blood pressure is 135/85 mmHg, and temperature is 37.0 °C (98.6 °F). His physical exam is unremarkable except for a hard nodule palpated on digital rectal examination. The physician orders a prostate-specific antigen (PSA) assay that reveals an elevated concentration at 22 ng/mL. Which of the following is true about the patient's most likely diagnosis?]] |
| Answer A | AnswerA::It is diagnosed by elevated PSA levels |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::It is always preceded by hyperplasia |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::It increases total and free PSA equally |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::It is frequently localized in the peripheral zone |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::It is commonly associated with renal failure |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::D |
| Explanation | [[Explanation::Prostate cancer is the most common cancer in men, and the second most common cause of cancer deaths in the in men following lung cancer. Prostatic adenocarcinoma is a slow growing neoplasm whose incidence increases dramatically with increasing age. In fact, the prevalence among patients above 80 years of age may be as high as 80%. The most common location for prostate cancer Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |