08-11-2017, 07:22 AM
A 58-year-old man comes to the office for a periodic health evaluation. He says, "During the past
3 to 4 months I have had to get up to urinate once or twice each night. I have to urinate more
often during the day and my urine is slow. I think I have prostate trouble." He is married, has two
grown children, and works at a greenhouse. He smokes about 10 cigarettes and drinks one to
three bottles of beer daily. Physical examination discloses no abnormalities except for his
prostate, which is moderately, symmetrically enlarged. Which of the following is the most
appropriate initial diagnostic step?
A) Intravenous urography
B) Measurement of serum dihydrotestosterone concentration
C) Ultrasonography of the bladder
D) Ultrasonography of the prostate
E) Urinalysis
3 to 4 months I have had to get up to urinate once or twice each night. I have to urinate more
often during the day and my urine is slow. I think I have prostate trouble." He is married, has two
grown children, and works at a greenhouse. He smokes about 10 cigarettes and drinks one to
three bottles of beer daily. Physical examination discloses no abnormalities except for his
prostate, which is moderately, symmetrically enlarged. Which of the following is the most
appropriate initial diagnostic step?
A) Intravenous urography
B) Measurement of serum dihydrotestosterone concentration
C) Ultrasonography of the bladder
D) Ultrasonography of the prostate
E) Urinalysis
