Complaints of nocturia and urinary urgency
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Bradley F. Schwartz, DO, FACS, Professor and Chairman, Department of Urology, Southern Illinois University School of Medicine, Springfield, IL.

Bradley F. Schwartz has disclosed no relevant financial relationships.

Question 1 of 3

A 64-year-old man presents with complaints of nocturia, urinary urgency, and hesitancy, with a weak stream. He also reports hematuria in the past few weeks. In addition to his urologic symptoms, the patient complains of low-grade, constant back pain. He also complains of shortness of breath and persistent cough. His past medical history is unremarkable. His mother died of breast cancer at age 69 and his father died of prostate cancer at age 82. A digital rectal examination (DRE) reveals an enlarged prostate gland with several palpably discrete, hard, diffuse nodules. The patient's prostate-specific antigen (PSA) level is 110 ng/mL. A needle biopsy is ordered.

Given this initial information, what is the most likely diagnosis?

Acute bacterial prostatitis

Adenocarcinoma of the prostate

Benign prostatic hyperplasia

Nonbacterial prostatitis

This quiz is not accredited for CME.

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