OVERVIEW
This page is dedicated to organizing various examples of standardized exam questions whose answer is benign prostatic hypertrophy (BPH). While this may seem a odd practice, it is useful to see multiple examples of how BPH will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a traditional question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
QUESTION EXAMPLES
Question # 1
A 70 year old man comes to the ER because he has been experiencing abdominal and back pain together. He explains that he has been unable to urinate for the past 12 hours. For the past 2 years he has had progressive urinary hesitancy, and an increase in “dribbling” during urination. His urine stream has been progressively weaker. His temperature is 98.2°F and the rest of his vitals are within normal limits. His physical exam reveals a soft and diffusely tender abdomen. His bladder is distended and tense upon palpation. A rectal eat reveals a large, boggy prostate. What is the likely diagnosis in this patient?
Question # 2
A 65 year old male is seen in the clinic for issues with urination. He explains that he has trouble starting his urinary stream, and when he is done he does not feel like he has completely emptied his bladder. His vitals are within normal limits. A physical exam reveals a smooth rubbery prostate with no nodules. A urinalysis and BMP are both unremarkable. What is the likely diagnosis in this patient?
Page Updated: 03.12.2017