1|Page
DSE EXAM 2 | 2025-2026 LATEST UPDATED| REAL EXAM QUESTIONS
AND ANSWERS | 100% RATED CORRECT | 100% VERFIED | ALREADY
GRADED A+
How could a symptomatic pt with prostate cancer present? - (answer)- urinary retention
- neurologic sx (spinal cord compression)
- back pain (axial skeleton mets, possible fx, advanced dz)
what imaging would be used to look at the prostate and lymph nodes w/ suspected prostate
cancer? - (answer)MRI
what imaging would be used to look at bony mets w/ prostate cancer? - (answer)bone scan
when do you refer to urology in suspicion of prostate CA? - (answer)abnormal DRE + elevated
PSA
does BPH increase the risk of prostate cancer? - (answer)no
the AUA symptom index should be used for patients with - (answer)BPH
- obstructive sx
,2|Page
- irritative sx
does the size of the prostate always correlate with the patient's sx? - (answer)no
is imaging needed with suspected BPH? - (answer)No, unless exam or labs suggest further
investigation is needed
medical treatment for BPH - (answer)- alpha blockers: tamsulosin (Flomax)
- 5-alpha reductase inhibitors: finasteride (Proscar)
Surgical treatment for significant refractory symptoms or symptoms that occur because of BPH,
such as - (answer)- bladder stones
- CKD
- recurrent hematuria
most common offenders of acute bacterial prostatitis are - (answer)E. coli & Pseudomonas
acute bacterial prostatitis presents with - (answer)pain, fever, irritative voiding complaints
- obstructive complaints if prostate is swollen
,3|Page
- significantly enlarged prostate with DRE
a patient with severe sx should also get what? along with CBC and UA+culture - (answer)a CT
or transrectal US
tx for acute bacterial prostatitis - (answer)fluoroquinolone 28 days
Hx of recent acute bacterial prostatitis, or repeated UTIs
- less significant sx
- usually no fever
- normal, boggy, or indurated prostate
- normal UA - (answer)chronic prostatitis presentation
when should chronic prostatitis be admitted? - (answer)if patient is febrile or has systemic sx
tx for chronic prostatits - (answer)fluoroquinolone 28 days
most common offenders of urethritis/epididymitis - (answer)chlamydia & gonorrhea
- a/w watery or purulent discharge
, 4|Page
tx for urethritis/epididymitis ( non-anal intercourse) - (answer)single dose 500mg ceftriaxone IM
OR
1g azithromycin PO
AND
100mg doxy bid #20
tx for urethritis/epididymitis (anal intercourse) - (answer)500mg ceftriaxone IM + 500mg
Levaquin QD #10
erectile dysfunction increases with - (answer)age, smoking, CVD, DM, CKD, depression, neuro
dz
tx for erectile dysfunction - (answer)- PDE5 inhibitor
- vacuum constriction device
- pharm injection therapy
acute scrotal pain, swelling, n/v, typically <21 y/o - (answer)testicular torsion
DSE EXAM 2 | 2025-2026 LATEST UPDATED| REAL EXAM QUESTIONS
AND ANSWERS | 100% RATED CORRECT | 100% VERFIED | ALREADY
GRADED A+
How could a symptomatic pt with prostate cancer present? - (answer)- urinary retention
- neurologic sx (spinal cord compression)
- back pain (axial skeleton mets, possible fx, advanced dz)
what imaging would be used to look at the prostate and lymph nodes w/ suspected prostate
cancer? - (answer)MRI
what imaging would be used to look at bony mets w/ prostate cancer? - (answer)bone scan
when do you refer to urology in suspicion of prostate CA? - (answer)abnormal DRE + elevated
PSA
does BPH increase the risk of prostate cancer? - (answer)no
the AUA symptom index should be used for patients with - (answer)BPH
- obstructive sx
,2|Page
- irritative sx
does the size of the prostate always correlate with the patient's sx? - (answer)no
is imaging needed with suspected BPH? - (answer)No, unless exam or labs suggest further
investigation is needed
medical treatment for BPH - (answer)- alpha blockers: tamsulosin (Flomax)
- 5-alpha reductase inhibitors: finasteride (Proscar)
Surgical treatment for significant refractory symptoms or symptoms that occur because of BPH,
such as - (answer)- bladder stones
- CKD
- recurrent hematuria
most common offenders of acute bacterial prostatitis are - (answer)E. coli & Pseudomonas
acute bacterial prostatitis presents with - (answer)pain, fever, irritative voiding complaints
- obstructive complaints if prostate is swollen
,3|Page
- significantly enlarged prostate with DRE
a patient with severe sx should also get what? along with CBC and UA+culture - (answer)a CT
or transrectal US
tx for acute bacterial prostatitis - (answer)fluoroquinolone 28 days
Hx of recent acute bacterial prostatitis, or repeated UTIs
- less significant sx
- usually no fever
- normal, boggy, or indurated prostate
- normal UA - (answer)chronic prostatitis presentation
when should chronic prostatitis be admitted? - (answer)if patient is febrile or has systemic sx
tx for chronic prostatits - (answer)fluoroquinolone 28 days
most common offenders of urethritis/epididymitis - (answer)chlamydia & gonorrhea
- a/w watery or purulent discharge
, 4|Page
tx for urethritis/epididymitis ( non-anal intercourse) - (answer)single dose 500mg ceftriaxone IM
OR
1g azithromycin PO
AND
100mg doxy bid #20
tx for urethritis/epididymitis (anal intercourse) - (answer)500mg ceftriaxone IM + 500mg
Levaquin QD #10
erectile dysfunction increases with - (answer)age, smoking, CVD, DM, CKD, depression, neuro
dz
tx for erectile dysfunction - (answer)- PDE5 inhibitor
- vacuum constriction device
- pharm injection therapy
acute scrotal pain, swelling, n/v, typically <21 y/o - (answer)testicular torsion
