60 PANCE Practice Questions and Answers 100% Pass

A 52 year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? *A.* order a serum acid phosphatase level *B.* initiate prazosin and schedule a follow-up appointment in 6 weeks *C.* refer the patient for an ultrasound of the prostate and order a PSA level *D.* reassure the patient and schedule a follow-up appointment in six months *E.* initiate norfloxacin therapy for 7 days and schedule follow-up in two weeks *Answer: C* This patient has an isolated nodule of the prostate gland — cancer until proven otherwise. You should order an ultrasound and a PSA. BPH will present as diffuse enlargement, and not a discrete nodule.