Benign Prostatic Hyperplasia

A 62-year-old man complains of a weak urine flow and dribbling at the end of urination. In suspecting BPH, indicate yes or no which of the following would be expected:

• Obliterated median sulcus

  • Yes

• Size larger than 2.5 cm x 3 cm

  • Yes

• Glucose in urine

  • No

• Sensation of incomplete emptying

  • Yes

• Boggy gland

  • No

• Pain with palpation of the prostate

  • No

When assessing a 68-year-old man with suspected BPH, the NP considers that:

• Prostate size does not correlate well with severity of symptoms

Which of the following medications can contribute to the development of acute urinary retention in an older man with BPH?

• amitriptyline

A 78-year-old man with a history of BPH presents with a 3-day history of new-onset fatigue and difficulty with bladder emptying. Examination reveals a distended bladder but is otherwise unremarkable. Blood urea nitrogen level is 88 mg/dL; creatinine level is 2.8 mg/dL. The most likely diagnosis is:

• Postrenal azotemia

Surgical intervention in BPH should be considered with all of the following except:

• Acute kidney injury

Finasteride (Proscar, Propecia) and dutasteride (Avodart) are helpful in the treatment of BPH because of their effect on:

• Prostate size

Tamsulosin (Flomax) is helpful in the treatment of BPH because of its effect on:

• Activity at select bladder receptor sites

When considering the use of tadalafil (Cialis) for the treatment of BPH, the NP advises that this agent:

• Can be used with or without finasteride

Concerning BPH, which of the following statements is true?

• The use of a validated patient symptom tool is an important part of diagnosing the condition

Concerning herbal and nutritional therapies for BPH treatment, which of the following statements is false?

• These therapies are safest and most effective when used with prescription medications