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Exam questionKROK 2Medicine ยท 2015

A 77-years-old patient complains of inability to urinate and bursting pain above his pubis. Acute onset of his condition occurred 12 hours ago. Objectively: overfilled urinary bladder can be palpated above the pubis. On rectal examination: prostate is enlarged, dense-elastic, with clear margins and no nodules. Interlobar sulcus is pronounced. US examination: prostate volume is 120 cm3, it protrudes into urinary bladder cavity, parenchyma is homogeneous. Prostate specific antigen is 5 ng/ml. What disease is the most likely to cause acute urinary retention?

Answer options

  1. Acute prostatitis
  2. Prostate tuberculosis
  3. Prostate cancer
  4. Prostatic hyperplasia
  5. Prostate sclerosis
Correct answer

Prostatic hyperplasia

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