The Daily PANCE and PANRE Question One

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? Order a serum acid phosphatase level Initiate prazosin and schedule a follow-up appointment in 6 weeks Refer the patient for an ultrasound of the prostate and order a PSA level Reassure the patient and schedule a follow-up appointment in six months initiate norfloxacin therapy for 7 days and schedule follow-up in two weeks Answer: C Refer the patient for an ultrasound of the prostate and order a PSA level 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 a diffuse enlargement, and not a discrete nodule. Know Your Content BlueprintProstate Canceris part of the NCCPA Content Blueprint Genitourinary System (6%). Read more at Smarty PANCE Prostate Cancer. Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here. Help support The PA Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase by clicking here... it's a free way for you to help support the cause! Just click over to Amazon.com then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend thesereview books Just stumbled upon your website and am so relieved!! I have an hours drive each way to work daily and visit several facilities in the course of a day.   I am so happy I can utilize audio as well as all of the other references you provide! Thank you for your effort in pulling this all together. Cant wait to get started! Taking your advice and picking a date now! Maggie McKnight PA-C I love your site and think that it is the most enjoyable studying resource that I have use so far. David PA-S I just took my NCCPA PANRE test four weeks ago and PASSED! So just a quick thank you for developing such a complete and user friendly NCCPA PANCE and PANRE preparation program. 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