A 68-Year-Old Man Comes to the Office for Follow-Up

question 336

Multiple Choice

A 68-year-old man comes to the office for follow-up.  The patient underwent radical prostatectomy for prostate adenocarcinoma 6 months ago, which decreased his serum prostate-specific antigen (PSA) level from 16 ng/mL at the time of surgery to 1 ng/mL 6 weeks after surgery.  Initial staging evaluation revealed no evidence of metastatic disease.  PSA level is now 8 ng/dL, and repeat imaging reveals regional lymphadenopathy.  The patient is prescribed combination therapy with buserelin and bicalutamide.  Which of the following is the main reason for adding bicalutamide to this patient's treatment regimen?

• A)To block androgen production from adrenal glands
• B)To induce apoptotic death of cancer cells
• C)To prevent sexual dysfunction from buserelin therapy
• D)To prevent testosterone surge effect from buserelin therapy
• E)To prevent vasomotor symptoms from buserelin therapy

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Definitions:

High Individualism

A cultural orientation where individual goals and independence are prioritized over group or collective goals.

Power Distance

The extent to which less powerful members of organizations and institutions accept and expect that power is distributed unequally.

Collectivist Value Orientation

This cultural value emphasizes the priority of group goals over individual goals and the importance of cohesion within social groups.

Japan

An island country located in East Asia known for its rich culture, technological advancements, and significant contributions to global economics and politics.