A 67-Year-Old Man Comes to the Office for an Annual

question 524

Multiple Choice

A 67-year-old man comes to the office for an annual examination.  He generally feels well, although when asked about urinary problems, the patient says that he urinates 2 or 3 times per night and occasionally has to strain to initiate urination.  He takes no medications.  The patient does not use tobacco, alcohol, or drugs.  His father died of prostate cancer at age 84.
Temperature is 36.5 C (97.7 F) , blood pressure is 126/74 mm Hg, pulse is 84/min, and respirations are 12/min.  Cardiac, pulmonary, and abdominal examinations are within normal limits.  Rectal examination reveals a prostate that is mildly enlarged, symmetric, and nontender.  Rectal sphincter tone is normal.
Urinalysis and serum creatinine level are normal.
Which of the following is the most appropriate next step in management of this patient?

• A)Advise behavior modifications and observation
• B)Initiate treatment with finasteride
• C)Measure postvoid residual volume
• D)Obtain abdominal ultrasound
• E)Request urethrocystoscopy

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Definitions:

Proactive Interference

A phenomenon where older memories inhibit the ability to remember new information.

Retroactive Interference

The process where newly acquired information interferes with and hampers the recall of previously acquired information.

Cue-dependent Forgetting

A type of memory loss that occurs when the information is present but the cue needed to retrieve it is missing. It demonstrates how cues related to the context of learning can trigger recall.

Interference

The process by which the presence or action of one thing affects the behavior or attributes of another, often used in the context of waves or signals.