A 46-Year-Old Man Comes to the Office Due to Dysuria

question 350

Multiple Choice

A 46-year-old man comes to the office due to dysuria and a dull, aching pain in the penis and perineal region.  The symptoms began 6 months ago and prompted the patient to visit an urgent care center twice.  Both times, he received a short course of antibiotics, which improved symptoms temporarily, but they returned within days.  The patient has also had pain during ejaculation but no urethral discharge, back pain, abdominal pain, weakness, or incomplete voiding.  He is married and monogamous with his wife and has 2 children.  He does not use tobacco or illicit drugs but occasionally drinks 1 or 2 beers on weekends.  He has no medication allergies and no family history of cancer.  Temperature is 37.1 C (98.8 F) , blood pressure is 126/84 mm Hg, pulse is 72/min, and respirations are 14/min.  Physical examination shows no abdominal or costovertebral angle tenderness.  Digital rectal examination reveals a mildly tender prostate that is symmetric and not enlarged.  The external genitalia are normal in size and appearance and are nontender to palpation. Urine microscopy after prostate massage reveals 30 leukocytes/hpf, and subsequent culture is negative.  What is the most likely diagnosis?

• A)Acute prostatitis
• B)Chronic bacterial prostatitis
• C)Chronic prostatitis/chronic pelvic pain syndrome
• D)Interstitial cystitis
• E)Overactive bladder

Identify and correct common grammatical errors such as dangling modifiers, lack of parallelism, and hedging.

Recognize the significance of maintaining consistency in style and parallelism in business documents.

Appreciate the role of graphical elements like bullets in organizing content for enhanced user understanding.

Understand the editorial process, focusing on maintaining the original message's intention while improving clarity and style.

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Definitions:

Strategic Objectives

Long-term goals that a business seeks to achieve, guiding its operational planning and decision-making.

Financial Perspective

An angle of strategic management that focuses on how well an organization is performing financially.

Balanced Scorecard

A system for strategic planning and management that aligns organizational activities with its vision and strategy by tracking performance in relation to strategic objectives.

Strategy Map

A visual tool that illustrates how an organization plans to achieve its strategic objectives through a cause-and-effect relationship among various components.