Wilber Johnson,an 84-Year-Old Retired Musician of Jamaican Descent,was Seen by His

question 1

Multiple Choice

Wilber Johnson,an 84-year-old retired musician of Jamaican descent,was seen by his family practice physician for urinary problems.His physician performed a digital rectal exam (DRE) ,which was abnormal,ordered a PSA,and referred him to a urologist.Wilber's PSA was 12 ng/ml.His transrectal prostatic biopsy was positive.The biopsy specimen determined a Gleason score of 10 and his AUA score was D2.Based on this clinical diagnostic information,what is the best surgical treatment plan for Wilber?

• A) Transurethral resection of the prostate (TURP)
• B) Simple perineal prostatectomy
• C) Radical open prostatectomy with lymph node dissection
• D) No surgery.Wilber is not a candidate for surgery.

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Definitions:

Tardive Dyskinesia

A side effect of certain medications, particularly antipsychotics, characterized by involuntary, repetitive movements.

Trifluoperazine

A medication primarily used to treat schizophrenia and anxiety, functioning as an antipsychotic by blocking certain chemical pathways in the brain.

Disconnected Thoughts

A pattern of thinking where ideas are not logically connected, often seen in various psychiatric conditions.

Schizophrenia

A persistent neurological condition marked by altered cognition, feelings, speech, self-awareness, and actions.