NMS Q&A Family Medicine

Urological Problems Unique to Males 121(C) The symptoms may be caused by epididymitis.(D) The symptoms may be aggravated by ingestionof drugs with anticholinergic side effects.(E) Prostatitis may be a cause of the symptoms.15 Each of the following statements is true regarding theGleason score in prostate cancer except for which one?(A) The Gleason score includes a measure of thearchitectural pattern of the primary largest areaof cancer in a specimen.(B) The Gleason score includes a measure of thearchitectural pattern of the second largest areaof cancer in a specimen.(C) The Gleason score correlates with tumor volume.(D) The Gleason correlates with staging of the cancer.(E) An example of a Gleason score is: B2 2 nodulespresent or no nodule with the lobe indurate.16 Which of the following medications would be leastlikely to cause erectile dysfunction?(A) Chlorthiazide diuretics(B) Cimetidine(C) Albuterol(D) Propranolol(E) Finasteride 417 Regarding the PSA, each of the following statementsis true except for which one?(A) The normal limit of 4 ng/mL is a hard-and-fastrule.(B) A level of 3 ng/mL in a 35-year-old man may bea cause for concern (i.e., without symptoms anda normal digital rectal examination).(C) A PSA level of 6.5 ng/mL in a 75-year-old manneed not be further evaluated.(D) A minimum proportion of the total PSA shouldbe in the free form as opposed to the bound form.(E) The yearly rate of rise in PSA levels, regardlessof their absolute values, should not exceed0.7 ng/mL.