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Senile enlargement of the prostate MCQ Question with Answer

Senile enlargement of the prostate MCQ with detailed explanation for interview, entrance and competitive exams. Explanation are given for understanding.

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Question No : 15
What is true regarding BPH and androgens?

as a man ages, the responsiveness of prostate cells to androgenic stimuli decreases
adrenal androgens have no role in BPH development
type-1 steroid 5 α-reductase is functionally active in the hair follicle
all of the above

Question No : 16
In BPH patients, follow up PSA is of value because:

it helps predict the response to 5α-reductase inhibitors
it monitors LUTS/BPH progression
BPH patients are at higher risk of developing prostate cancer
a & b

Question No : 17
Which drug reduces the incidence of prostate cancer by 23% with a small increase in high-grade tumor incidence?

cetrorelix
flutamide
dutasteride
zanoterone

Question No : 18
A BPH patient presents with retention of urine. He is Catheterized. Later, he underwent TURP. When would the highest PSA value be?

before catheterization
after catheterization and before TURP
immediately after TURP
2 weeks after TURP

Question No : 19
Which statement best describes the natural history of BPH:

worsening of LUTS and BPH over time
patients die of other reasons before serious complications occur
physically, the space of prostatic fossa limits the gland enlargement
ultimately, the gland will degenerate and undergo apoptosis

Question No : 20
In BPH, the etiology of acute urinary retention includes:

prostatic infarction
prostate infection
bladder overdistention
all of the above

Question No : 21
A 55 yrs. male patient with familial BPH, IPSS 9, PSA 23ng/ml, prostate size 31 cc, PVR 54 cc, on watchful waiting management. Next step should be:

tamsulosin 0.8 mg
reassurance
repeat total and free PSA
diagnostic cystoscopy