American College of Physicians: Internal Medicine — Doctors for Adults ®

Advertisement

The MKSAP Challenge

From the March ACP Observer, copyright © 2005 by the American College of Physicians.

A 52-year-old man presents as a new patient requesting an annual examination and a serum prostate-specific antigen (PSA) measurement. He exercises, does not smoke and drinks alcohol infrequently. His medical records disclose well-controlled hypertension, a negative exercise tolerance test four years ago, and various laboratory evaluations, all of which were normal. His only medication is atenolol.

Previous health maintenance included a colonoscopy two years ago, and serum PSA values of 4.2 ng/mL one year ago and 3.8 ng/mL two years ago. The patient recalls his prior physician telling him the value was borderline and recommending a repeat measurement in one year.

Physical examination, including digital rectal examination, is unremarkable. Serum PSA value is 5.0 ng/mL.

Which of the following is the most appropriate next step in the management of this patient?

A. Prescribe tamsulosin therapy
B. Perform serial PSA measurements
C. Order free PSA assay
D. Refer for urologic evaluation
E. Prescribe finasteride

Answer

Top

This is a printer-friendly version of this page

Print this page  |  Close the preview

Advertisement

Share

 
 

Internist Archives Quick Links

Sign-up for Physician & Practice Timeline® text alerts and never miss another regulatory deadline!

Sign-up for Physician & Practice Timeline® text alerts and never miss another regulatory deadline!

Triggered text alerts aimed at keeping you on top of upcoming deadlines and details related to regulatory, payment, and delivery system requirements are available FREE of charge!
See sign-up instructions.

Pre-order MKSAP17 Complete and Save 15%!

Pre-order MKSAP17 Complete and Save 15%!

Enter priority code PR58 when ordering. Limited time only. Order now.