Biology/Patho/Science

Question

3. A 32-year-old man comes to his physician complaining of frequency, dysuria, and urgency for several days, as well as pain in the perineal region. The digital rectal examination is extremely painful. He most likely has

A. A primary chancre of syphilis in his genital organs

B. A bladder infection

C. Pyelonephritis

D. Kidney stones
E. Acute prostatitis

 

I think E

 

7. A 69-year-old man presents to the clinician complaining of unilateral flank pain and hematuria for several weeks. He does not have a fever. The physician can palpate a mass in the patient’s right flank. The best way to diagnose this patient’s condition is:

A. Cystoscopy

B. Intravenous pyelogram

C. Cytologic examination of urine
D. CT scan

E. Digital rectal exam

 

I think E

Answer 1

For the first question, E is correct. All the symptoms point to acute prostatitis.

However, with the second question, D is correct. The digital rectal exam will only examine the rectal area while the patient indicates the pain is in the his unilateral flank. The CT scan will give insight into what is causing the pain. Also, I reviewed online sources and they indicate CT scan as well.