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  #1  
Old 04-07-2010
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Question BPH Treatment?

A 65 year old man presented with hesitancy, frequency, dribbling, and sense of incomplete bladder emptying. Rectal examination revealed enlarged and nontender prostate. Urinalysis revealed no protein, glucose, WBCs, or RBCs. Serum prostate-specific antigen was 1.2 ng/mL (normally <4). Which of the following is the most appropriate treatment?

A- Alpha adrenergic antagonist
B- Sodium restriction
C- Antibiotics with activity against gram negative rods
D- Competitive inhibitor of prostate estrogen receptors
E- Loop diuretics
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Old 04-07-2010
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Question

D
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  #3  
Old 04-07-2010
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Default

Quote:
Originally Posted by Seetal View Post
D
No it's not D, androgen receptor blockers are not used in BPH they are used only in prostatic cancer which is not the case here.
Therefore, you give only symptomatic treatment for this patient so the answer is A.

Also see this related question
Prostate CA Rx
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  #4  
Old 04-07-2010
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A- alpha antagonist for sure
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  #5  
Old 04-08-2010
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Default A

i think the answer is A
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  #6  
Old 10-25-2010
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Default Shakaib

A for 100% sure ...
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  #7  
Old 10-26-2010
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yeah A for sure. u see the difference. months back i answered A, but now with practice i know where there's no infection or when his BPH is not due to overactivity of DHT (low PSA), then u only need to ease his urination. alpha-blocker it is.
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Old 06-14-2011
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Default answer A

Tricky , took me by suprise , i was thinking of the Dht blockers , but correctly mentioned its usefulness is well restricted for the treatment of Ca prostrate
.
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Old 06-14-2011
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Answer is A for sure ! =)
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  #10  
Old 06-14-2011
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Default Bph treatment

Quote:
Originally Posted by Yallah View Post
A 65 year old man presented with hesitancy, frequency, dribbling, and sense of incomplete bladder emptying. Rectal examination revealed enlarged and nontender prostate. Urinalysis revealed no protein, glucose, WBCs, or RBCs. Serum prostate-specific antigen was 1.2 ng/mL (normally <4). Which of the following is the most appropriate treatment?

A- Alpha adrenergic antagonist
B- Sodium restriction
C- Antibiotics with activity against gram negative rods
D- Competitive inhibitor of prostate estrogen receptors
E- Loop diuretics
A. Alpha adrenergic antagonist
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