BPH: ABFM practice questions

4 board-style questions on bph in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 64-year-old man reports weak urinary stream, nocturia twice nightly, and a sensation of incomplete emptying for the past year. Digital rectal examination shows a smoothly enlarged prostate. Urinalysis is normal. Which tool best quantifies his symptom burden and guides treatment decisions?

1. Serum prostate-specific antigen velocity over six months
2. Postvoid residual measured by urodynamic catheterization
3. A 48-hour frequency-volume voiding diary
4. The International Prostate Symptom Score questionnaire

Sample question 2

A 67-year-old man with moderate BPH symptoms (IPSS 16) and a markedly enlarged 55-gram prostate asks about medication. He wants both rapid symptom relief and the best long-term protection against urinary retention and surgery. Which regimen best meets both goals?

1. Finasteride alone, titrated upward every month until symptoms resolve
2. Combination therapy with tamsulosin plus finasteride
3. Tamsulosin alone, since 5-alpha-reductase inhibitors add nothing for large glands
4. Scheduled oxybutynin to relax the bladder during storage symptoms

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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