1) An older male patient reports urinary frequency, back pain, and nocturia. A dipstick urinalysis reveals hematuria. What will the provider do next to evaluate this condition? A) PSA and perform a digital rectal exam 2) An older male patient has a screening PSA which is 12 ng/ml. What does this value indicate? D) BPH 3) A male patient reports nocturia and daytime urinary frequency and urgency without changes in the force of the urine stream. What is the likely cause of this? D) UTI 4) A 70-year-old male reports urinary hesitancy, post void dribbling, and a diminished urine stream. A digital rectal exam reveals an enlarged prostate gland that feels rubbery and smooth. Which tests will the primary care provider order based on these findings? C) urinalysis and serum creatinine 5) The provider orders the oral phosphodiesterase type 5 inhibitor sildenafil to treat erectile dysfunction in a 65-year-old male patient. What will be included when teaching this patient about taking this medication? Select all that apply. A) take on an empty stomach C) The medication effects may last for 24 to 36 hours E) Medication may be taken once daily 6) Which is true about hypoactive sexual desire in older men? A) Hypoactive sexual desire in older men is related to sexual aversion. 7) A young adult male reports a dull pain in the scrotum and the provider notes a bluish color showing through the skin on the affected side. Palpation reveals a “bag of worms” on the proximal spermatic cord. What is an important next step in managing this patient? D) Referral to an emergency department for surgical consultation. 8) An adolescent male reports severe pain in one testicle. The examiner notes edema and erythema of the scrotum on that side with a swollen, tender spermatic cord and absence of the cremasteric reflex. What is the most important intervention? A) Doppler ultrasound to assess testicular blood flow 9) A high school athlete is brought to the emergency department after collapsing during outdoor practice on a hot day. The patient is weak, irritable, and confused. Serum Na is 152 mEq/ml and has dry mucous membranes and tachycardia. What is the initial approach for rehydration in this patient? B) Intravenous fluid resuscitation with an isotonic solution.