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Benign prostatic hyperplasia — ABFM Board MCQ

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EasyUrology/RenalBenign prostatic hyperplasiaABFM Board

A 67-year-old man has nocturia, weak stream, hesitancy, and incomplete emptying. Prostate is enlarged, smooth, and nontender. Urinalysis is normal. Which of the following is the most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Start an alpha-1 blocker

Lower urinary tract symptoms from BPH can be treated initially with an alpha-1 blocker when symptoms are bothersome.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html