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Benign prostatic hyperplasia — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareBenign prostatic hyperplasiaUSMLE Step 3

A 72-year-old man reports nocturia, hesitancy, and weak urinary stream for 8 months. Rectal examination shows a symmetrically enlarged, nontender prostate. Urinalysis is normal, postvoid residual is 55 mL, and PSA is 2.1 ng/mL. Symptoms are bothersome but he has no retention. Which of the following is the most appropriate next step in management?

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

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Correct answer: B — Start tamsulosin

Alpha-1 blockers provide relatively rapid relief for uncomplicated lower urinary tract symptoms due to benign prostatic hyperplasia.

Reference: AUA benign prostatic hyperplasia guideline; USMLE Step 3 Content Outline