skip to main content

Benign prostatic hyperplasia — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

EasyAmbulatory Medicine / Primary CareBenign prostatic hyperplasiaUSMLE Step 3

A 67-year-old man reports urinary hesitancy, weak stream, nocturia, and incomplete emptying for 1 year. Urinalysis is normal, prostate is enlarged and smooth, and PSA is age-appropriate. Which of the following is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: B — Benign prostatic hyperplasia

Gradual obstructive lower urinary tract symptoms with a smooth enlarged prostate and normal urinalysis are typical of benign prostatic hyperplasia.

Reference: American Urological Association BPH guideline