BPH Quiz: Can You Manage The Obstruction?

1. A patient with BPH presents with hematuria and dysuria. What complication should be suspected?

Prostate cancer

Secondary urinary tract infection

Renal failure

Bladder rupture

2. Which lab value should be monitored in patients on finasteride for BPH?

PSA levels

Hemoglobin and hematocrit

Liver function tests

Creatinine kinase

3. A patient develops urinary retention 2 hours after starting an anticholinergic medication. What is the most likely mechanism?

Increased bladder contractility

Decreased bladder outlet resistance

Decreased bladder detrusor muscle contractility

Increased alpha-adrenergic activity

4. Which symptom is considered a lower urinary tract symptom (LUTS) in BPH?

Flank pain

Hesitancy and weak stream

Fever

Hematospermia

5. A patient on doxazosin for BPH develops syncope. What is the priority nursing intervention?

Continue medication without changes

Assess for orthostatic hypotension and educate on slow position changes

Immediately discontinue the medication

Increase fluid intake

6. Which imaging study is preferred to assess prostate size and upper urinary tract in BPH?

Abdominal X-ray

Transrectal ultrasound

CT scan of abdomen and pelvis

MRI of pelvis

7. A 70-year-old with BPH reports incomplete emptying of bladder. What is the term for this symptom?

Dysuria

Residual urine

Urinary frequency

Urgency

8. Which complication is most common after TURP?

Rectal perforation

Urinary incontinence

Retrograde ejaculation

Erectile dysfunction

9. Combination therapy with an alpha-blocker and 5-alpha reductase inhibitor is indicated for which patient?

All BPH patients

Patients with moderate to severe symptoms and large prostate

Only patients with acute retention

Patients with prostate cancer

10. Which finding on digital rectal examination (DRE) is consistent with BPH?

Hard, irregular, asymmetric prostate

Smooth, symmetric, enlarged prostate

Absent prostate tissue

Tender, boggy prostate

11. Which hormone is primarily responsible for benign prostatic hyperplasia (BPH) development?

Testosterone and DHT

Estrogen

Prolactin

Cortisol

12. TURP syndrome occurs due to absorption of which fluid during the procedure?

Normal saline

Hypotonic irrigation fluid

Contrast dye

Blood products

13. Which surgical procedure involves removal of prostate tissue via the urethra?

Open prostatectomy

Transurethral resection of the prostate (TURP)

Laser prostatectomy

Radical prostatectomy

14. A 72-year-old with BPH is prescribed finasteride. When should symptom improvement be expected?

Within 1 week

Within 3 months

Within 2-4 weeks

Immediately

15. Which symptom is characteristic of acute urinary retention in BPH?

Gradual decrease in urinary stream

Sudden inability to urinate with bladder pain

Persistent hematuria

Fever and dysuria

16. The prostate-specific antigen (PSA) test is used to screen for which condition?

BPH exclusively

Prostate cancer and elevated PSA levels

Urinary tract infections

Erectile dysfunction

17. A patient on tamsulosin reports dizziness upon standing. What is this side effect called?

Hypertension

Orthostatic hypotension

Tachycardia

Syncope

18. Finasteride works by inhibiting which enzyme?

5-alpha reductase

Aromatase

Phosphodiesterase-5

Monoamine oxidase

19. Which medication class is a first-line treatment for symptomatic BPH?

Alpha-1 adrenergic antagonists

Beta-blockers

ACE inhibitors

Statins

20. A 68-year-old male reports nocturia 5 times per night and weak urinary stream. What is the most common cause of these symptoms?

Urinary tract infection

Benign prostatic hyperplasia