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USMLE · Question #607

USMLE Question #607: Real Exam Question with Answer & Explanation

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Question

A 60-year-old male with a past medical history of hyperlipidemia and hepatic dysfunction comes to the physician for a routine examination. He states that he has had difficulty initiating urination for the past seven months with an intermittent urine stream and urinary urgency. Vitals reveal a blood pressure of 150/90 mmHg,a heart rate of 65/min, a temperature of 37.0°C (98.6°F) and a respiratory rate of 12/min. Digital rectal examination reveals diffuse enlargement of the prostate. The most appropriate pharmacologic treatment for this patient is most likely a drug that:

Options

  • Aactivates central alpha-2 receptors
  • Bblocks alpha and beta receptors
  • Cblocks muscarinic receptors
  • Dinhibits 5-alpha reductase
  • Eselectively blocks alpha-1 receptors

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