Routine checkup reveals elevated PSA levels
Author and Disclosure Information [Show]

Kyle A. Richards, MD, Assistant Professor, Department of Urology, University of Wisconsin-Madison; Chief of Urology, William S. Middleton Memorial VA Hospital, Madison, Wisconsin.

Kyle A. Richards, MD, has disclosed no relevant financial relationships.

Question 1 of 3

A 57-year-old man with no underlying conditions presents for a routine checkup 2 years after his previous visit. He has no remarkable family or personal medical history and is not experiencing any specific issues. Physical exam, which includes digital rectal examination (DRE), is normal. Blood work comes back a few days later showing PSA levels that have risen from 2.9 ng/mL two years ago to 11.5 ng/mL. Additionally, free PSA percentage has declined from 23% to 9%. He has a urine analysis that is normal.

What is the most likely diagnosis?

Prostate intraepithelial neoplasia

Prostate cancer

Genitourinary tuberculosis (GUTB)

Nonbacterial prostatitis

This quiz is not accredited for CME.

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