An elderly male patient presents to the ED complaining of suprapubic tenderness, he is very uncomfortable and states he has not urinated for the past 13 hours. He has a history of BPH with oliguria. Digital rectal exam reveals a significantly enlarged prostate. What is the next best treatment for this patient?

A 67-year-old African American male presents to establish care. He has no urinary symptoms and feels well. His father was diagnosed with prostate cancer at age 70. Digital rectal exam is unremarkable. Which of the following is the most appropriate next step in management?

A 25-year-old male presents with acute onset of fever, dysuria, pelvic pain, and painful ejaculation. He reports recent change in sexual partner. Patient refuses DRE. Urinalysis reveals pyuria and bacteriuria. CBC shows leukocytosis. Which of the following is the most likely diagnosis?

A 58-year-old Caucasian man with no significant past medical or family history comes to you to establish care after recently moving to the area. He asks about getting a PSA test. He has no symptoms to report and no significant findings on digital rectal examination. What is the next most appropriate step?

A 13-year-old boy complains of heaviness in his scrotum and some vague pain that worsens with exertion. Palpation reveals a mass above the left testis that is nontender, freely movable and feels like a bundle of tubes. What additional physical exam could you do to confirm your suspected diagnosis?

A 50-year-old patient presents with a chronic voiding problem with decreased stream and an inability to fully empty his bladder. A digital rectal exam reveals a normal prostate with no enlargement. The patient reports that he was diagnosed with gonorrhea many years ago. What other complaint is commonly present in patients with this disorder?

A 16-year-old patient presents with a scrotal mass that occasionally causes achy, dull pain. His pain is most noticeable when lifting heavy weights or coughing. Physical exam shows that the mass does not transilluminate and that there is no hernia. He is very worried that this may be testicular cancer after googling his symptoms. What is the next best step in management for this patient?

A 35-year-old female presents with dysuria and frequency x 3 days. She denies fever, nausea and vomiting, or other systemic symptoms. UA shows +nitrites, +leukocyte esterase, and WBCs on microscopy. Her pregnancy test is negative. Which of the following would NOT be a reasonable option for treatment?

What is the drug of choice for treating lymphogranuloma venereum?

This Beatle wrote, “I Am the Walrus,” which appears on Magical Mystery Tour (1967). He thought it rather than “Hello Goodbye” should be the A side of a 1967 Beatles single.