A 59-year-old man reports erectile dysfunction and is taking sertraline for depression and a thiazide diuretic for hypertension. He asks what might be contributing. Which statement is most accurate?

A 64-year-old man presents with fever, dysuria, urinary frequency, and pelvic pain that began 3 days ago. He reports increasing difficulty urinating and generalized malaise. Physical examination reveals suprapubic tenderness and a markedly tender, boggy prostate on digital rectal examination. Which diagnostic finding would most strongly support the underlying cause of this patient’s symptoms?

Which imaging modality is considered the gold standard for diagnosing renal and urinary calculi in nonpregnant adults?

A 34-year-old patient with known primary adrenal insufficiency presents for routine follow-up. The patient reports adherence to prescribed therapy and denies current symptoms of fatigue, dizziness, or hyperpigmentation progression. The provider reviews the long-term management plan. Which medication is most appropriate for chronic management of this condition?

A newborn is noted to have ventral displacement of the urethral meatus with mild chordee. The family asks about circumcision. What is the best response?

A 5-year-old uncircumcised male cannot fully retract the foreskin. There is no pain, dysuria, or infection history. The parent requests circumcision “to fix it.” What is the most appropriate management?

A patient presents with excessive daytime sleepiness, cataplexy, and sleep paralysis. Which disorder should be suspected?

An 84-year-old patient with mild cognitive impairment and controlled hypertension has urge urinary incontinence despite consistent bladder training and pelvic floor therapy. Which medication choice is most appropriate?

A 46-year-old patient presents with fatigue, unintentional weight loss, salt craving, and dizziness when standing. Blood pressure is 92/58 mmHg. Which of the following labs should be ordered initially?

A provider wants the preferred screening strategy for albuminuria in primary care. Which is best?