A 65-year-old male presents with difficulty starting urination, a weak urine stream, and a feeling of incomplete bladder emptying. During the digital rectal exam, you note a uniformly enlarged, firm, and non-tender prostate. What is the most likely diagnosis?

Bonus Question: You are seeing a patient in follow up for an uncomplicated pregnancy. You will ask her to begin kick counts at what week of gestation?  

You are interpreting orthostatic BP readings of a patient.  You will diagnosis Orthostatic Hypotension when: 

A 26-year-old sexually active male presents to the clinic with concerns about lesions on his genitalia. He reports multiple small, flesh-colored bumps on his penis that have been present for a few months. He denies pain or itching. On physical examination, you observe several small, raised, and cauliflower-like lesions on the shaft of the penis. There are no vesicles or ulcerations. Which of the following is the most likely diagnosis?

Which is expected in female sexual maturation? 

You note contractures in a patient you are currently examining.  This finding is associated with:  

Each of the following are risk factors for osteomylitis except:  

 Bonus question: Which medication would place a patient at increased risk for endometrial cancer?   

When tapping over the median nerve at the wrist you are performing:  

Bonus question: The primary differential for a patient with rectal bleeding must be: