An 80-year-old male comes to the office complaining of a frequent need to urinate, especially at night. He also complains of difficulty starting urination and holding back urine flow. He also reports occasional burning on urination, hematuria, and pain in his lower back, hips, and upper thighs. A digital rectal exam of the prostate shows it to be enlarged, hard, and lumpy. The patient’s prostatespecific antigen (PSA) result is 9.0 ng/mL. What test would you most likely order next?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

An 80-year-old male comes to the office complaining of a frequent need to urinate, especially at night. He also complains of difficulty starting urination and holding back urine flow. He also reports occasional burning on urination, hematuria, and pain in his lower back, hips, and upper thighs. A digital rectal exam of the prostate shows it to be enlarged, hard, and lumpy. The patient’s prostatespecific antigen (PSA) result is 9.0 ng/mL. What test would you most likely order next?