Questions: You have been requested to perform a transrectal ultrasound of the prostate in a patient with suspected benign prostatic hyperplasia (BPH). What is the ultrasound appearance of this condition? a. Enlarged prostate gland which may be diffuse or focal b. All of these appearances are commonly encountered with BPH c. Enlargement of the peripheral zone with sparing of the inner gland d. Small prostate gland with increased vascularity and hypoechoic nodules e. Small, shrunken prostate gland with numerous calcifications

You have been requested to perform a transrectal ultrasound of the prostate in a patient with suspected benign prostatic hyperplasia (BPH). What is the ultrasound appearance of this condition? a. Enlarged prostate gland which may be diffuse or focal b. All of these appearances are commonly encountered with BPH c. Enlargement of the peripheral zone with sparing of the inner gland d. Small prostate gland with increased vascularity and hypoechoic nodules e. Small, shrunken prostate gland with numerous calcifications
Transcript text: You have been requested to perform a transrectal ultrasound of the prostate in a patient with suspected benign prostatic hyperplasia (BPH). What is the ultrasound appearance of this condition? a. Enlarged prostate gland which may be diffuse or focal b. All of these appearances are commonly encountered with BPH c. Enlargement of the peripheral zone with sparing of the inner gland d. Small prostate gland with increased vascularity and hypoechoic nodules e. Small, shrunken prostate gland with numerous calcifications
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Solution

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The answer is the first one (or A): enlarged prostate gland which may be diffuse or focal.

Explanation for each option:

a. Enlarged prostate gland which may be diffuse or focal: This is the correct answer. Benign prostatic hyperplasia (BPH) typically presents as an enlarged prostate gland on ultrasound. The enlargement can be diffuse, affecting the entire gland, or focal, affecting specific areas.

b. All of these appearances are commonly encountered with BPH: This option is incorrect because not all the listed appearances are characteristic of BPH. For example, options d and e describe features not typically associated with BPH.

c. Enlargement of the peripheral zone with sparing of the inner gland: This is incorrect. BPH usually affects the transition zone of the prostate, leading to enlargement of the inner gland rather than the peripheral zone.

d. Small prostate gland with increased vascularity and hypoechoic nodules: This is incorrect. BPH is characterized by an enlarged prostate, not a small one. Increased vascularity and hypoechoic nodules are not typical features of BPH.

e. Small, shrunken prostate gland with numerous calcifications: This is incorrect. BPH results in an enlarged prostate, not a small or shrunken one. Calcifications are not a typical feature of BPH.

In summary, the ultrasound appearance of BPH is typically an enlarged prostate gland, which may be diffuse or focal.

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