Please review the patient case and select the best answers to the questions that follow. While reading the case, please click on the embedded links for supplemental information to more thoroughly understand the topic and the answers.

Part 3

Visit 4





The patient has returned for follow-up 3 months later and reports he has more energy and vitality and stronger erections and libido. He no longer feels down, and he perceives his overall health is better. Since his last visit, he has been exercising regularly and has lost 22 pounds.

The patient describes his new daily schedule: In training for a 10-kilometer race, he exercises in the morning before work and then showers and applies his testosterone gel.

The patient expresses confusion about reports in the news regarding revised prostate cancer guidelines and questions whether they apply to his treatment. The clinician summarizes the prostate cancer guidelines and points out that, with no family history of prostate cancer and with a normal DRE finding and normal PSA levels, the patient need not be concerned.

next >