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nbme24/Block 2/Question#17 (25.4 difficulty score)
A 68-year-old man comes to the physician ...
Normal agingπŸ”
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 +15 
submitted by m-ice(340),
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cassdawg  ^BPH threw me off: he probably does have BPH (slightly elevated PSA and diffusely enlarged prostate, common in men above 50), but BPH does not typically cause sexual dysfunction as described. BPH is more associated with urinary retention and UTI, and when it does cause sexual dysfunction urinary symptoms would be concurrently present (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1473005/ and FA2020 p654). +3  
mikestix96  Normal hair growth on the toes could also imply that its not a vascular cause of decreased sexual performance (I.e. PAD with fine distal hairs) +1