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Retired NBME 24 Answers

nbme24/Block 2/Question#33 (reveal difficulty score)
A 58-year-old man comes to the physician ...
Escherichia coli 🔍 / 📺 / 🌳 / 📖
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submitted by xxabi(293)
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Most common cause of acute prostatitis in older men is E. Coli, and then Pseudomonas.

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charcot_bouchard  Grandpa is monogamous. Sexual history was just to throw u off +15
ih8payingfordis  Just to add to this: in a younger man, think Gonorrhea and Chlamydia +2



 +2  upvote downvote
submitted by weirdmed51(30)
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Enlarged, tender prostate = Prostatitis.

  • older(>50y): E.coli (MC), Pseudo
  • younger(<50): N.gonorrheae, Chlamydia

[the man is monogamous which further confirms it isn’t gonorrhea or chlamydia]

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submitted by krewfoo99(115)
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Basically, acute prostatis is caused by organisms which cause UTI also.

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submitted by abhishek021196(119)
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Prostatitis

Characterized by dysuria, frequency, urgency, low back pain. Warm, tender, enlarged prostate.

Acute bacterial prostatitis—in older men most common bacterium is E coli; in young men consider C trachomatis, N gonorrhoeae.

Chronic prostatitis—either bacterial or nonbacterial (eg, 2° to previous infection, nerve problems, chemical irritation).

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