PAEA Surgery End Of Rotation (EOR) Practice Exam

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What is the most common finding on digital rectal examination (DRE) for prostate cancer?

Soft tissue mass
Enlarged prostate
Rock hard nodule
Symmetrical enlargement

The correct answer is: Rock hard nodule

The most common finding on digital rectal examination (DRE) for prostate cancer is a rock hard nodule. In the context of prostate cancer, the nodule represents a localized area of tumor within the prostate that results in a firm and asymmetric change in the gland's texture. This firmness is due to the dense, fibrous nature of cancerous tissue compared to normal prostate tissue. Prostate cancer often manifests as an irregular contour or firmness, distinguishing it from benign conditions such as benign prostatic hyperplasia (BPH), which typically presents as symmetrical enlargement without the hard nodules characteristic of malignancy. Recognizing these firm nodules can be crucial for early detection of prostate cancer, allowing for further diagnostic evaluation and intervention when necessary.