Question

question 3 of 4
an elderly male patient presents with dysuria and urgency. you suspect benign prostatic hypertrophy which has caused an enlargement of the
a) interureteric crest
b) prostatic utricle
c) seminal colliculus
d) uvula

Explanation:

Analyze the clinical presentation

An elderly male presents with dysuria and urinary urgency. These symptoms point to bladder outlet obstruction.

Connect pathology to anatomy

Benign prostatic hypertrophy (BPH) involves transitional zone enlargement. This enlargement projects into the bladder lumen.

Identify the affected structure

The hypertrophied prostate elevates the bladder trigone. This creates a prominent mucosal elevation called the uvula.

Evaluate the anatomical options

The uvula of the bladder lies directly over the middle lobe. Enlargement of this lobe projects directly into the internal urethral orifice.

Rule out incorrect options

The interureteric crest, prostatic utricle, and seminal colliculus do not form this specific bladder obstruction elevation.

Answer:

• (A) Interureteric crest
• (B) Prostatic utricle
• (C) Seminal colliculus
• (D) Uvula (Correct answer)