Facharzt FMH Urologie Practice Questions - Facharzt FMH Für Urologie Spécialiste FMH En Urologie Exam

Access More Questions

A 64-year-old man with a baseline PSA of 6.2 ng/mL and a normal digital rectal examination undergoes multiparametric MRI (mpMRI) of the prostate. The MRI reveals a 14 mm focal lesion in the peripheral zone of the right mid-gland with marked hypointensity on ADC, marked hyperintensity on high b-value DWI, and early focal contrast enhancement, classified as PI-RADS 4. According to EAU and Swiss guidelines, what is the most appropriate next step in diagnostic management?

Combined MRI-targeted biopsy (cognitive, fusion, or in-bore) plus systematic template core biopsies of the prostate Systematic 12-core transrectal ultrasound-guided biopsy alone, omitting targeted cores as PI-RADS 4 has low positive predictive value Repeat multiparametric MRI in 6 months to assess for lesion growth before deciding on tissue biopsy Immediate radical prostatectomy without prior histological confirmation given the definitive MRI appearance

Correct Answer:

Combined MRI-targeted biopsy (cognitive, fusion, or in-bore) plus systematic template core biopsies of the prostate

Access more questions from this quiz

Continue to Facharzt FMH Urologie Practice Questions - Facharzt FMH für Urologie Spécialiste FMH en urologie Exam for more practice questions and the full quiz experience.

Access More Questions