ePSA

Age Group: i 40-49 50-59 60-69 70+

Family History of Prostate Cancer: i No history 1 first-degree relative (2.2x risk) 2+ relatives (3.7x risk)

Genetic Risk (Mutation): i No Mutations or Unknown High-risk mutation (BRCA2, BRCA1, HOXB13, CHEK2, PALB2, ATM)

Race: i Black or African American White Asian Hispanic

Do you know your PSA level?i No Yes

Enter PSA Level (ng/mL):

Do you know your MRI PIRADS score?i No Yes

PIRADS Score on MRI: 1 2 3 4 5

Comorbidities:i None Diabetes Cardiovascular Disease (e.g. high blood pressure) Both conditions

Height:

Urinary Symptoms (IPSS) i

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