Question 1

When assessing a male for hypogonadism prior to prescribing testosterone replacement, serum testosterone levels are drawn:&#10;A)Without regard to time of day&#10;B)First thing in the morning&#10;C)Late afternoon&#10;D)In the evening&#10;

Accepted Answer

Testosterone levels naturally fluctuate throughout the day, with the highest levels typically occurring in the morning. This is why it is recommended to measure serum testosterone levels first thing in the morning to get the most accurate assessment for conditions like hypogonadism.

Question 2

While on testosterone replacement, hemoglobin and hematocrit levels should be monitored. Levels suggestive of excessive erythrocytosis or abuse are:&#10;A)Hemoglobin 14 g/dL or hematocrit 39%&#10;B)Hemoglobin 11.5 g/dL or hematocrit 31%&#10;C)Hemoglobin 13 g/dL or hematocrit 38%&#10;D)Hemoglobin 17.5 g/dL or hematocrit 54%&#10;

Accepted Answer

Hemoglobin levels of 17.5 g/dL or hematocrit levels of 54% are indicative of excessive erythrocytosis, which can occur due to testosterone replacement therapy. This condition increases the risk of thromboembolic events and is considered a sign of potential abuse or overuse of testosterone.

Question 3

When prescribing phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil (Viagra) patients should be screened for use of:&#10;A)Statins&#10;B)Nitrates&#10;C)Insulin&#10;D)Opioids&#10;

Accepted Answer

PDE-5 inhibitors like sildenafil can cause potentially life-threatening hypotension when used in combination with nitrates, which are often prescribed for chest pain (angina). This is because both drugs can lead to vasodilation and significantly lower blood pressure.

Question 4

Some research supports that testosterone replacement therapy may be indicated in which of the following diagnoses in men?&#10;A)Age-related decrease in cognitive functioning&#10;B)Metabolic syndrome&#10;C)Decreased muscle mass in aging men&#10;D)All of the above&#10;

Accepted Answer

Testosterone replacement therapy can be beneficial in various conditions associated with aging in men, including age-related cognitive decline, metabolic syndrome, and decreased muscle mass. This is because testosterone plays a crucial role in numerous bodily functions, and its decline can contribute to these conditions.

Question 5

Male patients who should not be prescribed PDE-5 inhibitors include:&#10;A)Diabetics&#10;B)Those who have had an acute myocardial infarction in the past six months&#10;C)Those who are deaf&#10;D)Those who are under age 60 years of age&#10;

Accepted Answer

PDE-5 inhibitors can potentially lower blood pressure, which can be dangerous for patients who have had a recent acute myocardial infarction (heart attack) within the past six months due to the risk of cardiovascular complications.

Question 6

The factor that has the greatest effect on males developing male sexual characteristics is:&#10;A)Cultural beliefs&#10;B)Effective male role models&#10;C)Adequate intake of testosterone in the diet&#10;D)Androgen production&#10;

Accepted Answer

Androgen production, particularly testosterone, is the primary biological factor responsible for the development of male sexual characteristics. Testosterone influences physical changes such as increased muscle and bone mass, and the growth of body hair.

Question 7

Monitoring of male patients who are using PDE-5 inhibitors includes:&#10;A)&#9;Serum fasting glucose levels&#10;B)&#9;Cholesterol and lipid levels&#10;C)&#9;Blood pressure&#10;D)&#9;Complete blood count&#10;

Accepted Answer

Monitoring blood pressure is essential for patients using PDE-5 inhibitors because these medications can cause blood pressure to drop. This is particularly important in patients who are also taking medications like nitrates, which can lead to a significant decrease in blood pressure.

Question 8

Men who are prescribed PDE-5 inhibitors for erectile dysfunction should be educated regarding the adverse effects of the drug, which include:&#10;A)Hearing loss&#10;B)Prostate enlargement&#10;C)Delayed ejaculation&#10;D)Dizziness&#10;

Accepted Answer

The answer of Men who are prescribed PDE-5 inhibitors for...

Question 9

The goal of testosterone replacement therapy is:&#10;A)Absence of all hypogonadism symptoms&#10;B)Testosterone levels in the mid-normal range one week after an injection&#10;C)Testosterone levels in the mid-normal range just prior to the next injection&#10;D)Avoidance of high serum testosterone levels during therapy&#10;

Accepted Answer

The answer of The goal of testosterone replacement therapy is:&#10;A)Absence...

Question 10

Monitoring of an older male patient on testosterone replacement includes:&#10;A)Oxygen saturation levels at every visit&#10;B)Serum cholesterol and lipid profile every 3 to 6 months&#10;C)Digital rectal prostate screening exam at three and six months after starting therapy&#10;D)Bone mineral density at three and six months after starting therapy&#10;

Accepted Answer

Testosterone replacement therapy can increase the risk of prostate issues, so monitoring prostate health with digital rectal exams is important.

Deck 52: Men As Patients