Question 1

A patient being treated for erectile dysfunction is prescribed sildenafil 50 mg PRN. Which assessment finding would be most concerning to the provider?&#10;A) Current blood pressure reading of 118/76&#10;B) Patient notes erection lasting at least 3 hours&#10;C) Patient reports onset of blurred vision&#10;D) New onset of snoring that wakens the patient's partner

Accepted Answer

New onset of snoring that wakens the patient's partner

Question 2

A prescriber is providing education to a patient who is beginning therapy with testosterone gel. Which statement made by the patient demonstrates a need for further teaching?&#10;A) &#34;This drug puts me at an increased risk for blood clots.&#34;&#10;B) &#34;I will need to tell my pregnant wife not to handle my laundry.&#34;&#10;C) &#34;I should have my blood drawn for laboratory tests in 14 days.&#34;&#10;D) &#34;I should apply the medication to my genitals for best results.&#34;

Accepted Answer

Testosterone gel should not be applied to the genitals due to the risk of irritation and the formulation's design for application to areas like the upper arms, shoulders, or abdomen. Applying it to the genitals does not follow the recommended guidelines and indicates a misunderstanding of proper use.

Question 3

A prescriber is teaching a male adult patient about the use of testosterone gel. Which statement by the patient indicates an understanding of the teaching?&#10;A) &#34;I should apply this to my forearms and neck after showering.&#34;&#10;B) &#34;I should keep treated areas exposed to the air so that they can dry.&#34;&#10;C) &#34;I should wash the application site before being intimate with my partner.&#34;&#10;D) &#34;I should not swim or bathe for 3 to 4 hours after applying the gel.&#34;

Accepted Answer

Washing the application site before being intimate with a partner is important to prevent the transfer of testosterone to the partner, which could lead to unwanted side effects.

Question 4

An adult patient anemia following cancer chemotherapy will now begin treatment with testosterone. Which statement by the patient indicates understanding of the provider's teaching?&#10;A) &#34;Facial hair may develop with this drug but will go away over time.&#34;&#10;B) &#34;I may experience an increase in breast size while taking this drug.&#34;&#10;C) &#34;Testosterone may increase my high-density lipoprotein (HDL) cholesterol and reduce my low-density lipoprotein (LDL) cholesterol.&#34;&#10;D) &#34;Testosterone treats anemia by stimulating the synthesis of a renal hormone.&#34;

Accepted Answer

Testosterone can stimulate the production of erythropoietin, a renal hormone that promotes red blood cell production, thereby treating anemia.

Question 5

A provider assesses an adolescent male patient who has been receiving androgen therapy for hypogonadism via a transdermal patch. The patient's last clinic visit was 4 weeks earlier. Which part of the interval history is of greatest concern to the provider?

A) Five-pound weight gain
B) Increased growth of pubic hair
C) Rash at the site of the patch
D) Presence of acne

Accepted Answer

The answer of A provider assesses an adolescent male patient...

Question 6

An adult male patient will begin androgen therapy for testicular failure. Which statement by the patient indicates understanding of the treatment regimen as provided by the prescriber?&#10;A) &#34;I will need to periodic x-rays.&#34;&#10;B) &#34;My libido may improve.&#34;&#10;C) &#34;This may decrease my hair loss.&#34;&#10;D) &#34;This will restore fertility.&#34;

Accepted Answer

Androgen therapy, such as testosterone replacement, can improve libido (sexual desire) in men experiencing testicular failure by supplementing the body's natural hormone levels. This therapy does not directly address hair loss or fertility restoration, and periodic x-rays are not a standard requirement of androgen therapy.

Question 7

A 14-year-old male patient is admitted to the hospital following a football injury. The patient is muscular, has a deep voice, and full beard. Which tests will the provider order in response to these assessment findings? (Select all that apply.)

A) Thyroid-stimulating hormone (TSH) level
B) Complete blood count (CBC) with differential
C) Liver function tests
D) Serum glucose and hemoglobin A_1c
E) Serum cholesterol

Accepted Answer

The answer of A 14-year-old male patient is admitted to...

Question 8

After being educated about administration of papaverine plus phentolamine for erectile dysfunction, which statement made by the patient indicates a need for further teaching by the prescriber?&#10;A) &#34;I can expect rapid onset of an erection.&#34;&#10;B) &#34;I will take the pill 30 minutes before sex.&#34;&#10;C) &#34;I should get up from my seat slowly when taking this.&#34;&#10;D) &#34;I will notify the provider if I feel hard areas on my penis.&#34;

Accepted Answer

Papaverine plus phentolamine is administered via injection into the penis, not taken orally as a pill. This indicates a misunderstanding and the need for further teaching.

Question 9

A patient prescribed dutasteride 2 weeks ago reports continued urinary hesitancy. Which action by a provider is most appropriate?&#10;A) Obtaining a urine sample&#10;B) Doubling the daily dose&#10;C) Performing a prostate examination&#10;D) Documenting these findings

Accepted Answer

Dutasteride takes several months to show effects on urinary symptoms due to prostate size reduction. Documenting the findings is appropriate as the medication has not had sufficient time to work.

Question 10

A 14-year-old male patient diagnosed with hypogonadism will begin testosterone patch therapy. What information will the prescriber include when teaching the family about this therapy?&#10;A) Annual x-rays of the hands and wrists are necessary to monitor epiphyseal closure.&#10;B) Gynecomastia may occur and is a common side effect.&#10;C) The patch is applied once daily to the back or abdomen.&#10;D) Use of this drug may lead to prostate cancer later in life.

Accepted Answer

The answer of A 14-year-old male patient diagnosed with hypogonadism...

Question 11

A 14-year-old male patient who has not yet begun puberty reports being bullied at school. The boy's father reports that he and his father also experienced teasing as adolescents because they did not begin puberty until around age 16 years. What will the provider tell the patient and his father when they ask what can be done?

A) "A limited course of androgen therapy may be prescribed, but it is not necessary."
B) "He will eventually begin puberty, so this is nothing to worry about."
C) "There is nothing that can be done about the puberty delay, but I can make a referral for psychological counseling."
D) "The risk of accelerated growth plate closure is too great to warrant androgen therapy."

Accepted Answer

The answer of A 14-year-old male patient who has not...

Question 12

A patient receiving intracavernousal alprostadil discusses switching to the transurethral administration route. Which information does the provider include as a benefit of changing administration routes?

A) Transurethral administration has fewer side effects.
B) Transurethral administration helps increase arterial flow to the penis.
C) Erection develops in about 30 minutes and lasts up to 2 hours with transurethral administration.
D) The required dose is much smaller with transurethral administration.

Accepted Answer

The answer of A patient receiving intracavernousal alprostadil discusses switching...

Question 13

A patient receiving doxazosin presents for a routine evaluation. Which assessment finding related to the medication therapy would be most concerning to the provider?&#10;A) Blood pressure 96/58&#10;B) Dizziness when standing&#10;C) Increased nasal congestion&#10;D) Diminished ejaculate volume

Accepted Answer

The answer of A patient receiving doxazosin presents for a...

Question 14

Which finding indicates that terazosin has been effective for a patient with benign prostatic hypertrophy (BPH)?&#10;A) Decreased prostate size&#10;B) Increased urinary frequency&#10;C) Decreased urinary hesitation&#10;D) Decreased serum PSA levels

Accepted Answer

The answer of Which finding indicates that terazosin has been...

Deck 12: Mens Health