Question 1

A patient is to receive testosterone cypionate (Depo-Testosterone),75 mg by intramuscular (IM)injection,every 2 weeks for treatment of male hypogonadism.Which of the following interventions is appropriate?

A)The medication will be stopped immediately once the goal of therapy has been reached.
B)Therapeutic effects will be evident after just a few days of therapy.
C)The IM injection will need to be given deep in the muscle.
D)The patient can be switched to an oral form for better absorption once the goal of therapy has been reached.

Accepted Answer

The IM injection should be given deep in the muscle because it is an oily solution and doses are given every 2 to 4 weeks.
Therapeutic effects may not be seen for 3 or 4 months.If the medication is to be discontinued,the dose should be tapered rather than discontinued abruptly.This medication is given via the IM route because oral testosterone has very poor pharmacokinetic and pharmacodynamic characteristics.

Question 2

A patient has a medication order for finasteride (Proscar).This medication is prescribed for which of the following conditions?&#10;A)Acromegaly&#10;B)Baldness in men and women&#10;C)Low sperm counts&#10;D)Benign prostatic hypertrophy

Accepted Answer

Finasteride is indicated for benign prostatic hypertrophy and male androgenetic alopecia,but is not indicated for use by women with baldness.

Question 3

Which ethnocultural group has the highest rate of prostate cancer in North America?&#10;A)Aboriginal men&#10;B)Asian men&#10;C)White men&#10;D)Black men

Accepted Answer

Black men in North America have the highest rate of prostate cancer in the world.They also have a greater chance of dying from prostate cancer than white men.Asian men and Aboriginal men have lower rates of prostate cancer than Black men and white men.

Question 4

When administering finasteride (Proscar),which important precaution should the nurse remember?&#10;A)It must be taken on an empty stomach.&#10;B)Finasteride should not be handled by pregnant women.&#10;C)It is given by deep intramuscular (IM) injection to avoid tissue irritation.&#10;D)The patient should be warned that alopecia is a common adverse effect.

Accepted Answer

Finasteride should not be handled by a pregnant woman due to teratogenic effects.It is taken orally and without regard to meals.Increased hair growth,not alopecia,is a possible adverse effect.

Question 5

Danazol (Cyclomen)therapy is indicated for the treatment of which of the following?&#10;A)Porphyria&#10;B)Endometriosis&#10;C)Decreased sexual libido&#10;D)Problems with lactation

Accepted Answer

Danazol is used to treat women who have endometriosis.

Question 6

A patient is receiving androgenic anabolic steroids.This patient should be monitored for which serious adverse effect?&#10;A)Renal failure&#10;B)Peliosis of the liver&#10;C)Cirrhosis of the liver&#10;D)Heart failure

Accepted Answer

Peliosis of the liver,the formation of blood-filled cavities,is a potential adverse effect of androgenic anabolic steroid therapy and may be life-threatening.

Question 7

A patient is receiving finasteride (Proscar)for treatment of benign prostatic hypertrophy (BPH).Which of the following is a possible adverse effect of this medication?&#10;A)Alopecia&#10;B)Urinary retention&#10;C)Increased hair growth&#10;D)Increased prostate size

Accepted Answer

Finasteride is given to reduce the prostate size in men with BPH;it has also been noted that men taking this medication experience increased hair growth.

Question 8

Which of the following is one of the main reasons that older men are at higher risk when using sildenafil (Viagra)?&#10;A)Most older men also use nitrates.&#10;B)Older men have better liver function.&#10;C)It is a highly protein-bound drug.&#10;D)A larger dosage is required for older men.

Accepted Answer

Sildenafil is highly protein bound,which causes it to stay in the body longer and thus create more drug interactions.Older men are at higher risk because they are often taking other medications for additional medical conditions.
Liver function starts to decline at age 65.Smaller doses are recommended for older men.

Question 9

Which male health drug may be prescribed for women with fibrocystic breast disease?&#10;A)danazol (Cyclomen)&#10;B)sildenafil (Viagra)&#10;C)finasteride (Proscar)&#10;D)fluoxymesterone

Accepted Answer

Danazol may be used for fibrocystic breast disease.

Question 10

Uses for the synthetic androgen danazol (Cyclomen)include which of the following? Select all that apply.&#10;A)Porphyria&#10;B)Endometriosis&#10;C)Decreased sexual libido&#10;D)Postpartum breast engorgement&#10;E)Fibrocystic breast disease&#10;F)Hereditary angioedema&#10;G)Metastatic breast cancer

Accepted Answer

Danazol is used to treat hereditary angioedema,and to treat women who have endometriosis or fibrocystic breast disease.

Question 11

In male patients receiving hormone therapy,which of the following conditions may indicate excessive amounts of androgen?&#10;A)Priapism&#10;B)Tachycardia&#10;C)Muscle weakness&#10;D)Fluid volume depletion

Accepted Answer

The answer of In male patients receiving hormone therapy,which of...

Question 12

A male patient is requesting a prescription for sildenafil (Viagra).He should be assessed for the presence of which of the following conditions?&#10;A)Fluid retention&#10;B)Hypogonadism&#10;C)The use of nitrates&#10;D)Benign prostatic hypertrophy

Accepted Answer

The answer of A male patient is requesting a prescription...

Question 13

A patient in the early stage of benign prostatic hypertrophy wants to try natural health products instead of conventional medications.Which natural health product is often used for this condition?&#10;A)Ginkgo&#10;B)Saw palmetto&#10;C)Ginseng&#10;D)Hawthorn

Accepted Answer

The answer of A patient in the early stage of...

Deck 35: Mens Health Drugs