Why can prescribing testosterone be harmful? - CORRECT ANSWER-· Testicular
shrinkage
· Sterility
· Acne
· Gynecomastia
· Lowers HDL and Raises LDL
· Mood swings
PDE-5 inhibitors - CORRECT ANSWER-· Common side effects are headaches and
flushing
· Make sure to counsel them if they have any vision changes, hearing loss or
priapism after taking one of these, STOP taking medication and go to MD
· These need to be taken about 30 minutes to 1 hour prior to sexual intercourse
· Viagra and Cialis just went generic this year
Dutasteride: cautions - CORRECT ANSWER-· Has the potential to harm
developing fetus
o Woman need to be cautious in handling medication
Epididymitis causes - CORRECT ANSWER-1. Commonly occurring in men <35
years of age with chlamydia as the causative agent
2. When occurring in men > 35 years: Likely the result of a bacteria ascension
from the bladder or bacteria introduced during cauterization and or surgery
Epididymitis symtpoms - CORRECT ANSWER-1. Pain
2. Dysuria
3. Urgency/frequency
4. Low back/perineal pain
5. Fever/chills
6. Malaise
7. scrotal edema
epdidymitits physical exam - CORRECT ANSWER-1. enlarged, tender epididymis
2. urethral discharge may be evident
3. positive Prehn's sign
normal creamasteric reflex, R/O testicular torsion
epdidymitits tests - CORRECT ANSWER-1. STD testing
2. Urine Culture
3. Scrotal US to R/O testicular torsion