QUESTIONS WITH ANSWERS
ALREADY VERIFIED
Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:
1. Washing their hands after applying the gel
2. Wearing occlusive clothing while using the gel
3. Exposure to estrogens while using the gel
4. Skin-to-skin contact with pregnant women while using the gel
Correct answer- 4. Skin-to-skin contact with pregnant women while using the gel
Education when prescribing androgens to male patients includes advising that:
1. Short-term use places the patient at risk for hepatocellular carcinoma.
2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
3. Gynecomastia is a rare occurrence with the use of androgens.
4. Low sperm levels only occur with long-term use of androgens.
Correct answer- 2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
1. Is an unusual side effect of androgens and should be reported to the provider
2. Is treated with increased doses of androgens, so the patient should let the provider know if he
is having problems
3. May be a sign of early prostate cancer and he should make an appointment for a prostate
screening exam
4. May occur with androgen therapy
Correct answer- 4. May occur with androgen therapy
The U.S. Food and Drug Administration warns that androgens may cause:
1. Peliosis hepatis
2. Orthostatic hypotension
3. Menstrual irregularities
4. Acne
Correct answer- 1. Peliosis hepatis
Monitoring for a patient who is using androgens includes evaluation of:
1. Complete blood count and C-reactive protein levels
2. Lipid levels and liver function tests
3. Serum potassium and magnesium levels
4. Urine protein and potassium levels
Correct answer- 2. Lipid levels and liver function tests
1
, William is a 62-year-old male who is requesting a prescription for sildenafil (Viagra). He should
be screened for ________________ before prescribing sildenafil.
1. Renal dysfunction
2. Unstable coronary artery disease
3. Benign prostatic hypertrophy
4. History of priapism
Correct answer- 2. Unstable coronary artery disease
Men who are prescribed sildenafil (Viagra) need ongoing monitoring for:
1. Development of chest pain or dizziness
2. Weight gain
3. Priapism
4. Renal function
Correct answer- 1. Development of chest pain or dizziness
Men who are prescribed an erectile dysfunction drug such as sildenafil (Viagra) should be
warned about the risk for:
1. Impotence when combined with antihypertensives
2. Fatal hypotension if combined with nitrates
3. Weight gain if combined with antidepressants
4. All of the above
Correct answer- 4. All of the above
Androgens are indicated for:
1. Symptomatic treatment for male deficiency
2. Female libido, endometriosis, and postmenopausal symptoms
3. Increased muscle mass
4. Symptomatic treatment in both sexes for cancer and HIV
5. 1, 2, and 4
6. All of the above
Correct answer- 5. 1, 2, and 4
Long-term use of androgens requires specific laboratory monitoring of:
1. Glucose, calcium, testosterone, and thyroid function
2. Calcium, testosterone, PSA, and liver function
3. Calcium, testosterone, PSA, liver function, glucose, and lipids
4. CBC, testosterone, PSA, and thyroid level
Correct answer- 3. Calcium, testosterone, PSA, liver function, glucose, and lipids
Effects of estrogen include:
1. Regulation of the menstrual cycle
2. Maintenance of bone density by increasing bone reabsorption
3. Maintenance of the normal structure of the skin and blood vessels
4. A and C
5. All of the above
Correct answer- 4. A and C
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