Chapter 52. Men as Patients
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The factor that has the greatest effect on males developing male sexual characteristics is:
1. Cultural beliefs
2. Effective male role models
3. Adequate intake of testosterone in the diet
4. Androgen production
2. When assessing a male for hypogonadism prior to prescribing testosterone replacement, serum
testosterone levels are drawn:
1. Without regard to time of day
2. First thing in the morning
3. Late afternoon
4. In the evening
3. Some research supports that testosterone replacement therapy may be indicated in which of the
following diagnoses in men?
1. Age-related decrease in cognitive functioning
, 2. Metabolic syndrome
3. Decreased muscle mass in aging men
4. All of the above
4. The goal of testosterone replacement therapy is:
1. Absence of all hypogonadism symptoms
2. Testosterone levels in the mid-normal range 1 week after an injection
3. Testosterone levels in the mid-normal range just prior to the next injection
4. Avoidance of high serum testosterone levels during therapy
5. While on testosterone replacement, hemoglobin and hematocrit levels should be monitored. Levels
suggestive of excessive erythrocytosis or abuse are:
1. Hemoglobin 14 g/dl or hematocrit 39%
2. Hemoglobin 11.5 g/dl or hematocrit 31%
3. Hemoglobin 13 g/dl or hematocrit 38%
4. Hemoglobin 17.5 g/dl or hematocrit 54%
6. Monitoring of an older male patient on testosterone replacement includes:
1. Oxygen saturation levels at every visit
2. Serum cholesterol and lipid profile every 3 to 6 months
3. Digital rectal prostate screening exam at 3 and 6 months after starting therapy
4. Bone mineral density at 3 months and 6 months after starting therapy
7. When prescribing phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil (Viagra) patients
should be screened for use of:
1. Statins
2. Nitrates
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The factor that has the greatest effect on males developing male sexual characteristics is:
1. Cultural beliefs
2. Effective male role models
3. Adequate intake of testosterone in the diet
4. Androgen production
2. When assessing a male for hypogonadism prior to prescribing testosterone replacement, serum
testosterone levels are drawn:
1. Without regard to time of day
2. First thing in the morning
3. Late afternoon
4. In the evening
3. Some research supports that testosterone replacement therapy may be indicated in which of the
following diagnoses in men?
1. Age-related decrease in cognitive functioning
, 2. Metabolic syndrome
3. Decreased muscle mass in aging men
4. All of the above
4. The goal of testosterone replacement therapy is:
1. Absence of all hypogonadism symptoms
2. Testosterone levels in the mid-normal range 1 week after an injection
3. Testosterone levels in the mid-normal range just prior to the next injection
4. Avoidance of high serum testosterone levels during therapy
5. While on testosterone replacement, hemoglobin and hematocrit levels should be monitored. Levels
suggestive of excessive erythrocytosis or abuse are:
1. Hemoglobin 14 g/dl or hematocrit 39%
2. Hemoglobin 11.5 g/dl or hematocrit 31%
3. Hemoglobin 13 g/dl or hematocrit 38%
4. Hemoglobin 17.5 g/dl or hematocrit 54%
6. Monitoring of an older male patient on testosterone replacement includes:
1. Oxygen saturation levels at every visit
2. Serum cholesterol and lipid profile every 3 to 6 months
3. Digital rectal prostate screening exam at 3 and 6 months after starting therapy
4. Bone mineral density at 3 months and 6 months after starting therapy
7. When prescribing phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil (Viagra) patients
should be screened for use of:
1. Statins
2. Nitrates
