APEA Pharm- Men's Health
A 20-year-old man with phimosis should be instructed to apply betamethasone (Sernivo)
0.05% cream at least twice daily for:
3 days.
7 days.
3 weeks.
6 weeks. - ANS 6 weeks.
Topical steroid creams can help soften tightened foreskin and facilitate retraction.
Steroids should be applied to the tight rink of foreskin and head of penis twice daily for
6-8 weeks.
\A 24-year-old man patient treated for epididymitis caused by Neisseria gonorrhoeae
should be advised that:
partners do not require treatment.
partner therapy is recommended.
sexual intercourse should be avoided for 6 weeks.
infertility is not associated with epididymitis. - ANS partner therapy is recommended.
\A 45-year-old man is receiving finasteride (Proscar) for the symptomatic treatment of
benign prostatic hyperplasia. The patient should be advised that:
prostate specific antigen (PSA) levels may increase.
it should be crushed and taken with food.
his medication should not be handled by a pregnant or lactating relative.
he will see benefits of therapy within 2-3 months of initiation. - ANS his medication
should not be handled by a pregnant or lactating relative.
Women should not handle crushed or broken Proscar tablets when they are pregnant or
may potentially be pregnant due to risk to a male fetus.
\A 55-year-old man with benign prostatic hypertrophy has overflow incontinence. The
first-line treatment is:
mirabegron (Myrbetriq).
Flavoxate (Urispas).
solifenacin (Vesicare).
tamsulosin (Flomax). - ANS tamsulosin (Flomax).
\A 57-year-old man has chronic prostatitis with a causative organism that is resistant to
fluoroquinolones. The patient has an allergy to sulfa drugs. The next best treatment
option is:
levofloxacin (Levaquin).
nitrofurantoin (Macrobid).
doxycycline (Doryx).
clindamycin (Cleocin). - ANS doxycycline (Doryx).
, \A 58-year-old man is receiving dutasteride (Avodart) for benign prostatic hyperplasia
(BPH). Avodart, a 5-alpha reductase inhibitor:
reduces prostate specific antigen levels.
decreases the risk of developing high-grade prostate cancer.
does not have an effect on acute urinary retention.
reduces the motility, concentration and morphology of semen. - ANS reduces prostate
specific antigen levels.
\A 60-year-old man who is treated with tamsulosin (Flomax) for benign prostatic
hyperplasia (BPH) should NOT be treated concomitantly with:
hyoscyamine (Levsin).
buspirone (BuSpar).
sildenafil (Viagra).
sumatriptan (Imitrex). - ANS sildenafil (Viagra).
The combination of the two medications can result in additive blood pressure lowering
effects and symptomatic hypotension.
\A 65-year-old man who is receiving finasteride (Proscar) for benign prostatic hyperplasia
(BPH) is exhibiting progressive symptoms. To reduce these symptoms, prescribe:
oxybutynin (Ditropan).
dutasteride (Avodart).
doxazosin (Cardura).
nitrofurantoin (Macrobid). - ANS doxazosin (Cardura).
\A 65-year-old man with benign prostatic hyperplasia (BPH) is treated with tamsulosin
(Flomax). Potential side effects are:
hypertension and headache.
excessive ejaculation and incontinence.
fatigue and increased low-density lipoproteins.
orthostatic hypotension and dizziness. - ANS orthostatic hypotension and dizziness.
\Alpha-adrenergic antagonists for the treatment of benign prostatic hyperplasia (BPH):
block alpha adrenergic receptors.
interfere with the release of potassium.
inhibit muscarinic activity of acetylcholine.
interfere with the release of calcium. - ANS block alpha adrenergic receptors.
\Ciprofloxacin, used for the treatment of bacterial prostatitis, is a potent CYP1A2 inhibitor
and is absolutely contraindicated with other CYP1A2 inhibitors. An example of another
CYP1A2 inhibitor is:
ketoconazole.
tizanidine (Zanaflex).
fluoxetine hydrochloride (Sarafem).
celecoxib (Celebrex). - ANS tizanidine (Zanaflex).
\Concomitant administration of sildenafil (Viagra) and tamsulosin (Flomax) may result in:
dysarthria.
migraine headaches.
erectile dysfunction.
A 20-year-old man with phimosis should be instructed to apply betamethasone (Sernivo)
0.05% cream at least twice daily for:
3 days.
7 days.
3 weeks.
6 weeks. - ANS 6 weeks.
Topical steroid creams can help soften tightened foreskin and facilitate retraction.
Steroids should be applied to the tight rink of foreskin and head of penis twice daily for
6-8 weeks.
\A 24-year-old man patient treated for epididymitis caused by Neisseria gonorrhoeae
should be advised that:
partners do not require treatment.
partner therapy is recommended.
sexual intercourse should be avoided for 6 weeks.
infertility is not associated with epididymitis. - ANS partner therapy is recommended.
\A 45-year-old man is receiving finasteride (Proscar) for the symptomatic treatment of
benign prostatic hyperplasia. The patient should be advised that:
prostate specific antigen (PSA) levels may increase.
it should be crushed and taken with food.
his medication should not be handled by a pregnant or lactating relative.
he will see benefits of therapy within 2-3 months of initiation. - ANS his medication
should not be handled by a pregnant or lactating relative.
Women should not handle crushed or broken Proscar tablets when they are pregnant or
may potentially be pregnant due to risk to a male fetus.
\A 55-year-old man with benign prostatic hypertrophy has overflow incontinence. The
first-line treatment is:
mirabegron (Myrbetriq).
Flavoxate (Urispas).
solifenacin (Vesicare).
tamsulosin (Flomax). - ANS tamsulosin (Flomax).
\A 57-year-old man has chronic prostatitis with a causative organism that is resistant to
fluoroquinolones. The patient has an allergy to sulfa drugs. The next best treatment
option is:
levofloxacin (Levaquin).
nitrofurantoin (Macrobid).
doxycycline (Doryx).
clindamycin (Cleocin). - ANS doxycycline (Doryx).
, \A 58-year-old man is receiving dutasteride (Avodart) for benign prostatic hyperplasia
(BPH). Avodart, a 5-alpha reductase inhibitor:
reduces prostate specific antigen levels.
decreases the risk of developing high-grade prostate cancer.
does not have an effect on acute urinary retention.
reduces the motility, concentration and morphology of semen. - ANS reduces prostate
specific antigen levels.
\A 60-year-old man who is treated with tamsulosin (Flomax) for benign prostatic
hyperplasia (BPH) should NOT be treated concomitantly with:
hyoscyamine (Levsin).
buspirone (BuSpar).
sildenafil (Viagra).
sumatriptan (Imitrex). - ANS sildenafil (Viagra).
The combination of the two medications can result in additive blood pressure lowering
effects and symptomatic hypotension.
\A 65-year-old man who is receiving finasteride (Proscar) for benign prostatic hyperplasia
(BPH) is exhibiting progressive symptoms. To reduce these symptoms, prescribe:
oxybutynin (Ditropan).
dutasteride (Avodart).
doxazosin (Cardura).
nitrofurantoin (Macrobid). - ANS doxazosin (Cardura).
\A 65-year-old man with benign prostatic hyperplasia (BPH) is treated with tamsulosin
(Flomax). Potential side effects are:
hypertension and headache.
excessive ejaculation and incontinence.
fatigue and increased low-density lipoproteins.
orthostatic hypotension and dizziness. - ANS orthostatic hypotension and dizziness.
\Alpha-adrenergic antagonists for the treatment of benign prostatic hyperplasia (BPH):
block alpha adrenergic receptors.
interfere with the release of potassium.
inhibit muscarinic activity of acetylcholine.
interfere with the release of calcium. - ANS block alpha adrenergic receptors.
\Ciprofloxacin, used for the treatment of bacterial prostatitis, is a potent CYP1A2 inhibitor
and is absolutely contraindicated with other CYP1A2 inhibitors. An example of another
CYP1A2 inhibitor is:
ketoconazole.
tizanidine (Zanaflex).
fluoxetine hydrochloride (Sarafem).
celecoxib (Celebrex). - ANS tizanidine (Zanaflex).
\Concomitant administration of sildenafil (Viagra) and tamsulosin (Flomax) may result in:
dysarthria.
migraine headaches.
erectile dysfunction.
