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A4M BOARD CERTIFICATION VOLUME 2 QUESUESTIONS WITH 100% CORRECT ANSWERS!!

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A4M BOARD CERTIFICATION VOLUME 2 QUESUESTIONS WITH 100% CORRECT ANSWERS!!

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September 7, 2025
Number of pages
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Written in
2025/2026
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A4M BOARD CERTIFICATION VOLUME 2
QUESUESTIONS WITH 100% CORRECT
ANSWERS!!




1 of 45

Term



What are the important laboratory studies for assessing a man for
testosterone replacement therapy candidacy?



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Prevention of coronary artery disease. Fatigue
Elevated cholesterol treatment. Treatment of hypertension.
Treatment of stress.
Improvement and insulin resistance and better control of blood sugars and

,diabetes.
Improvement and metabolic syndrome.
Maintains cognition.
Maintains muscle mass.
Sexual function, improvement.
Improvement and congestive heart failure



Basic metabolic profile.
Total testosterone, free testosterone in serum and saliva when indicated.
DHT level
Estradiol in serum.
Serum estrone
DHEA in serum
A complete blood
count Quarters all
level
Sex hormone binding globulin level
Progesterone level
A prostate specific antigen
Sarah Allmon.
A digital rectal examination should be performed every six months if the
patient is on testosterone replacement therapy




Dosing must be guided by laboratory testing.
The dosing range is 0.25 mg cream to 4 mg cream daily with the most common
dose being 0.25 mg to 2 mg daily.
Testosterone should always be used transdermally in most situations.
Apply the testosterone to the thigh and rub in for two minutes and rotate sites.
transference of testosterone can occur for up to 12 hours to humans and animals
when given transdermally




Anxiety.
Decline and muscle tone, a reduction in HDL, decreased sexual drive, droopy
eyelids, dry skin and poor elasticity, dry and thinning hair, fatigue,
hypersensitivity, and hyper emotional states, a reduction in dreaming during
sleep, loss of pubic care, low self-esteem, mild depression, muscle wasting,
despite proper calorie and protein, intake, saggy cheeks, thin lips, weight gain


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, 2 of 45

Term


Describe DHEA in females



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The level of DHEA commonly normalizes in a younger patient as cortisol
normalizes.
In Younger patients, DHEA is not always replaced. It is important to fix
any problems, such as long-term stress, which can lower DHEA levels in
young females, and then the DHEA will normalize in most cases.




The dosing should be guided by test results of bowel chemistry. This is
specifically related to cortisol levels and serum levels of this hormone. But the
most common dosage is 10 mg to 100 mg by mouth of the slower standard
release preparation. It may be used Orally or transdermally, but the
most common route of administration is my mouth.




DHEA is made by the adrenal glands with a small amount being made by
the brain and skin. DHEA makes estrogen and testosterone. It begins to
decline in the late 20s. By the age of 70 the body only makes about 1/4 of
the amount of DHEA that It made earlierstress levels can reduce DHEA




Adrenal stress or burnout
Oral contraceptive use by increasing sex hormone binding globulin.
Chemotherapy
Childbirth
Cholesterol medication
Depression.
Endometriosis.
Aging process.

, Psychological trauma.
Surgical menopause


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3 of 45

Definition


Genetics susceptibility.
Eating processed foods.
Obesity.
Increase stress.
Excessive caffeine intake.
Alcohol abuse.
Nicotine use
Excessive dieting.
Oral contraceptives.
Lack of exercise.
Decreased estrogen females.
Increased, testosterone and males... Specifically super physiologic
dosing in males on HRT.
Kristian females.
Decrease Doster males.
Excessive progesterone in females
Insomnia.
Elevated DHEA levels.
Hypothyroidism



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