Chapter 45 Drug Therapy for Men’s Health

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Chapter 45  Drug Therapy for Men’s Health

 

 

Complete chapter Questions And Answers
 

Sample Questions

 

 

1. A middle-aged patient with erectile dysfunction has sought care and is receiving health education from the nurses. The patient has expressed a desire to understand the physiology of the sex hormone production and the sexual response. The nurse should describe the fact that testosterone is normally secreted in response to

  1. A)  sexual arousal.
  2. B)  stimulation by luteinizing hormone.
  3. C)  ACTH release by the adrenal cortex.
  4. D)  decreased cortisol levels.

Ans: B
Feedback:
Certain cells in the testes, called Leydig cells, secrete testosterone in response to stimulation by luteinizing hormone (LH) from the anterior pituitary gland. Testosterone secretion is not the result of sexual arousal, ACTH, or low cortisol.

2. A 41-year-old male patient with a complex medical history has been referred to the endocrinology department. Diagnostic testing and assessment have resulted in a diagnosis of secondary hypogonadism. Which of the following health problems is the most likely etiology of his diagnosis?

  1. A)  Type 1 diabetes
  2. B)  Mumps
  3. C)  An inflammatory process in the testicles
  4. D)  Testicular trauma

Ans: A
Feedback:
Chronic diseases (e.g., metabolic syndrome, diabetes) can lead to secondary hypogonadism. Common diseases that can cause primary hypogonadism are mumps, testicular inflammation, and trauma.

3. A 52-year-old has made an appointment with his primary care provider and has reluctantly admitted that his primary health concern is erectile dysfunction (ED). He describes the problem as increasing in severity and consequent distress. Which of the nurse’s assessment questions is most likely to address a common cause of ED?

  1. A)  “How would you describe your overall level of health?”
  2. B)  “Are you taking any medications for high blood pressure?”
  3. C)  “How has this problem been affecting your relationship with your wife?”
  4. D)  “Have you suffered any injuries of any kind in the last several months?”

Ans: B
Feedback:
Causes of ED may include drugs such as antidepressants, antihypertensive agents, and histamine receptor antagonists. Injuries are a rare cause. Addressing the impact of the problem and the patient’s perceptions of health are important, but neither question addresses causation.

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4. After experiencing several months of worsening nocturia, a patient has been assessed for benign prostatic hypertrophy (BPH) and has begun drug treatment. In addition to nocturia, what other sign or symptom is most likely to accompany BPH?

  1. A)  Hematuria
  2. B)  Erectile dysfunction
  3. C)  Urinary frequency
  4. D)  Flank pain

Ans: C

Feedback:

Clinical manifestations of BPH include urinary frequency, hesitancy, urgency, dribbling, and decreased force of the urinary stream. Hematuria, ED, and flank pain are not characteristic of this problem.

5. An 8-year-old boy has been diagnosed with a sex hormone deficiency and has begun a course of treatment with testosterone. What change in the boy’s health status would necessitate a stop to the course of treatment?

  1. A)  Excessive growth in height
  2. B)  Signs of puberty
  3. C)  Recurrent urinary tract infections
  4. D)  Increased blood pressure

Ans: B
Feedback:
If premature puberty occurs in a boy being treated with androgens (e.g., precocious sexual development, enlarged penis), it is necessary to stop the drug. Changes in blood pressure, increased growth, and urinary tract infections are unlikely causes for the cessation in treatment.

6. An adult patient is suspected of having an androgen deficiency and has spoken with his primary care provider about the possibility of treatment with testosterone. The use of testosterone would be most complicated by the presence of what preexisting health problem?

  1. A)  Urinary incontinence
  2. B)  BPH
  3. C)  Chronic renal failure
  4. D)  Type 2 diabetes

Ans: B

Feedback:

Disorders of the prostate contraindicate testosterone use because men with an enlarged prostate may have additional enlargement. Incontinence, diabetes, and kidney disease are not absolute contraindications to the use of testosterone.

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