Day 2- Mens Health Flashcards
Do you treat high risk cv patients with ED?
How do you treat intermediate vs low risk with ED?
How do you treat ED?
NO
Intermediate be careful but can treat. Low go ahead and treat.
PDE-5 first line or Vacuum constriction devices, or prosthesis or intraurethical or intracavernosal devices.
Which PDE-5 has the longest duration and inhibits PDE-11 and is available for daily use and can be used for BPH?
What is the dose of daily use of cialis?
Which pde-5’s do you need to take on an empty stomach?
Cialis (Tadalafil).
5 mg a day.
Sildenafil(viagara) and Levitra(vardenafil).
What classification is Testosterone and when can you use it?
What 2nd generation alpha 1 agonists do we need to be concerned about?
Are 5 alpha reductase inhibitors teratogenic?
C3, Erectile dysfunction associated with hypergonadism.
First dose syncope, orthostatic hypotension, dizziness.
YES!
What are the 4 types of sexual dysfunction?
What are your normal total levels of testosterone and what role does it play in the body?
What are the pros and cons of VED?
Decreased libido, ED, Delayed ejaculation, Retrograde ejaculation.
300-1100 ng/dl. Stimulates libido, increases muscle mass, may stimulate nitric oxide release.
Pros- high satisfaction, no systemic effects, can use with other meds. Cons- 30 minutes, not discreet and penis may be cool to the touch, use caution with patients on anticoagulation.
Which PDE-5 has the quickest onset and which one has the longest duration?
What are common PDE-5 adverse effects?
What is the Intracavernosal injection
Viagara(Sildenafil), Cialis(Tadalafil).
Headache, flushing, sensitivity to light and blue colors, priapism, back and muscle pain.
Alprostadil(caverject), administered 90 degrees into the corposa cavernosa.
What is the intraurethical supporistory?
How do you diagnose BPH and what are your AUA BPH classifications?
What is TURP vs TUIP?
Muse(alprostadil).
Digital Rectal Exam, Neurologic exam, Blood and infection in urinalysis. PSA, max flow rate and urine output. Mild, Moderate, Severe.
TURP <50 grams, TUIP <30
Which drugs are used to treat BPH and when are they indicated?
Do 5-ARI’s reduce prostate size?
How do you treat manopause?
Selective and non selective alpha 1 antagonists,5- ARI’s(good if Prostate is >40 grams), PDE-5’s, Anticholinergics.
Yes.
Testosterone replacement.
What are good counseling points for minoxidil?
Hair may thin or shed in first 3-5 weeks.
