Erectile dysfunction and premature ejaculation

Question 1

True or false:

Erectile dysfunction increases the risk of CVD

Answer 1

TRUE

All men presenting with ED should be evaluated for the presence of cardiovascular risk factors

Question 2

________ are first line for erectile dysfunction regardless of the cause

Answer 2

PDE-5 inhibitors e.g sildenafil

Question 3

True or false:

PDE-5 inhibitors initiate an erection

Answer 3

FALSE

They work by increasing blood flow to the penis but sexual stimulation is needed to initiate an erection

Question 4

Which PDE-5 inhibitor is longer acting and therefore can be taken daily at a low dose to allow for spontaneous intercourse?

Answer 4

Tadalafil

Question 5

Prostaglandin E1, also known as ______ is used 2nd line under careful supervision in ED treatment

Answer 5

Alprostadil

Question 6

Priapism is an erection lasting more than ______

Answer 6

4 hours

Requires urgent attention

Question 7

True or false:

An ice pack may help to reverse priapism

Answer 7

TRUE

Application of an ice pack to the upper inner thigh may result in reflex opening of the venous valves

Question 8

Which SSRI is licensed to be used prn for premature ejaculation

Answer 8

Dapoxetine

A short acting SSRI. Not for continuous daily use

Question 9

True or false:

Anaesthetics should not be used to delay premature ejaculation

Answer 9

FALSE

Topical preparations are available over the counter e.g. EMLA cream (lidocaine)

Question 10

True or false :

PDE-5 inhibitors can cause visual disturbances

Answer 10

TRUE

This is due to some inhibition of PDE-6