Fitz - Male UG Disorders Flashcards

1
Q

Converts testosterone to estradiol

A

Aromatse

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2
Q

GnRH/LHRH antagonist

A

Degarlix

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3
Q

GnRH/LHRH agonists

A

Leuprolide, nafarelin (nasal)

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4
Q

Natural version of GnRH/LHRH

A

Gonadorelin

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5
Q

Only drug in US approved to tx advanced prostate cancer

A

Degarelix

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6
Q

Causes desensitization of GnRH and LH receptors after continued admin

A

Leuprolide

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7
Q

Leuprolide initially causes

A

T surge!

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8
Q

Worry about leuprolide flare in pts who

A

Have ca that has met to bone

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9
Q

Maganement of leurprolide flair with

A

Androgen receptor antagonists

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10
Q

Androgen receptor antagonists

A

Bicalutamide, flutamide, nilutamide

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11
Q

MCly used androgen receptor antatgonist

A

Biclutamide

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12
Q

Drugs used in targets androgen biosythesis disruption

A

Abirateron, ketoconazole

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13
Q

Blocks CYP17 to lower tumor production of androgens

A

Abiraterone

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14
Q

Abiraterone must be used with

A

Prednisone or other corticosteroid

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15
Q

AEs: abiraterone alone

A

Cortisol depletion, aldoseterone enhancement

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16
Q

AE: ketokonazole

A

Hepatotoxicity

17
Q

Inhibitors of 5alpha-reductase

A

Finasteride, dutasteride

18
Q

Tx of male infertility

A

hCG

19
Q

hCG is an analogue of

A

LH

20
Q

SERM used in secondary hypogonadism

A

Clomiphene

21
Q

Aromatase inhibitors in secondary hypogonadism

A

Anatrazole, letrazole

22
Q

Enzyme that makes DHT from testosterone

A

5alpha reductase