Male Reproductive

Question 1

Dome shaped skin colored papules 1-4mm in size with ring like distribution around corona of the glans penis

Answer 1

Pearly papules; benign normal variant; not STI

Question 2

what is next step in evaluation of hypogonadism in patient with low testosterone levels and associated clinical symptoms?

Answer 2

FSH and LH to determine if primary or secondary; if primary FSH/LH will be high and karyotyping may be indicated; if FSH/LH levels are low should then get prolactin/serum iron/TIBC to r/o underlying causes, may also need MRI brain to look at pituitary

Question 3

which BP medication class is least likely to exacerbate erectile dysfunction?

Answer 3

ARBs

Question 4

first step in evaluation of male infertility?

Answer 4

semen analysis; if oligozoopermia –> get FSH and early morning total testosterone levels