Men's Health and Reproductive Disorders

Question 1

Male sex hormones

Answer 1

Androgens

Question 2

An anabolic steroid

Answer 2

Testosterone

Question 3

A defect of the reproductive system that results in failure of the testes to produce testosterone, sperm, or both.

Answer 3

Hypogonadism

Question 4

A painful, continuous ereciton

Answer 4

Priapism

Question 5

Mammary gland enlargement in men

Answer 5

gynocomastia

Question 6

Formation of spermatazoa

Answer 6

Spermatogenesis

Question 7

Low sperm count

Answer 7

oligospermia

Question 8

The development of male secondary sex characteristics in women or hypogonadal males

Answer 8

Virilization

Question 9

Excessive body hair

Answer 9

Hirsutism

Question 10

When testicle enlargement, penile growth, and pubic hair development has not occurred by 14 years of age.

Answer 10

Delayed puberty

Question 11

Impaired ejection of seminal fluid from the male urethra, that may be psychogenic or due to drug therapy.

Answer 11

Ejaculatory dysfunction

Question 12

The inability to achieve or maintain an erection satisfactory for sexual perfomance.

Answer 12

Erectile dysfunction (ED)

Question 13

What are signs of hypogonadism in adult men?

Answer 13

Testicular atrophy, impotence, decreased libido, decreased bone density, loss of muscle mass, hair loss, gynecomastia, fatigue, difficulty concentrating, and vasomotor flushing.

Question 14

How should a buccal mucoadhesive system be applied?

Answer 14

With the round surface against the gum.

Question 15

True or False: Buccal tablets can be chewed and swallowed.

Answer 15

False

Question 16

What should be done if a buccal tablet falls out 4 hours before the next dose?

Answer 16

A new system should be applied.

Question 17

What instruction should be given to the patient using a testosterone transdermal patch?

Answer 17

It should be applied to clean, dry skin, away from the scrotum and bony prominences. It should be applied daily at 10pm. Accumulation of testosterone does not occur with continued use. If the patch is removed, the person will return to the hypogonadal state within 24 hours.

Question 18

What instruction should be given to the patient using testosterone gel?

Answer 18

Apply to clean, dry, skin, away from the genitals. Wash hands thoroughly after application. Other people should not come in contact with the skin where it is applied.

Question 19

What are side effects of using testosterone?

Answer 19

It interferes with spermatogenesis. It can have masculinization and teratogenic effects on a fetus if the woman comes in contact with it. It can cause elevated cholesterol levels. It causes growth disturbances in infants and prepubertal children. It increases the risk of BPH and prostate cancer in older men.

Question 20

True or False: Men taking testosterone should notify their health care provider if they have a decreased urinary stream or other urinary symptoms.

Answer 20

True

Question 21

What type of medications should PDE-5 inhibitors not be taken with?

Answer 21

Nitrates or nitroglycerin; Alpha blockers

Question 22

What instructions should be given to a man taking Sildenafil (viagra)?

Answer 22

It works best on an empty stomach. It should be taken 30-60 minutes before sexual activity. It lasts about 4 hours.

Question 23

Why do some men prefer Avanafil vs. Sildenafil?

Answer 23

Avanafil (Ava) has a shorter onset and can be taken within 15 minutes of sexual activity, which allows for more spontaneity.