Sex Flashcards
A 40-year-old man is at your office today because he has been experiencing erectile dysfunction (ED) for the past year.
Certain conditions are associated with ED. List four.
Cardiovascular disease
Diabetes mellitus
Endocrine disorders (e.g., hypogonadism, hyperprolactinemia, thyroid disorders)
Hyperlipidemia
Hypertension
Metabolic syndrome
Neurologic conditions (e.g., multiple sclerosis, Parkinson disease, spinal cord injury, stroke)
Obesity
Peyronie disease
Prostate cancer treatment (e.g., surgery, radiation, hormone therapy)
Psychological conditions (e.g., anxiety, depression, guilt, history of sexual abuse, marital or relationship problems, stress)
Sedentary lifestyle
Tobacco use
Trauma
CFPC Self Learning Vol 32.4 August 2017
A 40-year-old man is at your office today because he has been experiencing erectile dysfunction (ED) for the past year.
Certain medications or substances can cause ED. List four.
Alcohol
Nicotine
Illicit drugs (e.g., amphetamines, barbiturates, cocaine, marijuana, opiates)
Analgesics (e.g., opiates)
Anticonvulsants (e.g., phenobarbital, phenytoin); Antidepressants (e.g., lithium, monoamine oxidase inhibitors, selective serotonin-reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants)
Antihistamines (e.g., dimenhydrinate, diphenhydramine, hydroxyzine, meclizine, promethazine); Antihypertensives (e.g., alpha-blockers, beta-blockers, calcium channel blockers, clonidine, methyldopa, reserpine)
Antiparkinson agents (e.g., bromocriptine, levodopa, trihexyphenidyl)
Antipsychotics (e.g., chlorpromazine, haloperidol, pimozide, thioridazine, thiothixene); Cardiovascular agents (e.g., digoxin, disopyramide, gemfibrozil); Cytotoxic agents (e.g., methotrexate)
Diuretics (e.g., spironolactone, thiazides)
Hormones and hormone-active agents (e.g., 5-alpha-reductase inhibitors, androgen receptor blockers, androgen synthesis inhibitors, corticosteroids, estrogens, gonadotropin-releasing hormone analogues, progesterones)
Immunomodulators (e.g., interferon alfa); Tranquillizers (e.g., benzodiazepines)
A 40-year-old man is at your office today because he has been experiencing erectile dysfunction (ED) for the past year.
Certain elements should be included in the physical examination of this patient. List three.
Measurement of blood pressure, body mass index, and waist circumference
Genital examination
Assessment of male secondary sex characteristics.
A 40-year-old man is at your office today because he has been experiencing erectile dysfunction (ED) for the past year.
What laboratory investigations would you consider ordering?
A1c or fasting glucose level can be used to assess a patient for diabetes.
A lipid panel can be done to assess a patient for hyperlipidemia.
Thyroid-stimulating hormone level testing is recommended for men with signs or symptoms of hypothyroidism.
Measurement of morning total testosterone may be considered for men with small testes, lack of male secondary sex characteristics, significantly low libido, or a history of inadequate response to phosphodiesterase-5 (PDE-5) inhibitors.
A 40-year-old man is at your office today because he has been experiencing erectile dysfunction (ED) for the past year.
What lifestyle modifications are recommended for men with ED? List three.
Regular exercise
Weight loss
Improved control of diabetes, hypertension, and hyperlipidemia
Cessation of tobacco use
A 40-year-old man is at your office today because he has been experiencing erectile dysfunction (ED) for the past year.
What is the first-line treatment for this patient’s condition?
Use of oral phosphodiesterase-5 inhibitors
