Urogenital Disorders - 9/13 Fitzpatrick Flashcards
What converts androstenedione to estrone?
Aromatase
What drug blocks CYP17 and is used to treat advanced prostate cancer?
Abiraterone
What adverse side effects are caused by initial GnRH surge?
Bone pain
Spinal cord pain or paralysis
Side effects of Abiraterone?
Cortisol deprivation
Aldosterone accumulation
What converts estrone to estradiol?
17Beta-hydroxylase
What drug causes circulating testosterone to surge initially and then drop later?
Leuprolide
What converts estrone to estradiol?
17Beta-hydroxylase
What converts androstenedione to testosterone?
17Beta-hydroxylase
What drug is used to treat men with advanced prostate cancer but has significant hepatotoxicity?
Ketoconazole
What hormone is administered in infertile men which stimulates Leydig cells to secrete testosterone?
hCG
What is the typical GnRH agonist?
Leuprolide
What converts testosterone to estradiol?
Aromatase
What converts testosterone to estradiol?
Aromatase
What causes secondary hypogonadism infertility?
Exogenous androgens Anabolic steroids (andro and T overexposure)
Taken in a NON-pulsatile form
What converts testosterone to estradiol?
Located where?
Aromatase
Sertoli cells
FSH stimulates what?
Needs what else?
Sertoli cells
Testosterone
What converts testosterone to estradiol?
Located where?
Aromatase
Sertoli cells
What androgen receptor antagonist is used in combination with surgical castration?
Nilutamide
What converts testosterone to dihydrotestosterone (DHT)?
Steroid 5alpha reductase
What is the typical natural GnRH?
Gonadorelin
What drug is used to treat men with advanced prostate cancer but has significant hepatotoxicity?
Ketoconazole
What is the typical natural GnRH?
Gonadorelin
What androgen receptor antagonist is used with Leuprolide?
Taken how often?
Bicalutamide
Qd
What converts androstenedione to estrone?
Aromatase
What drugs are Aromatase inhibitors?
Anastrazole
Letrazole
What precursor substance it’s converted to DHEA?
Pregnenolone
What converts androstenedione to testosterone?
17Beta-hydroxylase
What drugs are Aromatase inhibitors?
Anastrazole
Letrazole
What causes secondary hypogonadism infertility?
Exogenous androgens Anabolic steroids (andro and T overexposure)
Taken in a NON-pulsatile form
LH stimulates what?
To make what?
Leydig cells
Testosterone
What is the typical GnRH antagonist?
Degarelix
What drug causes circulating testosterone to surge initially and then drop later?
Leuprolide
What androgen receptor antagonist is used with General GnRH agonists?
Taken how often?
Flutamide
Tid
Is Degarelix slow or fast acting?
Fast acting (within 2-3 days)
What drug blocks CYP17 and is used to treat advanced prostate cancer?
Abiraterone
What converts testosterone to dihydrotestosterone (DHT)?
Steroid 5alpha reductase
What precursor substrate is converted to Androstenedione?
Progesterone
What drug is a selective estrogen receptor modulator (SERM)?
Acts as a what?
Clomiphene
Estrogen receptor antagonist
Abiraterone is almost always used in combination with what?
Prednisone or other corticosteroids
What drug is a selective estrogen receptor modulator (SERM)?
Acts as a what?
Clomiphene
Estrogen receptor antagonist
Side effects of Abiraterone?
Cortisol deprivation
Aldosterone accumulation
What has an adverse side effect of increased levels of liver enzymes on lab tests?
Degarelix