Erectile Dysfunction AAFP

Questions and Answers

Which factor is least likely to be a direct contributor to erectile dysfunction (ED)?

Metabolic syndrome

Low physical activity (correct)

High fasting blood glucose level

Antidepressant medications

In relation to diabetes, which statement is true regarding its duration and erectile dysfunction?

Diabetes duration has no significant impact on ED risk

Diabetes duration is less relevant than medication use for ED

Shorter duration of diabetes is linked with higher ED risk

Longer duration of diabetes is associated with increased ED risk (correct)

What is the association between metabolic syndrome and erectile dysfunction?

Metabolic syndrome is associated with a 2.6-fold increase in ED incidence (correct)

Metabolic syndrome completely prevents ED

Metabolic syndrome has no impact on ED incidence

Metabolic syndrome has a negligible increase in ED risk

Which component of metabolic syndrome is primarily linked to erectile dysfunction?

Fasting blood glucose level Signup and view all the answers

Which type of medications are highlighted as a common cause of erectile dysfunction?

Antidepressants Signup and view all the answers

What is the relationship between medications and erectile dysfunction?

Certain medications exacerbate existing ED Signup and view all the answers

Which of the following is not a recognized factor contributing to erectile dysfunction?

High intake of fiber Signup and view all the answers

Why is fasting blood glucose level significant in the context of erectile dysfunction?

It is a risk factor for metabolic syndrome-related ED Signup and view all the answers

What is the first-line treatment for erectile dysfunction (ED)?

Phosphodiesterase-5 inhibitors Signup and view all the answers

Inconsistent or limited-quality patient-oriented evidence is classified as which letter according to the SORT evidence rating system?

B Signup and view all the answers

What factor is more likely to indicate psychogenic causes of ED?

Normal erections during masturbation Signup and view all the answers

When confronting erectile dysfunction along with a mood disorder, what is suggested as the most appropriate first step?

Treatment of the mood disorder Signup and view all the answers

What may be a limitation of using nocturnal penile tumescence measurements?

They can be unreliable in older or anxious patients Signup and view all the answers

What can vacuum devices cause when used incorrectly?

Cold sensation in the penis Signup and view all the answers

What may be a problem with the testing method for nocturnal erections?

It is not sensitive to sexually relevant erections Signup and view all the answers

What is a common psychological intervention for men with erectile dysfunction?

Counseling Signup and view all the answers

What is the relationship between erectile dysfunction (ED) and coronary artery disease (CAD) in men aged 40 to 49?

ED predicts CAD more accurately in younger men than in older men. Signup and view all the answers

Why is erectile dysfunction (ED) considered a useful marker for assessing cardiovascular risk?

ED can help identify men at higher risk of cardiovascular disease even when traditional assessments fail. Signup and view all the answers

What does the IIEF-5 assessment tool measure in relation to erectile dysfunction?

The severity of erectile dysfunction. Signup and view all the answers

In studying the incidence of CAD in men under 40 with ED, how much higher was the incidence compared to the control population?

Seven times higher. Signup and view all the answers

What recommendation is made for managing cardiovascular risk factors in men who have ED but no known cardiovascular disease (CVD)?

To manage cardiovascular risk factors proactively. Signup and view all the answers

What does the term 'impotence' refer to in the context of the provided content?

The inability to maintain an erection that is adequate for satisfactory sexual activity. Signup and view all the answers

Which population is particularly at risk for underestimation of cardiovascular risk when using global assessment calculators?

Younger men and minorities. Signup and view all the answers

How does erectile dysfunction's prevalence change with age according to the content's information?

It increases with age. Signup and view all the answers

Which class of medications is most likely to contribute to erectile dysfunction due to their hormonal effects?

Hormones and hormone-active agents Signup and view all the answers

Which of the following illicit drugs is specifically known to potentially cause erectile dysfunction?

Cocaine Signup and view all the answers

Which antidepressant class has the highest association with erectile dysfunction?

Selective serotonin reuptake inhibitors Signup and view all the answers

What effect do diuretics typically have on erectile function?

Contribute to erectile dysfunction Signup and view all the answers

Which class of antihypertensive agents is least likely to cause erectile dysfunction?

Calcium channel blockers Signup and view all the answers

Which of the following substances is a known immunomodulator that can potentially contribute to erectile dysfunction?

Interferon alfa Signup and view all the answers

Which type of tranquilizer is known for its sedative properties and potential impact on erectile function?

Benzodiazepines Signup and view all the answers

Which of the following analgesics is prominently known to potentially contribute to erectile dysfunction?

Opiates Signup and view all the answers

What is the role of erectile dysfunction in relation to cardiovascular disease?

It serves as a predictor for subsequent atherosclerotic cardiovascular events. Signup and view all the answers

Which organization’s panel stated that erectile dysfunction function is a marker for cardiovascular disease?

Minority Health Institute Expert Advisory Panel Signup and view all the answers

What is one emerging treatment for erectile dysfunction discussed in the content?

Alprostadil alfadex Signup and view all the answers

What did the Second Princeton Consensus Conference discuss regarding sexual dysfunction?

It poses potential cardiac risks. Signup and view all the answers

What device is mentioned as having an emerging role in the treatment of erectile dysfunction?

Vacuum erection devices Signup and view all the answers

What aspect of erectile dysfunction is highlighted in historical treatments?

The development of inflatable penile prosthesis. Signup and view all the answers

What is a significant finding from the National Health and Nutrition Examination Survey mentioned?

There is a distribution of predicted risks for cardiovascular disease in adults. Signup and view all the answers

What did the management of erectile dysfunction review identify as an important factor?

The integration of treatment into overall cardiovascular health management. Signup and view all the answers

Study Notes

Erectile Dysfunction and Associated Factors

Duration of diabetes strongly correlates with increased risk of erectile dysfunction (ED).
Metabolic syndrome linked to a 2.6-fold increase in ED incidence; fasting blood glucose is particularly risky.
ED prevalence rises with age; particularly predictive in men aged 40-49 regarding coronary artery disease (CAD).
In men under 40, the incidence of CAD with ED is seven times higher than in controls.

Psychological and Medical Assessment

ED can indicate increased cardiovascular risk, especially in younger men and minorities.
IIEF-5 (International Index of Erectile Function) is recommended for assessing cardiovascular risk in men with ED.
Categories used to assess impotence: Not impotent, minimally, moderately, and severely impotent based on erection ability.

Medications and Substance Use

A wide array of medications can cause or worsen ED, including:
- Antidepressants (SSRIs, tricyclics)
- Antihypertensives (beta-blockers, diuretics)
- Antipsychotics (e.g., chlorpromazine)
- Alcohol, nicotine, and illicit drugs (cocaine, marijuana)

Treatment Options and Lifestyle Modifications

Lifestyle changes advised for men with metabolic syndrome to lower cardiovascular risk and ED.
Phosphodiesterase-5 inhibitors are considered the first-line treatment for ED.
Vacuum devices may be employed alongside treatments for enhanced effect; high patient satisfaction noted.
Treatment of coexisting mood disorders (depression/anxiety) may be prioritized before addressing ED.

Additional Considerations

Normal nocturnal erections indicate possible psychogenic causes of ED if present.
Assessing the number, duration, and rigidity of nocturnal erections can provide further insight, although interpretations can be unreliable in older or anxious patients.

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Description

This quiz explores the correlation between erectile dysfunction (ED) and various factors such as diabetes, metabolic syndrome, and age. It also discusses the psychological assessments used for evaluating ED and the impact of medications and substances on this condition. Test your knowledge on how ED relates to cardiovascular risks and the implications for different age groups.