Nonarteritic Anterior Ischemic Optic Neuropathy (NAION) Counseling Points Quiz
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Questions and Answers

What is the first-line pharmacotherapy for Erectile Dysfunction (ED)?

  • PDE5 Inhibitors (correct)
  • Antidepressants
  • Antibiotics
  • Pain relievers
  • Which condition should be evaluated in a patient with ED due to the risk it poses?

  • Muscle pain
  • Cold symptoms
  • Skin infections
  • Cardiovascular risk (correct)
  • Which medication class is contraindicated in patients taking nitrates?

  • PDE5 Inhibitors (correct)
  • NSAIDs
  • Antihistamines
  • Antibiotics
  • What side effect may occur with alprostadil?

    <p>Pain and priapism</p> Signup and view all the answers

    Which type of ED is characterized by psychological factors impacting sexual function?

    <p>Psychogenic ED</p> Signup and view all the answers

    What type of ED is due to a combination of both physical and psychological factors?

    <p>Mixed ED</p> Signup and view all the answers

    Which of the following medications is less likely to be associated with erectile dysfunction due to its mechanism of action?

    <p>Metoclopramide</p> Signup and view all the answers

    Among the listed medications, which one suppresses testosterone-mediated stimulation of libido?

    <p>Finasteride</p> Signup and view all the answers

    Which medication is associated with serotonin involvement in detumescence?

    <p>Trazodone</p> Signup and view all the answers

    Among the listed medications, which one is an anticholinergic and contributes to erectile dysfunction?

    <p>Cimetidine</p> Signup and view all the answers

    Which of the following medications has antiandrogenic effects contributing to erectile dysfunction?

    <p>Lithium</p> Signup and view all the answers

    Which medication is more likely to cause erectile dysfunction than tricyclic antidepressants?

    <p>Bupropion</p> Signup and view all the answers

    Which of the following risk factors is NOT associated with Nonarteritic Anterior Ischemic Optic Neuropathy (NAION)?

    <p>Age &lt; 50 years</p> Signup and view all the answers

    What is a common side effect NOT associated with PDE5 inhibitors use?

    <p>Diarrhea</p> Signup and view all the answers

    In the context of PDE5 inhibitors, what action should a patient with a prolonged painful erection take?

    <p>Seek immediate medical attention</p> Signup and view all the answers

    Which medical condition is NOT mentioned in the case of JH, a 56-year-old male prescribed sildenafil?

    <p>Diabetes</p> Signup and view all the answers

    What is the most concerning instruction for JH, given his prescription for sildenafil?

    <p>Take sildenafil every day as needed for sexual activity</p> Signup and view all the answers

    What distinguishes NAION symptoms from other visual conditions?

    <p>Bilateral decrease in vision</p> Signup and view all the answers

    Which medication in JH's regimen is known to potentially contribute to erectile dysfunction?

    <p>Propranolol LA</p> Signup and view all the answers

    What is the mechanism of action of Alprostadil in the treatment of erectile dysfunction?

    <p>Prostaglandin E1 synthetic analog</p> Signup and view all the answers

    Which route of administration is preferred for Alprostadil due to better efficacy?

    <p>Intracavernosal</p> Signup and view all the answers

    What is a common side effect associated with Intraurethral Alprostadil administration?

    <p>Bleeding or spotting</p> Signup and view all the answers

    Which type of ED does Alprostadil effectively treat?

    <p>All etiologies of ED (organic, psychogenic, mixed ED)</p> Signup and view all the answers

    Why should Alprostadil be used cautiously in individuals at risk of priapism?

    <p>To reduce the risk of bleeding complications secondary to injections</p> Signup and view all the answers

    What is the onset of action for intracavernosal Alprostadil?

    <p>5 to 10 minutes</p> Signup and view all the answers

    What is the recommended duration of an erection after using intracavernosal Alprostadil?

    <p>Up to 1 hour</p> Signup and view all the answers

    What is a common disadvantage associated with intracavernosal Alprostadil?

    <p>Fear of needles</p> Signup and view all the answers

    What percentage of patients reported improvement with intracavernosal Alprostadil?

    <p>70% to 90%</p> Signup and view all the answers

    In the algorithm for selecting treatment for erectile dysfunction, what is the next step if PDE5 inhibitors are ineffective?

    <p>Use vacuum erection devices (VED)</p> Signup and view all the answers

    What should be done if intracavernosal or intraurethral alprostadil is ineffective in treating erectile dysfunction?

    <p>Consider penile prosthesis</p> Signup and view all the answers

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