30 Questions
What is the first-line pharmacotherapy for Erectile Dysfunction (ED)?
PDE5 Inhibitors
Which condition should be evaluated in a patient with ED due to the risk it poses?
Cardiovascular risk
Which medication class is contraindicated in patients taking nitrates?
PDE5 Inhibitors
What side effect may occur with alprostadil?
Pain and priapism
Which type of ED is characterized by psychological factors impacting sexual function?
Psychogenic ED
What type of ED is due to a combination of both physical and psychological factors?
Mixed ED
Which of the following medications is less likely to be associated with erectile dysfunction due to its mechanism of action?
Metoclopramide
Among the listed medications, which one suppresses testosterone-mediated stimulation of libido?
Finasteride
Which medication is associated with serotonin involvement in detumescence?
Trazodone
Among the listed medications, which one is an anticholinergic and contributes to erectile dysfunction?
Cimetidine
Which of the following medications has antiandrogenic effects contributing to erectile dysfunction?
Lithium
Which medication is more likely to cause erectile dysfunction than tricyclic antidepressants?
Bupropion
Which of the following risk factors is NOT associated with Nonarteritic Anterior Ischemic Optic Neuropathy (NAION)?
Age < 50 years
What is a common side effect NOT associated with PDE5 inhibitors use?
Diarrhea
In the context of PDE5 inhibitors, what action should a patient with a prolonged painful erection take?
Seek immediate medical attention
Which medical condition is NOT mentioned in the case of JH, a 56-year-old male prescribed sildenafil?
Diabetes
What is the most concerning instruction for JH, given his prescription for sildenafil?
Take sildenafil every day as needed for sexual activity
What distinguishes NAION symptoms from other visual conditions?
Bilateral decrease in vision
Which medication in JH's regimen is known to potentially contribute to erectile dysfunction?
Propranolol LA
What is the mechanism of action of Alprostadil in the treatment of erectile dysfunction?
Prostaglandin E1 synthetic analog
Which route of administration is preferred for Alprostadil due to better efficacy?
Intracavernosal
What is a common side effect associated with Intraurethral Alprostadil administration?
Bleeding or spotting
Which type of ED does Alprostadil effectively treat?
All etiologies of ED (organic, psychogenic, mixed ED)
Why should Alprostadil be used cautiously in individuals at risk of priapism?
To reduce the risk of bleeding complications secondary to injections
What is the onset of action for intracavernosal Alprostadil?
5 to 10 minutes
What is the recommended duration of an erection after using intracavernosal Alprostadil?
Up to 1 hour
What is a common disadvantage associated with intracavernosal Alprostadil?
Fear of needles
What percentage of patients reported improvement with intracavernosal Alprostadil?
70% to 90%
In the algorithm for selecting treatment for erectile dysfunction, what is the next step if PDE5 inhibitors are ineffective?
Use vacuum erection devices (VED)
What should be done if intracavernosal or intraurethral alprostadil is ineffective in treating erectile dysfunction?
Consider penile prosthesis
Test your knowledge on counseling points for Nonarteritic Anterior Ischemic Optic Neuropathy (NAION), focusing on symptoms, risk factors, and the association with PDE5 inhibitors. Be prepared to identify S/S, risk factors, and appropriate actions for patients using PDE5 inhibitors.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
