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 (C)</p> Signup and view all the answers

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

<p>Psychogenic ED (B)</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 (D)</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 (D)</p> Signup and view all the answers

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

<p>Finasteride (B)</p> Signup and view all the answers

Which medication is associated with serotonin involvement in detumescence?

<p>Trazodone (D)</p> Signup and view all the answers

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

<p>Cimetidine (C)</p> Signup and view all the answers

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

<p>Lithium (C)</p> Signup and view all the answers

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

<p>Bupropion (D)</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 (D)</p> Signup and view all the answers

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

<p>Diarrhea (B)</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 (C)</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 (B)</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 (D)</p> Signup and view all the answers

What distinguishes NAION symptoms from other visual conditions?

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

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

<p>Propranolol LA (D)</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 (C)</p> Signup and view all the answers

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

<p>Intracavernosal (B)</p> Signup and view all the answers

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

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

Which type of ED does Alprostadil effectively treat?

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

What is the onset of action for intracavernosal Alprostadil?

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

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

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

What is a common disadvantage associated with intracavernosal Alprostadil?

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

What percentage of patients reported improvement with intracavernosal Alprostadil?

<p>70% to 90% (A)</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) (D)</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 (A)</p> Signup and view all the answers
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