hypoandrogenism, Testicular disorders, and male urethritis ppt
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Questions and Answers

What is a typical symptom associated with testicular cancer that occurs in approximately 10% of cases?

  • Lower extremity edema
  • Severe back pain
  • Supraclavicular adenopathy
  • Acute testicular pain (correct)

Which serum marker is specifically elevated in nonseminomas compared to seminomas?

  • Human chorionic gonadotropin (correct)
  • Lactate dehydrogenase
  • Alpha-fetoprotein
  • Complete blood count

What is the first imaging technique used to assess testicular cancer?

  • Scrotal ultrasonography (correct)
  • MRI
  • CT scan
  • X-ray

What is the recommended management for a patient with suspected metastatic testicular cancer?

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

In which circumstance might a right varicocele indicate serious underlying pathology?

<p>Sudden onset of a right varicocele (B)</p> Signup and view all the answers

What is the primary diagnostic method for hydrocele?

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

Which of the following is a common cause of urethral stricture?

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

What characterizes the pain typically associated with urethritis?

<p>Pain or burning during urination (C)</p> Signup and view all the answers

What condition approximately occurs in 50% of urethritis cases due to infectious pathogens?

<p>Chlamydia infection (A)</p> Signup and view all the answers

Which treatment is often performed for complicated urethral strictures?

<p>Self-catheterization (D)</p> Signup and view all the answers

What is the primary source of testosterone production in males?

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

Which factor is NOT commonly associated with lowering testosterone levels in men?

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

In primary hypogonadism, which hormone levels would be expected?

<p>Low testosterone and high gonadotropins (A)</p> Signup and view all the answers

What is the role of dihydrotestosterone (DHT) in male sexual development?

<p>Promotes prostate growth (A)</p> Signup and view all the answers

Which hormonal regulation pathway stimulates testosterone synthesis?

<p>Hypothalamus-pituitary-testicular axis (C)</p> Signup and view all the answers

What condition is characterized by low testosterone and low levels of gonadotropins?

<p>Secondary hypogonadism (A)</p> Signup and view all the answers

Which of the following nutrients is associated with optimal testosterone levels?

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

What is the diagnostic implication of an elevated testosterone-to-DHT ratio?

<p>5-alpha-reductase deficiency (A)</p> Signup and view all the answers

Which of the following statements about hypoandrogenism is FALSE?

<p>It only affects men. (C)</p> Signup and view all the answers

What lifestyle factor is suggested to negatively impact testosterone levels?

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

In which tissue is dihydrotestosterone primarily synthesized?

<p>Peripheral tissues (A)</p> Signup and view all the answers

Which of the following is NOT a condition associated with acquired hypoandrogenism?

<p>Klinefelter syndrome (A)</p> Signup and view all the answers

Which measurement is critical during a physical examination for assessing secondary sex characteristics?

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

What is the impact of REM sleep on testosterone levels?

<p>Increases nocturnal testosterone levels (B)</p> Signup and view all the answers

What is the normal range for testicular size in centimeters?

<p>3.5 to 5.5 (D)</p> Signup and view all the answers

What testosterone level measurement is considered unlikely to indicate androgen deficiency?

<p>350 ng/dL (A)</p> Signup and view all the answers

What is a common adverse reaction associated with high-dose testosterone treatment?

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

Which of the following is a recommended timing for testing total testosterone levels?

<p>Morning between 7 to 11 AM (B)</p> Signup and view all the answers

Which condition is characterized by the presence of small, firm testes and occurs in males with Klinefelter’s syndrome?

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

What is the primary causative agent of viral orchitis in children?

<p>Mumps virus (A)</p> Signup and view all the answers

What is the primary treatment approach for acute epididymitis?

<p>Supportive care with antibiotics (B)</p> Signup and view all the answers

Which of the following is a symptom of testicular torsion?

<p>Lack of voiding symptoms (C)</p> Signup and view all the answers

What should be assessed to confirm testosterone deficiency in older men?

<p>Direct measurement of free testosterone (A)</p> Signup and view all the answers

When assessing a patient with potential primary hypogonadism, what should be obtained to exclude Klinefelter’s syndrome?

<p>Karyotype analysis (A)</p> Signup and view all the answers

What is the initial management for suspected testicular cancer in young males?

<p>Referral to a urologist and medical oncologist (A)</p> Signup and view all the answers

What should the management include for a patient with secondary hypogonadism and hypothalamic-pituitary concerns?

<p>Referral for prolactin levels and MRI (D)</p> Signup and view all the answers

What is the maximum daily dosage for the nasal testosterone preparation Natesto?

<p>6 pumps (D)</p> Signup and view all the answers

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