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

    What is the primary diagnostic method for hydrocele?

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

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

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

    What characterizes the pain typically associated with urethritis?

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

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

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

    Which treatment is often performed for complicated urethral strictures?

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

    What is the primary source of testosterone production in males?

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

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

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

    In primary hypogonadism, which hormone levels would be expected?

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

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

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

    Which hormonal regulation pathway stimulates testosterone synthesis?

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

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

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

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

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

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

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

    Which of the following statements about hypoandrogenism is FALSE?

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

    What lifestyle factor is suggested to negatively impact testosterone levels?

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

    In which tissue is dihydrotestosterone primarily synthesized?

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

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

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

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

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

    What is the impact of REM sleep on testosterone levels?

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

    What is the normal range for testicular size in centimeters?

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

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

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

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

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

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

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

    What is the primary treatment approach for acute epididymitis?

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

    Which of the following is a symptom of testicular torsion?

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

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

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

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

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

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