Understanding the Link Between Testicular Cancer and Sexual Function
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Questions and Answers

Which of the following is the most common cancer in men between the ages of 20 and 34 years?

  • Prostate cancer
  • Colon cancer
  • Lung cancer
  • Testicular cancer (correct)

What is the recommended time frame for assessing the presence of body image disturbance and sexual dysfunction in men with testicular cancer?

  • Before treatment
  • After treatment (correct)
  • At any time
  • During treatment

Which of the following is a potential adverse effect of sildenafil (Viagra)?

  • Headache
  • Back pain
  • Nasal congestion
  • All of the above (correct)

Which PDE5 inhibitor has the longest duration of action?

<p>Tadalafil (Cialis) (A)</p> Signup and view all the answers

Which PDE5 inhibitor is available in an oral disintegrating tablet?

<p>Vardenafil (Levitra) (A)</p> Signup and view all the answers

Which PDE5 inhibitor should not be used with other drugs that prolong the QT interval?

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

What is the purpose of adjuvant medications in the management of erectile dysfunction?

<p>To reduce venous outflow (B)</p> Signup and view all the answers

Which of the following is NOT a phosphodiesterase type 5 (PDE-5) inhibitor used to treat erectile dysfunction?

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

What is the mechanism of action of PDE-5 inhibitors?

<p>Relax smooth muscle in blood vessels (A)</p> Signup and view all the answers

When should PDE-5 inhibitors be taken to be effective in producing an erection?

<p>About 1 hour before sexual activity (D)</p> Signup and view all the answers

What is the duration of an erection produced by PDE-5 inhibitors?

<p>1 to 2 hours (A)</p> Signup and view all the answers

What are the most common side effects of PDE-5 inhibitors?

<p>Headache and flushing (A)</p> Signup and view all the answers

Which of the following medications should NOT be taken together with PDE-5 inhibitors?

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

In which patient population should PDE-5 inhibitors be used with caution?

<p>Patients with retinopathy (D)</p> Signup and view all the answers

Which drug is commonly ordered as the first-line treatment for erectile dysfunction (ED)?

<p>Phosphodiesterase Type 5 inhibitors (A)</p> Signup and view all the answers

What is the prototype PDE5 inhibitor?

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

How does sildenafil improve erectile function?

<p>By inhibiting the breakdown of cyclic guanosine monophosphate (cGMP) (A)</p> Signup and view all the answers

What is the onset of action for sildenafil?

<p>20 to 60 minutes (D)</p> Signup and view all the answers

What is a potential adverse effect of sildenafil?

<p>Vision loss (A)</p> Signup and view all the answers

What is a contraindication to sildenafil?

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

What is an important nursing implication for administering sildenafil?

<p>Monitor for orthostatic hypotension (A)</p> Signup and view all the answers

Which of the following adverse effects is associated with intracavernosal injection of alprostadil?

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

What is a potential long-term complication of using alprostadil?

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

In patients concurrently receiving anticoagulants, what caution should be taken when using alprostadil?

<p>Risk of bleeding (D)</p> Signup and view all the answers

Which of the following conditions may increase the risk of priapism when using alprostadil?

<p>Sickle cell anemia (A)</p> Signup and view all the answers

What adverse effect is associated with intraurethral use of alprostadil?

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

Experts do not recommend concurrent use of alprostadil with other vasoactive agents. Why?

<p>Risk of drug interactions (B)</p> Signup and view all the answers

What medication is prescribed to Mr. Johnson for his erectile dysfunction?

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

What is the potential cause of Mr. Johnson's erectile dysfunction?

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

What should the nurse discuss with Mr. Johnson and his wife regarding his medication?

<p>Potential drug interactions (A)</p> Signup and view all the answers

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