- 1. What is the role of androgen replacement therapy (ART) to restore bone mass,
muscular strengthand body composition?
-
Increase in fat mass.
-
Does not affect bone mass.
-
Increase in muscle mass.
-
Reduces the testicular volume.
- 2. What is the role of androgen replacement therapy (ART) to restore libido and
sexual function?
-
Testosterone restores libido in men independent of the hormone's levels.
-
Testosterone restores libido in men with low testosterone levels.
-
The combination of testosterone and phosphodiesterase inhibitors produces no benefit.
-
Dehydroepiandrosterone (DHEA) improves erectile dysfunction.
- 3. What is the risk of ART in relation to exacerbatingprostate disease?
-
Increases the incidence of prostate cancer
-
Cannot be used in patients treated for prostate cancer.
-
Patients with a family history of prostate cancer should not use ART.
-
Can increase PSA levels.
- 4. How should ART be administered orally?
-
50 mg of DHEA orally twice a day, improves sexual function in men.
-
Oral testosterone undecanoate (OTU),160 mg/day, improves sexual function.
-
Oral mucosa patches (containing 30 mg of testosterone), 3 times a day.
-
It is strongly advised NOT to use oral testosterone formulations.
- 5. What is the best form of ART?
-
Injectable testosterone undecanoate depot (TUD) is the most physiologic.
-
The oral route remains a quick and convenient way to ART.
-
Skin patches at the maximum dose are not very effective.
-
Subcutaneous testosterone implants can be used in our midst.
Answers to clinical scenario: angle-closure glaucoma: treatment [published in RAMB 2014; 60(5)]
-
On prophylactic laser iridotomy, in the contralateraleye, in a patient with acute primary angle closurein one eye, we can affirm that:
It can prevent similar episodes in many cases. (Alternative A)
-
The differences between prophylactic laser iridotomy (PLI) and prophylactic surgical iridectomyinclude:
PLI costs less. (Alternative B)
-
It is not a complication of PLI:
Clinical improvement of cataract. (Alternative C)
-
Which anatomic situation of the camerular sinusis an indication for prophylactic laser iridotomy?
All cases diagnosed as primary angle closure. (Alternative B)
-
Factors involved in the indication of PLI in casesof suspected primary angle closure include all ofthe following, except:
Lack of symptoms. (Alternative A)
Answers to clinical scenario: late-onset hypogonadism (LOH) or ADAM: Diagnosis [published in RAMB 2014; 60(5)]
-
The main signs and symptoms involved in late-onset male hypogonadism include the following, except:
Anxiety. (Alternative B)
-
On the main instruments used in the definitionand diagnostic assessment of male aging, we cannot affirm that:
The use of the three instruments makes the diagnosis of HMT through functional and biochemical criteria unnecessary. (Alternative D)
-
What is the role of the serum and free testosterone(BAT) levels in the diagnosis of late-onset hypogonadism?
TT (total testosterone) would not be the ideal measure to assess late-onset hypogonadism. (Alternative C)
-
Tests to be requested before the start of hormonereplacement therapy (ART) include the following, except:
Evaluation of renal function. (Alternative D)
-
How should prostate cancer be monitored?
Ultrasound-guided prostate biopsy. (Alternative A)
Publication Dates
-
Publication in this collection
Nov-Dec 2014