Term
| What are some major risk factors of ED? |
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Definition
Aging: partner issues, decline in physiologic function. Chronic disease: HTN, DM, depression, heart disease. Lifestyle: stress, smoking, ETOH/Drug abuse, graduate studies (kidding).
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Term
| What drugs have a high incidence of causing ED? |
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Definition
diuretics (thiazides >) Bb
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Term
True or False ARBs and ACEIs have lowest incidence of causing ED. |
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Definition
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Term
| What are some interview questions for the pt with c/o ED? |
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Definition
Loose an erection before ejaculation? Loss of sexual desire? Trouble getting/keeping an erection? Ejaculating too quickly or does it take too long?
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Term
True or False Rule of Rosner: In tx the pt with suspected ED, it is best to give Rx for short term use and refer to urology. |
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Definition
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Term
| What lab test should be ordered for the pt with ED? |
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Definition
- UA
- Testosterone levels
- If low get serum prolactin
- High prolactin levels disrupts levels of testosterone.
- Thyriod function
- FSH, LH
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Term
| What should the PE include in the pt with c/o ED? |
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Definition
BP neuro exam: perineal sensation intact? rectal tone. Genital exam: testicular size: 2cm? Cardiac exam: Lt ventricular outflow?
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Term
| What are the first line tx for ED? |
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Definition
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Term
| Concerning tx with oral PDE5 inhibitors for ED, is it true that except for Cialis, high fat meals decrease effectiveness? |
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Definition
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Term
| What are some options for Androgen replacement tx? |
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Definition
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Term
| What guideline must be referenced prior to writing Rx for pt with ED? |
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Definition
Princeton cardiac risk guideline classifies low, intermediate, or high risk. No Rx if intermediate to high risk. |
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Term
| What S/E can be expected with PDE5 inhibitors? |
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Definition
Viagra: blue hue, visual disturbances, blindess Cialis: visual disturbances. Levitra: increased brightness of light, color abnormalities, hazy vision.
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Term
| OK...what is the #1 class of drugs that you do NOT prescribe PDE5 inhibitors with.... |
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Definition
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Term
True or False PDE5 inhibitors have MANY drug-drug interactions. |
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Definition
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