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  • August 11, 2024
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  • 2024/2025
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STUVIA 2024/2025
Ch 53: Men's Reproductive Health
A 14-year-old male is being evaluated for delayed puberty. Which finding would indicate delayed
puberty in this child?
a. Androgen deficiency
b. Growth hormone deficiency
c. Height of 2.5 standard deviations below the mean
d. Lack of epiphyseal closure - ✔✔ANS: A

Low androgen levels indicate delayed puberty. Patients who are short and who have not developed
secondary sexual characteristics may have growth hormone deficiency, normal variations in
development, or delayed puberty. Growth hormone deficiency may cause short stature.

A 50-year-old male patient reports having decreased libido and testicular atrophy. The nurse will
anticipate that the provider may order which medication to treat these symptoms?
a. Testosterone (Androderm)
b. Finasteride (Proscar)
c. Gonadotropin-releasing hormone (Gn-RH)
d. Sildenafil (Viagra) - ✔✔ANS: A
%


Testosterone is given patients who have low testosterone, evidenced by decreased libido and
testicular atrophy in adult men. Finasteride is given to treat benign prostatic hypertrophy. Gn-RH is
used to inhibit testosterone production. Sildenafil is used to treat erectile dysfunction.

A male patient wants to begin taking tadalafil (Cialis) to treat erectile dysfunction. Which aspect of this
patient's history would be of particular concern?
a. Angina pectoris
b. Asthma
c. Benign prostatic hypertrophy (BPH)
d. Color blindness - ✔✔ANS: A

Patient with angina are often treated with nitrates; phosphodiesterase inhibitors such as tadalafil are
contraindicated in patients taking nitrates.

A man who has been using androgen therapy tells the nurse that he and his wife wish to conceive a
pregnancy. The nurse will tell this patient that:
a. androgen therapy will not harm the fetus.
b. he will need to increase his dose of testosterone to increase his sperm count.
c. it may take 3 months after cessation of androgen therapy to conceive.


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