1.
2. A 20-year-old man with phimosis should be instructed to apply betamethasone (Sernivo)
0.05% cream at least twice daily for:
3. 3 days.
4. 7 days.
5. 3 weeks.
6. 6 weeks. - ANS-6 weeks.
7.
8. Topical steroid creams can help soften tightened foreskin and facilitate retraction.
Steroids should be applied to the tight rink of foreskin and head of penis twice daily for
6-8 weeks.
9. A 24-year-old man patient treated for epididymitis caused by Neisseria gonorrhoeae
should be advised that:
10. partners do not require treatment.
11. partner therapy is recommended.
12. sexual intercourse should be avoided for 6 weeks.
13. infertility is not associated with epididymitis. - ANS-partner therapy is recommended.
14. A 45-year-old man is receiving finasteride (Proscar) for the symptomatic treatment of
benign prostatic hyperplasia. The patient should be advised that:
15.
16. prostate specific antigen (PSA) levels may increase.
17. it should be crushed and taken with food.
18. his medication should not be handled by a pregnant or lactating relative.
19. he will see benefits of therapy within 2-3 months of initiation. - ANS-his medication
should not be handled by a pregnant or lactating relative.
20.
21. Women should not handle crushed or broken Proscar tablets when they are pregnant or
may potentially be pregnant due to risk to a male fetus.
22. A 55-year-old man with benign prostatic hypertrophy has overflow incontinence. The
first-line treatment is:
23. mirabegron (Myrbetriq).
24. Flavoxate (Urispas).
25. solifenacin (Vesicare).
26. tamsulosin (Flomax). - ANS-tamsulosin (Flomax).
27. A 57-year-old man has chronic prostatitis with a causative organism that is resistant to
fluoroquinolones. The patient has an allergy to sulfa drugs. The next best treatment
option is:
28. levofloxacin (Levaquin).
29. nitrofurantoin (Macrobid).
30. doxycycline (Doryx).
, 31. clindamycin (Cleocin). - ANS-doxycycline (Doryx).
32. A 58-year-old man is receiving dutasteride (Avodart) for benign prostatic hyperplasia
(BPH). Avodart, a 5-alpha reductase inhibitor:
33. reduces prostate specific antigen levels.
34. decreases the risk of developing high-grade prostate cancer.
35. does not have an effect on acute urinary retention.
36. reduces the motility, concentration and morphology of semen. - ANS-reduces prostate
specific antigen levels.
37. A 60-year-old man who is treated with tamsulosin (Flomax) for benign prostatic
hyperplasia (BPH) should NOT be treated concomitantly with:
38. hyoscyamine (Levsin).
39. buspirone (BuSpar).
40. sildenafil (Viagra).
41. sumatriptan (Imitrex). - ANS-sildenafil (Viagra).
42.
43. The combination of the two medications can result in additive blood pressure lowering
effects and symptomatic hypotension.
44. A 65-year-old man who is receiving finasteride (Proscar) for benign prostatic hyperplasia
(BPH) is exhibiting progressive symptoms. To reduce these symptoms, prescribe:
45. oxybutynin (Ditropan).
46. dutasteride (Avodart).
47. doxazosin (Cardura).
48. nitrofurantoin (Macrobid). - ANS-doxazosin (Cardura).
49. A 65-year-old man with benign prostatic hyperplasia (BPH) is treated with tamsulosin
(Flomax). Potential side effects are:
50. hypertension and headache.
51. excessive ejaculation and incontinence.
52. fatigue and increased low-density lipoproteins.
53. orthostatic hypotension and dizziness. - ANS-orthostatic hypotension and dizziness.
54. Alpha-adrenergic antagonists for the treatment of benign prostatic hyperplasia (BPH):
55. block alpha adrenergic receptors.
56. interfere with the release of potassium.
57. inhibit muscarinic activity of acetylcholine.
58. interfere with the release of calcium. - ANS-block alpha adrenergic receptors.
59. Ciprofloxacin, used for the treatment of bacterial prostatitis, is a potent CYP1A2 inhibitor
and is absolutely contraindicated with other CYP1A2 inhibitors. An example of another
CYP1A2 inhibitor is:
60. ketoconazole.
61. tizanidine (Zanaflex).
62. fluoxetine hydrochloride (Sarafem).
63. celecoxib (Celebrex). - ANS-tizanidine (Zanaflex).
64. Concomitant administration of sildenafil (Viagra) and tamsulosin (Flomax) may result in:
65. dysarthria.
66. migraine headaches.
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