C H A P T E R 4 1
Drugs affecting the male reproductive system
639
C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
Testosterone is approved for use in:
a.
treatment of breast cancers.
b.
increasing muscle strength in athletes.
c.
oral contraceptives.
d.
increasing hair distribution in male pattern
baldness.
2.
Illegal use of large quantities of unprescribed
anabolic steroids to enhance athletic performance
has been associated with:
a.
increased sexual prowess.
b.
muscle rupture from overexpansion.
c.
development of chronic obstructive pulmonary
disease (COPD).
d.
cardiomyopathy and liver cancers.
3.
Anabolic steroids would be indicated for the
treatment of:
a.
hair loss
b.
angio-oedema.
c.
debilitation and severe weight loss.
d.
breast cancers in males.
4.
Erectile penile dysfunction is a condition in which:
a.
problems with childhood authority figures
prevent a male erection.
b.
the corpus cavernosum does not fill with blood to
allow for penile erection.
c.
the sympathetic nervous system fails to function.
d.
past exposure to sexually transmitted infections
causes physical damage within the penis.
5.
A potentially deadly drug–drug interaction can
occur if a PDE5 inhibitor (sildenafil, tadalafil or
vardenafil) is combined with:
a.
corticosteroids.
b.
oral contraceptives.
c.
organic nitrates.
d.
halothane anaesthetics.
6.
To achieve erection, a person taking sildenafil
(
Viagra
) would require:
a.
sexual stimulation of the penis.
b.
no additional stimulation.
c.
privacy.
d.
10 to 15 minutes after taking the oral drug.
7.
Men taking alprostadil for treatment of erectile
dysfunction must:
a.
take the drug orally about 1 hour before
anticipated intercourse.
b.
arrange for sexual stimulation to promote
erection.
c.
learn to inject the drug directly into the penis.
d.
avoid the use of nitrates for cardiovascular
disorders.
8.
Viagra
is known to:
a.
cause unexpected and enlarged erections.
b.
make a person young and agile.
c.
promote interpersonal relationships between
partners.
d.
increase nitrous oxide levels in the corpus
cavernosum, causing vascular relaxation
and promoting blood flow into the corpus
cavernosum.
MULTIPLE RESPONSE
Select all that apply.
1.
In assessing a person for androgenic effects, you
would expect to find which of the following?
a.
hirsutism
b.
deepening of the voice
c.
testicular enlargement
d.
acne
e.
elevated body temperature
f.
sudden growth
2.
A child treated with anabolic steroids because of
anaemia associated with renal disease will need:
a.
early sex education classes because of the effects
of the drug.
b.
X-rays of the long bones every 3 to 6 months so
the drug can be stopped when the bone size is
appropriate to the child’s age.
c.
to learn to shave.
d.
to learn to cope with an altered body image.
e.
regular monitoring of liver function tests.
f.
monitoring for the development of oedema.
