Self-Assessment Post-Test

SELF-ASSESSMENT POST-TEST Complete the following by circling the correct answer below. Optimizing the Management of Erectile Dysfunction 1. 2. " Detach and Mail 3. 4. 5. According to the Massachusetts Male Aging Study in 1987–1989 and the National Health and Social Life Survey in 1992: a. Premature ejaculation occurs in 10% of the male population b. The prevalence of premature ejaculation decreases with age c. The prevalence of erectile dysfunction (ED) in men over age 40 is 50% and the prevalence of sexual dysfunction in men between the ages of 18 and 59 is 31% d. The prevalence of erectile dysfunction increases 5% per decade after age 40 The best questionnaire to evaluate the satisfaction with oral therapy is the: a. International Index of Erectile Function b. Sexual Health Inventory for Men c. Brief Male Sexual Function Inventory d. Erectile Dysfunction Inventory of Treatment Satisfaction According to Marwick, what percent of patients are embarrassed to discuss sexual problems, feel that the physician would be embarrassed himself, and find the problems of erectile dysfunction trivial or insignificant? a. 10% b. 30% c. 50% d. 70% Low libido can be a result of which of the following? a. Hypogonadism b. Depression c. Medications d. All of the above Buvat and Lemaire found that limiting testosterone evaluation to those patients with abnormal physical examinations or decreased libido would miss: a. 10% of patients with low testosterone b. 20% of patients with low testosterone c. 30% of patients with low testosterone d. 40% of patients with low testosterone 6. Causes for psychogenic ED include: a. Performance anxiety b. Relationship conflicts c. Religious or cultural taboos d. All of the above 7. The vacuum erection device: a. Results in increased penile blood flow on Doppler examination b. Can be used for periods of over 60 minutes c. Can create an erection in over 90% of patients d. Is contraindicated in men taking anticoagulants 8. Infection rates for penile prosthesis implantation reach levels of up to: a. 1% for non-hydraulic implants b. 3% for hydraulic implants c. 5%–8% for three-piece inflatable prostheses d. All of the above 9. Phosphodiesterase type five (PDE-5) is found in all the following organs except: a. Penis b. Heart myocytes c. Skeletal muscle d. Blood vessels 10. The efficacy of sildenafil can be maximized by: a. Taking it on an empty stomach b. Taking it at least 30 minutes before sexual activity c. Thorough patient education d. Involvement of the partner in the therapeutic process e. All of the above 11. All of the below are important components of the nonadrenergic, noncholinergic process, except: a. L-arginine b. Nitric oxide synthase c. Nitric oxide d. Cyclic guanosine monophosphate e. Norepinephrine 12. Sildenafil, tadalafil, and vardenafil: a. Share similar molecular structures b. Have similar half lives of 4–6 hours c. Are inhibitors of PDE-5 d. Have similar selectivity for the PDEs e. All of the above 13. Factors affecting a primary care clinician’s treatment priorities include: a. Problems with high morbidity and mortality b. Disabling conditions c. Standards of care and guidelines d. Patient demands e. All of the above 14. High-risk patients for the management of ED include all except patients: a. With unstable or refractory angina b. With uncontrolled hypertension c. With congestive heart failure (New York Heart Association class III/IV) d. With recent myocardial infarction (within 2 weeks) e. On three antihypertensives 15. In the Massachusetts Male Aging Study: a. ED was associated with increasing age b. ED was associated with elevated low-density lipoprotein cholesterol c. ED was associated with low high-density lipoprotein cholesterol d. A single risk factor was associated with a nearly four-fold increase in risk of developing ED e. All of the above REGISTRATION Optimizing the Management of Erectile Dysfunction Name Title Address City State Zip Specialty Phone Fax E-Mail The Institute for Medical EducationSM designates this educational activity for a maximum of 3 hours in Category 1 credit toward the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. Signature Credit Hours (not to exceed 3 hours) Tear out and mail, OR fax to 310-824-0298. I would be interested in attending a CME program on this topic in my area. # Fold on dotted line and seal closed with adhesive tape. Do not staple. " Fold on dotted line and seal closed with adhesive tape. Do not staple. COURSE EVALUATION Using a five-point scale (5 = strongly agree; 4 = agree; 3 = uncertain; 2 = disagree; 1 = strongly disagree), please answer the following evaluation questions. ___ ___ ___ ___ ___ The content seemed current. The program content was relative to my practice. Overall, the supplement provided a valuable learning experience. My personal objectives in reading this supplement were fulfilled. The supplement was presented as a fair and balanced discussion and was not commercial in nature. The Institute for Medical EducationSM designates this educational activity for a maximum of 3 hours in Category 1 credit toward the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. Additional Comments: Release Date: April 30, 2002. Expiration: Credit will be awarded for required materials postmarked or received no later than April 30, 2003. Certificates will be mailed within one month of receipt of these materials.