01-19-2012, 07:14 PM
1.a 24 year old man comes to the physician because of 3 month history of inability to obtain an erection and occasional penile pain for 2 years and haemorrhoids tht bleed on occasion.he is married and has 2 year old son.he enjoys his job and he and his wife ar in good relatonship.he lifts weight regularly and trains on his bicycle.he usually rides for 2 hours daily during the week and 5-6 hours daily on the weekened.on questioning,he doesnt recall having spontaneous nocturnal erection.physical examination shows no abnormalities except for back tenderness and external haemorrhoids.what is the cause for the patient's erectile dysfunction.
1.lumboscaral strain
2compromised blood flow from pampiniform plexus
3.damaged blood and nerve supply to erectile tissue
4.obturator nerve compression
5.pressure of hemorrhoids on erectile tissue.
q2 a 60 year old man comes to the physician because of a 6 month history of decreased libido and inability to sustain an erection.he also had decresed energy during this period and has been falling asleep by 7 pm each evening.he has not had chronic pain ,feeling f depression,or any other stress.he has had a 2.5 cm loss in height and 7.62 cm gain in waist circumference since his last visit 6 months ago.on examination shows mild gynaecomastia and decresed muscle mass throughout.which is the most appropriate pharmacotherapy of the patient?
1.epotein alfa
2sildenafil
3human growth hormone
4modafinil
5.testosterone
q3a 41 year old woman is brought to er by hier husband because of pelvic pain for 6 hours.she also has had heavy menstrual periods during the past 3 months.a ct scan of the abdomen shows a tumor in the left ovary.an oophrectomy is scheduled.during the procedure which of the following structures immediately deep to the suspensory ligament must be protected while isolating and ligating the ovarian vessels in this ligament?
1.ureter
2hypogastric trunk
3round ligament
4 symapthetic trunk
q4 a 5 year old gal is brought to the physician because she is developing breasts.examination shows breast enlargement and scant pubic hair.xray of the left hand shows bone age of 9 years.an iv bolus of gonadotrophin releasing hormone induces marked increase in serum LH 1 hour latter.which of the following drug is appropriateto supress the premature pubertyi n this patient??
1.ACTH
2hydrocortisone
3.ketoconazole
4leuprolide
5progestrone
6sprinolactone
7tamoxifen
8testosterone
1.lumboscaral strain
2compromised blood flow from pampiniform plexus
3.damaged blood and nerve supply to erectile tissue
4.obturator nerve compression
5.pressure of hemorrhoids on erectile tissue.
q2 a 60 year old man comes to the physician because of a 6 month history of decreased libido and inability to sustain an erection.he also had decresed energy during this period and has been falling asleep by 7 pm each evening.he has not had chronic pain ,feeling f depression,or any other stress.he has had a 2.5 cm loss in height and 7.62 cm gain in waist circumference since his last visit 6 months ago.on examination shows mild gynaecomastia and decresed muscle mass throughout.which is the most appropriate pharmacotherapy of the patient?
1.epotein alfa
2sildenafil
3human growth hormone
4modafinil
5.testosterone
q3a 41 year old woman is brought to er by hier husband because of pelvic pain for 6 hours.she also has had heavy menstrual periods during the past 3 months.a ct scan of the abdomen shows a tumor in the left ovary.an oophrectomy is scheduled.during the procedure which of the following structures immediately deep to the suspensory ligament must be protected while isolating and ligating the ovarian vessels in this ligament?
1.ureter
2hypogastric trunk
3round ligament
4 symapthetic trunk
q4 a 5 year old gal is brought to the physician because she is developing breasts.examination shows breast enlargement and scant pubic hair.xray of the left hand shows bone age of 9 years.an iv bolus of gonadotrophin releasing hormone induces marked increase in serum LH 1 hour latter.which of the following drug is appropriateto supress the premature pubertyi n this patient??
1.ACTH
2hydrocortisone
3.ketoconazole
4leuprolide
5progestrone
6sprinolactone
7tamoxifen
8testosterone