[MEDICAL QUIZ] #3 PHARMACO ENDOCRINOLOGY
Five patients with sexual dysfunction present to their primary care physician for evaluation and treatment. Which of the following would most likely benefit from treatment with this medication yohimbine?
(A) A 19-year-old man with sexual arousal difficulties
(B) A 29-year-old man with erectile and ejaculatory dysfunction
(C) A 47-year-old man with erectile dysfunction and hypertension
(D) A 57-year-old man with erectile dysfunction and diabetes mellitus
(E) A 80-year-old man with erectile dysfunction and myocardial infarction
The answer is A: A 19-year-old man with sexual arousal difficulties.
Yohimbine is a selective competitive a2- blocker. It is found as a component of the bark of the
yohimbe tree and is sometimes used as a sexual stimulant. The efficacy of yohimbine for the treatment of impotence has never been clearly demonstrated. Yohimbine works at the level of the CNS to increase o the periphery. (B) This patient would benefit from a medication to treat erectile dysfunction such as sildenafil, tadalafil, or vardenafil. (C) This patient would benefit from a medication to treat erectile dysfunction such as sildenafil, tadalafil, or vardenafil. (D) This patient would benefit from an erectogenic agent similar to the previous patient description. (E) This patient probably should be treated with an erectogenic agent because he has cardiac problems.
source : lippincotss q&a
(A) A 19-year-old man with sexual arousal difficulties
(B) A 29-year-old man with erectile and ejaculatory dysfunction
(C) A 47-year-old man with erectile dysfunction and hypertension
(D) A 57-year-old man with erectile dysfunction and diabetes mellitus
(E) A 80-year-old man with erectile dysfunction and myocardial infarction
The answer is A: A 19-year-old man with sexual arousal difficulties.
Yohimbine is a selective competitive a2- blocker. It is found as a component of the bark of the
yohimbe tree and is sometimes used as a sexual stimulant. The efficacy of yohimbine for the treatment of impotence has never been clearly demonstrated. Yohimbine works at the level of the CNS to increase o the periphery. (B) This patient would benefit from a medication to treat erectile dysfunction such as sildenafil, tadalafil, or vardenafil. (C) This patient would benefit from a medication to treat erectile dysfunction such as sildenafil, tadalafil, or vardenafil. (D) This patient would benefit from an erectogenic agent similar to the previous patient description. (E) This patient probably should be treated with an erectogenic agent because he has cardiac problems.
source : lippincotss q&a
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