Question-146

50 yr old man got into a new relationship but has recently found out about his erectile dysfunction problem. He casually “asks” you for a prescription of Viagra for the same.



What will you do next?

A- Prescribe him
B- Ask him to reduce alcohol
C- reduce weight
D- Check testosterone levels
E- check blood sugar

C,D,E all correct because erectile dysfunction is a multiple task for GP and the doctor should start wit history to find out more go to American Urological Association
A focused physical examination evaluating the abdomen, penis, testicles, secondary sexual characteristics and lower extremity pulses is usually performed. Established patients with a new complaint of ED typically are not re-examined. According to the AUA Prostate-specific Antigen (PSA) Best Practice Policy on early detection of prostate cancer, both digital rectal examination of the prostate and serum PSA measurement should be offered annually in all men over 40 with an estimated life expectancy of more than 10 years.5 Prostate-specific antigen measurement and rectal examination may assume additional significance when considering the use of testosterone in the management of male sexual dysfunctions. Additional testing, such as testosterone level measurement, vascular and/or neurological assessment, and monitoring of nocturnal erections, may be indicated in select patients.

http://www.auanet.org/education/guidelines/erectile-dysfunction.cfm

E