And Answers
BC is a 55 year old male with BPH. His PSA is 1.4 ng/ml & his prostate size is 15
g. Symptoms include urinary frequency, nocturia, and bladder fullness. BC does
not tolerate medications well often times suffering from orthostatic hypotension
& dizziness. His current blood pressure is 110/75 mmHg with a heart rate of 75.
Please select the best medication choice:
A) Dutasteride (Aovdart)
B) Alfuzosin (Uroxatral)
C) Finasteride (Proscar)
D) Prazosin (Minipress)
B) Alfuzosin
Which of the following agents is specific for type II 5- alpha-reductase?
A) Dutasteride (Avodart)
B) Alfuzosin (Uroxatral)
C) Tamsulosin (Flomax)
D) Finasteride (Proscar)
D) Finasteride
Which of the following side effects is uniquely associated with tamsulosin
(flomax)?
A) Syncope
B) Orthostatic hypotension
C) Dizziness
D) Retrograde ejaculation
D) Retrograde ejaculation
Which of the following medications is not recommended for treatment of BPH?
A) Terazosin (Hytrin)
B) Alfuzosin (Uroxatral)
, C) Tamsulosin (Flomax)
D) Prazosin (Minipress)
D) Prazosin
Which of the following phosphodiesterase inhibitors (PDE-I) has the longest half-
life?
A) Sildenafil (Viagra)
B) Vardenafil (Levitra)
C) Tadalafil (Cialis)
D) None of the above
C) Tadalafil
Which one of the following answers is correct regarding phosphodiesterase
inhibitors (PDE) and back pain?
A) Sildenafil (Viagra) causes back pain the most through inhibition of PDE type 5
enzyme.
B) Tadalafil (Cialis) causes back pain the most through inhibition of PDE type 6
enzyme.
C) Vardenafil (Levitra) causes back pain the most through inhibition of PDE type
11 enzyme.
D) Tadalafil (Cialis) causes back pain the most through inhibition of PDE type 11
enzyme.
D) Tadalafil causes back pain the most through inhibition of PDE type 11 enzyme.
Which of the following ED drugs are FDA approved to be taken on a daily basis
for BPH?
A) Sildenafil (Viagra)
B) Vardenafil (Levitra)
C) Tadalafil (Cialis)
D) Avanafil (Stendra)
C) Tadalafil
Evidence from clinical trials has linked testosterone therapy to the development
of which of the following conditions?
A) Increased cardiovascular events