A 54-Year-Old Man Comes to the Office Due to Difficulty

question 284

Multiple Choice

A 54-year-old man comes to the office due to difficulty maintaining an erection for the last several weeks.  He says, "One night I was having sex with my wife and could not maintain an erection.  Since then, it has continued to be a problem."  The patient still has morning erections.  His medical history is significant for hypertension, coronary artery disease, and depression.  He has been married for 20 years but reports that he and his wife have been arguing since he began spending more time at work following a promotion 2 months ago.  His current medications include amlodipine, lisinopril, and bupropion.  Physical examination is unremarkable.  Which of the following is the most likely cause of this patient's erectile dysfunction?

• A)Advancing age
• B)Antidepressant-induced sexual dysfunction
• C)Antihypertensive-induced adverse effect
• D)Psychological distress
• E)Vascular insufficiency

Grasp the importance of histological types of vulvar carcinoma and their prevalence.

Identify the structural causes of abnormal uterine bleeding.

Understand the physiological changes in the menstrual cycle when conception does not occur.

Recognize risk factors for developing abnormal uterine bleeding.

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Definitions:

Ethical Misconduct

Inappropriate actions or decisions in a professional or organizational context that go against established ethical guidelines or principles.

Lying to Employees

The unethical practice of providing false or misleading information to employees by their employers or managers.

Breaching Employee Privacy

Breaching employee privacy involves violating the confidentiality and personal space of employees without consent, often concerning personal information or activities within the workplace.

Abusive Behaviour

Actions that intentionally harm or create a risk of harm, physically or emotionally, towards others.