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

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Definitions:

Moods

Enduring affective states that do not have an identified cause, influencing an individual's emotional state over a period.

Emotions

Multifaceted mental states that encompass a trio of components: an individual's inner experience, a physical reaction, and a response that is either behavioral or expressive in nature.

Perceptual Process

The series of steps by which individuals select, organize, and interpret sensory stimuli into a meaningful and coherent picture of the world.

Attitudes

Attitudes are predisposed responses, either positive or negative, towards ideas, objects, people, or situations, based on personal beliefs, feelings, and experiences.