Men’s health: Test your skills with these 5 questions
Author and Disclosure Information [Show]

Randolph Pearson, MD, FAAFP, FACSM, is a Professor in the Michigan State University (MSU) Department of Family Medicine and Assistant Dean for Graduate Medical Education for the College of Human Medicine, East Lansing. He is the Senior Associate Director of the Sparrow/MSU Family Medicine Residency and team physician for MSU Football.

Question 1 of 5

A 48-year-old man presents to your office saying he has erectile dysfunction (ED). He states that he can get erections but is unable to sustain them.

He currently takes hydrochlorothiazide for hypertension but takes no other medications. He has smoked half a pack of cigarettes per day for the past 30 years.

His PHQ-9 (Patient Health Questionnaire–depression) score is 3 (minimal or no depression). Your initial laboratory evaluation includes a normal thyroid-stimulating hormone and a serum testosterone in the low normal range.

What is the best initial course of treatment for this patient?

Begin testosterone supplementation with topical or subcutaneous testosterone to a goal of high-normal levels.

Change his antihypertensive medication to metoprolol.

Encourage smoking cessation.

Refer for intracavernosal alprostadil therapy.

This quiz is not accredited for CME.

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