Test Day 2 - Testosterone for Life

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Author:
bwallis
ID:
213985
Filename:
Test Day 2 - Testosterone for Life
Updated:
2013-04-19 11:00:40
Tags:
Testopel
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Description:
Testopel Training Day 2
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  1. According to Dr. Morgentaler, the bottom line is that if a man has symptoms of low T but there is a discrepancy between his test results of total T and free T he does not have low T.
    False
  2. Dr. Morgentaler feels that testosterone therapy in males who have not been castrated or placed on estrogen therapy is unsafe because it can cause prostate cancer.
    False
  3. Equilibrium Dialysis is not frequently used to calculate free T for which of the following reasons
    • it requires a lot of human labor
    • it takes more time to complete than other tests
    • it is not effective
  4. According to Dr. Morgentaler, the hallmark symptom of low T
    Low Libidio
  5. What effect does testosterone have on bone density?
    increases bone density
  6. The majority of physicians use equilibrium dialysis looking at free testosterone to determine low T
    False
  7. Dr. Morgentaler uses which of the following methods as his primary test to determine if someone has low T
    analog Free T (RIA)
  8. The original Huggins paper from 1941 linking growth of prostate cancer to testosterone therapy was a randomized, double-blind, placebo controlled study evaluating 132 patients.
    False

  9. Although the authors of the Endocrine Society Guidelines in 2006 recognized that it is impossible to find a single T value that would reliably seperate men without symptoms of low T from men with symptoms of low T they were consistent with the FDA guidelines, setting the threshold for for low total testosterone at_____.
    <300ng/dl
  10. Select all of the following values that are necessary to calculate free T
    • total testosterone
    • SHBG
    • albumin
  11. When using equilibrium dialysis or calculated free T to determine free T, a value below _____ would be considered low.
    50 pg/ml
  12. Dr Morgentaler says that when he uses gels he often has to double the dose from 5-10g.  What does he say prevents him from using a higher dose?
    the patient runs out of skin surface area to rub it in
  13. Please select all of the responses below that Dr Morgentaler sites as positive attributes of Testopel.
    Testopel maintains good levels of testosterone for 3-6 months

    insertion is a painless in-office procedure under local anesthetic that only takes a few minutes

    many patients prefer the idea of Testopel insertion a few times a year compared to injections every 2 weeks

    some men prefer a simplified morning routine that does not include several minutes of rubbing a gel into their skin everyday
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  15. According to Dr. Morgentaler, when using the analog free T (RIA) test, concentrations below ____ would be considered low.
    15 pg/ml

  16. LHRH (aka GNRH)is released by the ___________. This causes LH (luteinizing hormone) to be released from the ___________ into the blood stream which in turn causes the increased production of testosterone.
    hypothalamus, pituitary gland
  17. Dr. Morgentaler feels that when looking at Total T, concentrations of less than 400 ng/dl are suspicious, less than 350 ng/dl are highly suggestive, and less than 300 ng/dl are definitely low
    True
  18. All of the following are non-sexual symptoms of low T except _____

    low energy/fatigue
    increased blood pressure
    moodiness
    decrease in muscle mass
    accumulation of fat
    increased blood pressure
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  20. Dr Morgentaler feels that erythrocytosis (aka polycythemia) is a real risk of T therapy and for this reason, hematocrit or hemoglobin should be checked how often?




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    At least 2x during first year of T therapy and at least once a year thereafter



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