- Email: [email protected]
Testosterone Deficiency
Test Your Knowledge by Sandy Wilbanks, APRN
Testosterone Deficiency 2
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Across 1. Normal reference ______ for serum testosterone is 300–1000 ng/dl. 3. Measure ______ testosterone levels as the initial lab assessment. 4. Having normal free testosterone levels. 9. International society of andrology (ab). 13. Testosterone ______ therapy. 14. Thinness of the ______ occurs in androgen deficiency. 15. About 30–50% of testosterone is bound with low affinity to ______. 16. Serum prostate- ______ antigen. 17. A delivery method for testosterone. 18. Normal testicular ______ is 10–25 mL with a length of >6 cm. 19. The ______ androgens are not as effective as parenteral. 20. Testosterone preparations include injectable, ________ and transbuccal. 22. _______ dysfunction. 24. ______ mass is affected by testosterone levels. 25. Measurment of ______ testosterone level. 28. Testosterone replacement therapy (ab). 30. Only 1–2% of total testosterone is _____. 31. Deficiency in the secretory activity of the testis. 32. Testosterone therapy can aggrevate sleep______ in older men.
36. Always draw serum testosterone levels in the _______. 38.Reduced testosterone secretion causes a ______ in LH and FSH. 39. Only about 50% of total testosterone is ______. 42. Systemic levels of testosterone decrease by about 1% each ______. 43. Intracytoplasmic sperm injection (ab). 46. Gland that secretes gonadotropin. 49. Testosterone replacement can improve ______ function. 50. An increase in RBC’s (may occur with testosterone replacement). 51. Physical/mental vigor and strength. 53. Sex hormone-binding globulin (ab). 54. Increased abdominal ______. 55. Male gonads that produce testosterone. 58. Quality of _____. 61. Primary testicular ______. 63. Abnormal sperm ______. 65. The goal of therapy is to ______ levels to normal. 66. Hormone that increases male characteristics. 67. Low testosterone may cause low bone ______ density. 68. Androgen deficiency in ageing males (ab). 69. Development of spermatozoa. 70. ______ spectrometry is a test used to measure testosterone levels.
Source: Swerdloff RD, Wang C. Androgens and the ageing male. Best Pract Res Clin Endocrinol Metabol. 2004;18(3):349-362.
The answers will be provided in the next issue.
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The Journal for Nurse Practitioners - JNP
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Down 2. Testes may be small or ______ in size. 3. Bioavailable to the _______ tissues. 5. A female-appearing breast. 6. Aging males survey (ab). 7. Sex drive. 8. Cholestatic ______ occurs in 1–2% of pt’s on oral adrogens. 10. _____ banking. 11. Hypogonadism in childhood may delay this. 12. Serum testosterone is relatively ______ to measure. 21. Testosterone levels fall gradually but_______ after age 40. 23. Undescended testicle. 24. Massachusetts male aging study (ab). 26. The _____ level usually improves on testosterone therapy. 27. Diagnosis of ______ hypogonadism. 29. Instrument to measure testicular size. 33. Syndrome characterized by an XXY chromosomal pattern. 34. Inflammation of the testes. 35. Insulin ______ and visceral obesity are associated with testosterone deficiency. 36. Diagnosis of testosterone deficiency is based on ______ of serum testosterone. 37. Loss of body ______. 40. The inability to conceive a child.
41. Testosterone therapy can aggravate ______ prostatic hypertrophy. 44. Testosterone replacement is contraindicated in pts. with hx of ______ cancer. 45. Injectable testosterone results in _______ of levels. 47. Androderm is delivered via skin ______. 48. Gonadal ______ is the failure of the testes to develop normally. 52. ______ body mass. 53. The thick secretion discharged during ejaculation. 56. Aging and the male reproductive _____. 57. Medication _____ effects. 59. Low testosterone levels affect ______ and energy. 60. Transient suppression of testosterone can occur with ______. 62. Most testicular tumors are ______ cell. 64. Clinical ______ data are limited. 66. Potential cutaneous side effect of testosterone therapy..
Sandy Wilbanks, APRN, MSN, FNP, works at Phoenix Family Physicians Group in Saginaw, MI. She can be reached at [email protected]. 1555-4155/11/$ see front matter © 2011 American College of Nurse Practitioners doi:10.1016/j.nurpra.2011.07.020
Volume 7, Issue 8, September 2011
Testosterone Deficiency 2
1
3
5
4
6
7
8 11
9 10
12
13 14
15
16
17
18 19
20
21
23
22
24
25 26
27
29
28 30
31
32
33
34 35
36
38
40
39
37
41
42 44
43 45
46 47 48
49
50 52
51 53
54
56
55
57
59
58 60
62
61
64
63
65 66
67 68 69
Across 1. Normal reference ______ for serum testosterone is 300–1000 ng/dl. 3. Measure ______ testosterone levels as the initial lab assessment. 4. Having normal free testosterone levels. 9. International society of andrology (ab). 13. Testosterone ______ therapy. 14. Thinness of the ______ occurs in androgen deficiency. 15. About 30–50% of testosterone is bound with low affinity to ______. 16. Serum prostate- ______ antigen. 17. A delivery method for testosterone. 18. Normal testicular ______ is 10–25 mL with a length of >6 cm. 19. The ______ androgens are not as effective as parenteral. 20. Testosterone preparations include injectable, ________ and transbuccal. 22. _______ dysfunction. 24. ______ mass is affected by testosterone levels. 25. Measurment of ______ testosterone level. 28. Testosterone replacement therapy (ab). 30. Only 1–2% of total testosterone is _____. 31. Deficiency in the secretory activity of the testis. 32. Testosterone therapy can aggrevate sleep______ in older men.
36. Always draw serum testosterone levels in the _______. 38.Reduced testosterone secretion causes a ______ in LH and FSH. 39. Only about 50% of total testosterone is ______. 42. Systemic levels of testosterone decrease by about 1% each ______. 43. Intracytoplasmic sperm injection (ab). 46. Gland that secretes gonadotropin. 49. Testosterone replacement can improve ______ function. 50. An increase in RBC’s (may occur with testosterone replacement). 51. Physical/mental vigor and strength. 53. Sex hormone-binding globulin (ab). 54. Increased abdominal ______. 55. Male gonads that produce testosterone. 58. Quality of _____. 61. Primary testicular ______. 63. Abnormal sperm ______. 65. The goal of therapy is to ______ levels to normal. 66. Hormone that increases male characteristics. 67. Low testosterone may cause low bone ______ density. 68. Androgen deficiency in ageing males (ab). 69. Development of spermatozoa. 70. ______ spectrometry is a test used to measure testosterone levels.
Source: Swerdloff RD, Wang C. Androgens and the ageing male. Best Pract Res Clin Endocrinol Metabol. 2004;18(3):349-362.
The answers will be provided in the next issue.
700
The Journal for Nurse Practitioners - JNP
70
Down 2. Testes may be small or ______ in size. 3. Bioavailable to the _______ tissues. 5. A female-appearing breast. 6. Aging males survey (ab). 7. Sex drive. 8. Cholestatic ______ occurs in 1–2% of pt’s on oral adrogens. 10. _____ banking. 11. Hypogonadism in childhood may delay this. 12. Serum testosterone is relatively ______ to measure. 21. Testosterone levels fall gradually but_______ after age 40. 23. Undescended testicle. 24. Massachusetts male aging study (ab). 26. The _____ level usually improves on testosterone therapy. 27. Diagnosis of ______ hypogonadism. 29. Instrument to measure testicular size. 33. Syndrome characterized by an XXY chromosomal pattern. 34. Inflammation of the testes. 35. Insulin ______ and visceral obesity are associated with testosterone deficiency. 36. Diagnosis of testosterone deficiency is based on ______ of serum testosterone. 37. Loss of body ______. 40. The inability to conceive a child.
41. Testosterone therapy can aggravate ______ prostatic hypertrophy. 44. Testosterone replacement is contraindicated in pts. with hx of ______ cancer. 45. Injectable testosterone results in _______ of levels. 47. Androderm is delivered via skin ______. 48. Gonadal ______ is the failure of the testes to develop normally. 52. ______ body mass. 53. The thick secretion discharged during ejaculation. 56. Aging and the male reproductive _____. 57. Medication _____ effects. 59. Low testosterone levels affect ______ and energy. 60. Transient suppression of testosterone can occur with ______. 62. Most testicular tumors are ______ cell. 64. Clinical ______ data are limited. 66. Potential cutaneous side effect of testosterone therapy..
Sandy Wilbanks, APRN, MSN, FNP, works at Phoenix Family Physicians Group in Saginaw, MI. She can be reached at [email protected]. 1555-4155/11/$ see front matter © 2011 American College of Nurse Practitioners doi:10.1016/j.nurpra.2011.07.020
Volume 7, Issue 8, September 2011