ED Flashcards

1
Q

Stress causes a ___ in testosterone in males

A

decrease

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2
Q

The preoptic, anterior and ventromedial nuclei of the hypothalamus are important for

A

male fertility

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3
Q

GnRH is made in the

A

preoptic anterior hypothalamus

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4
Q

Kallman syndrome (no GnRH production) patients have an altered sense of __ because GnRH neurons migrate from the ___ to the hypothalamus

A

smell; nose

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5
Q

Continuous release of GnRH causes a ___ of GnRH receptors because of the loss of the ___ and only having peaks

A

decrease; troughs

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6
Q

LH has a ___ half life and acts on LH receptors on __ cells

A

short; leydig

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7
Q

FSH has a __ half life and acts on FSH receptors on __ cells

A

long; sertoli

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8
Q

Testosterone is released from the __ cells and provides negative feedback to the ___ and the ___

A

leydig; hypothalamus; anterior pituitary

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9
Q

Estradiol is converted from testosterone by ___ and has a ___ negative feedback effect than testosterone

A

aromatase; stronger

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10
Q

Inhibin B acts on the __ to limit ___ secretion

A

anterior pituitary; FSH

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11
Q

Testosterone has a direct effect on (LH or FSH) secretion

A

LH

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12
Q

Exogenous testosterone ____ endogenous testosterone through ___ and __ sperm count through __

A

decreases; LH; decreases; FSH

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13
Q

Puberty causes __ surges of LH and FSH and __ the HPA axis sensitivity to steroids

A

nocturnal; resets

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14
Q

Testosterone production occurs in the ___ compartment

A

peritubular

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15
Q

What is the rate limiting step in the synthesis of testosterone and what protein is it done by?

A

The transport of cholesterol along the mitochondrial membrane; SAR

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16
Q

Only __% of testosterone is actually bioavailable

A

40

17
Q

The major sign of hypogonadism in males is

A

testicular atrophy

18
Q

Primary hypogonadism is a defect of the ___ themselves with very high __ and __ levels

A

testicles; FSH and LH

19
Q

Secondary hypogonadism is a ___ defect

A

central

20
Q

__ are an acquired form of hypogonadism due to hyperthermia of the scrotum

A

Varicoceles

21
Q

The Hypothalamus has the __ which recognizes a sexual partner

A

MPOA

22
Q

The PVN and the PGN do what to the erection

A

stimulate and inhibit respectively

23
Q

The locus coeruleus is the __ center

A

integration

24
Q

The sympathetics arise from T _ - __ and the PS arise from S_-_

A

10-12; 2-4

25
Q

Projectile ejaculation is a skeletal muscle function done by the __ nerve

A

pudendal

26
Q

ED drugs work on __ and require ___ to work

A

PDE-5; stimulation

27
Q

ED often precedes __ disease

A

heart

28
Q

Sexulation stimulation involves the __ pathway and the enzyme which non-sexual erection involves __

A

NO; PDE-; prostaglandins