Male Sexual Dys Flashcards

1
Q

Penis Sympathetic innervation is ___ while para is ___. They form ___ plexus

A

T11-L2
S2-S4
pelvic

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2
Q

The ___ are branches of pelvic plexus that innervate the penis

A

The cavernosal nerves

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3
Q

Parasympathetic stimulation causes

____; sympathetic activity causes _____

A

erection

ejaculation

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4
Q

detumescence is

A

(loss of erection).

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5
Q

the increased pressure within the intracavernosal spaces causes:

A

preventing penile venous outflow from emissary veins.

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6
Q

It is likely for a man to lose his erection if distracted during ____ phase

A

excitement

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7
Q

The most noticeable change in the penis during orgasm is the ____

A

ejaculation of semen

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8
Q

Muscular tension usually is fully relaxed within ___ after orgasm

A

five minutes

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9
Q

Inability to be re-stimulated to ejaculation or even maintain an erection.

A

Refractory period

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10
Q

persistent inability to achieve or maintain a

penile erection sufficient for sexual intercourse.

A

impotency

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11
Q

The initial obligatory event required for male

sexual activity

A

the acquisition and maintenance of penile erection

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12
Q

Erection is a ____ phenomenon, triggered by ___ signals

A

vascular, neurologic

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13
Q

Which ED is sudden

A

Psychological

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14
Q

Which ED has absent nocturnal erection?

A

Organic

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15
Q

Which ED is associated with normal ejaculation with masturbation?

A

Psychological

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16
Q

Arteriogenic Cause of ED include

A

Hyperlipidemia
pelvic trauma
Hypertension

17
Q

Neurogenic causes of ED include

A

Lesions of medial preoptic nucleus, paraventicular nucleus.
MS
Spinal trauma

18
Q

Endocrine causes of ED

A

Hypogonadism

19
Q

Tadalafil is a ___ inhibitor

A

Phosphodiesterase type 5 inhibitors

20
Q

PDE5 Inhibitors Side Effects include

A

priapism

blue halo

21
Q

PDE5 Contraindications

A

Nitrates
predisposition to prolonged erection (Sickle cell, leukemia, Multiple myeloma)
hypotension/CV event

22
Q

Where is Alprostadil injected and why?

A

around the side of the penis, increased neurovascularized

23
Q

Alprostadil can be

A

intraurethral and intracavernosal

24
Q

the most common of the ejaculatory disorders,

A

premature ejaculation

25
Q

early warning sign of future cardiovascular events.

A

ED

26
Q

urethritis is a major side effect of which of

A

Intraurethral

27
Q

Increased pedundal a flow is in which phase?

A

1: latent

28
Q

erection forms in which phase?

A

Tumescent

29
Q

intracavernous pressure starts rising in

A

Tumescent

30
Q

penis elongate in phase

A

1

31
Q

list the phases?

A
FLACCID
LATENT
TUMESCENT
FULL ERECTION
RIGID ERECTION
DETUMESCENT
32
Q

Ischiocavernous muscles contract in phase

A

4

33
Q

DETUMESCENT phase occur following

A

ejaculation