A male and female patient complain of problems with conception. The female patient is in generally good health. The male patient is a body builder who admits to anabolic steroid use
It is important for the clinician to recognize that in male steroid users, there is often:
A. Atrophic testes
B. Excessive natural testosterone
C. Inadequate natural testosterone
D. A & C
ANS: D
Supplementation with testosterone or with testosterone-like substances can result in decreased endogenous testosterone as well as LH, hypogonadotropic hypogonadism, and suppressed spermatogenesis. Hypogonadism induced by exogenous steroid use is usually temporary, and endogenous hormone production and spermatogenesis rebound after approximately 4 months. The patient may complain of increased or decreased libido and possible ED. There may be some noticeable testicular atrophy on examination. Semen analysis will show oligospermia or azoospermia, and total testosterone will be above the normal range (or supraphysiologic with anabolic use).
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The nurse in an inner city clinic is providing a health screening for a homeless client with a history of drug abuse. The client has a chronic non-productive cough. For which should the nurse expect to screen this client?
A) Herpes zoster B) Sickle cell disease C) Sick sinus syndrome D) Tuberculosis
Which statement is an operational definition of a concept?
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The nurse is preparing to assess the apical pulse, which is found in the ____________________th intercostal space
Fill in the blank with correct word