Quiz 2: PADAM - Partial Androgen Deficiency in the Adult Male: Dx & Causes

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Question 1 of 4

1. Question
Which statement is false?
- There is a large group of men who have variable levels of typical androgen deficiency symptoms, but when tested traditionally still have levels within the “normal range” of 300–1000 ng/dl.
- There is significant differing opinions regarding whether there is benefit in treating this group with testosterone replacement.
- Correction of androgen levels in deficient males may not always be the optimal choice for improved health.
- Usually, careful workup for aggravating factors and secondary diagnostic testing will point to the proper way to correct the deficiency and reduce or relieve the symptoms and health changes associated with deficiency.
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Question 2 of 4

2. Question
Which statement is false concerning the diagnosis of androgen deficiency?
- The major risk factors of mortality after age 65 do correlate with lipids in either men or women. They correlate to “anabolic” status to androgens.
- On arteriograms, there are NO correlations to plaque severity with traditional, well-accepted risk factors such as lipids, diabetes, hypertension, obesity or even smoking.
- There is no correlation between CAD and testosterone levels.
- New studies in coronary artery calcification indicate that there is little correlation with severity of plaque and expected risk factors.
- Nor do the risk factors come close to predicting acute events prospectively.
- At least with arteriography, there is a high correlation to testosterone levels and lower plaque burden.
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Question 3 of 4

3. Question
Which one does NOT apply concerning chronic diseases or conditions associated with decreased androgens – testosterone, DHEA?
- Inflammatory disease – RA, Crohn’s disease, ulcerative colitis, sarcoidosis, asthma
- Infectious disease – HIV/AIDS, Lyme disease
- Hypothyroidism, low T3:T4 ratio
- Syndrome X, diabetes, hypertension, CAD
- Depression, negative situational stress, loss of spouse, high cortisol
- COPD/sleep apnea
- Treating sleep apnea with testosterone will often improve it, at least in the beginning
- Obesity, particularly massive obesity, post-gastric bypass surgery
- Chronic fatigue syndrome, adrenal insufficiency
- Alcoholism
- Neurodegenerative diseases – Alzheimer’s disease, Parkinson’s, MS
- Progression of these diseases can often be affected in a positive way by testosterone Rx
- Growth hormone deficiency
- Prolactinoma, pituitary adenoma, empty sella syndrome
- Genetic syndromes – estrogen excess, high SHBG, Klinefelter syndrome, Kennedy’s disease
- Post CABG, prolonged anesthesia syndromes
- Malnutrition – anorexia nervosa, zinc deficiency, wasting syndrome, prolonged fasting or extreme low caloric diets
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Question 4 of 4

4. Question
What is NOT a chronic disease or a condition associated with decreased androgens – testosterone, DHEA (select correct answer):
- Xeno-estrogen exposure – Agent Orange, dioxins, DDT, phthalates (plastics), PCBs, excess soy
- Hemochromatosis
- Post-head trauma
- Renal failure – dialysis
- Athletic overtraining – long-distance runners
- Erectile dysfunction resulting in lack of sexual activity
- All of the above are correct
- One of the above is incorrect
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Andropause Mastery

Quiz 2: PADAM – Partial Androgen Deficiency in the Adult Male: Dx & Causes

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