Quiz 24: Monday Morning Medicine: Injectable Testosterone

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Question 1 of 4

1. Question
Historically, testosterone was developed for I.M. administration in the 1940s (choose incorrect answer):
- The traditional way to treat with testosterone was for once-a-month administration in a doctor's office
- This has been supplanted by twice a week subQ administration
- This allows for very precise titration
- And offsets significant peaks and dips of monthly administration
- IM is approved; subQ will not be accepted by some compounding pharmacists
- All of the above
- None of the above
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Question 2 of 4

2. Question
Prescription pad (choose incorrect answer):
- Testosterone cypionate or testosterone enanthate 200 mg/ml
- 10 cc vial
- 0.6 weekly
- Do not specify IM or subQ as approval is for IM
- 25 g needle 5/8 in needle needed for the oil preparation
- All of the above
- None of the above
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Question 3 of 4

3. Question
Instructions to patient (choose incorrect answer):
- Take 0.25 cc twice weekly
- (0.6 written on Rx pad allows for a little bit of dose increase)
- If dose is a bit too high, they may feel good at first, but will not after a few weeks probably due to increased estrogen
- Some patients need only 0.3 cc total per week, or 0.35 or 0.4
- Some people need higher doses, for example those with insulin resistance
- Rarely go above 0.5 cc twice weekly
- Higher dosages can lead to excess estrogen, which might call for aromatase inhibitor
- Can inject either in the morning, afternoon, or evening
- All of the above
- None of the above
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Incorrect
Question 4 of 4

4. Question
Testing (choose incorrect answer):
- In 3–4 weeks after beginning treatment
- First, get clinical follow-up from patient as to how they are feeling
- No need to test LH or FSH; they will be suppressed
- Testosterone and estradiol, and every 3–6 months, SHBG
- Ask for ultrasensitive testing method for estradiol
- Absolute levels are not as important as clinical response
- When injecting 2 per week, you will get peaks and valleys – test 2 days after shot, or test Nadir on the third day
- All of the above
- None of the above
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Incorrect

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