Tuesday, May 30, 2017
Repeated USMLE Questions Step 2 CK 304
A 53-year-old man visits his physician with a complaint of erectile dysfunction. He is married for 20 years and they have two kids. He had never complained of his sexual performance until last month when he found out that he could not induce a full erection. He has no major health conditions and does not take any medications. He smokes one pack of cigarettes daily for 25 years. He does not drink alcohol or takes recreational drugs.
Which is the most likely etiology for this patient’s condition?
A-Endocrine
B-Infection
C-Pure psychogenic
D-Trauma
E-Vascular
Answer:
In men older than 50 years, vascular diseases such as atherosclerosis, peripheral vascular diseases, hypertension and coronary vascular diseases are considered the main causes of erectile dysfunction. Other etiologies are common but not as common as vascular diseases, which account for 50% of all cases of erectile dysfunction over 50 years old.
The correct answer is E
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When a man cannot get a hard erection to satisfy his own and his partner's sexual needs, he can feel devastated and very much isolated. From this snowballing of unfortunate events, the couple starts to alienate themselves emotionally and physically. Such is the effect of erectile dysfunction. impotence treatment Gingko Biloba is one of the oldest living tree species and has been used in traditional medicine to treat circulatory disorders. Studies have shown that ginkgo is effective in increasing blood supply to vital organs such as the penis, as it works by dilating blood vessels and reducing the stickiness of blood platelets. As such it is effective in improving libido and erectile dysfunction.
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