A man who has secondary hypogonadism associated with pituitary ...

[jCorn1234]

A man who has secondary hypogonadism associated with pituitary dysfunction will begin exogenous testosterone therapy. The patient asks the primary care NP about future chances of fathering children. The NP should tell him that:
 
  a. fertility may improve with testosterone therapy.
  b. exogenous testosterone therapy will shut down sperm production.
  c. fertility can be restored when testosterone therapy is discontinued.
  d. he should store sperm ahead of the initiation of testosterone therapy.

Question 2

The parent of an 8-year-old child recently diagnosed with AD/HD verbalizes concerns about giving the child stimulants. The primary care NP should recommend:
 
  a. modafinil (Provigil).
  b. guanfacine (Intuniv).
  c. bupropion (Wellbutrin).
  d. atomoxetine (Strattera).

[cclemon1]

Answer to Question 1

A
Men with secondary hypogonadism may become fertile with exogenous testosterone.

Answer to Question 2

D
Atomoxetine is not a stimulant medication but is thought to be as effective as stimulant medications. It is the only nonstimulant treatment approved by the U.S. Food and Drug Administration for AD/HD that has been shown to be safe, well tolerated, and efficacious in the treatment of children.

[jCorn1234]

Excellent

[matt95]

TYSM