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A 60-Year-Old Man Visits the Office with Low Back Discomfort

Question 141

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A 60-year-old man visits the office with low back discomfort that has persisted for two months and is unresponsive to over-the-counter medications. Sleeping is disrupted by the discomfort because it is worse at night. On examination, the prostate is indurated and hard, and the lumbar vertebrae are painful to the touch. Leuprolide therapy is initiated following a thorough assessment. Which of the following changes in testosterone (solid line) and dihydrotestosterone (dashed line) levels are most likely to occur in this patient after initiation of therapy?


A) A 60-year-old man visits the office with low back discomfort that has persisted for two months and is unresponsive to over-the-counter medications. Sleeping is disrupted by the discomfort because it is worse at night. On examination, the prostate is indurated and hard, and the lumbar vertebrae are painful to the touch. Leuprolide therapy is initiated following a thorough assessment. Which of the following changes in testosterone (solid line)  and dihydrotestosterone (dashed line)  levels are most likely to occur in this patient after initiation of therapy? A)    B)    C)    D)    E)
B) A 60-year-old man visits the office with low back discomfort that has persisted for two months and is unresponsive to over-the-counter medications. Sleeping is disrupted by the discomfort because it is worse at night. On examination, the prostate is indurated and hard, and the lumbar vertebrae are painful to the touch. Leuprolide therapy is initiated following a thorough assessment. Which of the following changes in testosterone (solid line)  and dihydrotestosterone (dashed line)  levels are most likely to occur in this patient after initiation of therapy? A)    B)    C)    D)    E)
C) A 60-year-old man visits the office with low back discomfort that has persisted for two months and is unresponsive to over-the-counter medications. Sleeping is disrupted by the discomfort because it is worse at night. On examination, the prostate is indurated and hard, and the lumbar vertebrae are painful to the touch. Leuprolide therapy is initiated following a thorough assessment. Which of the following changes in testosterone (solid line)  and dihydrotestosterone (dashed line)  levels are most likely to occur in this patient after initiation of therapy? A)    B)    C)    D)    E)
D) A 60-year-old man visits the office with low back discomfort that has persisted for two months and is unresponsive to over-the-counter medications. Sleeping is disrupted by the discomfort because it is worse at night. On examination, the prostate is indurated and hard, and the lumbar vertebrae are painful to the touch. Leuprolide therapy is initiated following a thorough assessment. Which of the following changes in testosterone (solid line)  and dihydrotestosterone (dashed line)  levels are most likely to occur in this patient after initiation of therapy? A)    B)    C)    D)    E)
E) A 60-year-old man visits the office with low back discomfort that has persisted for two months and is unresponsive to over-the-counter medications. Sleeping is disrupted by the discomfort because it is worse at night. On examination, the prostate is indurated and hard, and the lumbar vertebrae are painful to the touch. Leuprolide therapy is initiated following a thorough assessment. Which of the following changes in testosterone (solid line)  and dihydrotestosterone (dashed line)  levels are most likely to occur in this patient after initiation of therapy? A)    B)    C)    D)    E)

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