1. Prior to initiating and during testosterone therapy, which of the following sets of tests should be completed as a baseline and for follow-up?
A. CBC, Chemistry Panel, PSA
B. CBC, LFTs, PSA
C. CBC, PSA, and lipids
D. CBC, PSA, and digital rectal examination
2. What is/are important precaution(s) to take when using transdermal testosterone therapy?
A. Daily application at the same time
B. Handwashing after applying testosterone
C. Moisturizing of area before applying testosterone
D. All of the above
3. What is the most accurate statement about testosterone levels?
A. Medication regimens for other conditions have little to no impact on testosterone levels
B. Multiple chronic medical conditions impact levels of testosterone and therapy for most of these patients is not beneficial
C. Patients with chronic medical conditions, including diabetes and congestive heart failure, may experience low testosterone levels, but patients with brief, acute illnesses, like influenza, do not experience an impact on testosterone levels
D. Subacute and acute illnesses can effect testosterone level measurements
4. Which of the following conditions is an absolute contraindication to receiving testosterone therapy?
A. Depression
B. Type 2 diabetes mellitus
C. Breast Cancer
D. Asthma
5. One of the signs that is virtually diagnostic for hypogonadism is
A. Extremely small (< 5 mL) testes
B. Fatigue
C. Reduced lean muscle mass
D. Sparser growth of axillary hair
6. What is the most appropriate target range for testosterone replacement therapy in an older patient with secondary hypogonadism?
A. 200-300 ng/dL
B. 300-400 ng/dL
C. 500-700 ng/dL
D. 800-900 ng/dL
7. Which set most accurately reflects the FSH and LH levels seen in a patient with secondary hypogonadism?
A. Elevated/Elevated
B. Elevated/Normal
C. Normal/Normal
D. Low/Normal
E. Low/Low
8. Which of the following sets of medical conditions has a high prevalence of low testosterone levels?
A. HIV, Hepatitis B, Diabetes, Congestive Heart Failure
B. HIV, Hepatitis A, Diabetes, Obesity
C. HIV, Diabetes, Obesity, Psoriasis
D. HIV, Diabetes, Psoriasis, Hepatic Encephalopathy
9. Which patient below should NOT receive testosterone therapy?
A. 30 year old male with Klinefelter's syndrome
B. 50 year old male with Myocardial Infarction three months prior
C. 60 year old male with Obstructive Sleep Apnea diagnosed one year prior
D. 70 year old male with 15-pack year tobacco history
10. In a patient receiving testosterone therapy, which of the following formulations might result in peak and trough levels?
A. Gels
B. Buccal adhesive patches
C. Injectables
D. None of the above
Evaluation Questions
11. To what extent did the program meet objective #1?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
12. To what extent did the program meet objective #2?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
13. To what extent did the program meet objective #3?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
14. To what extent did the program meet objective #4?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
15. To what extent did the program meet objective #5?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
16. To what extent did the program meet objective #6?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
17. Rate the effectiveness of how well the program related to your educational needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
18. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
19. Rate the quality of the faculty:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
20. Rate the effectiveness and the overall usefulness of the material presented:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
21. Rate the appropriateness of the examination for this activity:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
22. Rate the effectiveness of how well the activity related to your practice needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
23. Rate the effectiveness of how well the activity will help you improve patient care:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
24. Will the information presented cause you to change your practice?
A. Yes
B. No
25. Are you committed to making these changes?
A. Yes
B. No
26. As a result of this activity, did you learn something new?
A. Yes
B. No
27. What is your practice setting or area of practice?
A. Community Pharmacy/Independent
B. Community Pharmacy/Chain
C. Hospital/Health Systems
D. Administrative/Pharmacy Director
E. Critical Care Pharmacy
F. Long-term Care
G. Managed Care/PBM
H. Oncology/Specialty Pharmacy
I. Industry/Manufacturing
28. How many patients with androgen deficiency do you see per month?
A. 0-10
B. 11-20
C. 21-50
D. 51-100
E. >100
29. How many years have you been in practice?
A. <5
B. 5 – 10
C. 11 – 20
D. >20
