Androgens and its modulators ✓ Passing Score: 50% 📝 Questions: 25 🎓 Practice Quiz Welcome! This is a practice quiz to test your knowledge. Please enter your details below to participate. Your results will be emailed to you upon completion. Your Information Name * Email * Start Quiz → Question 1 of 25 1 Which antifungal agent is known to inhibit enzymes critical for steroid biosynthesis at high doses, thereby acting as an anti-androgen? * Clotrimazole Fluconazole Ketoconazole Griseofulvin Amphotericin B 2 Which specific adverse effect is most commonly associated with 17$\\\\\\\\\\\\\\\\alpha$-alkylated androgens like Methyltestosterone and Fluoxymesterone? * Pulmonary fibrosis Renal failure Severe hypotension Cholestatic jaundice and hepatotoxicity Hypothyroidism 3 A 35-year-old female bodybuilder presents with acne, hirsutism, and a deepening voice. Which of the following adverse effects of androgen use is she experiencing? * Hypogonadism Priapism Gynecomastia Virilization Feminization 4 A clinician is monitoring a 55-year-old male patient who has been on intramuscular Testosterone Cypionate for 6 months. Which of the following laboratory findings would raise concern regarding the patient\\\\\\\\\\\\\\\'s cardiovascular risk profile as a known adverse effect of this therapy? * Increased Low-Density Lipoprotein (LDL) and decreased High-Density Lipoprotein (HDL) Decreased Low-Density Lipoprotein (LDL) Significant decrease in red blood cell count (Anemia) Hypokalemia Increased High-Density Lipoprotein (HDL) 5 Which of the following drugs is a non-steroidal androgen receptor antagonist used in the treatment of prostate cancer, often in combination with a GnRH agonist? * Testosterone Propionate Danazol Finasteride Menotropins Flutamide 6 A 68-year-old male with metastatic prostate cancer is being started on hormonal therapy. The oncologist chooses Degarelix (a GnRH antagonist) over Leuprolide (a GnRH agonist). According to the text, what is the primary clinical advantage of choosing the antagonist in this scenario? * It has no risk of causing hot flushes or loss of libido It stimulates bone density, preventing osteoporosis It can be administered orally It causes a rapid suppression of hormone levels without an initial testosterone surge It permanently destroys the pituitary gland 7 What is a primary clinical advantage of GnRH antagonists (e.g., Degarelix) over GnRH agonists in the treatment of prostate cancer? * They achieve faster suppression of hormone levels without an initial surge They are administered orally rather than by injection They do not cause hot flushes They increase bone density significantly They cause a transient \"flare\" of testosterone levels initially 8 Continuous administration of Leuprolide, a GnRH superagonist, eventually results in pharmacological castration. What is the underlying mechanism for this effect? * Increased metabolic clearance of testosterone Direct destruction of Leydig cells Inhibition of cholesterol transport into the mitochondria Downregulation and desensitization of pituitary GnRH receptors Competitive antagonism of LH receptors in the testes 9 Which of the following testosterone formulations is designed to bypass the liver\\\\\\\\\\\\\\\'s first-pass metabolism while still being administered orally? * Fluoxymesterone Methyltestosterone Testosterone Undecanoate (oily solution) Mesterolone Testosterone Enanthate 10 A female patient is treated with Spironolactone for hirsutism. This drug is effective because it acts as: * An inhibitor of steroid synthesis enzymes A 5-alpha-reductase inhibitor A competitive antagonist at the androgen receptor An aromatase inhibitor A GnRH agonist 11 At the cellular level, the androgen receptor-ligand complex exerts its primary physiological effect by: * Inhibiting protein kinase C in the cytoplasm Directly increasing ATP production in the mitochondria Opening ligand-gated ion channels to depolarize the cell Translocating to the nucleus and regulating mRNA transcription Activating G-protein coupled receptors on the cell membrane 12 Testosterone functions as a prohormone in several tissues. Which enzyme is responsible for converting Testosterone into Dihydrotestosterone (DHT), the more potent androgen? * 17-beta-hydroxysteroid dehydrogenase Phosphodiesterase CYP450 3A4 Aromatase 5-alpha-reductase 13 Which of the following best describes the primary mechanism by which Testosterone regulates its own production in the male body? * Negative feedback inhibition of GnRH and LH release from the hypothalamus and pituitary Direct stimulation of Leydig cells to increase LH sensitivity Inhibition of 5-alpha-reductase activity in peripheral tissues Positive feedback loop stimulating the release of GnRH from the hypothalamus Stimulation of the adrenal glands to produce cortisol 14 A patient is prescribed Testosterone Enanthate. Which of the following pharmacologic properties is characteristic of this formulation? * It is a subcutaneous pellet implanted every 6 months It is a water-soluble conjugate excreted rapidly It is a transdermal patch applied daily It is an aqueous suspension with a duration of action of 2-3 days It is an oil-based ester administered every 1-2 weeks 15 A patient with Benign Prostatic Hyperplasia (BPH) is prescribed Finasteride. He returns for a follow-up and reports improvement in urinary flow but is concerned about new sexual side effects. Which of the following is a documented side effect of this specific drug class? * Priapism (painful, prolonged erections) Cholestatic jaundice Loss of libido and impotence Severe acne and hirsutism Precocious puberty 16 Which of the following is a strict contraindication for the use of androgen therapy? * Carcinoma of the Prostate Senile Osteoporosis Refractory Anemia Hypopituitarism Hereditary Angioneurotic Edema 17 Anabolic steroids such as Nandrolone are chemically modified to achieve which of the following goals? * Eliminate all androgenic effects Increase the anabolic-to-androgenic activity ratio Increase the conversion to estrogen Decrease the half-life of the drug Block the androgen receptor 18 A 65-year-old male is diagnosed with Benign Prostatic Hyperplasia (BPH). He is prescribed Finasteride. What is the mechanism of action of this drug? * Inhibition of 5-alpha-reductase, preventing conversion of testosterone to DHT Inhibition of aromatase enzyme Blockade of androgen receptors in the prostate Competitive antagonism of GnRH receptors Direct relaxation of smooth muscle in the bladder neck 19 Danazol is used in the treatment of endometriosis. Its mechanism of action involves: * Activating estrogen receptors Blocking 5-alpha-reductase exclusively Inhibiting pituitary gonadotropin output and steroid synthesis Stimulating ovulation Increasing FSH and LH secretion 20 Why is natural testosterone typically not administered orally for therapeutic purposes? * It causes immediate gastric ulceration It undergoes extensive first-pass metabolism in the liver, rendering it ineffective It causes severe allergic reactions in the esophagus It is rapidly excreted by the kidneys before entering circulation It cannot be absorbed across the intestinal wall 21 A 50-year-old male undergoing testosterone replacement therapy (TRT) for hypogonadism complains of breast tenderness and enlargement (gynecomastia). The physician explains that this is due to the metabolism of the exogenous testosterone. Which enzymatic pathway is responsible for this side effect? * Hydrolysis by plasma esterases Reduction by 5-alpha-reductase to DHT Binding to Sex Hormone-Binding Globulin (SHBG) Conjugation with glucuronide in the liver Aromatization by the enzyme Aromatase to Estradiol 22 A 28-year-old male competitive bodybuilder presents to the clinic with yellowing of the skin and eyes (jaundice). He admits to using oral performance-enhancing drugs purchased online to increase muscle mass. Based on the adverse effect profile described in the text, which of the following agents is most likely responsible for his cholestatic jaundice? * Testosterone Undecanoate (Oral oil-filled capsule) Transdermal Testosterone Gel Testosterone Enanthate (Intramuscular) Stanozolol Testosterone Cypionate 23 Which of the following agents is an anabolic steroid often used for refractory anemias due to its ability to stimulate erythropoiesis? * Nandrolone decanoate Cyproterone acetate Leuprolide Finasteride Spironolactone 24 Selective Androgen Receptor Modulators (SARMs) like Ostarine are currently being investigated because they theoretically offer: * Increased conversion to estrogen for bone health Complete blockade of all androgen receptors in the body Anabolic effects on muscle and bone with reduced androgenic side effects Higher potency than DHT with no receptor selectivity A cure for male pattern baldness without sexual side effects 25 The use of androgens in children is approached with extreme caution primarily because it may cause: * Delayed puberty Premature closure of epiphyseal plates and stunted growth Type 1 Diabetes Excessive height growth (Gigantism) Hypothyroidism ← Previous Next → Submit Quiz ✓