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{{WBRQuestion
{{WBRQuestion
|QuestionAuthor=[[User:Gonzalo Romero|Gonzalo A. Romero, M.D.]] [mailto:gromero@wikidoc.org]
|ExamType=USMLE Step 1
|ExamType=USMLE Step 1
|MainCategory=Pharmacology
|MainCategory=Pharmacology
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|SubCategory=Reproductive
|SubCategory=Reproductive
|Prompt=A 31-year-old man presents to the dermatology clinic for hair loss.  The patient reports progressive hairline regression and hair loss mainly localized above the temples and at the vertex.  He also explains that he has a strong family history of androgenic alopecia, and cannot stand the idea of going completely bald. The patient has tried many topical products intended for hair loss, which have not been very helpful.  You consider using an agent that is also approved for the treatment of benign prostatic hyperplasia. Which of the following is the most likely mechanism of action of this drug?
|Prompt=A 31-year-old man presents to the dermatology clinic for hair loss.  The patient reports progressive hairline regression and hair loss mainly localized above the temples and at the vertex.  He also explains that he has a strong family history of androgenic alopecia, and cannot stand the idea of going completely bald. The patient has tried many topical products intended for hair loss, which have not been very helpful.  You consider using an agent that is also approved for the treatment of benign prostatic hyperplasia. Which of the following is the most likely mechanism of action of this drug?
|Explanation=Finasteride is used for [[BPH]] (benigh prostatic hyperplasia) and to treat male-pattern baldness,because it promotes hair growth. It is an 5 alfa-reductase inhibitor (normally converts [[testosterone]] to [[DHT]]), decreasing the conversion of testosterone to DHT (dihydrotestosterone).
|AnswerA=Phosphodiesterase 5 (PDE5) inhibitor
|AnswerA=Phosphodiesterase 5 (PDE5) inhibitor
|AnswerAExp=Sildenafil, tadalafil - erectile dysfunction
|AnswerAExp=Sildenafil, tadalafil - erectile dysfunction
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|AnswerE=Selective inhibitior of 5-alpha-reductase
|AnswerE=Selective inhibitior of 5-alpha-reductase
|AnswerEExp=finasteride
|AnswerEExp=finasteride
|References=First Aid 2014 page 589
|RightAnswer=E
|RightAnswer=E
|WBRKeyword=Testosterone agonist, testosterone antagonist
|Approved=No
|Approved=No
}}
}}

Revision as of 14:02, 16 September 2014

 
Author PageAuthor::
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Pharmacology
Sub Category SubCategory::Reproductive
Prompt [[Prompt::A 31-year-old man presents to the dermatology clinic for hair loss. The patient reports progressive hairline regression and hair loss mainly localized above the temples and at the vertex. He also explains that he has a strong family history of androgenic alopecia, and cannot stand the idea of going completely bald. The patient has tried many topical products intended for hair loss, which have not been very helpful. You consider using an agent that is also approved for the treatment of benign prostatic hyperplasia. Which of the following is the most likely mechanism of action of this drug?]]
Answer A AnswerA::Phosphodiesterase 5 (PDE5) inhibitor
Answer A Explanation AnswerAExp::Sildenafil, tadalafil - erectile dysfunction
Answer B AnswerB::Competitive inhibitor of testosterone binding at androgen receptors
Answer B Explanation AnswerBExp::flutamide - Nonsteroidal antiandrogen - Prostate Cancer
Answer C AnswerC::Aromatase inhibitor
Answer C Explanation AnswerCExp::exemestane - Breast Cancer
Answer D AnswerD::Agonist of luteinizing hormone-releasing hormone (LHRH)
Answer D Explanation AnswerDExp::leuprolide - Prostate Cancer - Endometriosis - Leiomyoma
Answer E AnswerE::Selective inhibitior of 5-alpha-reductase
Answer E Explanation AnswerEExp::finasteride
Right Answer RightAnswer::E
Explanation [[Explanation::

Educational Objective:
References: ]]

Approved Approved::No
Keyword
Linked Question Linked::
Order in Linked Questions LinkedOrder::