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علاج دوائي 5
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A patient has tried sildenafil, vardenafil, and tadalafil without satisfactory results. He is hesitant about injections. What is a non-injectable, non-oral second-line option?
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A 48-year-old male with RA has a PAS score of 4.5 after 4 months of methotrexate monotherapy. He has no contraindications to other therapies. According to the treatment algorithm, what is the next most appropriate step?
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A patient newly diagnosed with RA is about to start methotrexate. Which immunization status must be addressed before initiating therapy?
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A 48-year-old male with no significant past medical history is started on alprostadil intraurethral therapy for ED. What is a critical monitoring parameter and patient education point?
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A patient with RA and moderate disease activity is started on a TNF-inhibitor. What is a potential infusion-related reaction management strategy?
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A patient with RA has a history of congestive heart failure (CHF). Which class of biologic agents should be avoided?
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A 62-year-old male with a history of myocardial infarction (MI) 3 weeks ago asks for a prescription for sildenafil for his ED. What is the most appropriate response?
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A patient on alprostadil intracavernosal injections reports experiencing an erection that has lasted for 5 hours. What is the most appropriate instruction?
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A 34-year-old male presents with a 3-month history of symmetric joint pain and stiffness. Labs show positive anti-CCP, positive RF, and an ESR of 32 mm/hr. His Patient Activity Scale (PAS) score is 2.5. What is the most appropriate initial treatment?
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A 45-year-old male with no past medical history presents with new-onset ED. His labs show a total testosterone of 220 ng/dL (reference range 270-1070 ng/dL). He is symptomatic. What is the first-line treatment?
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