Difficulty Achieving in Medicine / Internal Medicine — 58yo Man | Endocrinology | SMLE Q#12002
SMLE Question #12002
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 58-year-old man reports progressive erectile dysfunction for 8 months with difficulty achieving and maintaining erections. He has type 2 diabetes mellitus for 10 years with suboptimal glycaemic control and severe obesity. He reports mild urinary hesitancy, and digital rectal examination shows a symmetrically enlarged, smooth prostate. Which of the following is the most important risk factor contributing to his current sexual complaint?
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