Deck 14: Challenges to Sexual Functioning

Question 1

Based on research contained within your text book, which of the following statements is true?

A) After sex confirmation surgery, transwomen are more likely than transmen to experience problems with sexual desire
B) After sex confirmation surgery, transwomen are less likely than transmen to experience problems with sexual desire
C) After sex confirmation surgery, transwomen and transmen experience similar problems with sexual desire.
D) After sex confirmation surgery, transwomen and transmen typically experience no problems with sexual desire.

Answer 1

A

Question 2

According to your text book, if a sexual problem is classified as an acquired sexual dysfunction, it is more likely to have what type of cause?

A) a biological factor
B) a psychological factor
C) a religious factor
D) a medical factor

Answer 2

B

Question 3

Which of the following statements is true?

A) To meet the criteria for a desire/arousal disorder, a person needs to have experienced symptoms 75% to 100% of the time for at least 3 months.
B) To meet the criteria for a desire/arousal disorder, a person needs to have experienced symptoms 75% to 100% of the time for at least 6 months.
C) To meet the criteria for a desire/arousal disorder, a person needs to have experienced symptoms 50% to 75% of the time for at least 6 months.
D) To meet the criteria for a desire/arousal disorder, a person needs to have experienced symptoms 50% to 100% of the time for at least 3 months.

Answer 3

B

Question 4

What symptoms are associated with sexual interest/arousal disorders?

A) absent or reduced sexual thoughts or fantasies
B) reduced genital sensations during sexual activity
C) absent or reduced pleasure during sexual activity
D) All of these are correct.

Question 5

Criteria for sexual interest/arousal disorder includes all of the following, EXCEPT:

A) absent or decreased sexual interest
B) decreased or absent initiation of sexual activity or responsiveness to a partner's attempts to initiate sexual activity
C) absent or decreased physical sensations during sexual activity
D) marked delay in, or absence of, orgasm

Question 6

Erectile disorders in younger men are more likely to be _______ based, whereas erectile dysfunctions in older men are more likely to be _______ based.

A) physically, psychologically
B) psychologically, physically
C) relationally, environmentally
D) environmentally, relationally

Question 7

What is the name for a substance that increases, or is believed to increase, a person's sexual desire?

A) sex stimulant
B) aphrodisiac
C) vasodilator
D) enhancer

Question 8

Ben enters sex therapy and shares with his therapist that he is having difficulty maintaining an erection, but only during oral sex. When he is masturbating or having vaginal intercourse, he maintains his erection with no problems. How would his therapist likely classify this problem?

A) situational sexual dysfunction
B) erectile dysfunction
C) responsive sexual desire
D) generalized sexual dysfunction

Question 9

Jermaine has decided to seek treatment because he has never been able to ejaculate through masturbation, even as a young boy. He thought the problem may be due to lack of a partner, but now he has a partner and is still not able to ejaculate. Which of the following best describes Jermaine's reason for seeking treatment?

A) acquired sexual dysfunction
B) situational sexual dysfunction
C) lifelong sexual dysfunction
D) hypoactive sexual desire disorder

Question 10

How does the EROS device work to treat sexual arousal and desire disorders?

A) It increases blood flow to the clitoris.
B) It stimulates the clitoris to orgasm.
C) It helps relax the muscles to allow for erection.
D) It decreases penile stimulation to delay early ejaculation.

Question 11

According to your text, the reason that aphrodisiacs can be effective is because:

A) they improve blood flow to the genitals
B) they make the user "high" thus eliminating sexual inhibitions
C) the user believes they will work
D) they mimic natural arousal processes within the male and female body

Question 12

If a couple is experiencing a discrepancy in desire, who would be more likely to be identified as having a sexual problem?

A) the partner with the lower level of sexual desire
B) the partner with the higher level of sexual desire
C) Both would be identified as experiencing a simultaneous sexual problem.
D) Neither, a discrepancy in desire is not typically identified as a sexual problem.

Question 13

The DSM-5 includes a group of criteria to explore various issues to determine how best to treat a sexual dysfunction. All of the following are used to assess a dysfunction, EXCEPT for:

A) medical factors
B) relationship factors
C) cultural factors
D) contraceptive factors

Question 14

Brad is able to maintain an erection and ejaculate during masturbation. Before his breakup with his previous partner, he was also able to maintain an erection and ejaculate during sex. He now has a new partner and has not been able to maintain an erection during sex. What is a more likely cause for his problem?

A) He may have an STI that is causing medical problems.
B) He may need to have his heart checked out because problems maintaining an erection are related to cardiovascular problems.
C) He may be experiencing performance fears with his new partner or comparing their encounters to his previous partner.
D) He may believe that his penis is not the right size or shape in relation to his new partner's genitals and this is impacting his sexual satisfaction.

Question 15

What has recent research found related to the use of Viagra for female sexual arousal and desire disorders?

A) It has been found to work equally well in women and men to enhance sexual stimulation.
B) It has been found to cause severe health complications when taken by women.
C) It has been found to provide little benefit in the treatment of female arousal and desire problems.
D) It has been found to have even more promising results with women than it has for men.

Question 16

Kiana sought sex therapy due to her low or absent interest in sexual activity. Which of the following would be the most appropriate diagnosis for Kiana?

A) dyspareunia
B) hypoactive sexual desire
C) sexual aversion
D) hypersexuality

Question 17

In men, what disorder is classified as a sexual arousal disorder?

A) hyperactive sexual desire disorder
B) orgasmic disorder
C) early ejaculatory disorder
D) erectile disorder

Question 18

What was a major criticism of how the Diagnostic and Statistical Manual ( DSM ) classified sexual dysfunctions, which ultimately led to changes within the DSM-5 ?

A) Diagnoses were mainly related to male dysfunctions.
B) Diagnoses typically focused on global sexual dysfunctions.
C) Diagnoses were too focused on psychological factors.
D) Diagnoses were dependent upon where in the sexual response cycle the symptoms occurred.

Question 19

Ever since giving birth to her second child, Jing is no longer able to orgasm during intercourse. She is able to orgasm during masturbation and she used to be able to orgasm through intercourse. How would her problem likely be classified?

A) situational sexual dysfunction and acquired
B) sexual interest/arousal disorder and acquired
C) situational sexual dysfunction and generalized
D) generalized sexual dysfunction and lifelong

Question 20

What is the first thing that most sex therapists do when beginning treatment of most sexual dysfunctions?

A) ask the client to bring in his/her partner
B) obtain a medical history
C) tell the client to masturbate more frequently to get a baseline for the problem
D) help the client process his/her past sexual history

Question 21

What type of medication has been shown to be related to delayed or absent orgasm in some women?

A) antibiotics
B) birth control pills
C) antidepressants
D) beta blockers

Question 22

Which of the following is true related to surgical treatment options and erectile disorders?

A) There are two main types of implants, including semirigid rods that provide a permanent state of erection and inflatable devices that become firm when pumped.
B) After prosthesis implantation, a man no longer experiences orgasm or ejaculation.
C) Most men remain dissatisfied with their sex lives after surgical treatment for erectile disorder.
D) Homosexual men are more likely to be satisfied with surgical treatment options as ejaculation is less important to their sexual expression.

Question 23

Which method involves inserting a flaccid penis into a cylinder and using a pumping action to draw blood to the penis?

A) systematic desensitization
B) intracavernous injections
C) vacuum constriction
D) start-stop technique

Question 24

Masters and Johnson originally suggested that early ejaculation is associated with:

A) early sexual experiences that were rushed for fear of being caught
B) receiving harsh punishments as a child
C) early exposure to pornography
D) sex with partners who have a much higher sex drive

Question 25

Which of the following treatment methods (used for female orgasmic disorders and male erectile disorders) involves imagining an activity that caused anxiety and then implementing a relaxation technique to decrease the anxiety?

A) squeeze technique
B) masturbation training
C) systematic desensitization
D) bibliotherapy

Question 26

Which of the following methods are used to treat erectile disorder?

A) psychological treatments
B) pharmacological treatments
C) hormonal treatments
D) All of these are correct.

Question 27

According to research contained within your text book, frequent porn use and masturbation in young men can interfere with:

A) erectile functioning in later life during solo masturbation
B) nighttime erections during REM sleep
C) erectile functioning during partner sex
D) All of the above.

Question 28

Which of the following are involuntary spasms of the muscles around the vagina in response to attempts at penetration?

A) vaginismus
B) pubococcygeus
C) dyspareunia
D) penetration

Question 29

If a male is using the nocturnal penile tumescence test, one could suspect that he is most likely being assessed for:

A) early ejaculation disorder
B) hypoactive desire disorder
C) erectile disorder
D) sexual aversion disorder

Question 30

Which of the following statements associated with the disorder of delayed ejaculation is NOT true?

A) It is one of the least understood disorders.
B) It is one of the most common disorders.
C) It is one of the least studied sexual dysfunctions.
D) It can be caused by psychological and/or physiological factors.

Question 31

What are the symptoms of erectile disorder?

A) unintentional ejaculation either during foreplay, during penetration, or soon after intercourse begins
B) a delay or absence of orgasm following a normal phase of sexual excitement
C) ejaculation being impossible or occurring only after strenuous efforts
D) a persistent inability to obtain or maintain an erection sufficient for satisfactory sexual performance

Question 32

What has been found to be the most effective treatment for female orgasmic disorder?

A) having the couple change positions during sexual intercourse
B) teaching a woman how to masturbate to orgasm
C) teaching the woman's partner how to provide better clitoral stimulation
D) having the woman go to counseling to process past sexual problems

Question 33

Julio visited a sex therapist because for as long as he can remember he has ejaculated just moments after becoming aroused. What diagnosis would a sex therapist most likely make for Julio's complaints?

A) dyspareunia
B) retrograde ejaculation
C) early ejaculation
D) erectile dysfunction

Question 34

If the primary focus of treatment is to reduce the anxiety associated with erectile disorder, what treatment method would be most likely used?

A) sensate focus
B) Viagra
C) testosterone cream
D) intracavernous injections

Question 35

Bill reported to his doctor that whenever he has an orgasm, there is little or no ejaculate. What is a possible diagnosis the doctor should evaluate for Bill's complaints?

A) early ejaculation
B) retrograde ejaculation
C) hyposexual desire disorder
D) dyspareunia

Question 36

Even though it is easier to reach orgasm through masturbation, many heterosexual women report increased pleasure with vaginal intercourse over masturbation because:

A) orgasms through vaginal intercourse tend to be more intense.
B) intercourse provides more intimacy and closeness.
C) most women prefer to delay their orgasms as long as possible for heightened pleasure.
D) All of these are correct.

Question 37

In which method is the penis gently stretched and medication introduced to increase blood flow to the penis?

A) sensate focus
B) vacuum constriction
C) intracavernous injections
D) squeeze technique

Question 38

All of the following are true related to erectile dysfunction and pharmacological treatments, EXCEPT:

A) More patients prefer Cialis over Viagra or Levitra because of its longer duration.
B) Pharmacological treatments are considered the first line of treatment for erectile disorder.
C) Critics of ED drugs dislike the primary focus on erection without considering the multidimensional nature of male sexuality.
D) Erectile dysfunction drugs work by causing an erection without needing any additional sexual stimulation.

Question 39

If the doctor uses a test that indicates if a man is having nighttime erections, what is he likely checking for?

A) if the man's ED should be classified as a lifelong sexual dysfunction or an acquired sexual dysfunction
B) if the man's ED is more likely to have a physiological vs. a psychological cause
C) if the man's ED can be effectively treated with a drug like Viagra
D) if the man's ED is situational or generalized

Question 40

Which sexuality-based disorder for males currently has more treatment options than any other sexual dysfunction?

A) early ejaculation disorder
B) erectile disorder
C) hyposexual desire disorder
D) orgasmic disorder

Question 41

If a friend confides in you that she is experiencing sexual functioning problems, according to your text book, which of the following recommendations would be the best advice that you can provide to her?

A) wait at least one year before seeking treatment to determine whether or not the issue will resolve on its own.
B) seek a counselor or therapist who has received training from the American Association of Sexuality Educators, Counselors, and Therapists (AASECT).
C) take testosterone supplements.
D) take many different over‐the‐counter herbal remedies that have been known to enhance sexual desires.

Question 42

______, also known as a heart attack, is when blood is cut off to the heart muscle causing damage to the heart.

A) Hemiplegia
B) Myocardial infarction
C) Angina
D) Stroke

Question 43

What is genital pain associated with sexual behavior?

A) vaginismus
B) pubococcygeus
C) genito-pelvic pain
D) dyspareunia

Question 44

Which of the following is a muscle that surrounds and supports the vagina?

A) genito-pelvic
B) pubococcygeus
C) vaginismus
D) dyspareunia

Question 45

Vince is showing disinhibition in which he sometimes masturbates in public, makes lewd comments, and makes inappropriate sexual advances. Vince is likely recovering from what condition?

A) a heart attack
B) a stroke
C) hyperestrogenemia
D) aphasia

Question 46

Which of the following is a category of sexual dysfunction that involves persistent or recurrent difficulties with penetrative sex, which causes significant distress?

A) dyspareunia
B) pubococcygeus
C) vaginismus
D) genito-pelvic pain and penetration disorder

Question 47

In cultures that do not value female sexual desire, what would be the most common treatment approach for hypoactive female sexual desire disorder?

A) The same treatment approaches that are common in the United States would also be used in those cultures.
B) Most women would be advised no longer to engage in sexual interactions.
C) Most women would be advised to seek help from a local counselor.
D) Hypoactive sexual desire likely would not be viewed as a sexual problem that requires treatment.

Question 48

Danielle experiences involuntary contractions of the muscle that surrounds the entrance to the vagina. This happens when her partner is trying to penetrate her with his penis or using his fingers for stimulation, when she masturbates or uses a tampon, and during pelvic exams at the doctor's office. What is a likely diagnosis for Danielle?

A) hypoactive sexual desire
B) vaginismus
C) vulvodynia
D) dyspareunia

Question 49

What chronic illness may affect sexual functioning by making men and women hypersensitive to touch?

A) diabetes
B) emphysema
C) HIV/AIDS
D) multiple sclerosis

Question 50

Which of the following is a common problem in male patients who have cardiovascular problems?

A) erectile dysfunction
B) early ejaculation
C) dyspareunia
D) retrograde ejaculation

Question 51

What characteristic has been found to put a woman at higher risk for experiencing sexual pain disorders?

A) women who have experienced sexual abuse or rape
B) women with conservative values and strict sex‐related moral standards
C) women who are experiencing depression, anxiety, or stress.
D) All of these are correct.

Question 52

What are common treatments for early ejaculation?

A) a form of antidepressants (SSRIs) and the stop-start techniques
B) testosterone patches and vacuum constrictive devices
C) intracavernous injections and sensate focus
D) systematic desensitization and drugs such as Viagra or Cialis

Question 53

All of the following statements related to alcoholism and sexuality are true EXCEPT:

A) It increases testosterone levels which lead to hypermasculinization.
B) It can cause irreversible damage even if the person stops drinking alcohol.
C) It can cause erectile dysfunction.
D) It can lead to testicular atrophy in men and infertility in women.

Question 54

According to your text book, what sexual problem may be one of the first signs of diabetes in men?

A) difficulty in getting an erection
B) early ejaculation
C) delayed ejaculation
D) loss of sexual desire

Question 55

What is a graduated series of metal rods used in the treatment of vaginismus?

A) dilators
B) hypertension
C) vulvar vestibulitis
D) angina

Question 56

Chest pains that accompany heart disease is called ______.

A) genito-pelvic
B) hypertension
C) dyspareunia
D) angina

Question 57

Which of the following statements regarding spinal cord injuries and sexuality is TRUE?

A) Men with spinal cord injuries almost always experience sexuality problems whereas women rarely do.
B) Most men who experience spinal cord injuries go on to experience normal levels of erection and orgasm.
C) Prosthesis implantation in men with spinal cord injuries has shown high satisfaction and low complication rates.
D) Men and women who experience spinal cord injuries typically do not retain a desire for sexual activities.

Question 58

What is the difference between a total hysterectomy and a radical hysterectomy?

A) A total hysterectomy involves removal of the uterus and a radical hysterectomy involves removal of the uterus and vagina.
B) A total hysterectomy involves removal of just the ovaries and a radical hysterectomy involves removal of the uterus.
C) A total hysterectomy involves removal of the uterus and cervix and a radical hysterectomy involves removal of the uterus, cervix, ovaries, and surrounding tissues.
D) There is no difference; both terms refer to the same procedure.

Question 59

Ahmad recently experienced a heart attack. What recommendation did his doctor likely give him related to sexual activity?

A) He should avoid orgasm as it could trigger another heart attack.
B) He should wait at least a year before returning to his pre-heart attack level of sexual activity.
C) He should be able to return to his normal level of sexual activity as soon as he feels up to it.
D) He can resume sexual activity but only in the man-on-bottom position.

Question 60

Which of the following causes pain and burning in the vaginal vestibule and often occurs during sexual intercourse, tampon insertion, gynecological examinations, bicycle riding, and wearing tight pants?

A) dilators
B) hypertension
C) vulvar vestibulitis
D) angina

Question 61

Which is not included in masturbation training for orgasmic problems?

A) self-exploration
B) communication training
C) body awareness
D) ignorance

Question 62

All the following factors are controlled by the ejaculatory process EXCEPT:

A) testosterone
B) androgens
C) oxytocin
D) prolactin

Question 63

Women cannot reach orgasm during sexual intercourse because of ________.

A) lack of access to reproductive health services
B) added stressors of being a sexual minority
C) fear of being caught or discovered
D) inadequate stimulation

Question 64

Which of the following occurs when blood is cut off from part of the brain, usually because a small blood vessel bursts?

A) hemiplegia
B) myocardial infarction
C) angina
D) stroke

Question 65

What is paralysis of one side of the body called?

A) myocardial infarction
B) aphasia
C) hemiplegia
D) disinhibition

Question 66

Which disorder is classified as an absence of orgasm after a normal phase of sexual excitement?

A) erectile disorder
B) early ejaculatory disorder
C) orgasmic disorder
D) hyperactive sexual desire disorder

Question 67

Which of the following treatment have been found to be helpful in cases in which there is a great deal of sexual anxiety?

A) bibliotherapy
B) balneotherapy
C) aromatherapy
D) biotherapy

Question 68

Which of the following is abnormal suppression of sexual desire and behavior, usually referring to behavior caused by some disturbance of the brain?

A) hemiplegia
B) hyposexuality
C) disinhibition
D) aphasia

Question 69

What is a surgical opening made in the abdomen to allow waste products to exit the body?

A) simple mastectomy
B) ostomies
C) stoma
D) mastectomy

Question 70

What is the surgical removal of the prostate gland called?

A) mastectomy
B) oophorectomy
C) prostatectomy
D) cystectomy

Question 71

In which of the following is the ejaculatory reflex reconditioned using intermittent pressure on the glans of the penis?

A) stop-start technique
B) squeeze technique
C) systematic desensitization
D) bibliotherapy

Question 72

Which of the following terms refers to having an excessive amount of estrogen in the blood?

A) paraplegia
B) quadriplegia
C) hyperestrogenemia
D) schizophrenia

Question 73

An operation to remove part of the small or large intestine or the bladder, resulting in the need to create an artificial opening in the body for the elimination of bodily wastes is called:

A) cystectomy
B) ostomies
C) simple mastectomy
D) indwelling catheter

Question 74

The loss of normal control over behaviors such as expressing sexuality or taking one's clothes off in public is called ______.

A) disinhibition
B) hemiplegia
C) aphasia
D) hyposexuality

Question 75

A condition in which the male ejaculate is released into the bladder instead of being ejaculated outside the body through the urethra is known as _______.

A) early ejaculation
B) anejaculation
C) retrograde ejaculation
D) dyspareunia

Question 76

What is surgical removal of the ovaries?

A) oophorectomy
B) mastectomy
C) cystectomy
D) prostatectomy

Question 77

What is paralysis of the legs and lower part of the body, affecting both sensation and motor response?

A) neuroleptics
B) paraplegia
C) schizophrenia
D) quadriplegia

Question 78

Which of the following results in the loss of the in the ability to express or understand speech, signs, or written communication, caused by damage to the speech centers of the brain?

A) aphasia
B) hyposexuality
C) disinhibition
D) hemiplegia

Question 79

What is a mastectomy?

A) surgical removal of a breast.
B) surgical removal of the bladder.
C) surgical removal of the ovaries.
D) surgical opening made in the abdomen to allow waste products to exit the body.

Question 80

In which of the following is the ejaculatory reflex reconditioned using a firm grasp on the penis?

A) stop-start technique
B) sensate focus
C) vacuum constriction
D) squeeze technique