Deck 13: Sexual Health Education

Question 1

Ever since he became sexually active in his teens, Serge has been able to get an erection when he masturbates but never when he is with a partner. We can describe Serge's sexual dysfunction as

A)generalized/situational.
B)lifelong/situational.
C)acquired/generalized.
D)lifelong/generalized.

Answer 1

B

Question 2

In men, sexual arousal disorder is referred to as

A)sexual aversion.
B)erectile dysfunction.
C)premature ejaculation.
D)hypogonadism.

Answer 2

B

Question 3

Lack of sexual desire should not be considered a clinical sexual dysfunction if the person

A)has blood tests that indicate normal androgen levels.
B)is currently taking antidepressant medication.
C)is not distressed by his or her low level of sexual interest.
D)is over the age of 50.

Answer 3

C

Question 4

If a male has erectile dysfunction only when he is with his partner but is able to get an erection when he is alone, this would be classified as a ________________ dysfunction.

A)relationship
B)generalized
C)situational
D)interpersonal

Question 5

Occasional problems getting and maintaining an erection are common and are likely to be the result of any of the following except

A)drinking too much alcohol.
B)consuming a high carbohydrate meal.
C)fatigue.
D)anxiety.

Question 6

In women, a prominent cause of sexual aversion disorder is

A)having a partner with a sexual aversion disorder.
B)a history of inhibited sexual desire.
C)depression.
D)a history of sexual trauma.

Question 7

A lack of the subjective feelings of sexual pleasure or excitement that normally accompany sexual arousal is characteristic of

A)sexual arousal disorder.
B)sexual aversion disorder.
C)hypoactive sexual desire disorder.
D)male erectile disorder.

Question 8

Vaginismus is classified as a(n)

A)sexual arousal disorder.
B)orgasmic disorder.
C)sexual pain disorder.
D)sexual desire disorder.

Question 9

Derek has trouble achieving and maintaining an erection. What action could he take to improve his ability to achieve an erection?

A)Take antidepressant medication.
B)Limit alcohol consumption.
C)Eliminate masturbatory activities.
D)Increase his animal protein intake.

Question 10

A male who thinks to himself "Am I hard enough?" when engaging in sexual activity is suffering from

A)dyspareunia.
B)an orgasmic disorder.
C)performance anxiety.
D)the placebo effect.

Question 11

All of the following are common causes of erectile dysfunction except

A)performance anxiety.
B)diabetes.
C)low self-esteem.
D)marijuana use.

Question 12

Hill (2005) reported that some of the things women reported to be frustrating regarding sexual problems included all of the following, except

A)not experiencing an orgasm during intercourse.
B)partner wanting sex constantly.
C)partner not being affectionate.
D)partner refusing to have sex.

Question 13

Sally sometimes experiences painful intercourse. She suffers from

A)dyspareunia.
B)vaginismus.
C)anhedonism.
D)none of the above.

Question 14

Manuel is neither interested in having sex, nor does he fantasize about sexual interactions. In order to fit the DSM-5 criteria for male hypoactive sexual desire disorder, he must

A)have attempted prescription treatments.
B)feel very upset by his lack of desire.
C)have experienced this problem for two years.
D)be completely unable to achieve an erection.

Question 15

In the Canadian Contraception Study, about half of women reported that they experienced at least one of the following, except

A)painful intercourse.
B)performance anxiety.
C)lack of orgasm.
D)low sexual desire.

Question 16

Sexual aversion disorder describes a person who

A)has little or no interest in sex.
B)has a phobia related to genitalia.
C)is disgusted by sex.
D)is phobic about masturbation.

Question 17

Rapid ejaculation is classified as a(n)

A)orgasmic disorder.
B)nervous response disorder.
C)arousal disorder.
D)desire disorder.

Question 18

Yoline was sexually assaulted two years ago. Since that time, she finds it extremely difficult, if not impossible, to become sexually aroused. Yoline's dysfunction would be categorized as

A)lifelong and situational.
B)situational and generalized.
C)acquired and situational.
D)acquired and generalized.

Question 19

Dyspareunia is an example of a sexual

A)addiction disorder.
B)arousal disorder.
C)pain disorder.
D)desire disorder.

Question 20

According to the Canadian Contraception Study, the most common sexual problem reported by women was

A)a partner who has difficulties with premature ejaculation.
B)painful intercourse.
C)low sexual desire.
D)difficulties achieving orgasm through intercourse.

Question 21

Dahlia has never been able to experience an orgasm with a partner or through self-stimulation. Dahlia's experience is described as

A)anhedonic.
B)detachment.
C)anorgasmic.
D)dyspareunic.

Question 22

Henri has been experiencing erectile difficulties. An examination reveals that he experiences erections during the REM cycle of sleep. This means that his erectile dysfunction is

A)due to nerve damage.
B)a permanent condition.
C)psychologically-based.
D)a biological problem.

Question 23

Vaginismus is the

A)voluntary contraction of vaginal muscles that prevents penetration.
B)experience of pain during intercourse because of pelvic inflammatory disease.
C)experience of pain during intercourse because of deep penile penetration.
D)involuntary contraction of the pelvic muscles near the vaginal opening, which prevents penetration.

Question 24

Which of the following women may be experiencing vaginismus?

A)Rita, who experiences painful vaginal spasms
B)Vera, who experiences chronic vulval burning
C)Becky, who is unable to reach orgasm with her partner
D)Gail, who does not experience sexual fantasies

Question 25

Lucy is aware that her genitals become lubricated when stimulated by her partner, but she does not feel psychologically aroused. According to Basson (2004), Lucy is experiencing

A)subjective arousal problems.
B)combined arousal problems.
C)normal sexual functioning.
D)sexual detachment problems.

Question 26

Which of the following is not a psychosocial factor associated with the development of sexual dysfunctions?

A)Relationship dissatisfaction
B)Anxiety
C)SSRIs
D)Irrational beliefs

Question 27

Researchers in Montreal extensively studied dyspareunia. Based on their findings, they suggest that dyspareunia should be categorized not as sexual dysfunction but as a

A)relationship disorder.
B)physiological disorder.
C)neurological disorder.
D)pain disorder.

Question 28

Gustav has been unable to achieve an erection during sex for a period of 6 months. He is not currently using prescription medicines and his hormone levels are normal. What is another option for Gustav?

A)Undergo surgery to repair his circulation.
B)Test for nocturnal penile tumescence.
C)Eliminate carbohydrates from his diet.
D)Reduce unnecessary physical exercise.

Question 29

Lina is says that it hurts when her partner attempts vaginal penetration, but that she does not experience vaginal pain at any other time. Lina may be experiencing

A)anorgasmia.
B)vulvodynia.
C)vaginismus.
D)dyspareunia.

Question 30

Justin experiences ejaculation during vaginal penetration much sooner than he desires. He would meet the DSM-5 criteria of premature ejaculation if ejaculation occurs within _______ seconds of penetration.

A)60
B)120
C)360
D)720

Question 31

Hypogonadism is treated with

A)estrogen.
B)testosterone.
C)aspirin.
D)Viagra.

Question 32

Meena does not feel aroused by sexual stimuli, nor does she experience genital arousal when stimulated by her partner. According to Basson (2004), Meena is experiencing

A)subjective arousal problems.
B)combined arousal problems.
C)normal sexual functioning.
D)sexual detachment problems.

Question 33

Researchers find that health problems contribute to all types of sexual dysfunctions among men, but for women health problems seem to contribute particularly to sexual dysfunctions related to

A)pain.
B)depression.
C)anxiety.
D)medication.

Question 34

Ajay and Robin are having sexual intercourse. If Ajay is like the majority of men, he will reach orgasm after approximately _______ minutes.

A)2
B)4
C)8
D)16

Question 35

Tranquilizers (e.g., Valium, Xanax) are most likely to cause sexual dysfunctions related to

A)desire.
B)arousal.
C)pain.
D)orgasm.

Question 36

It is important to consider a range of possible factors that contribute to the development of sexual dysfunction. These factors include all of the following except

A)psychological.
B)social.
C)legal.
D)biological.

Question 37

The most common cause of pain during intercourse is

A)vaginal infections.
B)inadequate lubrication.
C)pelvic inflammatory disease.
D)penile contact with the cervix.

Question 38

According to research by Rye (2001), what percentage of university women sometimes or usually required direct clitoral stimulation to have an orgasm during intercourse?

A)33%
B)53%
C)73%
D)93%

Question 39

A disorder related to delayed ejaculation is

A)generally lifelong.
B)often limited to masturbation.
C)frequently limited to intercourse.
D)common in older men.

Question 40

Deanna has never experienced an orgasm during intercourse but can achieve orgasm through masturbation. She is concerned that she has an orgasmic disorder. What should Deanna know?

A)She probably holds some deep-seated resentment toward her partner that needs to be resolved.
B)She is correct and probably does suffer from female orgasmic disorder.
C)Many women cannot achieve orgasm through intercourse alone and require direct stimulation of the clitoris.
D)She probably suffers from guilt and sees sex as something shameful.

Question 41

The only Canadian professional organization that currently certifies sex therapists is the

A)Canadian Association of Sex Educators, Counsellors, and Therapists (CASECT).
B)Quebec Board of Sex Therapy Certification (QBSTC).
C)Board of Examiners in Sex Therapy and Counselling in Ontario (BESTCO).
D)Canadian Medical Association (CMA).

Question 42

Claire assigns her sex therapy clients Michelle and Shamin to daily homework in which they try sensate focus exercises. Claire's approach reflects the

A)biopsychosocial approach.
B)Masters and Johnson approach.
C)PLISSIT model.
D)psychoanalytic approach.

Question 43

For treating erectile dysfunction, Tadalafil is

A)an injectible drug that increases the level of nitric oxide in the penis.
B)a drug that relaxes the muscles that surround the small blood vessels in the penis.
C)an inflatable type of penile implant.
D)a testosterone patch.

Question 44

Erectile dysfunction drugs such as Viagra and Cialis should not be taken by men

A)taking nitrate drugs.
B)who have a history of alcoholism.
C)who are diabetic.
D)taking SSRI drugs.

Question 45

As part of their sex therapy program, Bill and John practise a series of touching exercises that involve caressing and stroking body areas other than the genitals. These exercises are called

A)reciprocal massage.
B)pre-penetration stimulation.
C)the stop-start technique.
D)sensate focus.

Question 46

People who find it difficult to accept their sex organs as sources of pleasure likely feel this way because

A)they are misinformed about sexual function.
B)their parents instilled in them a sense of guilt over touching their genitals.
C)they have poor communication skills.
D)they have a sexual dysfunction.

Question 47

Erectile dysfunction drugs such as Viagra and Cialis work by

A)increasing the metabolism of testosterone.
B)increasing sexual thoughts.
C)facilitating blood flow into the penis.
D)facilitating the flow of arousal responses in the brain to the penis.

Question 48

Which of the following is not likely to be a cause of sexual arousal disorder among women?

A)Cognitive interference
B)Impaired blood flow to the genitals
C)Lack of knowledge of sexual response
D)Elevated testosterone

Question 49

In treating hypoactive sexual desire disorder, some therapists suggest

A)self-stimulation exercises and erotic fantasy.
B)the start-stop technique.
C)the squeeze technique.
D)vaginal dilators.

Question 50

Some medications to treat depression impair sexual functioning (e.g., SSRIs). One medication that is often prescribed along with an SSRI to help prevent sexual side effects is

A)Valium.
B)Demerol.
C)Wellbutrin.
D)Panax.

Question 51

Some cases of low sexual desire among men involve hormonal deficiencies. For men with low testosterone, hormone replacement therapy is effective in about

A)25% of cases.
B)50% of cases.
C)75% of cases.
D)100% of cases.

Question 52

A primary objective of the PLISSIT model is to

A)administer tests to identify the extent to which medications may be interfering with sexual function.
B)help clients understand and use their responses to sexual communication questionnaires to resolve sexual conflicts.
C)differentiate between sexual problems that can be resolved with basic education and those that require specialized therapy.
D)help clients understand the range of pharmacological treatments that might be appropriate for them.

Question 53

Anna is very distressed that she does not experience orgasm during sex, which occurs because she never learned about clitoral stimulation. Which category of psychosocial causes of sexual dysfunction does this represent?

A)Emotional factors
B)Myths and misinformation
C)Ineffective sexual techniques
D)Boredom and routine

Question 54

A sex therapist helps his client uncover the deep-seated psychological roots of his lack of desire for sex with his partner. The therapist's approach is an example of

A)an insight-oriented approach.
B)a cognitive-behavioural approach.
C)a mindfulness approach.
D)the PLISSIT model approach.

Question 55

Sexual contact between a sex therapist and a client is

A)unethical.
B)recommended for some dysfunctions but certainly not all.
C)legal if the therapist is a licensed sex surrogate.
D)legal only if the client gives written consent.

Question 56

When Ian is having sex with his partner, he worries about whether he will be able to maintain an erection for a long enough period that his partner is sexually satisfied. Ian is experiencing

A)erectile dysfunction.
B)performance anxiety.
C)relationship issues.
D)a dip in testosterone.

Question 57

Viagra, which enhances the natural processes of erection, was introduced in

A)1996.
B)1997.
C)1998.
D)1999.

Question 58

Who pioneered the use of the direct behavioural approach to treat sexual dysfunctions?

A)Sigmund Freud
B)Masters and Johnson
C)Alfred Kinsey
D)Helen Singer Kaplan

Question 59

The most common models used in sex therapy are

A)psychoanalytic.
B)individually focused.
C)medically focused.
D)cognitive and behavioural.

Question 60

The development of effective biological treatments for female sexual dysfunction has lagged behind the development of biological treatments for male sexual dysfunction. Some have speculated this is because

A)pharmaceutical companies believe there would only be a small market for female sexual dysfunction drugs.
B)sexual dysfunction is less common among women.
C)female sexual response is more directly tied to psychosocial issues.
D)women's reproductive systems are more complex than men's.

Question 61

Of the following, which is not likely to be a recommended treatment for sexual desire disorder?

A)Arousing fantasies
B)The squeeze technique
C)Masturbation
D)Sensate focus

Question 62

Taking narcotics can depress the production of testosterone and, as a result, reduce sexual desire.

Question 63

Biological treatments for rapid ejaculation include

A)androgens.
B)vasodilators.
C)antidepressants.
D)nitrates.

Question 64

The stop-start and squeeze techniques are most likely to be effective for men with

A)situational rapid ejaculation.
B)mild rapid ejaculation.
C)severe rapid ejaculation.
D)lifelong rapid ejaculation.

Question 65

A majority of women are able to have an orgasm without clitoral stimulation.

Question 66

Which of the following was not identified by the Kleinplatz et al. study as a component of great sex?

A)Communication and empathy
B)Interpersonal risk-taking
C)Being present, focused, and embodied
D)Minimum proficiency in performing oral sex

Question 67

Men who exercise regularly are more likely to get erectile dysfunction than men who conserve their energy.

Question 68

If a man is occasionally unable to get an erection when he wants to, this is an indication that he has a sexual dysfunction.

Question 69

Research by Brotto and colleagues suggest that _________ show promise in treating women's sexual concerns.

A)digestive cleansing programs
B)mindfulness techniques
C)some Scientology techniques
D)biofeedback programs

Question 70

Hypogonadism may cause low sexual interest and erectile difficulties in men.

Question 71

Jessica has been having a burning pain during intercourse and is seeking treatment. According to a study by Bergeron et al. (2001), her best option for pain reduction is

A)surgical treatment.
B)cognitive-behavioural therapy.
C)biological feedback.
D)prescription analgesic use.

Question 72

For women who are unable to have orgasms, a good suggestion is to

A)try a vibrator.
B)limit masturbation to once a week.
C)focus on improving cardio-vascular fitness.
D)direct all sexual stimulation specifically on eliciting an orgasmic response.

Question 73

Plastic vaginal dilators are used in the treatment of

A)female sexual arousal disorder.
B)female orgasmic disorder.
C)vaginismus.
D)dyspareunia.

Question 74

Dyspareunia is characterized by pain in the genital area during sexual activity.

Question 75

For most couples, problems in the relationship can easily be separated off from what happens in the bedroom.

Question 76

A criticism of contemporary sex therapy offered by Kleinplatz is that it tends to be

A)overly focused on process rather than on outcomes.
B)focused on solving problems rather than enhancing eroticism.
C)insufficiently integrated with modern medical treatments.
D)focused disproportionately on relationship issues compared to sexual skills development.

Question 77

Diabetes mellitus can have an impact on sexual response.

Question 78

A woman who does not experience genital arousal in response to physical stimulation may be less responsive to touch in general.

Question 79

In treating orgasmic disorder in women, once intercourse is introduced, it is recommended that the couple use the

A)lateral-entry position.
B)female-superior position.
C)male-superior position.
D)rear-entry position.

Question 80

Discuss three major psychosocial causes of sexual dysfunctions among men and women.