Question 1

Barbara is concerned about her husband's premature ejaculation,which occurs before she reaches orgasm.From her perspective,which of the following phases of the sexual response cycle is problematic in Barbara's husband?

Accepted Answer

Premature ejaculation occurs during the orgasm phase of the sexual response cycle, which is when sexual tension is released and there is muscular contractions in the genitals. In Barbara's case, her husband's premature ejaculation is happening before she is able to reach orgasm, indicating an issue with the timing of the orgasm phase.

Question 2

When Sheila attempts to have sexual intercourse,the outer part of her vagina has an involuntary spasm,and it becomes impossible for her to have intercourse.Which of the following DSM-5 diagnoses would fit Sheila's problem?

Accepted Answer

Vaginismus is a condition in which there is an involuntary spasm of the outer part of the vagina when attempted to have sexual intercourse. This results in pain and difficulty having intercourse. Dyspareunia refers to pain during intercourse, female orgasmic disorder refers to difficulty in achieving orgasm, and sexual aversion disorder refers to a persistent aversion to sexual activity. None of these diagnoses seem to fit Sheila's problem as well as vaginismus does.

Question 3

Elizabeth is slipping into her nightgown and watching her husband get into bed.She is fantasizing about what they will soon be doing together.In which phase of the human sexual response cycle is Elizabeth at this moment?

Accepted Answer

Elizabeth is in the desire phase, which involves fantasies about sexual activity and the desire to have sexual activity, as indicated by her fantasizing about what they will soon be doing together.

Question 4

Which DSM-IV-TR category of sexual disorders was renamed "sexual interest/arousal disorder in women" in the DSM-5?

Accepted Answer

The DSM-5 combined Hypoactive Sexual Desire Disorder and Female Sexual Arousal Disorder into a single diagnosis called Sexual Interest/Arousal Disorder in women, reflecting updated understanding of these conditions.

Question 5

Occasional symptoms of sexual dysfunction

Accepted Answer

Occasional symptoms of sexual dysfunction are fairly common and do not necessarily require immediate treatment. It is only when these symptoms become persistent or cause significant distress that treatment may be necessary.

Question 6

Hannah reports that she has a low sex drive and sometimes has trouble reaching orgasm.However,when asked by her doctor,she does not report distress or impairment from these symptoms.The most likely diagnosis for Hannah would be

Accepted Answer

According to the DSM-5, for a sexual dysfunction to be considered clinically significant, it must cause distress or impairment in social, occupational, or other important areas of functioning. Since Hannah does not report distress or impairment, she would not receive a clinical diagnosis.

Question 7

Which of the following lists the correct order for the four responses in the human sexual response cycle?

Accepted Answer

The correct order of the four responses in the human sexual response cycle is desire, excitement, orgasm, and resolution. This order is often referred to as the DEOR model. In this model, desire refers to the initial stage of sexual arousal or interest, excitement is the phase of increasing sexual arousal and physical response, orgasm is the peak of sexual pleasure and release, and resolution is the period of relaxation and return to baseline levels of sexual arousal.

Question 8

Jane is finding that her interest in sex has diminished greatly.She not only avoids having sexual contact with her husband,but has even stopped fantasizing and masturbating.Jane would likely be diagnosed as having which of the following DSM-5 disorders?

Accepted Answer

Hypoactive sexual desire disorder (HSDD) is characterized by a persistent or recurrent lack of sexual fantasies or desire for sexual activity causing distress or interpersonal difficulties. In the case of Jane, her lack of interest in sex seems to be persistent and causing distress, which would fit the diagnostic criteria for HSDD. Female orgasm disorder and female sexual arousal disorder may also involve reduced sexual interest or desire, but they are primarily focused on difficulties with orgasm or sexual arousal. None of the above is not the correct answer in this case, as there is a specific disorder that appears to be present based on the information given.

Question 9

In men,a persistently deficient or absent sexual fantasies and desires is called __________ in the DSM-5.

Accepted Answer

Male hypoactive sexual desire disorder is the correct term used in the DSM-5 to denote persistently low or absent sexual fantasies and desires in men. Hyperactive sexual desire disorder is a term used to describe excessive sexual desire and behavior, which is not relevant in this context. Asexuality is not considered a disorder, but rather a sexual orientation characterized by a lack of sexual attraction or interest in sexual activity. Therefore, the correct answer is A.

Question 10

In the human sexual response cycle,what is the name of the phase in which blood flows to the genitalia and pleasurable sensations build?

Accepted Answer

The excitement phase is characterized by increased blood flow to the genitalia, muscle tension, and pleasurable sensations. This phase is a prelude to the orgasmic phase. The desire phase is the first phase, characterized by the initial feeling of sexual desire or interest. The orgasm phase is when sexual tension is released and is characterized by rhythmic contraction of the genital muscles. There is no specific phase called the anticipatory phase.

Question 11

In sex-reassignment surgery,

Accepted Answer

In sex-reassignment surgery, opposite-sex genitals are constructed through various procedures (such as vaginoplasty or phalloplasty) and hormones are taken to align the body's secondary sex characteristics with the desired gender. This is often used to treat gender dysphoria and help individuals feel more comfortable in their bodies. Genital transplants from donors are not currently a viable option for this type of surgery.

Question 12

Which of the following is NOT a DSM-5 criterion for sexual interest/arousal disorder in women?

Accepted Answer

An increase in sexual fantasies without arousal is not a criteria for sexual interest/arousal disorder in women according to DSM-5. The other options (diminished interest in sexual activity, absence of sexual arousal, absence of genital sensations during most sexual encounters) are all criteria.

Question 13

Which of the following DSM-IV-TR categories was eliminated in the DSM-5?

Accepted Answer

Sexual aversion disorder was eliminated in the DSM-5 and replaced with a specifier for individuals experiencing sexual aversion or avoidance in the diagnosis of sexual dysfunction. The other categories listed (sexual aggression disorder, sexual desire disorder, gender desire disorder) were not eliminated in the DSM-5.

Question 14

Men usually receive the diagnosis of male hypoactive sexual desire disorder because

Accepted Answer

Men often receive the diagnosis of male hypoactive sexual desire disorder because their partner wants them to be more active sexually, prompting them to seek treatment.

Question 15

Cross-gender behavior is

Accepted Answer

Cross-gender behavior is observed cross-culturally and in many different species, making it a universal phenomenon.

Question 16

In the Green and Fleming (1990)review,which of the following factors were found to predict successful adjustment following sex-reassignment surgery?

Accepted Answer

The Green and Fleming (1990) review found that factors such as adequate understanding of the limitations of surgery, emotional stability, and psychotherapy in the context of a gender-identity program predicted successful adjustment following sex-reassignment surgery. Therefore, option D, which includes all the mentioned factors, is the best choice.

Question 17

Female orgasmic disorder is defined as

Accepted Answer

Female orgasmic disorder is defined as a persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase and adequate sexual stimulation. This means that despite normal sexual arousal and stimulation, the individual is unable to achieve orgasm. Options A, B, and D do not fully capture the definition of female orgasmic disorder.

Question 18

Joan experiences pain during sexual intercourse.The frequency of pain has been so great that she now dreads the prospect of possible sexual encounters despite experiencing sexual arousal while observing films depicting sexual acts other than intercourse.Joan most likely is suffering from

Accepted Answer

Genito-pelvic pain/penetration disorder (formerly known as vaginismus) is a condition where a woman experiences significant pain or difficulty with vaginal penetration. Joan's symptoms of pain during intercourse and fear of possible sexual encounters are indicative of this disorder. The other options (female orgasmic disorder and imperforate hymen) do not fit with Joan's symptoms.

Question 19

Male orgasmic disorder

Accepted Answer

Male orgasmic disorder is defined as persistent difficulty in ejaculating or experiencing orgasm, despite normal sexual stimulation and desire. It is not the most common sexual disorder in men and is not always associated with childhood sexual abuse. While it can be situational in some cases, the defining characteristic is persistence.

Question 20

Which of the following is NOT a phase in the sexual response cycle?

Accepted Answer

The answer of Which of the following is NOT a...

Quiz 12: Sexual Disorders