Deck 14: Challenges to Sexual Functioning

Question 1

What is a primary treatment strategy that a sex therapist might use in treating sexual aversion?

A)encourage a client to masturbate and examine the body with mirrors
B)instruct a client to use dilators to help open and relax the vaginal muscles
C)discover and resolve the underlying conflict that is contributing to the sexual aversion
D)intracavernous injections of vasodilator preparations
E)all of these are true

Answer 1

C

Question 2

What has research shown about the relationship between aging and sexual problems?

A)The prevalence of sexual dysfunction increases with age.
B)Use of prescriptions common in the elderly can cause sex problems.
C)Age-related physical problems can cause sex problems.
D)All of these are likely factors.
E)Sex problems have not been studied in the elderly.

Answer 2

D

Question 3

Which of the following is a criticism of how the Diagnostic and Statistical Manual (DSM)classifies sexual dysfunctions?

A)It only talks about male sexual dysfunctions.
B)It is heterosexist.
C)It only focuses on global sexual dysfunctions.
D)It doesn't take issues of desire into consideration.
E)all of these are true

Answer 3

B

Question 4

A woman comes to sex therapy and reports that she has been unable to have an orgasm for the last two years in situations with three different partners and through masturbation.How would a sex therapist classify this problem?

A)primary,global sexual dysfunction
B)secondary,global sexual dysfunction
C)primary,situational sexual dysfunction
D)secondary,situational sexual dysfunction
E)global,situational sexual dysfunction

Question 5

A substance that increases,or is believed to increase,a person's sexual desire is called a/an:

A)vasodilator.
B)aphrodisiac.
C)beta blocker.
D)stimulant.
E)revascularization agent..

Question 6

Which of the following would be classified as a primary sexual dysfunction?

A)A man began have problems maintaining an erection six months ago after he told his parents that he was gay.
B)A man decided to seek treatment because he has never been able to ejaculate despite considerable efforts through masturbation and with his new girlfriend.
C)A woman enjoyed sexual activity with her partner two or three times a week,but she's has had no interest ever since she gave birth to her first child.
D)About two months ago,a woman started having pain during intercourse; it's becoming so severe that she started avoiding all sexual activity.
E)all of these are true

Question 7

A man comes to sex therapy and reports that he has difficult obtaining an erection,but only during oral sex.How would a sex therapist classify this problem?

A)multimodal sexual dysfunction
B)primary sexual dysfunction
C)global sexual dysfunction
D)situational sexual dysfunction
E)aphasic sexual dysfunction

Question 8

If a woman is experiencing genital pain during sex,she may be diagnosed with:

A)dyspareunia
B)priapism
C)vaginal thrombosis
D)vasoactive syndrome
E)systematic desensitization

Question 9

Which of the following types of therapy is the most promising for treating women with hypoactive sexual desire?

A)psychoanalytic
B)biological
C)cognitive-behavioral
D)humanistic
E)sociological

Question 10

If a man approaches a sexual encounter with "performance fears,"

A)his anxiety levels may be increased.
B)physiological arousal may be difficult or impossible.
C)he may be engaging in spectatoring.
D)all of these are true
E)none of these are true

Question 11

According to your text,the reason that many aphrodisiacs are effective is because:

A)they all improve blood flow to the genitals.
B)they make the user "high" and eliminate sexual inhibitions.
C)the user believes they will work.
D)they resemble male and female body parts.
E)none of the above

Question 12

Which of the following is true about the relationship between sexual desire and testosterone?

A)Testosterone may be helpful for men and women who have low levels of sexual desire.
B)Most men who experience low sexual desire have low testosterone levels.
C)Testosterone is helpful for men with low sexual desire,but not women.
D)There are better drugs for treating male sexual desire disorder than testosterone.
E)Testosterone is related to female but not male sexual desire.

Question 13

According to your text,sexual dysfunction is common in men and women who experience:

A)a loss of a parental figure before the age of five.
B)more than one divorce.
C)parenthood before the age of eighteen.
D)posttraumatic stress disorder.
E)the loss of virginity before the age of sixteen.

Question 14

What distinguishes a sexual dysfunction from a "normal" sex problem is that:

A)it doesn't go away on it own.
B)it involves both male and female problems.
C)it is physiologically based.
D)it has a strong psychological component.
E)it requires medical intervention.

Question 15

If a woman comes to sex therapy complaining of a low or absent desire for sexual activity,what would the most appropriate diagnosis be?

A)sexual affective disorder
B)sexual desire inhibition
C)dyspareunia
D)psychogenic desire disorder
E)hypoactive sexual desire

Question 16

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

A)ask the client to bring in his/her partner
B)tell the client to masturbate every night
C)take a medical history
D)review one's past sexual history
E)prescribe the latest drug treatment

Question 17

Sexual aversion differs from hyposexual desire disorder in that:

A)aversion is physiologically caused; hyposexual disorder is psychologically caused.
B)aversion is a male disorder; hyposexual disorder is a female disorder.
C)aversion is helped with aphrodisiacs,hyposexual disorder is not.
D)aversion leads to infertility,hyposexual disorder to conception.
E)aversion is disgust with sex; hyposexual disorder is low desire.

Question 18

If a sex therapist recommends the EROS Clitoral Therapy Device to cause clitoral engorgement,what disorder is this seeking to treat?

A)persistent sexual arousal syndrome
B)sexual aversion
C)vaginismus
D)female sexual arousal disorder
E)vulvodynia

Question 19

What is the term sex therapists use for acting as an observer or judge of one's own sexual performance?

A)situational judgment
B)aphasia
C)globalization
D)spectatoring
E)disinhibition

Question 20

Elena finds the idea of sex repulsive.She might be diagnosed with:

A)hypoactive sexual desire.
B)hyperactive sexual desire.
C)sexual aversion.
D)female orgasmic disorder.
E)priapism.

Question 21

The penis is stimulated until just prior to ejaculation.Stimulation is stopped.The method being used is:

A)hypnosis.
B)vacuum constriction device.
C)stop-start technique.
D)intracavernous injection.
E)bibliotherapy.

Question 22

What would the primary diagnosis likely be if a woman reports involuntary contractions of the muscle that surrounds the entrance to the vagina?

A)vaginismus
B)sexual arousal disorder
C)dyspareunia
D)hypoactive sexual desire
E)persistent sexual arousal syndrome

Question 23

About what percent of men report male orgasmic disorder?

A)50%
B)24%
C)19%
D)8%
E)1%

Question 24

What is the most effective treatment for female orgasmic disorder?

A)applying testosterone cream to the clitoris
B)teaching a woman to masturbate to orgasm
C)Viagra
D)using dilators to help open and relax the vaginal muscles
E)cognitive-behavioral therapy

Question 25

The penis is gently stretched and medication introduced into the penis.The method is most likely:

A)sensate focus.
B)Viagra.
C)testosterone cream.
D)intracavernous injections.
E)vacuum constriction devices.

Question 26

The focus of treatment is on reducing the anxiety associated with erectile disorder.The method is most likely:

A)sensate focus.
B)Viagra.
C)testosterone cream.
D)intracavernous injections.
E)vacuum constriction devices.

Question 27

According to Masters and Johnson,premature ejaculation is associated with:

A)early,rushed sexual experiences.
B)receiving harsh punishment as a child.
C)early exposure to pornography.
D)old age.
E)demanding partners.

Question 28

After a heart attack,a male should

A)avoid orgasm since it could trigger another heart attack.
B)wait at least a year before engaging in any strenuous sexual activity.
C)be able to return to his normal level of sexual activity when he can walk up two flights of stairs.
D)expect erectile dysfunction.
E)none of these are true

Question 29

Which of the following treatments is best for premature ejaculation?

A)hypnosis
B)vacuum constriction device
C)stop-start technique
D)intracavernous injection
E)bibliotherapy

Question 30

Which of the following practices was a part of Masters and Johnson's original treatment for sexual dysfunction,which they eventually discontinued?

A)the use of a sexual surrogate
B)using medications such as Viagra to treat female sexual arousal problems
C)a refusal to treat patients with physical or mental disabilities
D)encouraging the use of prostitutes
E)the use of electric shock to extinguish undesired behaviors

Question 31

What is the most common sexual dysfunction in men?

A)hyperactive sexual desire
B)vulvodynia
C)priapism
D)retarded ejaculation
E)erectile dysfunction

Question 32

A flaccid penis is inserted into a cylinder.Through a pumping action,blood is drawn into the penis.The method is most likely:

A)sensate focus.
B)Viagra.
C)testosterone cream.
D)intracavernous injections.
E)vacuum constriction devices.

Question 33

Dilators are used to help relax and open the vaginal muscles.Most likely the person is being treated for:

A)hypoactive sexual desire.
B)sexual aversion.
C)orgasmic dysfunction.
D)vaginismus.
E)vulvodynia.

Question 34

The focus of treatment is on producing muscle relaxation in the penis,dilation of arteries,and an inflow of blood.The method is most likely:

A)sensate focus.
B)a medication such as Viagra,Cialis,or Levitra.
C)testosterone cream.
D)intracavernous injections.
E)vacuum constriction devices.

Question 35

If a male were using the nocturnal penile tumescence test,one would suspect he was being assessed for:

A)premature ejaculation.
B)hypoactive desire disorder.
C)sexual aversion.
D)delayed ejaculation.
E)erectile disorder.

Question 36

Robert comes to sex therapy because for as long as he can remember he has ejaculated moments after becoming aroused,and it has recently become a concern in his relationship.What diagnosis would a sex therapist offer?

A)retarded ejaculation
B)dyspareunia
C)priapism
D)erectile disorder
E)premature ejaculation

Question 37

A man is entirely unable to reach orgasm during certain sexual activities.His most likely diagnosis is:

A)hypoactive sexual desire.
B)sexual aversion.
C)erectile disorder.
D)premature ejaculation.
E)retarded ejaculation.

Question 38

A persistent erection is called:

A)erectile dysfunction.
B)hypoerectionism.
C)priapism.
D)flaccidity.
E)testosterone overdose.

Question 39

What are the symptoms of erectile disorder?

A)the persistent inability to obtain or maintain an erection sufficient for satisfactory sexual performance
B)ejaculation is impossible or occurs only after strenuous efforts
C)unintentional ejaculation either during foreplay,during penetration,or soon after intercourse begins
D)a delay or absence of orgasm following a normal phase of sexual excitement
E)none of these are true

Question 40

What percentage of women in the United States report experiencing low sexual desire,decreased sexual arousal,and/or problems with reaching orgasm?

A)10%
B)20%
C)30%
D)40%
E)50%

Question 41

The most important variable in how well a woman copes sexually after breast cancer is:

A)the encouragement and support she gets from her partner.
B)the type of surgery she had.
C)whether or not she needs chemotherapy.
D)her age.
E)whether she chooses to have her breast reconstructed with implants.

Question 42

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

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

Question 43

In a study of heterosexual men,regular sexual intercourse was found to protect against erectile dysfunction when the men got older.

Question 44

The persistent inability to obtain or maintain an erection sufficient for satisfactory sexual performance is known as dyspareunia.

Question 45

Which statement below on sexuality and alcoholism is FALSE?

A)It can increase serum testosterone levels,causing hyper-masculinization.
B)It can cause testicular atrophy.
C)It can cause irreversible damage,even if the person stops drinking alcohol.
D)It can cause erectile dysfunction.
E)All of these are true

Question 46

The author of your text suggests consulting AASECT if you need

A)treatment for AIDS.
B)information on certified sex therapists.
C)advocacy for the sexual rights of the mentally retarded.
D)confidential pregnancy testing.
E)suggestions for sexual behavior with the disabled.

Question 47

Sex therapists today use medications almost exclusively to treat sexual dysfunctions.

Question 48

Which of the following statements regarding women and pelvic cancers and hysterectomies is TRUE?

A)Depression and the disruption of intimate relationships are common after a hysterectomy.
B)A woman's feelings about her cancer treatment and her social support networks are important in sexual recovery.
C)Removal of the ovaries results in hormonal imbalances.
D)Physicians may neglect to discuss the sexual implications of losing a uterus with patients.
E)all of these are true

Question 49

In men,a prosthesis is most often used following __________ cancer.

A)penile
B)scrotal
C)testicular
D)breast
E)anal

Question 50

What is the relationship between erectile disorder and prostatectomies?

A)Newer prostatectomy techniques allow for more careful surgery without affecting erectile functioning.
B)Men who have to undergo prostatectomies already have erectile disorder due to the prostate cancer.
C)Modern prostatectomy involves cutting the nerves necessary for erection,resulting in erectile dysfunction.
D)all of these are true
E)none of these are true

Question 51

Low or absent desire for sexual activity is known as dyspareunia.

Question 52

__________ is a common problem in male patients with cardiovascular problems.

A)Vulvodynia
B)Dyspareunia
C)Erectile dysfunction
D)Retarded ejaculation
E)Priapism

Question 53

A man who began have problems maintaining an erection six months ago after he told his parents that he was gay is experiencing a primary sexual dysfunction.

Question 54

Systematic desensitization is a series of exercises assigned to couples in sex therapy to enhance nonverbal communication.

Question 55

Spectatoring involves acting as an observer or judge of one's own sexual performance.

Question 56

What sexual problem may be one of the first signs of diabetes in men?

A)difficulty in getting an erection
B)hypoactive sexual desire
C)dyspareunia
D)persistent sexual arousal syndrome
E)all of the above

Question 57

When it comes to sexuality,people who have experienced a stroke may go through periods of:

A)vaginismus.
B)disinhibition.
C)hyperestrogenemia.
D)priapism.
E)psychogenic vestibulitis.

Question 58

A persistent erection is called priapism.

Question 59

Using acetaminophen,ibuprofen,or aspirin during a woman's pregnancy may negatively affect her offspring's sexual desire and functioning later in life.

Question 60

Bibliotherapy has been found to be the most effective treatment for premature ejaculation.

Question 61

Modern prostatectomy involves cutting the nerves necessary for erection,resulting in erectile dysfunction.

Question 62

Difficulty getting an erection may be one of the first signs of diabetes in men.

Question 63

Involuntary contractions of the muscle that surrounds the entrance to the vagina is known as sexual arousal disorder.

Question 64

In men,a prosthesis is often used following testicular cancer.

Question 65

The most important variable in how well a woman copes sexually after breast cancer is the encouragement and support she gets from her partner.