Deck 18: Sexually Transmitted Infections

Question 1

Kaplan's (1974)definition of rapid ejaculation is

A)dependent upon self-definition.
B)absence of voluntary control over ejaculation.
C)ejaculation before 10 pelvic thrusts.
D)ejaculation before the penis has been inserted into the vagina.

Answer 1

B

Question 2

Lately John has difficulty in 'achieving' an erection.He had no difficulty a year ago.John probably has what is known as

A)fear of vaginismus.
B)a lifelong erectile disorder.
C)an acquired erectile disorder.
D)rapid aging of the penis.

Answer 2

C

Question 3

The inability to have an erection or to maintain one is known as

A)rapid ejaculation.
B)dyspareunia.
C)hyperactive sexual desire.
D)erectile disorder.

Answer 3

D

Question 4

Approximately _______ percent of Canadian men reported having a current problem with ejaculating too early.

A)3
B)13
C)24
D)33

Question 5

Which of the following is most likely to lead to rapid ejaculation in a man?

A)vascular pathology
B)cardiac pathology
C)diabetes mellitus
D)psychological factors

Question 6

In male orgasmic disorder

A)the sperm are underdeveloped.
B)very little stimulation is required for orgasm to occur.
C)the semen is more acid than is typical,causing reduced sperm motility.
D)the man cannot orgasm even though he has had more than adequate stimulation.

Question 7

The most effective form of therapy for women who have a primary orgasmic disorder is

A)masturbation.
B)performing kegel exercises.
C)bibliotherapy.
D)medication.

Question 8

A woman who cannot become aroused as a result of interacting with her partner,but can become aroused in other situations has a(n)________ sexual disorder.

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

Question 9

With lots of practice,Chris has become more comfortable talking to partners about sex,before,during and after sexual activity.Chris's conversational skills are likely to

A)decrease the chance that Chris will experience a sexual problem.
B)increase the chance that Chris will experience a sexual problem.
C)have nothing to do with whether or not Chris will experience a sexual problem.
D)make Chris a better sexual partner.

Question 10

Which of the following is the most common sexual issue reported by women?

A)vaginismus
B)dyspareunia
C)too little sexual desire
D)the inability to orgasm

Question 11

Hypoactive sexual desire is

A)found in both men and women.
B)found more often in men than in women.
C)best kept separate from a definition of sexual discrepancy disorder.
D)an age-old problem,but really dating only back to the time of FreuD.

Question 12

A man who has always experienced pain on his glans during sexual intercourse has a ______ sexual disorder.

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

Question 13

Max and his girlfriend Paige have been dating for four years.Within the past six months,however,Max is no longer interested in sexual activity and has no desire to have sex.He avoids romantic dinners,walks in the park,and going to the drive-in to see movies;all of which used to be "turn-ons" for him.Which of the following disorders does he most likely have?

A)inhibited sexual excitement
B)dyspareunia
C)hypoactive sexual desire
D)hypothyroidism

Question 14

In the most common version of male orgasmic disorder,the man

A)orgasms as a result of hand or mouth stimulation but not during intercourse.
B)cannot orgasm as a result of oral stimulation.
C)cannot orgasm with hand stimulation.
D)orgasms during intercourse only.

Question 15

A 'home remedy' developed by males dealing with rapid ejaculation and RECOMMENDED by Hyde,DeLamater,and Byers was doing something

A)sex-neutral,such as counting backwards from 100.
B)sexually incongruous,as thinking of your grandmother or reciting a prayer.
C)sex-negative,as thinking of a monster.
D)sex-positive,as thinking that "we're in no hurry."

Question 16

A possible cause of erectile disorder could be

A)diabetes mellitus
B)circulatory problems
C)severe stress or fatigue
D)all of these answers are correct.

Question 17

June is seeking therapy because she does not feel like she becomes sexually aroused during sexual activity.However,physiological measures of arousal indicate that she does actually become sexually aroused as demonstrated in an ability to lubricate.Annie is also seeking therapy for problems with sexual arousal.For Annie,she feels like she is sexually aroused but she does not seem to produce enough vaginal lubrication to make sexual intercourse pleasurable.These women are

A)experiencing different sexual disorders given their reported problems.
B)both experiencing sexual arousal disorder despite their differences.
C)engaging in sexual activity with partners who are not responsive to their needs.
D)going to struggle with sexual activity their entire lives.

Question 18

A sexual desire discrepancy refers to a case in which the partners have considerably different

A)"types" of persons to which they are attracted.
B)levels of sexual desire.
C)levels of ability to orgasm.
D)abilities to attract sexual partners.

Question 19

A person who begins to feel desire after sexual activity starts is experiencing

A)inhibited desire
B)responsive desire
C)hyperactive sexual desire
D)discrepancy of sexual desire

Question 20

The most common of the disorders among men who seek sex therapy is

A)erectile disorder.
B)inhibited ejaculation.
C)being sexually challenged as a result of libido decline.
D)rapid ejaculation.

Question 21

In a 1999 study by Fisher et al. ,younger women were ________ likely to report infrequent orgasms than were older women.

A)more
B)less
C)equally
D)far less

Question 22

Men who suffer from a male orgasmic disorder sometimes

A)feel pain in the epididymis.
B)adopt the practice of "faking" orgasm in order to be done.
C)have surplus testosterone.
D)are sought out by women as "super-lovers."

Question 23

In women with dyspareunia,the pain is NOT felt in which of the following areas?

A)in the pelvis
B)in the vagina
C)around the introitus
D)in the breasts

Question 24

At high dosage levels,alcohol acts as a ______ and sexual arousal is ______,both in men and women.

A)depressant;suppressed
B)depressant;increased
C)stimulant;suppressed
D)stimulant;increased

Question 25

Cases of painful intercourse

A)are more common in women than men.
B)are often accompanied by rapid ejaculation in males.
C)arise as a result of hostility towards one partner.
D)are best treated by making the person aware that there can be no physical reason for their pain.

Question 26

Painful intercourse in women is caused primarily by

A)psychological factors.
B)some kind of physical disorder of the vagina or the vaginal entrance.
C)having experienced sexual abuse when young or sexual assault as an adult.
D)having a sexual partner with a penis that is too large.

Question 27

Which of the following is NOT a sexual dysfunction due to the long-term effects of chronic alcohol abuse?

A)erectile disorder
B)hypoactive sexual desire
C)delayed ejaculation
D)rapid ejaculation

Question 28

Vaginismus can be caused by all EXCEPT

A)organic factors
B)individual psychological factors
C)interpersonal factors
D)high expectations

Question 29

A woman who had coital orgasms at some time in her life but no longer does so would be classified as experiencing

A)discrepant sexual desire
B)lifelong orgasmic disorder
C)acquired orgasmic disorder
D)situational orgasmic disorder

Question 30

Allergic reactions (e.g.to douches),endometriosis,cysts,and pelvic infections may be direct causes of

A)vaginismus
B)dyspareunia
C)anorgasmia
D)orgasmic disorder

Question 31

The sexual dysfunction in females most often caused by physical factors is

A)dyspareunia
B)vaginismus
C)inhibited sexual desire
D)orgasmic dysfunction

Question 32

According to Fisher et al.(1999),what percent of Canadian women report that they do not have an orgasm during intercourse?

A)1
B)11
C)21
D)31

Question 33

Male orgasmic disorder is most commonly caused by

A)psychological factors
B)spinal cord injury
C)prostate surgery
D)mitral valve prolapse

Question 34

A relatively large number of individuals in middle and old age have this disease,which causes an erectile disorder in about 1/3 of men.This disease is

A)male-pattern baldness
B)nearsightedness
C)farsightedness
D)diabetes

Question 35

Male orgasmic disorder may be caused by all of the following physical problems EXCEPT

A)multiple sclerosis
B)spinal cord injury
C)prostate surgery
D)glaucoma

Question 36

Spastic contractions of the outer third of the vagina which may make intercourse impossible are characteristic of the condition called

A)situational anorgasmia
B)preorgasmia
C)acquired frigidity
D)vaginismus

Question 37

The term that describes the sexual disorder in which a woman has never in her life had an orgasm is

A)dyspareunia
B)lifelong orgasmic disorder
C)hypoactive sexual desire
D)rapid ejaculation

Question 38

A sociobiologist could argue that this sexual disorder is an asset in the process of evolution that would help in reproduction.This sexual disorder is

A)erectile dysfunction
B)rapid ejaculation
C)vaginismus
D)dyspareunia

Question 39

The lay term "frigidity" is rejected by sex therapists because it has derogatory connotations and is imprecise.They prefer to call it all of the following EXCEPT

A)orgasmic dysfunction
B)anorgasmia
C)inhibited female orgasm
D)retarded orgasm

Question 40

There is some debate about whether ________ is a disorder at all and a corresponding doubt about whether it requires therapy.

A)situational rapid ejaculation
B)situational female orgasmic disorder
C)inhibited male orgasm
D)hyperactive sexual desire

Question 41

When negative thoughts interfere with a person having an enjoyable sexual experience,this is

A)cognitive interference.
B)spectatoring.
C)being immersed in the act.
D)sensate focusing.

Question 42

Which of the following behaviours is an alarming consequence of pairing non-prescription drug use with sexuality,and is especially prevalent in users of crystal meth?

A)swollen genitalia
B)engaging in risky sexual behaviours
C)increased fertility
D)increased enzyme regulation

Question 43

Barlow's (1986)research suggests that when men with sexual disorders are in a sexual situation,the increased activity of the autonomic nervous system

A)is perceived as sexual arousal.
B)is perceived as anxiety.
C)that typically occurs does not occur.
D)occurs,but does not reach a level sufficient to produce appropriate physiological responses.

Question 44

A maintaining cause of sexual dysfunction could be

A)failure of the partners to communicate.
B)an inability to get an erection the first time intercourse is ever attempted.
C)having experienced a seductive parent while growing up.
D)experiencing severe punishment by one's parents for masturbating when growing up.

Question 45

Learning exercises that are based on touching and being touched and being a 'giver' and then a 'getter,' is what Masters and Johnson termed

A)hypo-intimacy
B)hyper-intimacy
C)sensate focus
D)emotional reconfiguration and restructuring

Question 46

The most important aspect of sensate focus is that

A)it teaches how to reach orgasm quickly and easily without being distracted by other things.
B)one does not necessarily have to reach orgasm in order to enjoy sex.
C)it shows the participants that touching is not as important a form of communication as talking.
D)it shows the participants that the 'receiving' role is more important than the 'giving' role.

Question 47

An interpersonal factor that can interfere with sexual functioning or cause sexual problems is

A)becoming very close to one another by sharing intimate feelings in the context of a sexual relationship.
B)becoming very sexual,but not sharing intimate feelings.
C)performing all kinds of sexual behaviours for the other person.
D)not withholding sex nor using it as a weapon.

Question 48

Which of the following events would be most likely to affect the sexual functioning of a person and result in a sexual disorder?

A)growing up in a religious family and being taught that sex is dirty and sinful
B)an enjoyable first act of intercourse with a peer,but at a young age
C)using contraceptives during the first act of intercourse
D)having a very strong libido and being paired for a short period of time with a person who has a very low libido

Question 49

Beth loves the show Sex and the City.She especially likes how the character Samantha is so sexually open and in charge of her own sexual pleasure.She strives to be like Samantha in her own sexual life.In so doing,she often finds herself evaluating what she is doing in the middle of sex-and how the other person is responding-almost as if she is watching herself on TV.Beth's experience is

A)anxiety caused by fear of failure.
B)called spectatoring.
C)caused by a failure of the partner to communicate.
D)one way myths and misinformation affect sexuality.

Question 50

A sexually functional male will probably respond with _________ in arousal if anxious.In a sexually dysfunctional male,anxiety will _________ arousal.

A)a decrease;decrease
B)an increase;decrease
C)a decrease;increase
D)an increase;increase

Question 51

Which maintaining cause of sexual disorders refers to thoughts that distract the person from focusing on the erotic experience?

A)anxiety
B)fear of failure
C)cognitive interference
D)unexpressed communication

Question 52

It appears that when you have a little of this drug,there is often an enhancement of one's libido,but when you have a great deal,it acts as a performance depressant.This drug is

A)acetaminophen
B)alcohol
C)an atypical antipsychotic
D)heroin

Question 53

Most,if not all,of the therapy techniques developed by Masters and Johnson are based on which of the following therapies?

A)psychoanalytic therapy
B)behavioural therapy
C)social learning therapy
D)social scripts therapy

Question 54

Sue Ann and Ginny are practising exercises that their sex therapist has prescribed to them to help with Sue Ann's trouble with sexual arousal.Today,Ginny is focused on Sue Ann,touching her and caressing her all over her body but avoiding her genitals.Sue Ann in turn is practising her verbal communication with Ginny,telling her what she likes and how much she likes it.Sue Ann and Ginny's therapist has prescribed

A)teasing behaviour
B)sensate focus exercises
C)spectatoring
D)cognitive restructuring

Question 55

Factors that contribute to the development of a sexual disorder (e.g.sexual assault)are classified under the category of _________ factors.

A)immediate
B)situational
C)predisposing
D)psychodynamic

Question 56

Which of the following is NOT listed by your authors as a maintaining psychological cause of sexual disorders?

A)myths or misinformation
B)negative attitudes
C)relationship distress
D)excessive communication that disallows spontaneity in sexual situations

Question 57

Masters and Johnson reported their lowest failure rate in treating:

A)primary erectile disorder
B)masturbation failure
C)dyspareunia
D)rapid ejaculation

Question 58

When women with sexual disorders were exposed to a frightening movie in a laboratory setting and then told that their genitals were aroused sexually,

A)their genitals really began to respond sexually.
B)nothing happened as compared to a control group that was not told anything.
C)they were cured,but only when this was done in the presence of men to whom they were physically attracted.
D)they were cured,but only if the frightening movie showed some type of violence toward women.

Question 59

______ factors are ongoing life circumstances,personal characteristics,and characteristics of lovemaking that help explain why a sexual problem continues.

A)Predisposing
B)Biasing
C)Maintaining
D)Occupying

Question 60

Let's say that a male may drink and eat too much at a party.He is sexually desirous,but is unable to have an erection with his sexual partner.As a consequence,he wonders if it will happen again.In order to work his courage up,he has a 'few' drinks before his next attempt at sexual intercourse-and sure enough,no erection.This happens again the next time.Now his prophecy is fulfilled.This is an example of the maintaining psychological cause of

A)spectatoring.
B)failure of partners to communicate.
C)failure to engage in effective,sexually stimulating arousal.
D)fear of failure and anxiety.

Question 61

Intracavernosal injection of vasodilators into the penis

A)results in erections lasting on the average about 2 hours.
B)is used when the erectile problem has an organic cause.
C)is recommended for men who have no problems so that they can 'last' up to 5 hours.
D)is combined with a suction device and rubber band for an effective erection.

Question 62

Which of the following is a medication used to treat sexual disorders?

A)Viagra
B)Cialis
C)Levitra
D)All of these choices are correct

Question 63

In order for the suction device to be effective in maintaining an erection

A)it must be supplanted in time by implanting an inflatable prosthesis.
B)Viagra needs to be taken.
C)a constrictive device,such as a rubber band,needs to be applied at the base of the penis.
D)the penis needs to be continually stimulated by the man's sexual partner.

Question 64

One of the most effective programs for women with primary orgasmic dysfunction is

A)a program of masturbation.
B)the stop-start technique.
C)psychotherapy.
D)electric shock using low voltage levels.

Question 65

Which of the following is the LEAST effective means of treating women with sexual disorders?

A)bibliotherapy
B)masturbation
C)Viagra
D)sensate focus

Question 66

A therapist who helps a client modify existing attitudes and thought patterns concerning a sexual behaviour is using a technique called

A)behavioural therapy
B)desensitization
C)cognitive restructuring
D)orgasmic reconditioning

Question 67

Which one is TRUE concerning the use of self-help books to treat a sexual disorder? It is

A)never advisable.
B)called bibliotherapy.
C)highly recommended by Masters.
D)a popular alternative in the Canadian Arctic.

Question 68

Suction devices have been developed as a treatment for

A)dyspareunia
B)erectile disorders
C)rapid ejaculation
D)penile enlargement

Question 69

This approach rests on the assumption that there is a reciprocal relationship between interpersonal conflict and sex problems

A)behavioural therapy
B)desensitization
C)cognitive restructuring
D)couple therapy

Question 70

Kegel exercises are designed to

A)treat vaginismus.
B)prevent dyspareunia.
C)strengthen the pubococcygeal (PC)muscle.
D)treat orgasmic disorder.

Question 71

One difference between Viagra and Cialis is:

A)Cialis affects dopamine levels.
B)Viagra is better at improving men's moods.
C)Cialis is longer lasting.
D)Cialis is available over the internet.

Question 72

Sometimes specific exercises have been recommended as a way to help correct certain sexual dysfunctions.________ exercises appear to increase women's sexual pleasure and increase the sensitivity of the vagina.

A)Start-stop
B)Kegel
C)Intercavernosal
D)Suction

Question 73

Rosen,Leiblum,and Spector are sex therapists that have developed a 5-part model for treating sexual dysfunction.Which of the following is NOT part of their treatment model?

A)Viagra or Cialis
B)script assessment
C)performance anxiety reduction
D)conflict resolution

Question 74

A very effective form of sexual therapy for women who may have had the vagina stretched in child birth and now have primary orgasmic disorder is

A)the Freud Vaginal Orgasm Technique (FVOT)
B)the stop-start technique
C)Kegel exercises
D)intracavernosal injection

Question 75

The stop-start technique is used to treat

A)female orgasmic disorder.
B)rapid ejaculation.
C)erectile disorder.
D)retarded ejaculation.

Question 76

The implantation of an inflatable penis

A)is a common treatment for erectile disorder but with no side effects since no drugs are required.
B)makes it possible to experience an erection with the aid of a pump.
C)increases the possibility of erection to approximately 60%.
D)results in almost 100 percent of the men being satisfied with this procedure.

Question 77

In couple therapy,the focus of the therapy is

A)the couple's relationship when they first met.
B)the goal of reducing conflict and tensions between the partners.
C)sensate focus.
D)the use of sex surrogates early in the treatment process to get each partner to perform sexually before they begin again with each other.

Question 78

________ is a radical treatment and typically should only be used in cases of primary erectile disorder that are due to organic factors.

A)Prozac
B)Penile prosthesis
C)Kegel exercises
D)Suction devices

Question 79

The drug Viagra works

A)by changing the mental state of the man.
B)by relaxing the smooth muscles in arteries in the corpora cavernosa.
C)by raising the testosterone level in the female.
D)only in a minority of the people who take it.

Question 80

Which one of the following self-help books has been described as "very helpful"?

A)The Pearl
B)Casanova's Love Techniques
C)The New Male Sexuality
D)Anna Nicole Smith's Guide to Shagging