Deck 13: Sexual Disorders

Question 1

Some people report never having had much interest in sex, either with other people or privately, as in the viewing of erotic films, masturbation, or fantasy. These individuals are diagnosed with _____.

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

Answer 1

lifelong hypoactive sexual desire disorder

Question 2

A female who does not experience the normal physiological changes that make up the excitement or arousal phase of the sexual response cycle is most likely exhibiting symptoms of _____.

A) sexual aversion disorder
B) sexual interest/arousal disorder
C) hypoactive sexual desire disorder
D) generalized sexual desire disorder

Answer 2

sexual interest/arousal disorder

Question 3

Ethan has been having trouble attaining an erection lately. In the past, he had no such difficulty, and he can't seem to figure out the cause. Ethan will most likely receive a diagnosis of _____.

A) lifelong male erectile disorder
B) temporary male erectile disorder
C) acquired male erectile disorder
D) chronic male erectile disorder

Answer 3

acquired male erectile disorder

Question 4

Claudia finds that she becomes sexually aroused during sexual activity, but has difficulty moving past that stage. She is most likely experiencing _____.

A) aversion disorder
B) anorgasmia
C) arousal disorder
D) hypoactive sexual drive

Question 5

The recurrent inability of a man to attain or maintain an erection until the completion of sexual activity is referred to as _____.

A) male dysfunction disorder
B) male orgasmic disorder
C) male sexual arousal disorder
D) male erectile disorder

Question 6

Women with low sexual desire are:

A) less likely than men to report anxiety, depression, and life stress.
B) more likely than men to report anxiety, depression, and life stress.
C) as likely as men to report anxiety, depression, and life stress.
D) not likely to report anxiety, depression, or other psychopathologies on account of this disorder.

Question 7

The _____ phase of the sexual response cycle combines a psychological experience of pleasure and the physiological changes known as vasocongestion and myotonia.

A) plateau
B) orgasm
C) desire
D) arousal

Question 8

A criterion for female orgasmic disorder is that a woman must have difficulty reaching orgasm on _____ or more of occasions.

A) 25 percent
B) 50 percent
C) 75 percent
D) 90 percent

Question 9

Al's wife has been complaining about their sex life. She feels he is experiencing difficulty controlling his orgasms. Like many young men, Al is likely experiencing _____.

A) sexual aversion disorder
B) impotence
C) premature ejaculation
D) hypersexual arousal

Question 10

_____ is the discharge of the neuromuscular tension built up during the excitement and plateau phases.

A) peak performance
B) the refractory period
C) orgasm
D) the resolution stage

Question 11

_____ disorder is characterized by having little desire for sex.

A) Hyposexual desire
B) Hyperactive sexual desire
C) Hypersexual desire
D) Hypoactive sexual desire

Question 12

During the _____ phase of the sexual response cycle, excitement remains at a high but stable level.

A) plateau
B) orgasm
C) desire
D) resolution

Question 13

The most common form of orgasmic disorder in men is _____.

A) premature ejaculation
B) anorgasmia
C) erectile dysfunction
D) sexual aversion disorder

Question 14

Men with the _____ form of male erectile disorder have never been able to sustain an erection for a desired period of time.

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

Question 15

Sarah feels sex is not exciting and has barely had any sexual relations with her husband since her daughter, Amy, was born. Sarah is most likely experiencing _____.

A) generalized sexual desire disorder
B) situational hypoactive sexual desire disorder
C) sexual interest/arousal disorder
D) sexual arousal disorder

Question 16

Clay persistently ejaculates with minimal sexual stimulation. He is probably experiencing _____.

A) premature ejaculation
B) anorgasmia
C) male erectile dysfunction
D) male sexual aversion disorder

Question 17

Male erectile disorder is sometimes referred to as _____.

A) incapacity
B) impotence
C) sexual stress
D) erectile dysfunction

Question 18

A diagnosis of hypoactive sexual desire would be made when an individual:

A) does not initiate sex because of the inability to have an orgasm.
B) experiences a lack of sexual desire due to overexertion and exhaustion.
C) is obsessed with thoughts about sex, thereby letting it interfere with daily functioning.
D) does not initiate sexual activity due to a lack of desire, does not fantasize about sex, and may be unresponsive when a partner initiates sex.

Question 19

People with _____ actively avoid sexual activities. When they do engage in sex, they may feel sickened by it or experience acute anxiety.

A) sexual pain disorder
B) hypoactive sexual desire disorder
C) sexual interest/arousal disorder
D) erectile disorder

Question 20

The "DSM-5" states criteria for the diagnosis of premature ejaculation by specifying that a man must ejaculate within _____ of beginning sexual activity and before the man wishes it on _____ of occasions over a period of at least _____.

A) 3 minutes; 75 percent; 6 months
B) 3 minutes; 50 percent; 1 year
C) 1 minute; 50 percent; 1 year
D) 1 minute; 75 percent; 6 months

Question 21

One type of personal trauma often associated with sexual desire disorders in women is _____.

A) anxiety disorders
B) the loss of a loved one
C) medical illness
D) sexual assault

Question 22

Approximately _____ of women experience involuntary contraction of the muscles surrounding the outer third of the vagina when penetration with a penis, finger, tampon, or speculum is attempted.

A) 1 to 3
B) 5 to 17
C) 20 to 25
D) 28 to 39

Question 23

Which of the following is NOT typically regarded as a cause of vaginal dryness or irritation in women who experience sexual pain?

A) Persistent anxiety
B) Contraceptive use
C) Vaginal infections
D) Antihistamines

Question 24

Most men with delayed ejaculation disorder:

A) can ejaculate during intercourse.
B) can ejaculate with manual or oral stimulation.
C) cannot ejaculate with oral or manual stimulation.
D) cannot ejaculate at all.

Question 25

Albert has a history of alcohol dependence and abuse. He now has difficulties experiencing pleasure and sustaining an erection. Albert's physician would most likely diagnose his condition as _____.

A) medical sexual dysfunction
B) dependence-related sexual dysfunction
C) sexual arousal dysfunction
D) substance-induced sexual dysfunction

Question 26

Which of the following prescription drugs would most likely NOT diminish sexual drive and arousal and interfere with orgasm?

A) An antidepressant
B) An antipsychotic
C) A statin
D) An antihypertensive

Question 27

Rose anxiously attends to her reactions and performance during sex by checking her position, rhythm, and breathing. Rose's behavior is referred to as _____.

A) anorgasmia
B) spectatoring
C) voyeurism
D) displacement

Question 28

Robert has been experiencing a sexual dysfunction and is seeking medical treatment. Which of the following would be the least likely explanation for his problems?

A) High levels of testosterone
B) Diabetes
C) Cardiovascular disease
D) Low levels of estrogen and prolactin

Question 29

Which of the following is true concerning hormones and sexual dysfunction?

A) High levels of testosterone and low levels of estrogen and prolactin cause sexual dysfunction in men.
B) High levels of testosterone and high levels of estrogen and prolactin can cause sexual dysfunction in women.
C) Low levels of testosterone and high levels of estrogen and prolactin can cause sexual dysfunction in men
D) Low levels of testosterone and high levels of estrogen and prolactin can cause sexual dysfunction in women.

Question 30

Approximately _____ of women experience report frequent pain during intercourse.

A) 1 to 3
B) 5 to 17
C) 8 to 15
D) 12 to 39

Question 31

As many as _____ of cases of male erectile disorder are caused by medical conditions.

A) 10 percent
B) 20 percent
C) 30 percent
D) 40 percent

Question 32

_____ can be used to study sexual arousal in men, while a(n) _____ is used to study sexual arousal in women.

A) Strain gauges; photoplethysmograph
B) Oximeter; strain gauge
C) Photoplethysmograph; strain gauge
D) Photoplethysmograph; oximeter

Question 33

Fred and Jennifer are having marital difficulties. He says that her negative attitude toward sex is frustrating. Jennifer admits that she goes overboard sometimes, but can't seem to change the way she thinks about sex. All of the following may contribute to Jennifer's negative perception of sexual intercourse EXCEPT _____.

A) socioeconomic status
B) distrust of others
C) poor body image
D) sense of shame about sex

Question 34

Which of the following statements is true of female hormones and sexual dysfunction?

A) Estrogen problems in women may result in low arousal due to reduced vaginal lubrication.
B) Postmenopausal women often complain of lowered sexual desire and arousal on account of an increase in estrogen levels.
C) A radical hysterectomy can help reduce vaginal dryness which is associated with high levels of estrogen.
D) Androgens play a role in the functioning of vaginal tissue, but are not associated with sexual desire and mood.

Question 35

Tobias has been having trouble performing adequately in his sexual encounters. He now finds himself worrying before and during sex, which seems to exacerbate his problems. Which of the following explanations might be most appropriate in this situation?

A) Premature ejaculation
B) Psychological disorders
C) Biological factors
D) Performance anxiety

Question 36

A loss of sexual desire and functioning is:

A) not related to psychological disorders.
B) occasionally seen in people with depression.
C) rarely observed among people with anxiety disorders.
D) common among people with schizophrenia.

Question 37

Spectatoring involves:

A) voyeurs watching people engage in sex without the other party's consent or awareness.
B) exhibitionists revealing themselves to large groups of people at the same time.
C) individuals anxiously attending to reactions and performance during sex as if they were spectators.
D) individuals replicating sexual behaviors based on what is depicted by the mass media.

Question 38

Genito-pelvic pain/penetration disorder may involve:

A) suppressed arousal.
B) tightening of muscles.
C) inability to reach orgasm.
D) deformation of the sex organ.

Question 39

One the most common biological contributors to sexual dysfunction is _____.

A) sexually transmitted diseases
B) diabetes
C) hypertension
D) multiple sclerosis

Question 40

The statements "What if I can't get an erection? I'll die of embarrassment!" and "I've got to have an orgasm, or he'll think I don't love him!" are both indicative of _____.

A) sexual aversion
B) performance anxiety
C) spectatoring
D) hypoactive sexual desire

Question 41

Which of the following is NOT a reason why men and women of a lower socioeconomic status may experience more sexual dysfunctions?

A) Greater psychological stress
B) Worse physical health
C) Less education about their bodies
D) Less imbalance of power in relationships

Question 42

The idea that the loss of semen can be detrimental to health is not accepted in Western cultures but is relevant to traditional:

A) Chinese and Japanese cultures.
B) Japanese and Iranian cultures.
C) Iranian and Indian cultures.
D) Indian and Chinese cultures.

Question 43

Surveys in the United States have indicated that:

A) less educated and poorer men and women tend to experience fewer sexual dysfunctions.
B) less educated and poorer men and women tend to experience more sexual dysfunctions.
C) educated, middle-class men experience more sexual dysfunctions than educated, middle-class women.
D) educated, middle-class women experience more sexual dysfunctions than educated, middle-class men.

Question 44

_____ therapies have been researched more than other types of therapy and have been shown to be effective for several types of sexual dysfunction.

A) Family systems
B) Psychodynamic
C) Cognitive-behavioral
D) Social

Question 45

Which of the following statements is true of relationship problems and sexual dysfunction?

A) Women are more likely to decide when to initiate sex, how long to engage in foreplay, and what position to use during intercourse.
B) Conflicts between partners that are not directly related to their sexual activity usually do not affect their sexual relationship.
C) Anorgasmia in women may be tied to lack of communication between a woman and her male partner.
D) Among people seeking treatment for sexual problems, men are more likely to report higher levels of psychological distress than women.

Question 46

Rodney is experiencing premature ejaculation and his primary care physician has suggested several antidepressants that may be helpful. Which of the following is Rodney's physician most likely to prescribe?

A) Anafranil
B) Mellaril
C) Clozapine
D) Chlorpromaize

Question 47

Partners often differ in their _____ for sexual encounters-their expectations about what will take place during a sexual encounter and about what each partner's responsibilities are.

A) ideas
B) preferences
C) scripts
D) tendencies

Question 48

When one member of a couple has a sexual dysfunction, it may be the result of problems in the couple's relationship, or it may be contributing to problems in the relationship. For this reason, many therapists prefer to treat sexual dysfunctions:

A) in the context of the couple's relationship.
B) as an individual's problem as opposed to a relationship problem.
C) by focusing on the individual suffering the sexual dysfunction.
D) by focusing on the partner of the individual with the dysfunction.

Question 49

A depersonalization syndrome known as _____, thought to result from semen loss, has been reported by several Asian cultures. This syndrome involves acute anxiety, a feeling of panic and impending death, and a delusion that the penis is shrinking into the body and disappearing.

A) Koro
B) Amok
C) ataque de nervios
D) mal de ojo

Question 50

Most women:

A) dislike oral-clitoral stimulation.
B) can usually achieve orgasm by coitus alone.
C) need oral or manual stimulation of the clitoris to achieve orgasm.
D) never achieve orgasm through clitoral stimulation.

Question 51

Gideon has erectile disorder. His doctor has recommended _____, which is a popular treatment for this problem.

A) Risperidone
B) Fioricet
C) Prozac
D) Viagra

Question 52

Mechanical interventions are available for men with erectile dysfunction. One such device is a hydraulic inflatable device, which allows a man to create an erection by pumping _____ into rods inserted in the penis.

A) water
B) testosterone
C) blood
D) saline

Question 53

Luke and Tracy are attending counseling for their marital difficulties. Luke was reluctant to discuss their sex life with a "total stranger." Tracy insists that the therapist will be able to help them. The therapist probably began their session by doing all of the following EXCEPT:

A) helping the couple discover experiences, thoughts, and feelings that are contributing to their sexual problem.
B) encouraging the couple to avoid sensitive areas concerning their sexual behavior, especially during intimate moments.
C) assessing Luke and Tracy's attitudes and beliefs.
D) gathering a personal history of Luke and Tracy.

Question 54

Which of the following is a popular treatment for male erectile disorder?

A) Serax
B) Viagra
C) Luvox
D) Turnial

Question 55

Which of the following statements is true of sexual activity among older adults?

A) Sexual activity usually comes to a halt after an individual reaches 65 years of age.
B) Although men need testosterone to maintain sexual desire, women do not.
C) In almost all cases of sexual dysfunction in older adults, the cause is age itself.
D) Among older adults, the loss of a spouse and discomfort with one's own aging can contribute to sexual problems.

Question 56

Some couples in long-term relationships have abandoned _____, activities that arouse sexual interest in both partners.

A) love rituals
B) seduction rituals
C) mating rituals
D) courtship rituals

Question 57

Which of the following is true about treatment for sexual dysfunction?

A) Patients who are troubled by sexual dysfunction are generally referred to mental health services for treatment.
B) Patients who are troubled by sexual dysfunction are offered psychotherapy as well as medical treatment.
C) Most people who are troubled by sexual dysfunction receive no treatment, and the problem only exacerbates.
D) Most people who are troubled by sexual dysfunction receive only medication, and no psychological services.

Question 58

Jeffery has a history of dysthymic disorder. He has been taking medication periodically for several years. During the last six months, he has been taking his medication more consistently, and has been experiencing low sexual arousal and erectile problems. His friends have suggested that his sexual dysfunction is probably a side effect of his medication. If this is true, which type of medication is Jeffrey most likely taking?

A) Cialis
B) SSRIs
C) Levitra
D) Bupropion

Question 59

Other drugs can be used in conjunction with antidepressants to reduce their sexual side effects. One drug that has proven helpful in this regard is _____.

A) Viagra
B) Bupropion
C) Clozapine
D) Levitra

Question 60

Women who consider hormone replacement therapy to increase sexual desire should be warned that the therapy could:

A) produce erratic moods.
B) have masculinizing effects.
C) result in binge-eating behaviors.
D) cause physical aggression and agitation.

Question 61

If a client is in _____ therapy, the therapist might explore the origins of the client's attitudes about sexual techniques in earlier relationships.

A) family systems
B) psychodynamic
C) cognitive-behavioral
D) social

Question 62

The stop-start technique is used primarily to help:

A) men with male orgasmic disorder reach orgasm faster and more consistently.
B) men who have premature ejaculations to learn to control their ejaculations.
C) women with anorgasmia gain some control over their vaginal contractions.
D) women with genitopelvic pain/penetration disorder control the pain they experience during intercourse.

Question 63

In sex therapy, the client's cognitions while engaging in new sexual exercises are:

A) rarely discussed.
B) usually not revealed to the therapist.
C) used as material for discussion in therapy sessions.
D) not evaluated as this may further inhibit the person.

Question 64

_____ involves the use of nonliving objects for sexual arousal or gratification.

A) Fetishistic disorder
B) Sadistic disorder
C) Masochistic disorder
D) Voyeuristic disorder

Question 65

Authors of the "DSM-5" proposed adding the diagnosis of _____ to characterize people with an insatiable desire for sex that they feel is "out of control", but the proposal was rejected.

A) hypersexual disorder
B) coercive disorder
C) hyposexual disorder
D) generalized sexual disorder

Question 66

Most men who engage in cross-dressing report that:

A) the behavior began secretly during late adolescence.
B) it is the women's clothes themselves that are arousing.
C) they find dressing in women's clothes arousing.
D) "DSM-5"they participate in the activity in groups.

Question 67

Fetishism:

A) is more common in women than men.
B) causes significant distress and impairment.
C) can involve both hard and soft objects.
D) involves the use of objects solely to add to the attractiveness of the person.

Question 68

_____ is characterized by sexual activities that focus on nonliving objects, prepubescent children, nonconsenting adults, suffering, or humiliation.

A) Impotence
B) Paraphilia
C) Sexual deviancy
D) Anorgasmia

Question 69

Mark likes to dress up in women's clothing. He is especially fond of formal eveningwear. Mark's behavior is an example of _____.

A) gender disorder
B) sexual masochism
C) transvestism
D) frotteurism

Question 70

Teddy gets sexual gratification from stealing his girlfriend's underwear and masturbating into them. Teddy is exhibiting _____.

A) fetishism
B) transvestism
C) voyeurism
D) exhibitionism

Question 71

_____ The authors of the "DSM-5" decided to categorize rape as a:

A) behavioral disorder.
B) paraphilia.
C) criminal act.
D) psychiatric disorder.

Question 72

In the "DSM-5", a _____ would be defined as a specific pattern of urges, fantasies, or behaviors, while diagnosis of a _____ would be given only when it causes distress or impairment, or entails harm or risk of harm to others.

A) paraphilic disorder; paraphilia
B) sexual disorder; mental disorder
C) paraphilia; paraphilic disorder
D) sexual disorder; paraphilic disorder

Question 73

In _____, the partner applies pressure to the tip of the penis when ejaculation is imminent.

A) stimulation therapy
B) the stop-start technique
C) sensate focus therapy
D) the squeeze technique

Question 74

The goal of the stop-start technique is for the:

A) man to gain control over his ejaculations and to enjoy the sensation of being in the woman's vagina.
B) woman to gain control over her vaginismus and for the man to gain control over his ejaculations.
C) woman to gain control over her dyspareunia and to enjoy the sensation of having the man's penis in her vagina.
D) man and woman to control their respective orgasms so they can climax together.

Question 75

Which of the following statements is true about gay, lesbian, and bisexual people?

A) Gay, lesbian, and bisexual people experience sexual dysfunctions for different reasons than those of heterosexual people.
B) Many problems in sexual functioning experienced by gay, lesbian, and bisexual people may have to do with society's attitudes toward them.
C) Most of the sex therapy treatments cannot be readily adapted for gay, lesbian, or bisexual couples.
D) The American Psychiatric Association continues to view homosexuality as a psychological disorder.

Question 76

Deconditioning a woman's particular automatic response is an especially effective treatment for ______.

A) female sexual interest/arousal disorder
B) lack of lubrication
C) pelvic muscle tightening
D) anorgasmia

Question 77

Which of the following statements is true about sensate focus therapy?

A) In the early phases of this therapy, partners are instructed to focus on intercourse.
B) Intercourse between partners is forbidden only if the problem is a female arousal disorder.
C) Clients are told to focus intently on the pleasure created by the exercises.
D) The client with the problem is instructed not to be selfish and to focus on satisfying his or her partner.

Question 78

Sex therapy often includes teaching or encouraging clients to masturbate. This technique can be especially helpful for:

A) older adults.
B) anorgasmic women.
C) men with low levels of testosterone.
D) men with substance-induced sexual dysfunction.

Question 79

The focus of sensate focus therapy is:

A) comfort.
B) achieving orgasm.
C) better performance.
D) sustaining pleasure.

Question 80

Which premature ejaculation treatment technique is used less often because it is harder to teach clients in sex therapy?

A) Stimulation therapy
B) Stop-start technique
C) Sensate focus therapy
D) Squeeze technique