Deck 13: Sexual Disorders

Question 1

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 for his sudden impotence. Ethan will most likely receive a diagnosis of _____.

A) lifelong erectile disorder
B) temporary delayed ejaculation
C) acquired erectile disorder
D) chronic delayed ejaculation

Answer 1

acquired erectile disorder

Question 2

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) delayed ejaculation
C) male sexual arousal disorder
D) erectile disorder

Answer 2

erectile disorder

Question 3

A diagnosis of male hypoactive sexual desire would be made when a male:

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

Answer 3

has little desire for sex, does not fantasize about sex, and may be unresponsive when a partner initiates sex.

Question 4

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

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

Question 5

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 _____ disorder.

A) sexual aversion
B) female sexual interest/arousal
C) female orgasmic
D) generalized sexual desire

Question 6

The DSM-5 states the criteria for the diagnosis of premature (early) 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 7

_____ desire disorder is characterized by males having little desire for sex.

A) Hyposexual
B) Hyperactive sexual
C) Male hypersexual
D) Male hypoactive sexual

Question 8

Men with the _____ form of 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 9

Al's wife has been complaining about their sex life. She feels he is experiencing difficulty controlling his orgasms and ejaculates with minimal sexual stimulation. Al is likely experiencing _____.

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

Question 10

Women with _____ disorder report absent or significantly reduced interest in sexual activity, in initiation of sex, and in sexual responsiveness to erotic cues.

A) female sexual desire/interest
B) female sexual interest/arousal
C) genito-pelvic pain/penetration
D) female orgasmic

Question 11

Erectile disorder is sometimes referred to as _____.

A) incapacity
B) impotence
C) sexual stress
D) anorgasmia

Question 12

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 symptom.

Question 13

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 14

Clay persistently ejaculates with minimal sexual stimulation, before he wishes to ejaculate. He is probably experiencing _____.

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

Question 15

A criterion for female orgasmic disorder is that a woman must have difficulty reaching orgasm in at least _____ percent of sexual encounters.

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

Question 16

Claudia finds that she reaches the sexual excitement phase of the sexual response cycle but has difficulty moving past that stage. She is most likely experiencing _____.

A) aversion disorder
B) anorgasmia
C) arousal disorder
D) impotence

Question 17

Sarah no longer has desire for sex and has barely had any sexual relations with her husband since her daughter, Amy, was born. Before her daughter's birth, Sarah had a healthy sexual appetite. Sarah is most likely experiencing _____ disorder.

A) generalized sexual desire
B) female orgasmic
C) acquired female sexual interest/arousal
D) lifetime female sexual interest/arousal

Question 18

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

A) Arousal
B) Desire
C) Orgasm
D) Plateau

Question 19

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 20

Some men report never having had much interest in sex, either with other people or privately, as in the viewing of erotic films, masturbation, or fantasy. According to the DSM-5, these men are most likely diagnosed with _____ disorder.

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

Question 21

Approximately _____ percent of women experience muscle tightening with the anticipation of vaginal insertion.

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

Question 22

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 23

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 they see as spectators of mass media.

Question 24

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 25

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

A) Indigestion
B) Contraceptive use
C) Vaginal infections
D) Antihistamines

Question 26

_____ 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) Oximeters; strain gauge
C) Photoplethysmographs; strain gauge
D) Photoplethysmographs; oximeter

Question 27

As many as _____ percent of cases of erectile disorder are caused by medical conditions such as cardiovascular disease, multiple sclerosis, kidney failure, and spinal cord injury.

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

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

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 30

Albert has a history of alcohol dependence and abuse. He now has difficulties experiencing pleasure during sex and sustaining an erection. Albert's psychiatrist would most likely diagnose him with _____ dysfunction.

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

Question 31

A loss of sexual desire and functioning is:

A) not related to psychological disorders.
B) common in people with high levels of the androgen hormones.
C) rarely observed among people with anxiety disorders.
D) common in people with schizophrenia.

Question 32

Which of the following is true of 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 33

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 34

Genito-pelvic pain/penetration disorder may involve:

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

Question 35

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 36

Approximately _____ percent 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 37

Tobias has been having trouble performing adequately during sexual encounters. He finds himself worrying before and during sex, which seems to exacerbate his problems with performance. Which of the following psychological factors best explains Tobias's symptoms?

A) Premature ejaculation
B) Spectatorship
C) Letting go
D) Performance anxiety

Question 38

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

A) gastroenteritis
B) diabetes
C) hypertension
D) multiple sclerosis

Question 39

Most men diagnosed with delayed ejaculation:

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

Question 40

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

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

Question 41

Jeffery has a history of dysthymic disorder. He has been taking medication for several years and he 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 for his dysthymic disorder?

A) Monoamine oxidase inhibitors (MAOIs)
B) Selective serotonin reuptake inhibitors (SSRIs)
C) Levitra
D) Bupropion

Question 42

Certain 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 43

Rodney is experiencing premature (early) ejaculation and his primary care physician has suggested several antidepressants that may be helpful. Which of the following antidepressants is most likely to be effective?

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

Question 44

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 45

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 46

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 47

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

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

Question 48

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

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

Question 49

_____ 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 50

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, discomfort with one's own aging can contribute to sexual problems.

Question 51

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 52

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) prevent pregnancies.

Question 53

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

A) Women are more likely than men 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 54

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

A) Zoloft
B) Anafranil
C) Prozac
D) Viagra

Question 55

Luke and Tracy are attending counseling for their marital difficulties. Luke is 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 56

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 57

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 58

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

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 59

Which of the following is NOT a likely reason why men and women of a lower socioeconomic status 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 60

Most women:

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

Question 61

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

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

Question 62

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, not on intercourse.
D) The client with the problem is instructed not to be selfish and to focus on satisfying his or her partner.

Question 63

If a woman is in _____ therapy, the therapist might explore the origins of the woman's attitudes about masturbation in her early relationships.

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

Question 64

The focus of sensate focus therapy is:

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

Question 65

The authors of the DSM-5 decided to reject the proposal for introducing rape as a paraphilic coercive disorder and decided to confirm it as a:

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

Question 66

Which premature (early) 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

Question 67

While implementing _____, a person applies pressure to the tip of the partner's penis when ejaculation is imminent.

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

Question 68

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 can't be readily adapted for gay, lesbian, or bisexual couples.
D) The American Psychiatric Association continues to view homosexuality as a psychological disorder.

Question 69

Mark likes to dress up in women's clothing and experiences sexual arousal from it. He is especially fond of formal eveningwear. Mark's behavior is an example of _____.

A) gender disorder
B) sexual masochism disorder
C) transvestic fetishistic disorder
D) frotteuristic disorder

Question 70

Most men who engage in cross-dressing as a symptom of transvestic disorder 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) they participate in the activity in groups.

Question 71

_____ are atypical sexual preferences sometimes divided into those that involve the consent of others and those that involve non-consenting others.

A) Genito-pelvic pain/penetration disorders
B) Paraphilias
C) Necrophilias
D) Sexual dysfunctions

Question 72

In the DSM-5, a _____ is defined as a specific pattern of urges, fantasies, or behaviors, while a _____is a paraphilia that is currently causing distress or impairment to the individual, or that 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

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 74

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 75

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 76

The stop-start technique is used primarily to help:

A) men with delayed ejaculation reach orgasm faster and more consistently.
B) men who have premature (early) ejaculations to learn to control their ejaculations.
C) women with anorgasmia gain some control over their vaginal contractions.
D) women with genito-pelvic pain/penetration disorder control the pain they experience during intercourse.

Question 77

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 78

Authors of the DSM-5 proposed adding the diagnosis of _____, which is characterized by excessive preoccupation with sexual fantasies, urges, and activities and lasts at least six months, but the proposal was rejected.

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

Question 79

Fetishistic disorder:

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 80

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.