Deck 13: Sexual Dysfunctions

Question 1

Dyspareunia is an example of a sexual

A)addiction disorder.
B)arousal disorder.
C)pain disorder.
D)desire disorder.

Answer 1

C

Question 2

Yoline was sexually assaulted two years ago. Since that time, she finds it extremely difficult, if not impossible, to become sexually aroused. Yoline's dysfunction would be categorized as

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

Answer 2

D

Question 3

Agethe sometimes does not have an orgasm when having sex with her partner. She is best described as

A)potentially having an occasional problem with sexual response.
B)likely having a sexual arousal disorder.
C)likely having an orgasmic dysfunction.
D)potentially having a genital function issue.

Answer 3

A

Question 4

In women, a prominent cause of sexual aversion disorder is

A)having a partner with a sexual aversion disorder.
B)a history of inhibited sexual desire.
C)depression.
D)a history of sexual trauma.

Question 5

People who have little or no interest in sex are said to have

A)sexual aversion disorder.
B)hypoactive sexual desire disorder.
C)a sexual disorder.
D)impotence or frigidity.

Question 6

According to the Canadian Contraception Study, the most common sexual problem reported by women was

A)my partner has difficulties with premature ejaculation.
B)painful intercourse.
C)low sexual desire.
D)difficulties achieving orgasm through intercourse.

Question 7

Lack of sexual desire should not be considered a clinical sexual dysfunction if the person

A)has blood tests that indicate normal androgen levels.
B)is currently taking antidepressant medication.
C)is not distressed by his or her low level of sexual interest.
D)is over the age of 50.

Question 8

Sally and Joe sometimes experience painful intercourse. They suffer from

A)dyspareunia.
B)vaginismus.
C)anhedonism.
D)none of the above.

Question 9

In a survey of 40- to 80-year-old men, the most commonly reported sexual problem was

A)getting and maintaining an erection.
B)delayed ejaculation.
C)rapid ejaculation.
D)anorgasmia.

Question 10

In the Canadian Contraception Study, about half of women reported that they experienced at least one of the following except

A)painful intercourse.
B)performance anxiety.
C)lack of orgasm.
D)low sexual desire.

Question 11

A lack of the subjective feelings of sexual pleasure or excitement that normally accompany sexual arousal is characteristic of

A)sexual arousal disorder.
B)sexual aversion disorder.
C)hypoactive sexual desire disorder.
D)male erectile disorder.

Question 12

One of the sexual dysfunctions most commonly diagnosed is

A)sexual pain disorder.
B)sexual absence disorder.
C)orgasmic disorder.
D)hypoactive sexual desire.

Question 13

The most common psychological cause of sexual desire disorder is

A)depression.
B)anxiety.
C)a history of sexual assault.
D)hypertension.

Question 14

Sexual aversion disorder describes a person who

A)has little or no interest in sex.
B)has a phobia related to genitalia.
C)is disgusted by sex.
D)is phobic about masturbation.

Question 15

Hill (2005)reported that some of the things women reported to be frustrating regarding sexual problems included all of the following except:

A)not experiencing an orgasm during intercourse.
B)partner wanting sex constantly.
C)partner not being affectionate.
D)partner refusing to have sex.

Question 16

Which statement is true regarding low interest in sex?

A)Women with inhibited sexual desire usually have low levels of testosterone.
B)It is not a problem only associated with women.
C)Anxiety is generally not associated with inhibited desire.
D)Women with a sexual desire disorder tend to be older than men with the disorder.

Question 17

Rapid ejaculation is classified as a

A)orgasmic disorder.
B)nervous response disorder.
C)arousal disorder.
D)desire disorder.

Question 18

Hypogonadism is treated with

A)estrogen.
B)testosterone.
C)aspirin.
D)Viagra.

Question 19

Ever since he became sexually active in his teens, Serge has been able to get an erection when he masturbates but never when he is with a partner. We can describe Serge's sexual dysfunctions as

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

Question 20

Vaginismus is classified as a(n)

A)sexual arousal disorder.
B)orgasmic disorder.
C)sexual pain disorder.
D)sexual desire disorder.

Question 21

If a male has erectile dysfunction only when he is with his partner but is able to get an erection when he is alone, this would be classified as a ________________ dysfunction.

A)relationship.
B)generalized.
C)situational.
D)interpersonal.

Question 22

According to research by Rye (2001), what percentage of university women sometimes or usually required direct clitoral stimulation to have an orgasm during intercourse?

A)33%
B)53%
C)73%
D)93%

Question 23

Persistent pain associated with stimulation of the vaginal area is called

A)vaginismus.
B)vulvodynia.
C)vaginitis.
D)coital incontinence.

Question 24

Vaginismus is the

A)voluntary contraction of vaginal muscles that prevents penetration.
B)experience of pain during intercourse because of pelvic inflammatory disease.
C)experience of pain during intercourse because of deep penile penetration.
D)involuntary contraction of the pelvic muscles near the vaginal opening, which prevents penetration.

Question 25

Occasional problems getting and maintaining an erection are common and are likely to be the result of any of the following except

A)drinking too much alcohol.
B)consuming a high carbohydrate meal.
C)fatigue.
D)anxiety.

Question 26

Tranquilizers (e.g., Valium, Xanax)are most likely to cause sexual dysfunctions related to

A)desire.
B)arousal.
C)pain.
D)orgasm.

Question 27

Some medications to treat depression impair sexual functioning (e.g., SSRIs). One medication that is often prescribed along with an SSRI to help prevent sexual side effects is

A)Valium.
B)Demerol.
C)Wellbutrin.
D)Panax.

Question 28

Deanna has never experienced an orgasm during intercourse but can achieve orgasm through masturbation. She is concerned that she has an orgasmic disorder. What should Deanna know?

A)She probably holds some deep-seated resentment toward her partner that needs to be resolved.
B)She is correct and probably does suffer from female orgasmic disorder.
C)Many women cannot achieve orgasm through intercourse alone and require direct stimulation of the clitoris.
D)She probably suffers from guilt and sees sex as something shameful.

Question 29

To be classified as having rapid ejaculation, a man must ejaculate

A)within 10 minutes after penetration.
B)within seven minutes after penetration.
C)more quickly than the average man of the same age.
D)more quickly than he wants to.

Question 30

A male who thinks to himself "Am I hard enough?" when engaging in sexual activity is suffering from

A)dyspareunia.
B)an orgasmic disorder.
C)performance anxiety.
D)the placebo effect.

Question 31

Researchers find that health problems contribute to all types of sexual dysfunctions among men, but for women health problems seem to contribute particularly to sexual dysfunctions related to

A)pain.
B)depression.
C)anxiety.
D)medication.

Question 32

In men, sexual arousal disorder is referred to as

A)sexual aversion.
B)erectile dysfunction.
C)premature ejaculation.
D)hypogonadism.

Question 33

A disorder related to delayed ejaculation is

A)generally lifelong.
B)often limited to masturbation.
C)frequently limited to intercourse.
D)common in older men.

Question 34

All of the following are common causes of erectile dysfunction except

A)performance anxiety.
B)diabetes.
C)low self-esteem.
D)marijuana use.

Question 35

The New View of women's sexuality developed by Tiefer (2001)classifies the causes of women's sexual problems into four main groups which include all of the following factors except

A)psychological.
B)economic and political.
C)relationship.
D)orgasm and arousal.

Question 36

One of the most common male sexual dysfunctions reported in Canada is

A)anorgasmia.
B)delayed ejaculation.
C)rapid ejaculation.
D)dyspareunia.

Question 37

It is important to consider a range of possible factors that contribute to the development of sexual dysfunction. These factors include all of the following except

A)psychological.
B)social.
C)legal.
D)biological.

Question 38

Which of the following is not a psychosocial factor associated with the development of sexual dysfunctions?

A)relationship dissatisfaction
B)anxiety
C)SSRIs
D)irrational beliefs

Question 39

Researchers in Montreal extensively studied dyspareunia. Based on their findings, they suggest that dyspareunia should be categorized not as sexual dysfunction but as a

A)relationship disorder.
B)physiological disorder.
C)neurological disorder.
D)pain disorder.

Question 40

The most common cause of pain during intercourse is

A)vaginal infections.
B)inadequate lubrication.
C)pelvic inflammatory disease.
D)penile contact with the cervix.

Question 41

Viagra, which enhances the natural processes of erection, was introduced in

A)1996.
B)1997.
C)1998.
D)1999.

Question 42

A primary objective of the PLISSIT model is to

A)administer tests to identify the extent to which medications may be interfering with sexual function.
B)help clients understand and use their responses to sexual communication questionnaires to resolve sexual conflicts.
C)differentiate between sexual problems that can be resolved with basic education and those that require specialized therapy.
D)help clients understand the range of pharmacological treatments that might be appropriate for them.

Question 43

People who find it difficult to accept their sex organs as sources of pleasure likely feel this way because

A)they are misinformed about sexual function.
B)their parents instilled in them a sense of guilt over touching their genitals.
C)they have poor communication skills.
D)they have a sexual dysfunction.

Question 44

Erectile dysfunction drugs such as Viagra and Cialis should not be taken by men

A)taking nitrate drugs.
B)who have a history of alcoholism.
C)who are diabetic.
D)taking SSRI drugs.

Question 45

Claire assigns her sex therapy clients Michelle and Shamin to daily homework in which they try sensate focus exercises. Claire's approach reflects the

A)biopsychosocial approach.
B)Masters and Johnson approach.
C)PLISSIT Model.
D)psychoanalytic approach.

Question 46

For treating erectile dysfunction, Tadalafil is

A)an injectible drug that increases the level of nitric oxide in the penis.
B)a drug that relaxes the muscles that surround the small blood vessels in the penis.
C)an inflatable type of penile implant.
D)a testosterone patch.

Question 47

Which of the following is not likely to be a cause of sexual arousal disorder among women?

A)cognitive interference
B)impaired blood flow to the genitals
C)lack of knowledge of sexual response
D)elevated testosterone

Question 48

The only Canadian professional organization that currently certifies sex therapists is the

A)Canadian Association of Sex Educators, Counsellors, and Therapists (CASECT).
B)Quebec Board of Sex Therapy Certification (QBSTC).
C)Board of Examiners in Sex Therapy and Counselling in Ontario (BESTCO).
D)Canadian Medical Association (CMA).

Question 49

The most common models used in sex therapy are

A)psychoanalytic.
B)individually focused.
C)medically focused.
D)cognitive and behavioural.

Question 50

Based on the findings of the Canadian Contraception Study, which group of women would be most likely to report low sexual desire?

A)married older women
B)married younger women
C)highly educated younger women
D)older single women

Question 51

A gender-sensitive practice introduced by two Calgary therapists focuses on

A)conflicts caused by gender differences.
B)meeting the women's intimacy needs by educating the male partner.
C)critiquing how traditional gender roles restrict the sexual fulfillment of both genders.
D)teaching males to better understand the female perspective in terms of sexuality.

Question 52

As part of their sex therapy program, Bill and John practice a series of touching exercises that involve caressing and stroking body areas other than the genitals. These exercises are called

A)reciprocal massage.
B)pre-penetration stimulation.
C)the stop-start technique.
D)sensate focus.

Question 53

A sex therapist helps his client uncover the deep-seated psychological roots of his lack of desire for sex with his partner. The therapist's approach is an example of

A)an insight oriented approach.
B)a cognitive-behavioural approach.
C)a mindfulness approach.
D)the PLISSIT model approach.

Question 54

Some cases of low sexual desire among men involve hormonal deficiencies. For men with low testosterone, hormone replacement therapy is effective in about

A)25% of cases.
B)50% of cases.
C)75% of cases.
D)100% of cases.

Question 55

Erectile dysfunction drugs such as Viagra and Cialis work by

A)increasing the metabolism of testosterone.
B)increasing sexual thoughts.
C)facilitating blood flow into the penis.
D)facilitating the flow of arousal responses in the brain to the penis.

Question 56

The development of effective biological treatments for female sexual dysfunction has lagged behind the development of biological treatments for male sexual dysfunction. Some have speculated this is because

A)pharmaceutical companies believe there would only be a small market for female sexual dysfunction drugs.
B)sexual dysfunction is less common among women.
C)female sexual response is more directly tied to psychosocial issues.
D)women's reproductive systems are more complex than men's.

Question 57

Sexual contact between a sex therapist and a client is

A)unethical.
B)recommended for some dysfunctions but certainly not all.
C)legal if the therapist is a licensed sex surrogate.
D)legal only if the client gives written consent.

Question 58

A criticism of contemporary sex therapy offered by Kleinplatz is that it tends to be

A)overly focused on process rather than on outcomes.
B)focused on solving problems rather than enhancing eroticism.
C)insufficiently integrated with modern medical treatments.
D)focused disproportionately on relationship issues compared to sexual skills development.

Question 59

In treating hypoactive sexual desire disorder, some therapists suggest

A)self-stimulation exercises and erotic fantasy.
B)the start-stop technique.
C)the squeeze technique.
D)vaginal dilators.

Question 60

Who pioneered the use of the direct behavioural approach to treat sexual dysfunctions?

A)Sigmund Freud
B)Masters and Johnson
C)Alfred Kinsey
D)Helen Singer Kaplan

Question 61

Which of the following was not identified by the Kleinplatz et al. study as a component of great sex?

A)communication and empathy
B)interpersonal risk-taking
C)being present, focused, and embodied
D)minimum proficiency in performing oral sex

Question 62

The New View classification system for female sexual dysfunction is designed to increase the emphasis on the medical aspects of female sexuality.

Question 63

For most couples, problems in the relationship can easily be separated off from what happens in the bedroom.

Question 64

Biological treatments for rapid ejaculation include

A)androgens.
B)vasodilators.
C)antidepressants.
D)nitrates.

Question 65

Hypogonadism may cause low sexual interest and erectile difficulties in men.

Question 66

Persistent pain from contact with the entrance to the vagina is called vulvar vestibulitis.

Question 67

For women who are unable to have orgasms, a good suggestion is to

A)try a vibrator.
B)limit masturbation to once a week.
C)focus on improving cardio-vascular fitness.
D)direct all sexual stimulation specifically on eliciting an orgasmic response.

Question 68

Dyspareunia is characterized by pain in the genital area during sexual activity.

Question 69

A majority of women are able to have an orgasm without clitoral stimulation.

Question 70

Research by Brotto and colleagues suggest that _________ show promise in treating women's sexual concerns.

A)digestive cleansing programs
B)mindfulness techniques
C)some Scientology techniques
D)biofeedback programs

Question 71

Rapid ejaculation and premature ejaculation are similar but different sexual dysfunctions.

Question 72

Taking narcotics can depress the production of testosterone and, as a result, reduce sexual desire.

Question 73

Diabetes mellitus can have an impact on sexual response.

Question 74

Of the following, which is not likely to be a recommended treatment for sexual desire disorder?

A)arousing fantasies
B)the squeeze technique
C)masturbation
D)sensate focus

Question 75

Plastic vaginal dilators are used in the treatment of

A)female sexual arousal disorder.
B)female orgasmic disorder.
C)vaginismus.
D)dyspareunia.

Question 76

In a follow-up study several years after treatment, Bergeron and Binik found that cognitive-behavioural treatment for dyspareunia was found to be

A)just as effective as surgery.
B)just as effective as biofeedback.
C)less effective than surgery.
D)less effective than biofeedback.

Question 77

The stop-start and squeeze techniques are most likely to be effective for men with

A)situational rapid ejaculation.
B)mild rapid ejaculation.
C)severe rapid ejaculation.
D)lifelong rapid ejaculation.

Question 78

Psychosocial factors are never connected with sexual dysfunctions.

Question 79

In treating orgasmic disorder in women, once intercourse is introduced, it is recommended that the couple use the

A)lateral-entry position.
B)female-superior position.
C)male-superior position.
D)rear-entry position.

Question 80

If a man is occasionally unable to get an erection when he wants to, this is an indication that he has a sexual dysfunction.