Deck 14: Sexual Difficulties and Solutions

Question 1

Whenever a man makes a sexually suggestive remark to her, Susan begins trembling, sweating, and feeling dizzy and nauseated. She is probably experiencing:

A) hypoactive sexual desire.
B) sexual aversion.
C) female sexual arousal disorder.
D) anorgasmia.

Answer 1

B

Question 2

Preliminary research has found that some women with ______ also have problems with restless leg syndrome and overactive bladder syndrome.

A) persistent genital arousal disorder
B) female subjective sexual arousal disorder
C) female genital sexual arousal disorder
D) combined genital and subjective sexual arousal disorder

Answer 2

A

Question 3

Max is worried that his wife, Chava, may be suffering from some type of physical problem because she is less interested in sex than she used to be. Chava asserts she enjoys sex as much as before, just not quite every day, which is what Max would prefer. Which of the following is true?

A) Chava could be diagnosed with hypoactive sexual desire disorder.
B) Chava likely has significant anxiety about sex.
C) Max and Chava may be experiencing a desire discrepancy.
D) Max could be diagnosed with hypersexual disorder.

Answer 3

C

Question 4

Among women, difficulties with orgasm are:

A) increasing in frequency.
B) more common in younger than in older women.
C) less common in unmarried versus married women.
D) more common in educated rather than less educated women.

Question 5

For the last several years, Bruno, a 58-year-old male, has experienced reduced interest in and desire for sex. Bruno could be diagnosed with:

A) satyrism.
B) male hypoactive sexual desire disorder.
C) erectile disorder.
D) female sexual interest/arousal disorder.

Question 6

Maria rarely thinks or fantasizes about sex. When not in a relationship, she rarely masturbates. When in a relationship, she never initiates sex, but if her partner initiates, she is able to lubricate and become orgasmic. Her problem would BEST be described as:

A) dyspareunia.
B) female sexual interest/arousal disorder.
C) hypoactive sexual desire.
D) sexual aversion disorder.

Question 7

Ever since her twins were born, Seung has experienced reduced vaginal lubrication, making sex very uncomfortable for her. Seung appears to be suffering from:

A) female subjective sexual arousal disorder.
B) female genito-pelvic pain/penetration disorder.
C) hypoactive sexual desire disorder.
D) disrupted plateau syndrome.

Question 8

Victoria can achieve orgasm when she masturbates, but not when she is stimulated by a partner. Victoria:

A) would be diagnosed with situational female orgasmic disorder.
B) would not be diagnosed with a sexual disorder because the large majority of women can only orgasm during solitary masturbation.
C) would be diagnosed with pervasive female orgasmic disorder.
D) appears to be suffering from persistent arousal genital disorder (PGAD).

Question 9

Bob can achieve an erection at the beginning of a sexual encounter, but the erection subsides after just a couple minutes. Bob appears to be suffering from:

A) premature ejaculation.
B) male orgasmic disorder.
C) erectile disorder.
D) hyposexual disorder.

Question 10

Mai never orgasms during vaginal-penile intercourse, although she does orgasm from stimulation of her clitoris. Mai:

A) is suffering from female orgasmic disorder.
B) is experiencing a very rare condition, because 85% of cases of orgasmic disorder involve males.
C) most likely is over the age of 40.
D) does not meet criteria for a sexual dysfunction.

Question 11

According to the DSM 5, in order to be considered a sexual disorder, a sexual difficulty must display all of the following EXCEPT:

A) occurs in 75%-100% of sexual encounters.
B) persists for at least 6 months.
C) causes significant distress.
D) creates connection in the relationship.

Question 12

Sexual problems:

A) are common.
B) are mostly seen in those who have had some traumatic experience either in childhood or adulthood.
C) tend to be overdiagnosed because of our society's emphasis on sexuality.
D) occur more often in people who have taken human sexuality courses in college.

Question 13

Which of the following statements concerning male orgasmic disorder is FALSE?

A) Approximately 20% of males are affected by this disorder.
B) Males with this disorder most often prefer to experience orgasm through masturbation.
C) This disorder might also be called partner anorgasmia.
D) This disorder is also referred to as delayed ejaculation.

Question 14

Shonda is bothered by a lack of sexual excitement and pleasure when she tries to be intimate with her husband, although she does experience vaginal lubrication and swelling. Shonda appears to be suffering from:

A) female sexual interest/arousal disorder.
B) vaginismus.
C) Peyronie's disease.
D) female genital sexual arousal disorder.

Question 15

Many categories and labels for diagnosing sexual dysfunctions come from the:

A) Physician's Desk Reference.
B) Diagnostic and Statistical Manual of the APA.
C) NHSLS diagnostic index.
D) Kinsey reports.

Question 16

Marwan has been diagnosed with erectile disorder. Marwan:

A) most likely is younger than 40.
B) is suffering from a very rare disorder.
C) is more likely to experience this difficulty during masturbation than during intercourse.
D) may be suffering from a problem with his vascular system.

Question 17

Which of the following is NOT a desire-phase difficulty?

A) Female sexual interest/arousal disorder
B) Male hypoactive sexual desire disorder
C) Desire discrepancy disorder
D) Female orgasmic disorder

Question 18

Sexual satisfaction in a relationship is best defined in terms of:

A) frequency of sexual contact.
B) frequency of orgasm.
C) the absence of sexual dysfunction.
D) the mutual experience of pleasure.

Question 19

Spontaneous, intrusive, and unwanted genital arousal is known as:

A) combined genital and subjective sexual arousal disorder.
B) female subjective sexual arousal disorder.
C) female genital sexual arousal disorder.
D) persistent genital arousal disorder.

Question 20

The National Health and Social Life survey found all of the following EXCEPT:

A) women are more likely than men to have a lack of interest in sex.
B) women are more likely to have pain during sex as they grow older.
C) women with a college degree report fewer sexual problems than those without one.
D) women in their 40s and 50s are slightly less likely to have trouble reaching orgasm than those in their 20s and 30s.

Question 21

Avoiding the use of all of the following will contribute to healthy sexual functioning EXCEPT:

A) alcohol.
B) tobacco.
C) marijuana.
D) ibuprofen.

Question 22

It has been several months since Ammar and his girlfriend have had any sexual relations. She has become upset because every time she tries, he makes up an excuse to leave. He only wants to go home and watch porn on the Internet and masturbate. He has no interest in having sex with his girlfriend anymore. Ammar could be experiencing: . . .

A) Internet sexual addiction.
B) male orgasmic disorder.
C) premature ejaculation.
D) erectile disorder.

Question 23

Which of the following is the MOST likely cause of deep pelvic pain?

A) Endometriosis
B) Inadequate stimulation
C) Insufficient lubrication
D) Vestibulodynia

Question 24

The medical term for painful intercourse is:

A) pelvic inflammatory disease.
B) coital anorgasmia.
C) dyspareunia.
D) vulvar vestibulitis.

Question 25

Zainab experiences painful contractions in her vagina if she attempts intercourse or even tries to use a tampon. Zainab appears to be suffering from:

A) orgasmic disorder.
B) vagus oscillation syndrome.
C) vaginismus.
D) female sexual interest/arousal disorder.

Question 26

The most common male sexual difficulty is:

A) premature ejaculation.
B) male orgasmic disorder.
C) dyspareunia.
D) erectile disorder.

Question 27

Which of the following is TRUE concerning the origins of sexual difficulty?

A) Finding a specific cause for a sexual difficulty is fairly straightforward.
B) Experiences that bring about sexual difficulty in one person may not affect another.
C) Psychological factors should be ruled out before examining physiological causes.
D) One should assume that psychological and physiological factors do not interact while determining the cause of a sexual difficulty.

Question 28

Which of the following is MOST likely to cause vaginal discomfort and pain related to penetration?

A) Intense arousal
B) Lubricating jelly
C) Overabundance of estrogen
D) A yeast infection

Question 29

Risa often experiences significant pain in her abdomen after engaging in intercourse. Risa appears to be suffering from:

A) genito-pelvic pain/penetration disorder.
B) relaxing and remitting nonspecific coital anorgasmia.
C) female orgasmic disorder.
D) Peyronie's disease.

Question 30

Which of the following does NOT have an adverse effect on erectile capacity?

A) Barbiturates
B) Tobacco
C) Cocaine
D) Tylenol

Question 31

Jannah spends most of her days thinking about the things she wants to try sexually with her partner. When they are together, she tries to convince him to have sex in all sorts of public places because it excites her. Jannah's partner is concerned because her thoughts of sex and their sexual activity takes up all of her time and she does not complete her daily chores at home and is missing deadlines at work. Jannah could be diagnosed with:

A) dyspareunia.
B) sexual addiction.
C) vaginismus.
D) faking orgasms.

Question 32

Joel is bothered and embarrassed by his tendency to ejaculate very soon after achieving an erection. Joel is likely suffering from:

A) erectile dysfunction.
B) premature ejaculation.
C) coital anorgasmia.
D) male orgasmic disorder.

Question 33

Tuan can ejaculate when he masturbates, yet when he has vaginal intercourse, he is unable to ejaculate. Tuan would be MOST likely diagnosed with:

A) priapism.
B) hyposexual disorder.
C) male orgasmic disorder.
D) erectile dysfunction.

Question 34

____ is characterized by strong involuntary contractions of the muscles in the outer third of the vagina.

A) Vaginismus
B) Vestibulodynia
C) Vaginitis
D) Peyronie's disease

Question 35

Research indicates that compared to men who do not have problems with rapid ejaculation, men with premature ejaculation:

A) report more enjoyment of orgasm.
B) underestimate the intensity of their physical arousal.
C) experience low arousal to penile stimulation.
D) ejaculate upon reaching full sexual arousal.

Question 36

Marwan, who is 56 and about 60 pounds overweight, tells his doctor he recently began having difficulty sustaining an erection until orgasm. Marwan's doctor most likely will:

A) prescribe a SSRI for Marwan.
B) educate Marwan about the stop-start technique.
C) advise Marwan to lose weight and increase exercise.
D) refer Marwan to a surgeon to have a vacuum pump implanted in his penis.

Question 37

A high waist circumference and low levels of physical activity are associated with an increased likelihood of having:

A) male orgasmic disorder.
B) dyspareunia.
C) vestibulodynia.
D) erectile disorder.

Question 38

Seth smokes marijuana daily with his girlfriend Meredith. Which of the following is TRUE?

A) Seth may experience a decrease in his level of sexual desire, but Meredith likely will not.
B) Meredith may experience a decrease in her level of sexual desire, but Seth likely will not.
C) Both Seth and Meredith may experience reduced sexual desire.
D) Both Seth and Meredith will likely experience enhanced sexual performance.

Question 39

Premature ejaculation is defined:

A) as an orgasm that occurs in less than 3 minutes.
B) differently depending upon the age of the male.
C) as a pattern of ejaculating within 1 minute and an inability to delay ejaculation.
D) most accurately by laboratory testing.

Question 40

Which of the following is NOT true regarding faking orgasms?

A) Men nearly always can tell when women fake orgasms.
B) Faking orgasm often leads to a vicious cycle in which a woman's partner does not realize that she is not becoming sufficiently sexually stimulated.
C) Faking orgasms is a conscious decision.
D) One of the most common reasons given by women for faking orgasm is to avoid disappointing or hurting their partners.

Question 41

The most frequently performed cosmetic surgery in ____, called the "hitch and stitch," creates a fold above each eye to make a woman's eyes look more "Western".

A) Asia
B) Latin America
C) Africa
D) the Middle East

Question 42

Nick drinks about a case of beer per day. Nick may experience:

A) an increase in the size of his testicles.
B) improved sexual functioning due to an increase in his hormone levels.
C) reduced risk of diabetes.
D) permanent damage to his circulatory and nervous systems, with an adverse effect on his sexual functioning.

Question 43

Darius, who is 52, comments to Manijeh, a pharmacist, that he has experienced a sudden drop in his sexual desire and a dramatic decrease in erectile function. Manijeh suspects that Darius's sexual difficulties could be due to the fact that he is taking:

A) sildenafil.
B) acetaminophen.
C) finasteride.
D) bupropion.

Question 44

Lack of sexual interest and response is a common symptom of:

A) depression.
B) anxiety.
C) psychosis.
D) substance abuse.

Question 45

Which of the following is a cultural factor associated with reduced sexual desire for women?

A) Perceiving that their parents had positive attitudes toward each other
B) Feeling guilty about sex
C) Lack of a religious affiliation
D) Perceiving that their parents had positive attitudes toward sex

Question 46

According to your text, which of the following is LEAST affected in the person who has multiple sclerosis?

A) Vision
B) Voluntary movement
C) Sensation
D) Cognitive functioning

Question 47

The ability to identify, feel comfortable with, and manage one's emotions is known as:

A) emotional intelligence.
B) self-confidence.
C) empathy.
D) self-concept.

Question 48

Phil is a 54-year-old male diagnosed with diabetes. Phil is at increased risk of experiencing:

A) premature ejaculation.
B) erectile disorder.
C) Peyronie's disease.
D) hyposexual disorder.

Question 49

Maylin, who is 36, comments to Manijeh, a pharmacist, that she has experienced a reduction in her sexual desire and response. Manijeh explains to Maylin that sexual difficulties are common with all of the following medications EXCEPT:

A) methadone.
B) hormonal birth control.
C) an antihypertensive.
D) cough medicine.

Question 50

All of the following medications may have undesirable effects on sexual functioning EXCEPT:

A) antidepressants.
B) tranquilizers.
C) Wellbutrin.
D) antihistamines.

Question 51

Diabetes is a disease of the ____ system.

A) endocrine
B) neurological
C) hormonal
D) muscular

Question 52

Performance anxiety:

A) primarily affects gay men.
B) primarily affects lesbian women.
C) can produce enough anxiety for the problem to occur in the next sexual encounter as well.
D) oftentimes helps increase the pleasure by first increasing the overall arousal level.

Question 53

Which of the following statements concerning cerebral palsy (CP) is TRUE?

A) Most people with CP are mentally disabled.
B) Genital sensation is lost as the result of CP.
C) Motor issues caused by CP may affect ability to engage in sexual behavior.
D) CP actually tends to make it less likely that women will experience pain during intercourse.

Question 54

The feelings and beliefs we have about ourselves are referred to as:

A) self-awareness.
B) self-confidence.
C) self-concept.
D) self-esteem.

Question 55

Which of the following statements concerning multiple sclerosis is FALSE?

A) MS is a neurological disease of the brain and spinal cord.
B) Approximately 50% of MS patients experience sexual problems.
C) MS patients may experience uncomfortable hypersensitivity to genital stimulation.
D) While men with MS often experience sexual dysfunction, women with the disease do not.

Question 56

Cancer and its treatment can interfere with sexual functioning in all of the following ways EXCEPT:

A) negative body image due to scars, hair loss, and so on.
B) physical pain.
C) changes in hormonal, vascular, and neurological functions.
D) an increase in energy.

Question 57

Geri has cerebral palsy, which affects her sexual functioning. Geri may benefit from all of the following EXCEPT:

A) propping her legs up on pillows to ease spasms.
B) trying different positions to see which are easier and/or less painful for her to maintain.
C) engaging only in solitary sexual activities.
D) exploring nongenital forms of lovemaking.

Question 58

When his vehicle was blown up by an improvised explosive device (IED) in Afghanistan, Juan suffered a spinal cord injury that affects his sexual functioning. Juan may benefit from treatment involving all of the following EXCEPT:

A) Viagra.
B) sensory amplification.
C) redefining and expanding sexual expression to focus more on parts of the body unaffected by his injury.
D) antidepressants.

Question 59

Nevaeh suffered a partial separation of her spinal cord when she was injured in a car accident at age 20. Nevaeh:

A) most likely is unable to participate in any form of sexual activity.
B) is very unlikely to experience any sexual response.
C) may experience orgasm.
D) most likely experiences little to no sexual desire.

Question 60

Compared to the more egalitarian countries in the West, people in male-dominated cultures:

A) are significantly less likely to report that they have satisfying sex lives.
B) are significantly more likely to report that they have dissatisfying sex lives.
C) are less likely to view sexual interactions as a performance.
D) report a greater focus on female pleasure during sexual encounters.

Question 61

Fatima suffers from vaginismus. Fatima might benefit from treatment involving:

A) insertion of dilators of varying sizes into her vagina.
B) Injection of vasodilating medications.
C) the stop-start technique.
D) inserting a clitoral implant.

Question 62

Western sex therapy techniques, such as masturbation exercises to treat orgasmic difficulties, would be likely to contradict the cultural values of all of the following groups EXCEPT:

A) Orthodox Jews.
B) fundamentalist Christians.
C) fundamentalist Muslims.
D) reform Jews.

Question 63

For women who would like to experience orgasm with a partner, vibrators are:

A) strongly recommended to make up for the fact that a partner is only rarely able to bring a woman to orgasm without some type of assistance.
B) sometimes useful so a woman knows she can have this response, but then manual stimulation is recommended because this can be replicated by a partner.
C) not recommended because the response they produce is not a real orgasm.
D) never recommended because they can cause nerve damage in the genital area.

Question 64

Masturbating with a partner present:

A) begins with the expectation that the partner will quickly be able to bring you to orgasm.
B) is generally not recommended as this is better done in private.
C) should be performed only as a remedy for differential desire.
D) may be a good way to inform your partner what kind of touch you find arousing.

Question 65

Which of the following is FALSE regarding sensate focus exercises?

A) Sensate focus is intended to foster open communication, emotional intimacy, and physical pleasure for both partners.
B) Sensate focus is designed to improve sexual functioning by reducing anxiety associated with sex.
C) Sensate focus has not been found useful in the treatment of sexual dysfunctions.
D) Sensate focus begins with one member of the couple exploring the other's body without the goal of causing arousal.

Question 66

A ____ can help anorgasmic women experience sexual climax for the first time.

A) ribbed dildo
B) hotwife
C) vibrator
D) cock ring

Question 67

The major purpose of doing sensate focus exercises is to:

A) experience orgasmic release.
B) reestablish the male in his role as the primary instigator of sexual contact.
C) increase the possibility of having multiple orgasms.
D) enhance sexual pleasure and reduce performance pressure.

Question 68

Sensate focus is BEST described as a:

A) series of self-pleasuring exercises that an individual does alone.
B) series of touching exercises experienced with a partner.
C) cognitive retraining technique.
D) series of active listening and feedback exercises.

Question 69

In cultures in which sexuality is primarily focused on male potency and couple fertility, men are most likely to seek sex therapy for treatment of:

A) hypersexual disorder.
B) vaginismus.
C) dyspareunia.
D) erectile disorder.

Question 70

Readiness is a vaginal sensation of wanting:

A) nongenital body exploration.
B) intercourse.
C) oral stimulation.
D) manual stimulation.

Question 71

Which of the following is NOT true regarding the effects of childhood sexual abuse on adult sexual functioning?

A) Male sexual abuse survivors often have deep-seated concerns about their masculinity from having been victimized.
B) Women with a history of childhood sexual abuse have more negative feelings about sex, report less sexual satisfaction, and are more likely to experience chronic pelvic pain.
C) All sexual abuse survivors experience sexual problems in adulthood.
D) Abuse survivors may have flashbacks during sex that dramatically interrupt any positive feelings and sexual pleasure.

Question 72

All of the following are suggested as ways to increase the possibility of orgasm during intercourse for a woman EXCEPT:

A) direct manual stimulation of the clitoris during intercourse.
B) the man-above intercourse position.
C) female-initiated movements.
D) use of a vibrator.

Question 73

All of the following are relationship factors that might contribute to sexual difficulties EXCEPT:

A) ineffective communication.
B) not being true to one's sexual orientation.
C) fears about getting pregnant.
D) not knowing a partner well enough to be able to anticipate what the partner finds pleasurable without asking.

Question 74

Sally has been having difficulty achieving orgasm during intercourse. If she wants to increase her orgasmic capacity, Sally should:

A) engage in vaginal-penile intercourse more frequently as this is the only way women reliably achieve orgasm.
B) explore how her genitals respond to various types of touch, including manual stimulation and vibrators.
C) avoid any activity that could cause stimulation of the clitoris.
D) have a vacuum pump surgically implanted in her clitoris.

Question 75

Treatments for vaginismus include all of the following EXCEPT:

A) biofeedback and physical therapy.
B) opioid pain medications.
C) relaxation and self-awareness exercises.
D) insertion of dilators of varying sizes, including fingers, into the vagina.

Question 76

Regarding self-treatment of sexual dysfunctions, your text suggests all EXCEPT which one of the following:

A) Self-awareness may involve becoming familiar with one's own genitals.
B) We need to be aware of our own body responses to share this information with a partner.
C) We should be careful of sharing too much emotionally because it will take away some of the essential mystery in sex.
D) All of us have the potential for self-help.

Question 77

All of the following techniques may delay ejaculation EXCEPT:

A) having more frequent orgasms.
B) continuing sexual activity after a first ejaculation.
C) using energetic pelvic movements.
D) using the woman-above position during intercourse.

Question 78

In cultures in which sexuality is primarily focused on male potency and couple fertility, women are most likely to seek sex therapy for treatment of:

A) vaginismus.
B) orgasmic disorder.
C) hypoactive sexual desire disorder.
D) female genital sexual arousal disorder.

Question 79

Which of the following is NOT true about stimulation of the clitoris?

A) This can be done manually by the female.
B) This can be done manually by the male.
C) This may be done by using a vibrator.
D) One goal of therapy is to eliminate the need to do this.

Question 80

Alfonso is self-conscious about the size of his penis, although it is actually average sized. Alfonso:

A) most likely will not experience any reduction in his enjoyment of sex due to his concerns about his penis.
B) is right to be concerned because penis size is directly related to sexual prowess.
C) may have developed this concern due to negative comments by his girlfriend, because women are more likely than men to have unrealistic expectations for penis size.
D) may have developed unrealistic expectations about penis size from watching pornography.