Deck 16: Sexual Dysfunctions

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Question
Erin has difficulty talking about sex with her partner and during a discussion where her partner was urging her to talk about sex more Erin said, "My parents never talked about sex and they get along. Why do you need me to be so open about private things?" Which category of sexual problem best explains Erin's response?

A) Socio-cultural
B) Intrapsychic
C) Organic
D) Interpersonal
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Question
Jasmine and Calvin have been dating for six months and have recently been arguing about how often Calvin plays video games. Jasmine thinks that Calvin should play less but Calvin doesn't see the problem and refuses to change his habits. Jasmine and Calvin have been having sex less frequently. Which category of sexual problem best explains the decline in Jasmine and Calvin's sex life?

A) Socio-cultural
B) Intrapsychic
C) Organic
D) Interpersonal
Question
Your best friend has been having problems with her husband who sometimes wouldn't come at all during penetration. She's been organizing special nights with candles and lingerie, when she would tell him, "Now you'll come for sure with all this sexy atmosphere." He eventually told her she made him suffer from "performance anxiety." She thinks he made that up. It's not a thing! What do you say to that?

A) It is a thing - he feels a lot of pressure to come quickly when you have put so much effort in creating the mood and you have these strict expectations.
B) He's making it up. He's looking for excuses because he's probably masturbating and watching porn too much to be turned on by a regular woman.
C) It is a thing in general, but it shouldn't be in his case since you're giving him all this extra stimulation with the candles and sexy lingerie.
D) It is a term in sex therapy, but it has nothing to do with your situation. It refers to performing gender roles in society, not to having sex with someone.
Question
Your close friend is getting married in a church wedding. She and her fiance are taking preparatory lessons with the priest, required in their religion. The priest has advised them that when they have children, they should avoid raising the subject of sex with them so as not to awaken any sinful desires. What would a sex therapist say in response to this statement?

A) Taboo around sexuality in childhood may make it difficult to communicate freely about their sexuality in adulthood.
B) Taboo around sexuality in childhood is the most common risk factor in sexual abuse in early adolescence.
C) Taboo around sexuality in childhood helps individuals appreciate the gravity of sexual decisions later in life and respect their sexual partners.
D) None of the above
Question
At a bachelorette party, the bride-to-be asks all guests for advice on a good relationship. One guest says, "You better learn how to fight with your husband right." The bride-to-be is surprised that someone would wish her fights with her beloved husband. Is the guest onto something, though?

A) Learning good conflict-resolution skills helps express normal anger that surfaces in every relationship.
B) Not being able to express anger safely and effectively in an intimate relationship may lead to being unable to express or feel passion as well.
C) Not being able to resolve fights effectively may lead to power struggles that can be played out in bed.
D) All of the above
Question
What can be said about the influence of specific religious teaching on the prevalence of sexual dysfunction in Canada?

A) Most Canadians are influenced by the Christian value system and their sexual dysfunctions can be linked back to Christian values related to feeling shameful about sex and only having sex for reproduction.
B) In Canada, most people are raised Christian and no link has been found between Christian upbringing and sexual dysfunction.
C) In Canada, where the population varies a great deal in religion and religiosity, it is not possible to compute the influence of specific religious teachings on sexual dysfunction rates.
D) The sexual practices of Canadians have never been found to be influenced by religious teachings.
Question
"Never go to bed angry," is good advice for someone who wants to avoid which source of sexual dysfunction?

A) Organic
B) Intrapsychic
C) Socio-cultural
D) Interpersonal
Question
In Canada, what do most parents teach their children about sex?

A) Nothing
B) Topics related to pregnancy but not topics related to pleasure
C) Topics related to following social rules, like not being naked or touching yourself in public, and nothing related to pregnancy or pleasure
D) How to follow a gender role but nothing about reproduction or pleasure
Question
After Fifty Shades of Grey by E.L. James became a bestseller, people have been talking a lot about BDSM. When you open your Facebook one day, you see a growing discussion on your wall started by a strict Christian friend who quotes The Diagnostic and Statistical Manual of Mental Disorders to prove that BDSM is a pathology. You decide to reply, saying, "Actually, the latest, Fifth Edition from 2013 defines sadism and masochism as pathology only when they are accompanied by ________."

A) distress and dysfunction
B) sodomy
C) physical marks such as bruises
D) pain
Question
Which of the following is a myth about sex that can lead to sexual dysfunction?

A) "Sexual intercourse does not have to involve penile penetration of a vagina."
B) "Talking during sex improves pleasure."
C) "If sexual activity doesn't end in orgasm, it's okay."
D) "Sex should be natural and spontaneous."
Question
Your friend from Europe heard the news that Canada has introduced a new sexual education curriculum that includes lessons about consent. He finds it very progressive that students get such a rounded education. You reply, "Yeah, well, that's kind of new in only one province now. In general, in Canada, we don't learn for example about ________ in school."

A) sexual desire or pleasure
B) contraception other than condoms and the pill
C) homosexuality
D) sexually transmitted infections
Question
When Canadian youth see sex portrayed in the media, including on the Internet, what do most young people conclude?

A) That what they see in the media is reflective of how "normal" people experience sex and sexuality
B) That media are not as good a source on information as sex education in the schools
C) That what they see in the media is not reflective of reality
D) That what they see in the media is heavily biased towards promoting traditional Christian values and ideals about sex
Question
Your friend Jenny calls you in tears. She's sure her boyfriend, who works for a renovation company, is cheating on her because she wanted to have sex when he came home from work but he didn't. He claimed to be completely wiped after eight hours of sanding floors in the summer heat and he just wanted to collapse in bed. He did look sweaty, dirty, and tired and he said he loved her very much, but Jenny is sure that a man never says no to sex. What can you tell her?

A) It's a myth that men always want sex and are always ready. Sometimes they're simply too tired to think about it.
B) He most likely is cheating on her. Men are genetically designed to be sex-ready and willing regardless of circumstances.
C) It's a myth that men always want sex, but it's true that they're always ready. So he could have gotten an erection just to please her.
D) None of the above
Question
At a family dinner you say you're studying human sexuality. Your cousins are immediately interested and, against your aunt's nervous protests, start asking questions about what's true and what isn't in common knowledge about sex. You tell them, "Actually it is not a myth that ________."

A) the clitoris is the only human organ whose sole function is pleasure
B) women's sexuality is more complicated than men's
C) sex goes downhill after marriage
D) a man is always ready to have sex
Question
Taylor and Tom met at a diabetes fundraiser and have been dating for a year. They're both diabetic. Tom's doctor has warned him that he might develop erectile dysfunction, but so far he hasn't had problems with erection. Taylor, however, has been uncomfortable during sex recently, saying penetration hurt her, though she still is very much attracted to Tom and would like to have sex a lot. Her doctor never mentioned potential sex problems, so she is confused. What could be the problem?

A) Diabetes can affect both men and women's genitals in the same negative way, but doctors tend to pay attention only to its effects on erection and ignore lubrication in females.
B) While diabetes affects erection in men, it does not have an effect on lubrication or sensation in women, so Louise's problem must be caused by a different condition.
C) Diabetic men produce an antibody that has been proven to cause vaginal dryness in women who exchange body fluids with them. Diabetic women don't produce it and are not immune to it.
D) None of the above
Question
There is very little evidence that which of the following can cause problems in sexual desire?

A) Low testosterone
B) Anemia
C) Cardiovascular disease
D) Hypothyroidism
Question
Which of the following can seem to increase sexual desire while actually decreasing sexual performance in men?

A) Anti-depressants
B) Vitamin supplements
C) Viagra
D) Alcohol
Question
Monica is on birth control and is experiencing low sexual desire. Which form of birth control is Monica likely using?

A) Depo-Provera
B) An intrauterine device
C) Condoms
D) A diaphragm
Question
Melanie is experiencing vaginal dryness because of a prescription medication she is taking. The dryness is causing her to avoid sexual activity. What is the term for the cause of Melanie's dysfunction?

A) Psychogenic
B) Iatrogenic
C) Pharmogenic
D) Aphrogenic
Question
Which of the following is true about aphrodisiacs?

A) Researchers have yet to find an aphrodisiac that actually induces sexual desire more than a placebo.
B) Viagra is the most effective aphrodisiac currently known.
C) Alcohol is the most effective aphrodisiac currently known.
D) Effective aphrodisiacs have been used throughout history and vary from culture to culture.
Question
Dawn (17) wants to start having sex with her boyfriend, so she's considering hormonal birth control. She says to her older friend, Julia, "I want to go on the pill, but I heard that it completely destroys your sex drive, so, like, what's the point if I want to have sex, you know?" Julia replies, "Yeah, I heard that too. Though pills differ based on their hormone content and ingredients. Go talk to your doctor, for sure, but mine put me on ________ because it's low dosage, and it's been fine so far."

A) Alysena
B) Depo-Provera
C) Diane
D) Ginette
Question
At a work Christmas party, John (23) got drunk and hit on his boss's daughter, Alexis. They slept together, but John regretted it the next morning, realizing that he didn't find her attractive after all. Alexis told her father that they were dating, and now John is looking for a new job to get out of this relationship. He has to stay with her until he lands a new job, but he's having trouble getting an erection when they're in bed together. His friend advises him to just pop Viagra and soldier on. Will that help?

A) Viagra enables blood flow to the penis but only when a man is subjectively aroused, so it won't work if Alexis doesn't turn John on.
B) Viagra enables blood flow to the penis that causes an instant physiological erection independent of the mood, so John can use it to feign arousal.
C) Viagra enables blood flow to the penis that causes an instant physiological erection, but after about 20 minutes subjective arousal is necessary to sustain it, so John would have to be quick with Alexis.
D) It is irrelevant because no doctor would prescribe Viagra to a healthy male in his twenties, and it's impossible to obtain the drug in any other way than through a prescription.
Question
What was the intended purpose of the prescription drug called Diane (which can be prescribed to women with severe cystic acne) when it was first created?

A) Birth control
B) Chemical castration
C) To increase sexual desire
D) To treat symptoms of menopause
Question
Which of the following is true concerning drugs like Viagra?

A) They automatically cause erections by increasing blood flow to the penis.
B) The vast majority of men prescribed these drugs fill and refill their prescriptions.
C) They are most effective if combined with sex therapy.
D) They are popular because they are safe to take if a person has cardiovascular problems (a leading cause of erectile dysfunction).
Question
What is a PDE-5 inhibitor?

A) An erectogenic drug
B) An anti-depressant that inhibits serotonin reuptake
C) A type of antiretroviral drug
D) The morning-after pill
Question
Malcolm usually comes before his girlfriend does, and then he usually makes her come with his hand. He believes he could give her orgasm by penetration if he only lasted longer, but he obviously is suffering from premature ejaculation. What would be the best first step for him to take to address this problem?

A) Use two condoms at the same time to limit sensation in his penis.
B) Imagine during penetration a scene from any of the Saw movies to get his mind off the arousal.
C) Ask his family doctor for a selective serotonin reuptake inhibitor drug to delay his reactions to arousal.
D) None of the above
Question
Recent critiques of the notion that the "point" of sexual intercourse is for the male to perform until the female reaches orgasm have led to a rejection of which of the following terms?

A) Premature ejaculation
B) Delayed ejaculation
C) Ejaculatory incompetence
D) Retarded ejaculation
Question
The most commonly prescribed medical treatment for men who feel they ejaculate too quickly is which of the following?

A) Topical lidocaine
B) Topical estrogen
C) SSRI anti-depressants
D) Botox injections in the base of the scrotum
Question
Mark experiences delayed ejaculation. Which of the following scenarios may explain Mark's problem?

A) Mark has problems maintaining an erection because of a blood pressure medication he is taking.
B) Mark has recently stopped taking SSRIs.
C) Mark is worried about "getting caught" having sex with his girlfriend in his parents' house.
D) Mark gets erections when he is not otherwise sexually excited.
Question
Based on the DSM-5, a man can be diagnosed with premature (early) ejaculation if he meets which set of criteria?

A) He ejaculates within 30 seconds of penetration 75 per cent of the time for three months.
B) He ejaculates within 60 seconds of penetration 75 per cent of the time for six months.
C) He ejaculates within 30 seconds of penetration 75 per cent of the time for six months.
D) He ejaculates within 60 seconds of penetration 90 per cent of the time for three months.
Question
Which of the following best describes the evidence related to the cause of rapid ejaculation?

A) Rapid ejaculation usually occurs because of anxiety.
B) Rapid ejaculation usually occurs because of penile hypersensitivity.
C) There is a rapid ejaculation gene.
D) There is no consistent evidence for a cause of rapid ejaculation.
Question
What often provides instant relief to men who report rapid ejaculation?

A) Wearing multiple condoms
B) Taking SSRI anti-depressants
C) Psychoeducational counselling
D) Using a numbing agent on the penis
Question
What two factors may have been conflated in men reporting delayed ejaculation?

A) Arousal and anxiety
B) Performance and arousal
C) Performance and anxiety
D) Arousal and pleasure
Question
Which of the following is true of most men who have delayed ejaculation?

A) There is an underlying organic cause for their problem.
B) They never experience orgasm.
C) They are able to experience orgasm while masturbating but not in partnered sex.
D) They do not want their "dysfunction" treated because they enjoy being able to brag about how long they can stay hard.
Question
Julia, your new sex therapy client, is distressed that her husband doesn't find her attractive, because he achieves orgasm rather quickly when he masturbates, but hardly ever when he penetrates her. She says that usually during sex she spreads her legs, tells him to go on, and lies there waiting for him to finish, because she's exhausted after a long day. Shouldn't it be enough for him that she's offering her vagina when he's hard? What can you tell her?

A) Often an erection means that the man is somewhat aroused, but not enough to achieve orgasm. Spending some time and attention on increasing arousal before penetration may help.
B) Often an erection means that the man is aroused and ready to penetrate until orgasm. If he is not ejaculating, there must be a physiological cause; e.g., a new drug that he has been taking.
C) Often an erection means that the man is aroused and ready to penetrate until orgasm. If he is not ejaculating, there must be a psychological cause; e.g., he's thinking about work or another sexual partner.
D) Both B and C
Question
What does Binik's approach to treating dyspareunia emphasize?

A) Treating the pain but ignoring the association with sex
B) Focussing on the sexual relationship and ignoring the pain because it will eventually dissipate
C) Conditioning women with dyspareunia to have a more positive opinion of sexual intercourse by pairing intercourse with other sensual pleasures including fragrances and soothing music
D) Having women complete "Binik's inventory," which assesses whether dyspareunia is the result of vulvar, vaginal, or psychological problems
Question
Anne is not aroused during sex so she is not producing lubrication, making sexual penetration difficult. What should the first step be in Anne's attempt to correct this problem?

A) Trying a plant-based non-petroleum lubricant
B) Trying a water-based lubricant
C) Examining why she is not aroused by her partner
D) Stopping all medications linked to lubrication (e.g., anti-depressants and oral contraceptives)
Question
When using condoms, it is important to use which type of lubricant?

A) Oil-based lubricant
B) Water-based lubricant
C) Plant-based lubricant
D) Almond oil lubricant
Question
Why did Lonnie Barbach recommend changing the disorder named "anorgasmia" to "preorgasmia"?

A) Because the main problem is not that they can't have an orgasm, but that they have yet to have an orgasm
B) Because the main problem women report is that they have orgasms too soon, not that they don't have orgasms
C) Because the main group of females who report not having orgasms are not yet sexually mature
D) Because the physiological response of women who report not having orgasms is very similar to the physiological response of "normal women" about to have an orgasm
Question
Your friend Jeff, a college student, started dating Allison, and they had their first sexual intercourse together. During penetration, Jeff noticed that Allison started rubbing her clitoris. He tells you that he feels cheated because Allison basically masturbated when he was inside her, and this is not how a woman should come when with a man. What can you say to that?

A) Most women need clitoral stimulation for orgasm, so she might have not come at all without it. It's natural.
B) Most women achieve orgasm through vaginal stimulation, but they sometimes use clitoral stimulation when their partner does not arouse them enough with penetration, so Jeff should think about that.
C) Many women who can't achieve orgasm through vaginal penetration can do it through anal penetration, so Jeff and Alison should try that.
D) Most women need clitoral stimulation for orgasm when their sexual responses are not developed fully. Alison should work on moving on to the next stage - vaginal orgasm.
Question
A few college friends are having a girls-only night in a residence room. Two bottles of Moscato embolden them to start sharing stories of the best orgasm ever, to a lot of excited giggles. Only one girl, Ashley, isn't joining in the fun, sitting quietly with an embarrassed expression. When the others question her, she admits she's never masturbated or had an orgasm in her life. A barrage of advice ensues. Which suggestion would be the most reasonable for Ashley to start with?

A) You should totally check out this book, For Yourself: the Fulfillment of Female Sexuality by Lonnie Garfield Barbach. It will really help you get to know your body.
B) You should get a boyfriend and lose your virginity as soon as possible. A guy will know how what make you tick. He'll know how and where to touch you.
C) What you need is a good vibrator! I'll go shopping with you! Just put it in, turn it on, and wait - you'll come before you know it.
D) Oh, no! You might be frigid! My sister had that. Go see a doctor - you can get one of those new pink Viagra pills, right?
Question
What is the recommended treatment for most women with anorgasmia?

A) Finding a new sexual partner
B) The use of lubricants
C) Hormone therapy
D) Bibliotherapy
Question
What is thought to be the primary cause of anorgasmia in women?

A) Circulatory problems
B) Side effects from medications
C) Lack of knowledge about her own body
D) Low estrogen
Question
Milena is looking forward to having sex with her partner, but as soon as his body comes in contact with hers, she panics. Which sexual disorder is Milena experiencing?

A) Sexual aversion disorder
B) Dyspareunia
C) Hypoactive sexual desire disorder
D) Anorgasmia
Question
You're catching up over coffee with your good friend, Linda, who confesses in a whisper that she's been recently feeling pain during intercourse with her long-time boyfriend, Juan. She hasn't told anyone yet. She's hasn't noticed bleeding or anything out of the ordinary, and it doesn't hurt at other times, only when she has sex. Juan likes to thrust quite hard, and she's not always into it. What would you advise her?

A) Try to find a good doctor who will listen to you and take time to reproduce the pain during examination. It can be anything from an infection to not being aroused.
B) Try lube. It looks like a typical case of too much friction. It'll feel really good when you get the right lubrication.
C) Go to a drugstore and get an over-the-counter vaginal cream. It's a yeast infection. A week of treatment and you'll be back to normal.
D) None of the above
Question
Andrea is receiving treatment for a sexual dysfunction that involves the insertion of a vaginal dilator in combination with relaxation training. What disorder is Andrea likely being treated for?

A) Dyspareunia
B) Anorgasmic disorder
C) Vaginismus
D) Preorgasmic disorder
Question
You're a sex therapist. Your new client came to you because her family doctor told her she had vaginismus and prescribed dilators, but she isn't so sure about the treatment. You know that vaginismus stems from a woman's fear or reluctance to engage in intercourse. What areas of her experience would you explore to understand the reasons for her fear?

A) Is she afraid of unwanted pregnancy?
B) Has she been sexually abused or assaulted?
C) What does she know and think about sex and her own body?
D) All of the above
Question
A new and popular treatment for vaginismus involves which of the following?

A) Botox injections into the pelvic floor muscles
B) Hypnotherapy to decrease a woman's anxiety about sexual penetration
C) A surgical ring-shaped implant that prevents the vagina from closing completely
D) Introduction of anal penetration as an alternative to vaginal penetration
Question
You're looking through the mail in your sex therapy office. Among the letters is a glossy invite to a seminar on Dr. Peter Pacik's new vaginismus treatment using Botox. As you read through the description of the treatment, you start questioning it. How?

A) Is it in the woman's best interest to ignore her underlying fear of penetration and force open her vagina when she's unconscious?
B) How is the Botox going to affect the nerves in the clitoris and vulva, which are responsible in most part for sexual stimulation?
C) Considering how sensitive the area around the vaginal opening is, can the numerous injection sites become painful and infected after the procedure?
D) None of the above
Question
What sexual problem causes the most couples to seek sex therapy?

A) Rapid ejaculation
B) Erectile dysfunction
C) Anorgasmic disorder
D) Sexual desire discrepancy
Question
Tracy and Charles, a young married couple, come to you, a sex therapist, with this problem: Charles wants to have sex "too often," and Tracy just "can't keep up." Charles blames Tracy for being "frigid," and she blames him for being a "sex addict." What's the solution?

A) There is no simple solution. You have to find out what's going on in their relationship to start seeing possible causes of their disagreement.
B) It's normal for men to have a higher sex drive than women do. Charles can masturbate on those days when Tracy doesn't want to have sex.
C) Men and women's sex drives are similar, but women are socialized to express it less. Tracy can experiment with masturbation more to increase her sex drive.
D) Low sex drive in women is usually hormone based. Tracy can start taking testosterone pills to boost her sexual desire.
Question
Why do many women with no sexual desire "just do it" with their partner?

A) Couples who "just do it" eventually show an increase in sexual satisfaction.
B) The woman wants to show a commitment to her husband even though she doesn't want to have sex.
C) Low sexual desire usually goes away on its own.
D) Having sex with low sexual desire is better than not having sex at all.
Question
Masters and Johnson developed their approach to therapy based on what observation regarding couples seeking therapy?

A) Couples seeking therapy were usually very angry at each other.
B) Couples seeking therapy were usually both suffering from low desire.
C) Couples seeking therapy usually avoided all touching so as to avoid dealing with the sexual problem they were having.
D) Couples seeking therapy usually had a problem linked to physiology.
Question
Masters and Johnson's approach to sex puts an emphasis on which of the following?

A) Sex as a physical function
B) Sex as a psychological phenomenon
C) Sex as a subject of philosophical debate
D) Sex as an expression of intimacy
Question
The goal of therapy outlined by Masters and Johnson is to do which of the following?

A) To improve couples communication in order to improve sexual functioning
B) To reveal unconscious desires and wishes that can impede sexual functioning
C) To teach couples how to stimulate each other as a means of improving sexual satisfaction
D) To eliminate obstacles to sexual functioning
Question
In the midst of work, childrearing, and financial problems, Kate and Jason have completely stopped having sex. Now that their situation is more stable, they want to rediscover their intimacy, but they feel anxious about it. A therapist who uses the Masters and Johnson method tells them to start from the very beginning and gives them their first assignment: ________.

A) touch each other while avoiding breasts and the crotch
B) touch each other, crotch and breasts included, but with no focus on one spot
C) stimulate each other's genitals without leading to orgasm
D) stimulate each other's genitals without engaging in intercourse
Question
Which of the following is NOT part of the early stages of Masters and Johnson's approach to sex therapy?

A) Touching with no genital contact
B) Touching with genital contact
C) Non-demand genital pleasuring
D) Intercourse to orgasm
Question
Masters and Johnson's approach to sex therapy has been critiqued for which of the following reasons?

A) For focussing on unconscious desires that weren't directly measurable or observable
B) For focussing on the couple as a pair instead of on each individual with their own individual problems
C) For having sexual penetration as the goal of the therapy
D) For defining sexual functioning as a matter of subjective experience and not biology
Question
You're a sex therapist, and you have your first appointment with Leila regarding her problems achieving orgasm with her long-term boyfriend. You practice therapy based on the Masters and Johnson's paradigm, so at the end of the session, you tell her, "For our next meeting ________, because ________."

A) come with your boyfriend; this kind of issue is best tackled as a couple
B) bring your sex toys; we need to examine how you have been trying to achieve orgasm so far
C) write down how often you had sex between now and the next visit; we need to analyze your sexual response
D) interview your partner with the questionnaire I'll give you; we need to know his side of the story as well
Question
Which of the following is an example of an intrapsychic factor that can contribute to sexual problems?

A) performance anxiety
B) poor communication
C) diabetes
D) religious teachings
Question
Performance anxiety is an example of a(n) __________ factor that can contribute to sexual problems.

A) intrapsychic
B) interpersonal
C) cultural
D) organic
Question
Which of the following is an example of an interpersonal factor that can contribute to sexual problems?

A) performance anxiety
B) hostility
C) diabetes
D) religious teachings
Question
Poor communication in a relationship is an example of a(n) __________ factor that can contribute to sexual problems.

A) intrapsychic
B) interpersonal
C) cultural
D) organic
Question
Which of the following is an example of a psychosocial factor that can contribute to sexual problems?

A) Performance anxiety
B) Hostility
C) Misinformation
D) Poor communication
Question
Misinformation is an example of a(n) __________ factor that can contribute to sexual problems.

A) intrapsychic
B) interpersonal
C) cultural
D) organic
Question
What percentage of sexual problems are thought to be psychogenic in nature?

A) 20 per cent
B) 40 per cent
C) 60 per cent
D) 80 per cent
Question
What percentage of sexual problems are thought to be caused by organic or iatrogenic factors?

A) 20 per cent
B) 40 per cent
C) 60 per cent
D) 80 per cent
Question
What consequence of diabetes can lead to sexual problems in men?

A) Peripheral neuropathy
B) Loss of interest in sex
C) Low testosterone
D) High blood sugar
Question
Norm takes Effexor to help with his anxiety. Ever since he started taking the medication, his interest in sex has disappeared. Norm's lack of interest in sex may be best categorized as a(n) __________ disorder.

A) organic
B) iatrogenic
C) psychosocial
D) intrapsychic
Question
All of the following are examples of possible iatrogenic sources of sexual problems EXCEPT __________.

A) depression
B) surgery
C) medication
D) medical treatment
Question
All of the following are diagnoses related to orgasm EXCEPT __________.

A) premature (early) ejaculation
B) delayed ejaculation
C) hypoactive sexual desire disorder
D) female orgasmic disorder
Question
Which of the following disorders is related to sexual arousal?

A) Erectile disorder
B) Female orgasmic disorder
C) Delayed ejaculation
D) Hypoactive sexual desire disorder
Question
Which of the following disorders is related to sexual desire?

A) Sexual interest/arousal disorder
B) Female orgasmic disorder
C) Erectile disorder
D) Delayed ejaculation
Question
Which of the following sexual problems arises only in the context of a relationship?

A) Female orgasmic disorder
B) Erectile disorder
C) Sexual desire discrepancy
D) Penetration disorder
Question
For how long must a man ejaculate within 60 seconds of penetration 75 per cent of the time in order to meet the criteria for premature (early) ejaculation?

A) 2 weeks
B) 2 months
C) 6 weeks
D) 6 months
Question
Which of the following disorders is most likely to be caused by a lack of knowledge?

A) Premature (early) ejaculation
B) Female orgasmic disorder
C) Erectile disorder
D) Dyspareunia
Question
Allison talked to a therapist about a sexual problem she is having. The therapist recommended bibliotherapy. What disorder does Allison MOST likely suffer from?

A) Female orgasmic disorder
B) Dyspareunia
C) Genito-pelvic pain/penetration disorder
D) Sexual desire discrepancy
Question
Historically, female genital pain during intercourse has been referred to as __________.

A) vaginismus
B) dyspareunia
C) peripheral neuropathy
D) hysteria
Question
Historically, female genital muscle tightening that prevents penetration has been referred to as __________.

A) vaginismus
B) dyspareunia
C) peripheral neuropathy
D) hysteria
Question
All of the following may be part of sex therapy based on guidelines set by Masters and Johnson EXCEPT __________.

A) genital touching
B) sexual intercourse
C) face touching
D) stroking breasts
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Deck 16: Sexual Dysfunctions
1
Erin has difficulty talking about sex with her partner and during a discussion where her partner was urging her to talk about sex more Erin said, "My parents never talked about sex and they get along. Why do you need me to be so open about private things?" Which category of sexual problem best explains Erin's response?

A) Socio-cultural
B) Intrapsychic
C) Organic
D) Interpersonal
B
2
Jasmine and Calvin have been dating for six months and have recently been arguing about how often Calvin plays video games. Jasmine thinks that Calvin should play less but Calvin doesn't see the problem and refuses to change his habits. Jasmine and Calvin have been having sex less frequently. Which category of sexual problem best explains the decline in Jasmine and Calvin's sex life?

A) Socio-cultural
B) Intrapsychic
C) Organic
D) Interpersonal
D
3
Your best friend has been having problems with her husband who sometimes wouldn't come at all during penetration. She's been organizing special nights with candles and lingerie, when she would tell him, "Now you'll come for sure with all this sexy atmosphere." He eventually told her she made him suffer from "performance anxiety." She thinks he made that up. It's not a thing! What do you say to that?

A) It is a thing - he feels a lot of pressure to come quickly when you have put so much effort in creating the mood and you have these strict expectations.
B) He's making it up. He's looking for excuses because he's probably masturbating and watching porn too much to be turned on by a regular woman.
C) It is a thing in general, but it shouldn't be in his case since you're giving him all this extra stimulation with the candles and sexy lingerie.
D) It is a term in sex therapy, but it has nothing to do with your situation. It refers to performing gender roles in society, not to having sex with someone.
A
4
Your close friend is getting married in a church wedding. She and her fiance are taking preparatory lessons with the priest, required in their religion. The priest has advised them that when they have children, they should avoid raising the subject of sex with them so as not to awaken any sinful desires. What would a sex therapist say in response to this statement?

A) Taboo around sexuality in childhood may make it difficult to communicate freely about their sexuality in adulthood.
B) Taboo around sexuality in childhood is the most common risk factor in sexual abuse in early adolescence.
C) Taboo around sexuality in childhood helps individuals appreciate the gravity of sexual decisions later in life and respect their sexual partners.
D) None of the above
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5
At a bachelorette party, the bride-to-be asks all guests for advice on a good relationship. One guest says, "You better learn how to fight with your husband right." The bride-to-be is surprised that someone would wish her fights with her beloved husband. Is the guest onto something, though?

A) Learning good conflict-resolution skills helps express normal anger that surfaces in every relationship.
B) Not being able to express anger safely and effectively in an intimate relationship may lead to being unable to express or feel passion as well.
C) Not being able to resolve fights effectively may lead to power struggles that can be played out in bed.
D) All of the above
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6
What can be said about the influence of specific religious teaching on the prevalence of sexual dysfunction in Canada?

A) Most Canadians are influenced by the Christian value system and their sexual dysfunctions can be linked back to Christian values related to feeling shameful about sex and only having sex for reproduction.
B) In Canada, most people are raised Christian and no link has been found between Christian upbringing and sexual dysfunction.
C) In Canada, where the population varies a great deal in religion and religiosity, it is not possible to compute the influence of specific religious teachings on sexual dysfunction rates.
D) The sexual practices of Canadians have never been found to be influenced by religious teachings.
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7
"Never go to bed angry," is good advice for someone who wants to avoid which source of sexual dysfunction?

A) Organic
B) Intrapsychic
C) Socio-cultural
D) Interpersonal
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8
In Canada, what do most parents teach their children about sex?

A) Nothing
B) Topics related to pregnancy but not topics related to pleasure
C) Topics related to following social rules, like not being naked or touching yourself in public, and nothing related to pregnancy or pleasure
D) How to follow a gender role but nothing about reproduction or pleasure
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9
After Fifty Shades of Grey by E.L. James became a bestseller, people have been talking a lot about BDSM. When you open your Facebook one day, you see a growing discussion on your wall started by a strict Christian friend who quotes The Diagnostic and Statistical Manual of Mental Disorders to prove that BDSM is a pathology. You decide to reply, saying, "Actually, the latest, Fifth Edition from 2013 defines sadism and masochism as pathology only when they are accompanied by ________."

A) distress and dysfunction
B) sodomy
C) physical marks such as bruises
D) pain
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10
Which of the following is a myth about sex that can lead to sexual dysfunction?

A) "Sexual intercourse does not have to involve penile penetration of a vagina."
B) "Talking during sex improves pleasure."
C) "If sexual activity doesn't end in orgasm, it's okay."
D) "Sex should be natural and spontaneous."
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11
Your friend from Europe heard the news that Canada has introduced a new sexual education curriculum that includes lessons about consent. He finds it very progressive that students get such a rounded education. You reply, "Yeah, well, that's kind of new in only one province now. In general, in Canada, we don't learn for example about ________ in school."

A) sexual desire or pleasure
B) contraception other than condoms and the pill
C) homosexuality
D) sexually transmitted infections
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12
When Canadian youth see sex portrayed in the media, including on the Internet, what do most young people conclude?

A) That what they see in the media is reflective of how "normal" people experience sex and sexuality
B) That media are not as good a source on information as sex education in the schools
C) That what they see in the media is not reflective of reality
D) That what they see in the media is heavily biased towards promoting traditional Christian values and ideals about sex
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13
Your friend Jenny calls you in tears. She's sure her boyfriend, who works for a renovation company, is cheating on her because she wanted to have sex when he came home from work but he didn't. He claimed to be completely wiped after eight hours of sanding floors in the summer heat and he just wanted to collapse in bed. He did look sweaty, dirty, and tired and he said he loved her very much, but Jenny is sure that a man never says no to sex. What can you tell her?

A) It's a myth that men always want sex and are always ready. Sometimes they're simply too tired to think about it.
B) He most likely is cheating on her. Men are genetically designed to be sex-ready and willing regardless of circumstances.
C) It's a myth that men always want sex, but it's true that they're always ready. So he could have gotten an erection just to please her.
D) None of the above
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14
At a family dinner you say you're studying human sexuality. Your cousins are immediately interested and, against your aunt's nervous protests, start asking questions about what's true and what isn't in common knowledge about sex. You tell them, "Actually it is not a myth that ________."

A) the clitoris is the only human organ whose sole function is pleasure
B) women's sexuality is more complicated than men's
C) sex goes downhill after marriage
D) a man is always ready to have sex
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15
Taylor and Tom met at a diabetes fundraiser and have been dating for a year. They're both diabetic. Tom's doctor has warned him that he might develop erectile dysfunction, but so far he hasn't had problems with erection. Taylor, however, has been uncomfortable during sex recently, saying penetration hurt her, though she still is very much attracted to Tom and would like to have sex a lot. Her doctor never mentioned potential sex problems, so she is confused. What could be the problem?

A) Diabetes can affect both men and women's genitals in the same negative way, but doctors tend to pay attention only to its effects on erection and ignore lubrication in females.
B) While diabetes affects erection in men, it does not have an effect on lubrication or sensation in women, so Louise's problem must be caused by a different condition.
C) Diabetic men produce an antibody that has been proven to cause vaginal dryness in women who exchange body fluids with them. Diabetic women don't produce it and are not immune to it.
D) None of the above
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16
There is very little evidence that which of the following can cause problems in sexual desire?

A) Low testosterone
B) Anemia
C) Cardiovascular disease
D) Hypothyroidism
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17
Which of the following can seem to increase sexual desire while actually decreasing sexual performance in men?

A) Anti-depressants
B) Vitamin supplements
C) Viagra
D) Alcohol
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18
Monica is on birth control and is experiencing low sexual desire. Which form of birth control is Monica likely using?

A) Depo-Provera
B) An intrauterine device
C) Condoms
D) A diaphragm
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19
Melanie is experiencing vaginal dryness because of a prescription medication she is taking. The dryness is causing her to avoid sexual activity. What is the term for the cause of Melanie's dysfunction?

A) Psychogenic
B) Iatrogenic
C) Pharmogenic
D) Aphrogenic
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20
Which of the following is true about aphrodisiacs?

A) Researchers have yet to find an aphrodisiac that actually induces sexual desire more than a placebo.
B) Viagra is the most effective aphrodisiac currently known.
C) Alcohol is the most effective aphrodisiac currently known.
D) Effective aphrodisiacs have been used throughout history and vary from culture to culture.
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21
Dawn (17) wants to start having sex with her boyfriend, so she's considering hormonal birth control. She says to her older friend, Julia, "I want to go on the pill, but I heard that it completely destroys your sex drive, so, like, what's the point if I want to have sex, you know?" Julia replies, "Yeah, I heard that too. Though pills differ based on their hormone content and ingredients. Go talk to your doctor, for sure, but mine put me on ________ because it's low dosage, and it's been fine so far."

A) Alysena
B) Depo-Provera
C) Diane
D) Ginette
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22
At a work Christmas party, John (23) got drunk and hit on his boss's daughter, Alexis. They slept together, but John regretted it the next morning, realizing that he didn't find her attractive after all. Alexis told her father that they were dating, and now John is looking for a new job to get out of this relationship. He has to stay with her until he lands a new job, but he's having trouble getting an erection when they're in bed together. His friend advises him to just pop Viagra and soldier on. Will that help?

A) Viagra enables blood flow to the penis but only when a man is subjectively aroused, so it won't work if Alexis doesn't turn John on.
B) Viagra enables blood flow to the penis that causes an instant physiological erection independent of the mood, so John can use it to feign arousal.
C) Viagra enables blood flow to the penis that causes an instant physiological erection, but after about 20 minutes subjective arousal is necessary to sustain it, so John would have to be quick with Alexis.
D) It is irrelevant because no doctor would prescribe Viagra to a healthy male in his twenties, and it's impossible to obtain the drug in any other way than through a prescription.
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23
What was the intended purpose of the prescription drug called Diane (which can be prescribed to women with severe cystic acne) when it was first created?

A) Birth control
B) Chemical castration
C) To increase sexual desire
D) To treat symptoms of menopause
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24
Which of the following is true concerning drugs like Viagra?

A) They automatically cause erections by increasing blood flow to the penis.
B) The vast majority of men prescribed these drugs fill and refill their prescriptions.
C) They are most effective if combined with sex therapy.
D) They are popular because they are safe to take if a person has cardiovascular problems (a leading cause of erectile dysfunction).
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25
What is a PDE-5 inhibitor?

A) An erectogenic drug
B) An anti-depressant that inhibits serotonin reuptake
C) A type of antiretroviral drug
D) The morning-after pill
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26
Malcolm usually comes before his girlfriend does, and then he usually makes her come with his hand. He believes he could give her orgasm by penetration if he only lasted longer, but he obviously is suffering from premature ejaculation. What would be the best first step for him to take to address this problem?

A) Use two condoms at the same time to limit sensation in his penis.
B) Imagine during penetration a scene from any of the Saw movies to get his mind off the arousal.
C) Ask his family doctor for a selective serotonin reuptake inhibitor drug to delay his reactions to arousal.
D) None of the above
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27
Recent critiques of the notion that the "point" of sexual intercourse is for the male to perform until the female reaches orgasm have led to a rejection of which of the following terms?

A) Premature ejaculation
B) Delayed ejaculation
C) Ejaculatory incompetence
D) Retarded ejaculation
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28
The most commonly prescribed medical treatment for men who feel they ejaculate too quickly is which of the following?

A) Topical lidocaine
B) Topical estrogen
C) SSRI anti-depressants
D) Botox injections in the base of the scrotum
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29
Mark experiences delayed ejaculation. Which of the following scenarios may explain Mark's problem?

A) Mark has problems maintaining an erection because of a blood pressure medication he is taking.
B) Mark has recently stopped taking SSRIs.
C) Mark is worried about "getting caught" having sex with his girlfriend in his parents' house.
D) Mark gets erections when he is not otherwise sexually excited.
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30
Based on the DSM-5, a man can be diagnosed with premature (early) ejaculation if he meets which set of criteria?

A) He ejaculates within 30 seconds of penetration 75 per cent of the time for three months.
B) He ejaculates within 60 seconds of penetration 75 per cent of the time for six months.
C) He ejaculates within 30 seconds of penetration 75 per cent of the time for six months.
D) He ejaculates within 60 seconds of penetration 90 per cent of the time for three months.
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31
Which of the following best describes the evidence related to the cause of rapid ejaculation?

A) Rapid ejaculation usually occurs because of anxiety.
B) Rapid ejaculation usually occurs because of penile hypersensitivity.
C) There is a rapid ejaculation gene.
D) There is no consistent evidence for a cause of rapid ejaculation.
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32
What often provides instant relief to men who report rapid ejaculation?

A) Wearing multiple condoms
B) Taking SSRI anti-depressants
C) Psychoeducational counselling
D) Using a numbing agent on the penis
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33
What two factors may have been conflated in men reporting delayed ejaculation?

A) Arousal and anxiety
B) Performance and arousal
C) Performance and anxiety
D) Arousal and pleasure
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34
Which of the following is true of most men who have delayed ejaculation?

A) There is an underlying organic cause for their problem.
B) They never experience orgasm.
C) They are able to experience orgasm while masturbating but not in partnered sex.
D) They do not want their "dysfunction" treated because they enjoy being able to brag about how long they can stay hard.
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35
Julia, your new sex therapy client, is distressed that her husband doesn't find her attractive, because he achieves orgasm rather quickly when he masturbates, but hardly ever when he penetrates her. She says that usually during sex she spreads her legs, tells him to go on, and lies there waiting for him to finish, because she's exhausted after a long day. Shouldn't it be enough for him that she's offering her vagina when he's hard? What can you tell her?

A) Often an erection means that the man is somewhat aroused, but not enough to achieve orgasm. Spending some time and attention on increasing arousal before penetration may help.
B) Often an erection means that the man is aroused and ready to penetrate until orgasm. If he is not ejaculating, there must be a physiological cause; e.g., a new drug that he has been taking.
C) Often an erection means that the man is aroused and ready to penetrate until orgasm. If he is not ejaculating, there must be a psychological cause; e.g., he's thinking about work or another sexual partner.
D) Both B and C
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36
What does Binik's approach to treating dyspareunia emphasize?

A) Treating the pain but ignoring the association with sex
B) Focussing on the sexual relationship and ignoring the pain because it will eventually dissipate
C) Conditioning women with dyspareunia to have a more positive opinion of sexual intercourse by pairing intercourse with other sensual pleasures including fragrances and soothing music
D) Having women complete "Binik's inventory," which assesses whether dyspareunia is the result of vulvar, vaginal, or psychological problems
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37
Anne is not aroused during sex so she is not producing lubrication, making sexual penetration difficult. What should the first step be in Anne's attempt to correct this problem?

A) Trying a plant-based non-petroleum lubricant
B) Trying a water-based lubricant
C) Examining why she is not aroused by her partner
D) Stopping all medications linked to lubrication (e.g., anti-depressants and oral contraceptives)
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38
When using condoms, it is important to use which type of lubricant?

A) Oil-based lubricant
B) Water-based lubricant
C) Plant-based lubricant
D) Almond oil lubricant
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39
Why did Lonnie Barbach recommend changing the disorder named "anorgasmia" to "preorgasmia"?

A) Because the main problem is not that they can't have an orgasm, but that they have yet to have an orgasm
B) Because the main problem women report is that they have orgasms too soon, not that they don't have orgasms
C) Because the main group of females who report not having orgasms are not yet sexually mature
D) Because the physiological response of women who report not having orgasms is very similar to the physiological response of "normal women" about to have an orgasm
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40
Your friend Jeff, a college student, started dating Allison, and they had their first sexual intercourse together. During penetration, Jeff noticed that Allison started rubbing her clitoris. He tells you that he feels cheated because Allison basically masturbated when he was inside her, and this is not how a woman should come when with a man. What can you say to that?

A) Most women need clitoral stimulation for orgasm, so she might have not come at all without it. It's natural.
B) Most women achieve orgasm through vaginal stimulation, but they sometimes use clitoral stimulation when their partner does not arouse them enough with penetration, so Jeff should think about that.
C) Many women who can't achieve orgasm through vaginal penetration can do it through anal penetration, so Jeff and Alison should try that.
D) Most women need clitoral stimulation for orgasm when their sexual responses are not developed fully. Alison should work on moving on to the next stage - vaginal orgasm.
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41
A few college friends are having a girls-only night in a residence room. Two bottles of Moscato embolden them to start sharing stories of the best orgasm ever, to a lot of excited giggles. Only one girl, Ashley, isn't joining in the fun, sitting quietly with an embarrassed expression. When the others question her, she admits she's never masturbated or had an orgasm in her life. A barrage of advice ensues. Which suggestion would be the most reasonable for Ashley to start with?

A) You should totally check out this book, For Yourself: the Fulfillment of Female Sexuality by Lonnie Garfield Barbach. It will really help you get to know your body.
B) You should get a boyfriend and lose your virginity as soon as possible. A guy will know how what make you tick. He'll know how and where to touch you.
C) What you need is a good vibrator! I'll go shopping with you! Just put it in, turn it on, and wait - you'll come before you know it.
D) Oh, no! You might be frigid! My sister had that. Go see a doctor - you can get one of those new pink Viagra pills, right?
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42
What is the recommended treatment for most women with anorgasmia?

A) Finding a new sexual partner
B) The use of lubricants
C) Hormone therapy
D) Bibliotherapy
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43
What is thought to be the primary cause of anorgasmia in women?

A) Circulatory problems
B) Side effects from medications
C) Lack of knowledge about her own body
D) Low estrogen
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44
Milena is looking forward to having sex with her partner, but as soon as his body comes in contact with hers, she panics. Which sexual disorder is Milena experiencing?

A) Sexual aversion disorder
B) Dyspareunia
C) Hypoactive sexual desire disorder
D) Anorgasmia
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45
You're catching up over coffee with your good friend, Linda, who confesses in a whisper that she's been recently feeling pain during intercourse with her long-time boyfriend, Juan. She hasn't told anyone yet. She's hasn't noticed bleeding or anything out of the ordinary, and it doesn't hurt at other times, only when she has sex. Juan likes to thrust quite hard, and she's not always into it. What would you advise her?

A) Try to find a good doctor who will listen to you and take time to reproduce the pain during examination. It can be anything from an infection to not being aroused.
B) Try lube. It looks like a typical case of too much friction. It'll feel really good when you get the right lubrication.
C) Go to a drugstore and get an over-the-counter vaginal cream. It's a yeast infection. A week of treatment and you'll be back to normal.
D) None of the above
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46
Andrea is receiving treatment for a sexual dysfunction that involves the insertion of a vaginal dilator in combination with relaxation training. What disorder is Andrea likely being treated for?

A) Dyspareunia
B) Anorgasmic disorder
C) Vaginismus
D) Preorgasmic disorder
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47
You're a sex therapist. Your new client came to you because her family doctor told her she had vaginismus and prescribed dilators, but she isn't so sure about the treatment. You know that vaginismus stems from a woman's fear or reluctance to engage in intercourse. What areas of her experience would you explore to understand the reasons for her fear?

A) Is she afraid of unwanted pregnancy?
B) Has she been sexually abused or assaulted?
C) What does she know and think about sex and her own body?
D) All of the above
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48
A new and popular treatment for vaginismus involves which of the following?

A) Botox injections into the pelvic floor muscles
B) Hypnotherapy to decrease a woman's anxiety about sexual penetration
C) A surgical ring-shaped implant that prevents the vagina from closing completely
D) Introduction of anal penetration as an alternative to vaginal penetration
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49
You're looking through the mail in your sex therapy office. Among the letters is a glossy invite to a seminar on Dr. Peter Pacik's new vaginismus treatment using Botox. As you read through the description of the treatment, you start questioning it. How?

A) Is it in the woman's best interest to ignore her underlying fear of penetration and force open her vagina when she's unconscious?
B) How is the Botox going to affect the nerves in the clitoris and vulva, which are responsible in most part for sexual stimulation?
C) Considering how sensitive the area around the vaginal opening is, can the numerous injection sites become painful and infected after the procedure?
D) None of the above
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50
What sexual problem causes the most couples to seek sex therapy?

A) Rapid ejaculation
B) Erectile dysfunction
C) Anorgasmic disorder
D) Sexual desire discrepancy
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51
Tracy and Charles, a young married couple, come to you, a sex therapist, with this problem: Charles wants to have sex "too often," and Tracy just "can't keep up." Charles blames Tracy for being "frigid," and she blames him for being a "sex addict." What's the solution?

A) There is no simple solution. You have to find out what's going on in their relationship to start seeing possible causes of their disagreement.
B) It's normal for men to have a higher sex drive than women do. Charles can masturbate on those days when Tracy doesn't want to have sex.
C) Men and women's sex drives are similar, but women are socialized to express it less. Tracy can experiment with masturbation more to increase her sex drive.
D) Low sex drive in women is usually hormone based. Tracy can start taking testosterone pills to boost her sexual desire.
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52
Why do many women with no sexual desire "just do it" with their partner?

A) Couples who "just do it" eventually show an increase in sexual satisfaction.
B) The woman wants to show a commitment to her husband even though she doesn't want to have sex.
C) Low sexual desire usually goes away on its own.
D) Having sex with low sexual desire is better than not having sex at all.
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53
Masters and Johnson developed their approach to therapy based on what observation regarding couples seeking therapy?

A) Couples seeking therapy were usually very angry at each other.
B) Couples seeking therapy were usually both suffering from low desire.
C) Couples seeking therapy usually avoided all touching so as to avoid dealing with the sexual problem they were having.
D) Couples seeking therapy usually had a problem linked to physiology.
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54
Masters and Johnson's approach to sex puts an emphasis on which of the following?

A) Sex as a physical function
B) Sex as a psychological phenomenon
C) Sex as a subject of philosophical debate
D) Sex as an expression of intimacy
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55
The goal of therapy outlined by Masters and Johnson is to do which of the following?

A) To improve couples communication in order to improve sexual functioning
B) To reveal unconscious desires and wishes that can impede sexual functioning
C) To teach couples how to stimulate each other as a means of improving sexual satisfaction
D) To eliminate obstacles to sexual functioning
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56
In the midst of work, childrearing, and financial problems, Kate and Jason have completely stopped having sex. Now that their situation is more stable, they want to rediscover their intimacy, but they feel anxious about it. A therapist who uses the Masters and Johnson method tells them to start from the very beginning and gives them their first assignment: ________.

A) touch each other while avoiding breasts and the crotch
B) touch each other, crotch and breasts included, but with no focus on one spot
C) stimulate each other's genitals without leading to orgasm
D) stimulate each other's genitals without engaging in intercourse
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57
Which of the following is NOT part of the early stages of Masters and Johnson's approach to sex therapy?

A) Touching with no genital contact
B) Touching with genital contact
C) Non-demand genital pleasuring
D) Intercourse to orgasm
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58
Masters and Johnson's approach to sex therapy has been critiqued for which of the following reasons?

A) For focussing on unconscious desires that weren't directly measurable or observable
B) For focussing on the couple as a pair instead of on each individual with their own individual problems
C) For having sexual penetration as the goal of the therapy
D) For defining sexual functioning as a matter of subjective experience and not biology
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59
You're a sex therapist, and you have your first appointment with Leila regarding her problems achieving orgasm with her long-term boyfriend. You practice therapy based on the Masters and Johnson's paradigm, so at the end of the session, you tell her, "For our next meeting ________, because ________."

A) come with your boyfriend; this kind of issue is best tackled as a couple
B) bring your sex toys; we need to examine how you have been trying to achieve orgasm so far
C) write down how often you had sex between now and the next visit; we need to analyze your sexual response
D) interview your partner with the questionnaire I'll give you; we need to know his side of the story as well
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60
Which of the following is an example of an intrapsychic factor that can contribute to sexual problems?

A) performance anxiety
B) poor communication
C) diabetes
D) religious teachings
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61
Performance anxiety is an example of a(n) __________ factor that can contribute to sexual problems.

A) intrapsychic
B) interpersonal
C) cultural
D) organic
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62
Which of the following is an example of an interpersonal factor that can contribute to sexual problems?

A) performance anxiety
B) hostility
C) diabetes
D) religious teachings
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63
Poor communication in a relationship is an example of a(n) __________ factor that can contribute to sexual problems.

A) intrapsychic
B) interpersonal
C) cultural
D) organic
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64
Which of the following is an example of a psychosocial factor that can contribute to sexual problems?

A) Performance anxiety
B) Hostility
C) Misinformation
D) Poor communication
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65
Misinformation is an example of a(n) __________ factor that can contribute to sexual problems.

A) intrapsychic
B) interpersonal
C) cultural
D) organic
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66
What percentage of sexual problems are thought to be psychogenic in nature?

A) 20 per cent
B) 40 per cent
C) 60 per cent
D) 80 per cent
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67
What percentage of sexual problems are thought to be caused by organic or iatrogenic factors?

A) 20 per cent
B) 40 per cent
C) 60 per cent
D) 80 per cent
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68
What consequence of diabetes can lead to sexual problems in men?

A) Peripheral neuropathy
B) Loss of interest in sex
C) Low testosterone
D) High blood sugar
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69
Norm takes Effexor to help with his anxiety. Ever since he started taking the medication, his interest in sex has disappeared. Norm's lack of interest in sex may be best categorized as a(n) __________ disorder.

A) organic
B) iatrogenic
C) psychosocial
D) intrapsychic
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70
All of the following are examples of possible iatrogenic sources of sexual problems EXCEPT __________.

A) depression
B) surgery
C) medication
D) medical treatment
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71
All of the following are diagnoses related to orgasm EXCEPT __________.

A) premature (early) ejaculation
B) delayed ejaculation
C) hypoactive sexual desire disorder
D) female orgasmic disorder
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72
Which of the following disorders is related to sexual arousal?

A) Erectile disorder
B) Female orgasmic disorder
C) Delayed ejaculation
D) Hypoactive sexual desire disorder
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73
Which of the following disorders is related to sexual desire?

A) Sexual interest/arousal disorder
B) Female orgasmic disorder
C) Erectile disorder
D) Delayed ejaculation
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74
Which of the following sexual problems arises only in the context of a relationship?

A) Female orgasmic disorder
B) Erectile disorder
C) Sexual desire discrepancy
D) Penetration disorder
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75
For how long must a man ejaculate within 60 seconds of penetration 75 per cent of the time in order to meet the criteria for premature (early) ejaculation?

A) 2 weeks
B) 2 months
C) 6 weeks
D) 6 months
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76
Which of the following disorders is most likely to be caused by a lack of knowledge?

A) Premature (early) ejaculation
B) Female orgasmic disorder
C) Erectile disorder
D) Dyspareunia
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77
Allison talked to a therapist about a sexual problem she is having. The therapist recommended bibliotherapy. What disorder does Allison MOST likely suffer from?

A) Female orgasmic disorder
B) Dyspareunia
C) Genito-pelvic pain/penetration disorder
D) Sexual desire discrepancy
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78
Historically, female genital pain during intercourse has been referred to as __________.

A) vaginismus
B) dyspareunia
C) peripheral neuropathy
D) hysteria
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79
Historically, female genital muscle tightening that prevents penetration has been referred to as __________.

A) vaginismus
B) dyspareunia
C) peripheral neuropathy
D) hysteria
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80
All of the following may be part of sex therapy based on guidelines set by Masters and Johnson EXCEPT __________.

A) genital touching
B) sexual intercourse
C) face touching
D) stroking breasts
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Unlock Deck
Unlock for access to all 114 flashcards in this deck.