Deck 15: Sexual Dysfunctions

Question 1

Which group of disorders involves a lack of sexual interest and/or aversion to genital sexual activity?

A)Orgasmic disorders
B)Sexual desire disorders
C)Sexual arousal disorders
D)Sexual pain disorders

Answer 1

B

Question 2

Derek and Terry have sexual dysfunctions. That is, they have difficulties

A)in becoming sexually aroused or reaching orgasm.
B)discussing their sex life.
C)attaining certain sexual positions.
D)All of the above

Answer 2

A

Question 3

Which of the following is the most accurate characterization of the incidence of sexual dysfunctions in America today?

A)Very few people experience sexual dysfunctions.
B)Virtually no men experience sexual dysfunctions, but almost half of women do.
C)Men typically report more discomfort with their sexual functioning than do women.
D)Concerns over sexual issues and possible dysfunctions are not uncommon for men or women.

Answer 3

D

Question 4

The most common psychological cause of sexual desire disorder is

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

Question 5

According to your text, which of the following is True?

A)Only women experience serious sexual problems.
B)Sexual problem, while debilitating, are rare.
C)Sexual difficulties are relatively common sources of concern.
D)One should never admit to a sexual problem; it will only make it worse.

Question 6

Persistently low or totally lacking desire for sexual activity is termed

A)sexual aversion.
B)hyperactive sexual desire.
C)dyspareunia.
D)hypoactive sexual desire.

Question 7

Which statement is True regarding low interest in sex?

A)Women with inhibited sexual desire usually have normal levels of testosterone.
B)Temporal lobe epilepsy may diminish sexual desire.
C)Anxiety is generally not associated with inhibited desire.
D)Women with a sexual desire disorder tend to be older than men with the disorder.

Question 8

The prevalence of sexual dysfunctions usually

A)is higher for men.
B)increases with age.
C)is marked by too much desire.
D)is higher for gay men and lesbians.

Question 9

Sally and Joe sometimes experience painful intercourse. They may suffer from

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

Question 10

Yolanda was raped two years ago. Since that time, she cannot engage in sexual relations with her husband or any other potential partner. Yolanda's dysfunction would be categorized as

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

Question 11

In women, a prominent cause of sexual aversion disorder is

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

Question 12

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

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

Question 13

Seth has never been able to achieve or maintain an erection during sexual relations with a partner but can do so with masturbation. Seth's dysfunction would be categorized as

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

Question 14

Sexual aversion disorder describes a person

A)with moderate interest in sex.
B)with same sex desires.
C)who finds sex disgusting or undesirable.
D)with a phobia of masturbation.

Question 15

Which of these disorders is not a sexual dysfunction?

A)Orgasmic disorder
B)Sexual pain disorder
C)Sexual absence disorder
D)Sexual arousal disorder

Question 16

The most commonly diagnosed sexual dysfunction is

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

Question 17

Jerry and Nancy have a lack of desire for intercourse. They could be experiencing

A)hormonal deficiencies.
B)depression.
C)marital dissatisfaction.
D)Any of the above

Question 18

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

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

Question 19

Vaginismus is classified as a(n)

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

Question 20

Treatment of sexual difficulties is usually based on which factors?

A)Spiritual and cultural
B)Spiritual and physical
C)Psychological and cultural
D)Psychological and physical

Question 21

A male who very occasionally has problems achieving an erection when he wants to

A)needs psychotherapy.
B)is normal.
C)should be taking Viagra every day.
D)is a likely candidate for surgery.

Question 22

Dyspareunia is

A)constriction of the vaginal opening.
B)painful contraction of the pelvic muscles.
C)painful orgasm.
D)painful coitus.

Question 23

The most common cause of female dyspareunia is

A)lack of adequate vaginal lubrication before and/or during intercourse.
B)an irregularly small vaginal opening.
C)a hymen that will not tear.
D)a partner who is not thrusting hard enough.

Question 24

Male orgasmic disorder may be caused by

A)physical problems.
B)side effects of certain drugs.
C)various psychological factors.
D)All of the above

Question 25

Which of the following is the correct term for never having reached orgasm?

A)Anorgasmia
B)Orgasmic incontinence
C)Antiorgasmia
D)Inhibited orgasm

Question 26

Marcus is able to achieve an erection by either masturbation or manual stimulation by his partner. He has no difficulty ejaculating when he masturbates, but he cannot ejaculate during intercourse. Marcus would likely be diagnosed with

A)premature ejaculation.
B)sexual arousal disorder.
C)sexual aversion.
D)orgasmic disorder.

Question 27

Male orgasmic disorder is

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

Question 28

Fear of not being able to achieve an erection may result in a man having

A)testicular swelling.
B)performance anxiety.
C)long term depression.
D)vaginismus.

Question 29

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

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

Question 30

The most commonly reported male sexual dysfunction in U.S. is

A)premature ejaculation.
B)delayed ejaculation.
C)intermittent erectile disorder.
D)sexual desire disorder.

Question 31

A man who typically has orgasms prior to penetrating his partner is said to have

A)male orgasmic disorder.
B)priaprism.
C)too many sexual fantasies.
D)premature ejaculation.

Question 32

In men, sexual arousal disorder is referred to as

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

Question 33

Vaginismus is the

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

Question 34

Women who experience sexual arousal disorder may find sex to be uncomfortable for which of the following reasons?

A)Lack of arousal can include vaginal dryness and discomfort when attempting coitus.
B)She likely has a pain disorder also.
C)She likely has a sexual aversion disorder also.
D)Her skin is likely hypersensitive to the touch.

Question 35

Which of the following is not typically considered a sexual dysfunction by women?

A)Lack of sexual desire
B)Rapid orgasm
C)Lack of orgasm
D)Lack of vasocongestion

Question 36

Performance anxiety can set the stage for a vicious cycle in which each subsequent sexual failure

A)increases anxiety.
B)evokes hostility toward one's partner.
C)leads to hypoactive sexual desire.
D)causes erectile dysfunction.

Question 37

A woman who has been sexually active for ten years and who has never reached orgasm probably has what disorder?

A)Sexual aversion disorder
B)Female orgasmic disorder
C)Hypoactive sexual disorder
D)Dyspareunia disorder

Question 38

Performance anxiety is a prominent cause of which sexual dysfunction in men?

A)Dyspareunia.
B)Secondary depression.
C)Erectile disorder.
D)Arousal disorder.

Question 39

People who focus their attention on how they are performing during sex, or consciously watching themselves instead of participating fully, are in a(n)

A)depressed state.
B)spectator role.
C)performance role.
D)anxiety role.

Question 40

The most common cause of coital pain in women is

A)vaginal infection.
B)lack of lubrication.
C)pelvic inflammatory disease.
D)penile contact with the cervix.

Question 41

Men, especially older men, need to be concerned with

A)possible drug interactions.
B)frequent flatulence.
C)taking too many vitamins.
D)avoiding aspirin.

Question 42

Physical factors, such as fatigue and lowered testosterone levels, can

A)improve erectile functioning.
B)increase male sex drive.
C)dampen sexual desire and reduce responsiveness.
D)reduce the effects of priapism.

Question 43

Narcotics can contribute to erectile disorders by

A)inflaming the arteries in the penis.
B)decreasing testosterone production.
C)decreasing the production of luteinizing hormone.
D)damaging the nerves that control erection.

Question 44

A man who is a heavy alcohol drinker may experience (due to his drinking)

A)erectile problems.
B)decreased sexual desire.
C)dyspareunia.
D)inability to ejaculate.

Question 45

Hypogonadism is treated with

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

Question 46

High cholesterol levels in men can

A)impede the flow of blood to the penis.
B)affect semen count.
C)affect semen motility.
D)improve erectile functioning.

Question 47

Alcohol has the following effect of the ability to function sexually:

A)It increases sexual desire.
B)It makes orgasm happen too quickly.
C)It provides for more intense orgasms.
D)It can inhibit erection in the male and clitoral engorgement in the female.

Question 48

Vaginismis is caused by

A)involuntary contraction of vaginal muscles.
B)poor vaginal lubrication.
C)inadequate clitoral stimulation.
D)a very clumsy partner.

Question 49

Erectile dysfunction may be tied to decreased blood flow to the penis caused by

A)diabetes.
B)high cholesterol.
C)hypertension.
D)All of the above

Question 50

As a result of taking SSRI medication to treat depression, a side effect may be

A)priapism.
B)decreased sexual desire.
C)inhibited orgasms.
D)painful genital swelling.

Question 51

Miguel has difficulty achieving erection. To determine if his dysfunction is physical or psychological, his physician will probably suggest

A)blood tests to determine his testosterone levels.
B)that he complete a number of psychological tests for anxiety and depression.
C)sleep studies to look at nocturnal erections.
D)an anti-anxiety medication.

Question 52

Treatment for a woman with vulvoynia might include

A)cold compresses.
B)local anesthetics.
C)topical creams.
D)All of the above

Question 53

Which of the following sexual problems affects many more females than males?

A)Erectile problems
B)Delayed ejaculation
C)Dyspareunia
D)Premature orgasm

Question 54

Which of the following have been linked to erectile dysfunction?

A)eating oysters
B)excessive sweating
C)NSAID pain relievers
D)multiple vitamins

Question 55

In order to determine whether or not a man has biological problems that result in erectile dysfunction, a therapist might

A)use a sexual surrogate.
B)monitor erections while the man looks at pornography.
C)see if he had erection based on the need to urinate.
D)monitor the man's erection during REM sleep.

Question 56

Sexual dysfunction with HIV infection is

A)common for men with HIV.
B)common for women with HIV.
C)common in both men and women who are HIV positive.
D)uncommon because people with HIV stop having sex.

Question 57

Recent research on the effects of SSRI antidepressants on sexual functioning suggests that

A)Some of the sexual functioning impairment experienced while taking SSRIs may not cease after stopping the medication.
B)Almost all patients who take SSRIs experience serious sexual side effects and impairment of sexual functioning.
C)The possibility of experiencing sexual side effects from SSRIs is actually quite slim.
D)Most types of SSRIs cause permanent damage to sexual functioning.

Question 58

Your text warns that vascular problems might result from the use of

A)vibrators.
B)tight briefs.
C)narrow bicycle seats.
D)futons.

Question 59

A gynecological condition characterized by chronic burning pain with irritation and soreness is

A)priaprism.
B)vaginismis.
C)vulvodynia.
D)tamponitis.

Question 60

A common condition among men which may lead to sexual dysfunction is atherosclerosis, also known as

A)high cholesterol in the blood.
B)hardening of the arteries.
C)undescended testicles.
D)high estrogen levels in the blood.

Question 61

Masters and Johnson introduced the following technique into their sex therapy:

A)sexual surrogates.
B)dual therapists, one male and one female.
C)having heterosexuals explore homosexuality.
D)assuming therapy has to probe unconscious mental issues.

Question 62

The sexual techniques that a couple uses can inadvertently lead to sexual dysfunction by

A)being overly physically taxing.
B)not involving behaviors that are pleasurable for both partners.
C)causing physical damage to the vagina.
D)focusing too much on clitoral stimulation.

Question 63

Sensate focus

A)emphasizes the sensations found in sexual intercourse.
B)redirects emphasis from sexual intercourse and focuses on sensuality.
C)is a process of self-discovery through masturbation.
D)substitutes oral sex for intercourse because it feels better.

Question 64

A professional organization that certifies sex therapists is the

A)Masters and Johnson's Institute of Sex Research.
B)American Association of Sex Educators, Counselors, and Therapists.
C)Kinsey and Associates Sex Training Institute.
D)National Institute of Certified Sex Therapists.

Question 65

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

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

Question 66

Taken alone, behavioral sex therapy techniques aim to

A)modify dysfunctional behavior as directly as possible.
B)uncover irrational beliefs that result in performance anxiety.
C)uncover unconscious conflicts that interfere with healthy sexual functioning.
D)change self-defeating beliefs and attitudes.

Question 67

All of the following are treatments of sexual aversion disorder, EXCEPT

A)biological treatments such as the use of medications to reduce anxiety.
B)psychological treatments designed to help the individual overcome the underlying sexual phobia.
C)sensate focus exercises.
D)treatment of the phobia through flooding by simulating aggressive sexual intercourse.

Question 68

According to Helen Singer Kaplan, immediate causes must interact with remote causes to produce a sexual dysfunction. Which of the following is a remote cause?

A)Performance anxiety
B)Lack of effective communication
C)Poor sexual technique
D)Unresolved guilt about sex

Question 69

When Kinsey conducted his surveys, there were

A)no effective treatments for sexual dysfunctions.
B)many treatments for sexual dysfunctions based on myths and cultural beliefs.
C)few treatments available for sexual dysfunction outside of the doctor's office.
D)treatments for most of the sexual dysfunctions.

Question 70

Today, most sex therapists have abandoned Masters and Johnson's use of

A)two therapists.
B)couples' therapy.
C)intensive residential treatment.
D)sensate focus.

Question 71

Which statement best supports the views of Kaplan for treating sexual dysfunctions?

A)Treatment is most successful with psychoanalytic techniques.
B)Treatment should combine behavioral therapy for immediate causes and insight-oriented techniques for remote causes.
C)Remote causes respond best to behavioral therapy.
D)Treatment should combine insight-oriented techniques for immediate causes and behavioral therapy for remote causes.

Question 72

Male sexual arousal disorder is also known as

A)erectile disorder.
B)penile dysfunction.
C)prostate disorder.
D)insufficient response disorder.

Question 73

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

A)reciprocal massage.
B)erotic fantasies.
C)the stop-start technique.
D)sensate focus.

Question 74

In order to legally use the title "sex therapist," most states

A)require that the individual be a licensed psychologist.
B)require certification by AASECT.
C)require that an individual be a licensed psychologist with specialized certification in sex therapy.
D)have no requirements.

Question 75

Sexual contact between a sex therapist and a client is

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

Question 76

In treating hypoactive sexual desire disorder, some therapists prescribe

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

Question 77

Which of the following are recognized as the founders of successful directed cognitive-behavioral sex therapy?

A)Masters and Johnson
B)Freud and Jung
C)Kinsey and his coworkers
D)Kaplan and her coworkers

Question 78

The attitudes and expectations that people from different cultures bring to a romantic relationship may result in

A)higher cohabitation rates.
B)higher levels of depression.
C)sexual problems.
D)higher rates of priaprism.

Question 79

When a couple experiences sexual dysfunction, a therapist may find that the sexual dysfunction is

A)a clear sign that they need a divorce.
B)the problem that, if fixed, will solve most of their relationship problems.
C)related to the relationship problems the couple is experiencing.
D)an excuse by the couple to approach a therapist for other reasons.

Question 80

Which of the following is NOT a potential psychosocial cause of sexual dysfunction?

A)Hypertension
B)Sexual orientation
C)Repressive attitudes toward sex
D)Lack of knowledge of sexual techniques