Human Sexuality

Front 1

Define M1 & 2 of Female Breast Tanner scale

Back 1

M1-(preadolescent)- only nipple raised above level of breast, as in child

M2-(budding stage)- bud shaped elevation of areola, areola increased in diameter and surrounding area slightly elevated

Front 2

Define M3 & 4 of the female breast tanner scale

Back 2

M3- breast + areola bigger; no contour separation

M4- increased fat deposits; areola forms secondary elevation above that of the breast; secondary mound occurs in 1/2 of all girls & in some cases persists to adulthood

Front 3

Define M5 of female breast tanner scale

Back 3

M5- (adult stage) areola part of general breast contour; strongly pigmented areola; nipple projects.

Front 4

Describe P1 & 2 of the female pubic hair tanner scale

Back 4

P1- (preadolescent) no growth of pubic hair

P2- initial scarcely pigmented, straight hair, especially along medial border of labia

Front 5

Describe P3 & 4 of female pubic hair tanner scale

Back 5

P3- Sparse, dark visibly pigmented curly hair on labia

P4- hair course & curly, abundant but less than adult

Front 6

Describe P5 & 6 of female pubic hair tanner scale

Back 6

P5- lateral spreading, triangle spread of adult hair to medial surfaces of thigh

P 6- further extension laterally, upwards, or dispersed(10%)

Front 7

Describe G1 & 2 of Male genital tanner scale

Back 7

G1- testes, scrotum, & penis same size & shape as young child

G2- Bigger scrotum & testes; scrotal skin redder; descent of scrotum

Front 8

Describe G3 & 4 of the male genital tanner scale

Back 8

G3- bigger penis, especially in length; bigger testes; descent of scrotum

G4- (not quite adult)- bigger penis; sculpturing of glans; increase pigmentation of scrotum

Front 9

Describe G5 of male genital tanner scale

Back 9

G5- (adult stage) scrotum ample; penis reaching nearly to bottom of scrotum

Front 10

Describe P1 & 2 of male pubic hair tanner scale

Back 10

P1- (preadolescent)- no growth, hair no different from that of the abdoment

P2- slightly pigmented, longer, straight hair, still downy; at base of penis, sometimes on scrotum.

Front 11

Describe P3 & P4 of male pubic hair on tanner scale

Back 11

P3- Dark, definitely pigmented, curly around base of penis

P4- adult in type but not in extent(no further inguinal fold)

Front 12

Describe P5 & 6 of pubic hair male tanner scale

Back 12

P 5- (adult distribution) hair spread to medial surface of thigh, not upwards

P6- spreads along linea alba(80% of men)

Front 13

SMR

Back 13

sexual maturity rating

Front 14

onset of puberty for girls

Back 14

M2 or P2(whichever comes first)

Front 15

Completion of puberty in girls

Back 15

M4 or P5

Front 16

Menarche usually occurs?

Back 16

SMR4 or M3-4

Front 17

Peak high velocity in girls

Back 17

within year before menarch; higher bmi or rate change between 3-6 (earlier onset maturity); breast/pubic hair development before age 6(black) & 7(white) is abnormal

Front 18

Onset of puberty for males

Back 18

age, height spurt; G comes before P

Front 19

Ejaculation in males

Back 19

SMR3

Front 20

Semen

Back 20

SMR3-4

Front 21

Peak height velocity:

Back 21

13.5 y/o

Front 22

development of genitals or pubic hair before 9

Back 22

abnormal

Front 23

List phases of human sexual response cycle(master & johnson)

Back 23

Excitement--> plateau--> orgasm--> resolution

Front 24

list phases of human sexual response cycle(DSM-IV)

Back 24

Desire--> excitement--> orgasm--> resolution (no plateau)

Front 25

Describe the characteristics of orgasm according to DSM-4?

Back 25

forcible expulsion of seminal fluid; contractions of uterus & vagina; contractions of anal sphincter(both sexes); further increase in pulse, BP, & respiration(both sexes)

Front 26

hypoactive sexual desire

Back 26

decreased interest in sexual activity; may be normal variation in desire

Front 27

sexual aversion disorder

Back 27

aversion to and avoidance of sexual activity

Front 28

orgasmic disorder

Back 28

(more women than men) Lifelong: no previous orgasm; Acquired: current inability to achieve orgasm despite adequate genital stimulation

Front 29

two female sexual dysfunctions

Back 29

female sexual arousal disorder: inability to maintain vaginal lubrication until sex act is complete(20% of women)

Vaginismus: painful spasm of outer third of vigina

Front 30

List Male only sexual disorders

Back 30

male erectile disorder(impotence)
premature ejaculation
dysparunia

Front 31

describe male erectile disorder

Back 31

lifelong: never had erection

acquired or secondary: (most common of all disorders in male) inability to maintain erection

Situational(common)- difficulty maintaining erections at diff. times

Front 32

Describe premature ejaculation

Back 32

ejac. before man would prefer; short or absent plateau phase; accompanied by anxiety; second most common sex disorder in males

Front 33

describe dyspareunia

Back 33

persistent pain with sexual intercourse; much more common in women

Front 34

Causes of PID?

Back 34

gram neg rods(e.coli), anaerobic bacteria; gram positive cocci; clamydia and gonnorrhea cause 70% of cases

Front 35

pathway of infection

Back 35

cervicitis--> endometriosis, salpingitis, peritonitis

Front 36

syphilis infectious route?

Back 36

lymph to rest of the body

Front 37

incubation for syphilis

Back 37

10-90 days

Front 38

primary stages of syphilis infection include?

Back 38

chancre- lesion on genitals, painless, highly infectious, heals on its own in 1-6 weeks; regional lymphadenopathy, rubbery, painless & bilateral

Front 39

secondary stages of syphilis infection include

Back 39

rash central body hands & feet; lymphadenopathy, malaise, mucous pathces, condylomata lata(moist heaped warts); alopecia, liver & kidney involvement

Front 40

latent stages of syphilis infection

Back 40

Suppressed active lesions; cranial nerve 3, 6, 7, & 8; ocular involvment, gummatous lesions(sarcoma mimic) cardiovascular syphilius, Children- hutchinson incisors(screwdriver shaped incisors)

Front 41

lactobacteria dominate? characteristics?

Back 41

normal flora of the vagina; convert glucose to lactic acid, maintain acidic environment; produce H2O2

Front 42

Name different most common vaginitis in order?

Back 42

bacterial vaginosis> vulvovaginal candidiasis> trichomoniasis

Front 43

characteristics of bacterial vaginosis

Back 43

caused by disruption of normal flora; reoccurence is common, increased absence of lactobacilli; maloderous vaginal discharge common after sex & menstration; most asymptomatic

Front 44

pathogenic organisms associated with bacterial vaginosis

Back 44

haemophilis spp, garderella vaginalis, bacteroides, mycoplasma hominis.

Front 45

vulvovaginal candidiasis characteristics(yeast infection)

Back 45

candida albicans, present in normal flora, occurs w/ disruption of normal flora(diabetes, preg., HIV, antibiotics; thick white clumpy cottage cheese, dysuria, dysparenuria.

Front 46

trichomoniasis characteristics

Back 46

sexually transmitted, associated w/ pregnancy membrane bursting; frothy/grey discharge, not painful

Front 47

trichomoniasis organism?

Back 47

trichomoniasis vaginalis, flagellated, anaerobic protozoa, only protozoa that infects vagina

Front 48

HSV-1 causes what type of lesions

Back 48

can cause cold sores or genital lesions

Front 49

HSV-2 lesions?

Back 49

genital

Front 50

How long does HSV virus last?

Back 50

lifelong

Front 51

most likely to be transmitted from?

Back 51

male to female

Front 52

incubation period?

Back 52

2-12 days, most likely transmitted during outbreak

Front 53

HSV microbial characteristics?

Back 53

enveloped double stranded, DNA; enters nerve cells along axon to cell bodies in sacral ganglia

Front 54

HSV reactivated by?

Back 54

UV light, stress, trauma, fever

Front 55

90% of people?

Back 55

have antibodies and are not diagnosed yet

Front 56

describe the types of first clinical infections(initial symptomatic occurence

Back 56

Primary infection- no serum antibodies present, disease more severe

Non-primary- previous seropositive to other infection type, symptoms not as severe.

Front 57

describe reoccuring symptomatic infection

Back 57

outbreak, mild & short

Front 58

describe asymptomatic infection

Back 58

antibodies preasent but no outbreaks known(2/3 of patients under this category)

Front 59

Describe characteristics of primary infections

Back 59

lasts 11-12 days, heals 17-20 days; virus sheds for 12 days; papules-->vesicles-->pustules-->ulcers-->crusty-->healed; 70-90% cervicitis; urethritis-clear discharge

Front 60

describe characteristics of reoccuring infections

Back 60

prodromal symptoms-tingling, burning 12-24hrs before lesions; symptoms last 4-6 days; viral shedding 4 days;4.5 avg. outbreaks per year.

Front 61

what is a complication of HSV?

Back 61

aseptic meningitis, occurs in women more than men

Front 62

what is the most transient and asymptomatic STD?

Back 62

HPV

Front 63

Nearly 50% of population will have______ by the time they die?

Back 63

HPV

Front 64

Characteristics of HPV virus?

Back 64

double stranded DNA w/ capid protein

Front 65

HPV infection symptoms

Back 65

condylomata acuminata(cauliflower appearance); smooth papules; flat papules; keratotic warts

Front 66

ASC-H

Back 66

atypical squamous cell from high risk HPV, associated with cancer

Front 67

60% of asymptomatic PID is associated with?

Back 67

chlamydia

Front 68

syphilis microorganism?

Back 68

treponema pallidum

Front 69

Micro characteristics of syphilis?

Back 69

corkscrew shaped, motile, cannot be cultured, travels to lymph and then to rest of body

Front 70

Copper T intrauterine device(IUD)

Back 70

T shaped device, inside uterus, stays up to 10 years, 99% effective

Front 71

Levonorgestrel intrauterine tube(Mirena)

Back 71

releases progestin each day, within uterus, stays up to 5 years, less menorrhagia & dysmenorrhea, low risk of PID, 99% effective

Front 72

Hormonal implant(implanon)

Back 72

rod under skin of upper arm, releases progestin over 3 yr period, 99% effective

Front 73

hormonal injection(projestin)

Back 73

shots in the ass/arm every 3 months, 94-99% effective

Front 74

Combined oral contraceptives(estrogen+ projestin)

Back 74

the pill, not indicated >35 yrs or smokers, blood clotters, or breast cancer, 91-99% effective.

Front 75

progestin only pill(mini pill)

Back 75

91-99%

Front 76

Hormonal patch(Ortho evra)

Back 76

lower abdomen, ass or upper body(not on titties), release progestin & estrogen into bloodstream, new patch once a week for 2 wks, 91-99% effective

Front 77

Hormonal vaginal contraceptive ring(NuvaRing)

Back 77

ring in vag., 3 weeks & taken out week of period, 91-99% effective

Front 78

Emergency contraception

Back 78

up to 5 days after sex with no jimmies,

Front 79

Female condome

Back 79

79-95% effective

Front 80

Diaphragm or cervical cap

Back 80

84-94% effective

Front 81

Spermicides

Back 81

72-82% effective

Front 82

Ntural family planning or fertility awareness

Back 82

75-95% effective

Front 83

Tubal ligation

Back 83

99% effective

Front 84

trancervical sterilization

Back 84

tube in fallopian tube, scar tissue, need another form of BC in the meantime, permanent, safe, 99% effective

Front 85

Male sterilization

Back 85

Takes 12 wk for sper count to drop to zero, 99% effective