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53 Cards in this Set
- Front
- Back
Defining feature of this disorder is aversion to and active avoidance of sexual situations, with fear and anxiety
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Sexual aversion disorder
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T or F: Persons with sexual aversion disorder do not necessarily lack all sexual desire, although in many cases they do.
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TRUE
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T or F: Persons with sexual aversion disorder often develop avoidance behaviors
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TRUE
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What are major etiologic theories to sexual aversion disorder
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Rigid upbringing, sexual trauma, intercourse associated w/ pain, chronic unresolved anger in a relationship
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T or F: boundary between female sexual arousal disorder and female hypoactive sexual desire disorder is clear
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False: blurred
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T or F: women are less dramatically reactive to sexual arousal disorder than men are to erectile failure
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TRUE
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Women are less subject to performance pressure than men and manage sexual arousal disorder by what methods
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sexual avoidance and use of lubricants
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Atrophic vaginitis results from what deficiency
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Estrogen
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T or F: androgen-deficiency states can impair arousal, desire, and orgasm in women
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TRUE
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Conditions such as diabetes, MS, alcoholic neuropathy, head trauma, or CVA affect which substrate of sexual function
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Neurologic
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How do antihistamines, ephedrine, anticholinergic drugs, and some antipsychotics affect female sexual arousal
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They lessen lubrication
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How are estrogen-deficiency states treated
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HRT or estrogen containing creams or suppositiories
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If estrogen is contraindicated, how can you treat sexual arousal disorder in women with estrogen-deficient states
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Other vaginal creams and lubricants
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What is the name of the male counterpart of female sexual arousal disorder
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Erectile dysfunction
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What characterizes generalized and lifelong erectile dysfunction
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Never, under any circumstances having attained an erection
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What characterizes acquired and situational erectile dysfunction
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Hx of globally good function but now canno function with a particular sexual partner
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T or F: erectile dysfunction can be gradual or sudden in onset
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TRUE
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T or F: typical case of male erectile disorder may involve two or more psychological, medical, pharmacologic, or situational factors
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TRUE
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Numerous psychosocial and situational factors such as anger at a partner, stress, fatigue, excessive alcohol consumption can lead to to what sexual disorder
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Psychogenic male erectile disorder
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Endocrine imbalance such as testosterone deficiency or severe hyperprolactinemia may lead to what sexual disorder
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Male erectile disorder
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T or F: Vascular and neurologic etiologies are less common in precipitating male erectile dysfunciton than endocrine problems
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False: More common
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What vascular problem is a common causal factor of male erectile dysfunction
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Arteriosclerosis affecting the central pelvic arteries
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Excessive outflow of blood from the penis through an imprecisely understood process is referred to as ____
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Venous leak
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What medical condition is most commonly implicated in the etiology of male erectile disorder
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Diabetes
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What are the two mechanisms by which diabetes impaires sexual function in men
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Peripheral neuropathy and vascular deterioration
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T or F: although with acute use of ETOH, pt may initially report an enhanced ability to become aroused, there is a clear dose-related negative impact on erectile function
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TRUE
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Chronic ETO use leads to an increased incidence of male erectile disorder, through what 2 mechanisms
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Peripheral neuropathy and impaired endocrine function
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Is nicotine a vasoconstrictor or vasodilator and what impact does it have on erectile function
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Vasoconstrictor, negative impact on erectile function
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Acutely, in low doses, do cocaine and amphetamine have a positive or negative impact on sexual arousal
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Positive
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T or F: erectile dysfunction is a potential side effect of antihypertensive agents
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TRUE
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What H-2 blocker has a well-established association with male erectile disorder
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Cimetidine
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What antidepressant has been reported to increase sexual interest and to enhance erection, with priapism being its most serious side effect
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Trazodone
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Screening for this disease will help detect the small number of patients for whom erectile dysfunction is the initial presenting symptom
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Diabetes
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Nocturnal penile tumescence measurement can be useful in differentiating which two etiologies of erectily dysfunction
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Organic and psychogenic
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This drug works by inhibiting the action of phosphodiesterase-5, which breaks down guanosine monophosphate, critical to the enhancement of penile blood flow during erection
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Sildenafil
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T or F: sildenafil is effective in men with mild to moderate psychogenic erectile disorder and in some cases of erectile disorder with organic etiology
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TRUE
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T or F: sildenafil enhances sexual desire
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False: does NOT enhance sexual desire
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How are vasodilating drugs such as: Papaverine, phentolamine, and prostaglandin E administered
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Self injection into the corpora cavernosa
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Externally applied vacuum device is a type of treatment for what disorder
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Erectile dysfunction
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Sildenafil may lead to sig loss of blood pressure in men taking what other drug
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Nitroglycerin
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Exposure of one's genitals to an unsuspecting stranger is termed
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Exhibitionism
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T or F: victim's reaction, or the exhibitionist's fantasy of that reaction plays a major role in his sexual satisfaction
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TRUE
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Sexual fantasies involving nonliving objects, often articles of women's clothing is termed
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Fetishism
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Touching and rubbing against a nonconsenting person, often in crowded public places is termed
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Frotteurism
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Sexual activity with a prepubescent child, generally under 13 y/o is termed
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Pedophilia
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T or F: a person must be at least 16y/o and at least 5 yrs older than the child affected to be diagnosed as a pedophile
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TRUE
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Sexual arousal due to act(real, not simulated) of being humiliated, beaten, bound, or otherwise made to suffer is termed
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Sexual Masochism
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Sexual acts (real, not simulated) in which the psychological or physical suffering of a victim is sexually exciting to the person is termed
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Sexual sadism
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Cross dressing is termed
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Transverstic fetishism
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What is a term for a cross dresser who has persistent discomfort with his assigned gender role
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Gender dysphoria
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T or F: men with transvestic fetishism may wear concealed articles of female clothing throughout the day
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TRUE
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Observing an unsuspecting person who is naked or in the process of disrobing or engaging in sexual activity is termed
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Voyeursim
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T or F: in voyeurism, the act of looking is the source of sexual arousal and no sexual contact with the person observed is sought
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TRUE
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