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7 Cards in this Set
- Front
- Back
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A 38 yo man presents to his family physician complaining that he has had no interest in sex for the past 4 months. There have been no significant changes in his life circumstances in the past year (e.g. divorce, death in the family, loss of job). With no additional info, what is the most likely cause of this pts loss of interest in sex?
A) Generalized anxiety disorder B) major depressive episode C) paranoid schizophrenia D) personality disorder E) sexual aversion disorder |
B) major depressive episode
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A 47 yo woman presents to her primary care physician complaining of pain during intercourse. The pain has become increasingly problematic over the last 6 mo. What should be the first item in the DD?
A) Atrophic vaginits B) dyspareunia C) major depression D) Somatization disorder E) vaginismus |
A) Atrophic vaginits
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A 25 yo man is brought to the ER by the police. He has been rubbing his penis against unsuspecting young women in the subway. He was apprehended by the police and became suicidal, saying that his arrest would ruin his job and his relationship with his family. What is the dx?
A) Frotteurism B) Major depression C) Paraphilia NOS D) Pedophilia E) Voyeurism |
A) Frotteurism
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A 30 yo man presents with a 15 year hx of dressing in women's clothing in order to become sexually aroused. He reports being comfortable with his male gender identity. What is the most likley diagnosis?
A) gender dysphoria B) Gender identity disorder C) Paraphilia D) Transsexualism E) Transvestic fetishism |
E) Transvestic fetishism
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Which one of the following reactions is assciated with the plateau phse of sexual response
A) erection of the penis begins B) The refractory period occurs C) The breast enlarge in size D) the clitoris retracts E) The testicles descend |
D) the clitoris retracts
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Match each of the behavioral effects with the corresponding substance
A) Dopamine B) Estrogen C) Progesterone D) Prolactin E) Testosterone 6. Inhibits prolactin secretion 7. In high lvls, inhibits sexual interest and performance 8. Is responsible for inducing asymmetric fetal brain development 9. Is necessary for the normal development of both male and female brains 10. In low lvls is associated with the postpartum "blues" |
6. Inhibits prolactin secretion; A) Dopamine
7. In high lvls, inhibits sexual interest and performance; D) Prolactin 8. Is responsible for inducing asymmetric fetal brain development; E) Testosterone 9. Is necessary for the normal development of both male and female brains; B) Estrogen 10. In low lvls is associated with the postpartum "blues"; C) Progesterone |
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Match the possible effects with the corresponding medication or other substance most likely responsible for the effect
A) Alcohol B) Amoxapine C) Antihypertensive D) Serotonin reuptake inhibitor E) Trazodone 11. increased time to ejaculation 12. dyspareunia 13. priapism 14. testicular atrophy with long term use 15. decreased erectile function in males |
11. increased time to ejaculation; D) Serotonin reuptake inhibitor
12. dyspareunia; B) Amoxapine 13. priapism; E) Trazodone 14. testicular atrophy with long term use; A) Alcohol 15. decreased erectile function in males; C) Antihypertensive |
