87. Sex (28%)

Question 1

Name conditions with higher risk for sexual dysfunction (3)

Answer 1

• post-MI
• diabetes
• use of certain medications (Antidepressants, antipsychotics, blood pressure medications)

Question 2

Ask about sexual health and function, in a sensitive manner, when
appropriate. Name exampels of situations

Answer 2

• In conditions with higher risk for sexual dysfunction (e.g., post-MI, diabetes, use of certain medications)
• Throughout life cycle transitions (e.g., adolescence, pregnancy, menopause, andropause)
• Not assuming sexual inactivity within specific populations (e.g., people with disabilities, seniors, singles)

Question 3

With a patient (especially adolescents or those in vulnerable
situations) presenting with a concern about sex or sexuality
explicitly discuss what?

Answer 3

confidentiality.

Question 4

In a patient presenting with sexual dysfunction, perform a thorough assessment including what ? (6)

Answer 4

• specific systems
• mental health
• alcohol and substance use
• relationship factors and impacts;
• medication
• sexual history, including positive and negative experiences

Question 5

When caring for a patient with gender or sexuality-related
concerns, consider what ?

Answer 5

• a) Take opportunities to destigmatize gender and sexuality-related concerns (e.g., using the person’s preferred pronoun, using terms such as partner instead of boyfriend)
• b) Identify and recognize your own biases, manage them, and ensure the patient receives apprc) Differentiate between sexual orientation, gender identity, and sexual function
• d) Refer the patient to appropriate specialty care when indicated
• e) Inform the patient about available community resourcesopriate care
• c) Differentiate between sexual orientation, gender identity, and sexual function
• d) Refer the patient to appropriate specialty care when indicated
• e) Inform the patient about available community resources
• e) Inform the patient about available community resources

Question 6

When performing a physical examination that triggers an unexpected response, what to do ? (4)

Answer 6

• a) Acknowledge the response
• b) Stop the examination
• c) Discuss the response in a sensitive manner, respecting the dignity of the patient
• d) Decide on next steps together with the patient