HBM 07b: Sexuality Flashcards

1
Q

Klinefelter’s syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.

A

X = XXY

Male phenotype

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2
Q

Turner’s syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.

A

X = XO

Female phenotype

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3
Q

Androgen insensitivity syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.

A

X = XY

Female phenotype

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4
Q

Congenital adrenal hyperplasia has (X) genetic nomenclature and (male/female/neither) phenotype.

A

X = XX

Male phenotype as infants; female phenotype as adolescents

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5
Q

T/F: Gender identity is nearly identical to sexual identity.

A

False

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6
Q

Average age at sexual debut.

A

17 y.o.

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7
Q

(X)% of HS grads haven’t had sex.

A

X = 50

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8
Q

(X)% of college grads haven’t had sex.

A

X = 25

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9
Q

Kinsey scale/spectrum of (X). 0 means (Y). 6 means (Z).

A
X = sexual orientation
Y = exclusively heterosexual
Z = exclusively homosexual
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10
Q

T/F: Older adults have sexual intercourse until about 70 years old.

A

False - even over 70 y.o.

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11
Q

List the different categories of contraception.

A
  1. Barrier
  2. Hormonal
  3. Implanted
  4. Surgical
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12
Q

List phases of sexual response cycle

A
  1. Desire
  2. Excitement
  3. Plateau
  4. Orgasm
  5. Resolution
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13
Q

What happens in “desire” phase of sex response cycle?

A

Thoughts, fantasies

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14
Q

What happens in “excitement” phase of sex response cycle?

A

Physical changes (lubrication, erection)

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15
Q

What happens in “plateau” phase of sex response cycle?

A

More physical changes, like excitement phase, plus male secretion of fluid

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16
Q

What happens in “orgasm” phase of sex response cycle?

A

Rapid muscle contractions and ejaculation

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17
Q

What happens in “resolution” phase of sex response cycle?

A

HR and BP return to normal; men are refractory

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18
Q

What are some potential issues in “desire” phase of sex response cycle?

A
  1. Hypoactive desire

2. Sexual aversion disorder

19
Q

What are some potential issues in “excitement” phase of sex response cycle?

A
  1. Erectile dysfunction

2. Female sex arousal disorder

20
Q

What are some potential issues in “plateau” phase of sex response cycle?

A

Premature ejaculation

21
Q

What are some potential issues in “orgasm” phase of sex response cycle?

A
  1. Female and male orgasmic disorder

2. Retrograde ejaculation

22
Q

What’s retrograde ejaculation?

A

Entry of semen into the bladder instead of going out through the urethra

23
Q

What are some potential issues in “resolution” phase of sex response cycle?

A

There are none..

24
Q

List the common sex issues in primary care. In parenthesis, put M/F, depending on gender that presents with these issues.

A
  1. Low sex desire (M/F)
  2. Vaginismus (F)
  3. Dyspareunia (F)
  4. Erectile dysfunction (M)
  5. Premature ejaculation (M)
25
What's Dyspareunia?
Painful or difficult sexual intercourse
26
What's vaginismus?
Painful spasmodic contraction of the vagina (in response to physical contact or pressure)
27
Midlife/relationship issues are risk factors for which sex issue?
Low sexual desire
28
SSRIs, along with which other medication, are risk factors for (X) sex issue?
SSRIs and beta blockers; | X = low sex desire and erectile dysfunction
29
List some risk factors for vaginismus.
1. Anxiety 2. Few partners 3. History of abuse
30
Depression is a risk factor for which specific sex issue?
Low sex desire
31
List some risk factors for dyspareunia.
Medical conditions
32
Diabetes is a risk factor for which sex issue?
Erectile dysfunction
33
T/F: Anxiety is a risk factor for premature ejaculation.
True
34
Couples therapy is a beneficial treatment for which sex issue?
Low sexual desire
35
Viagra is used to treat:
Erectile dysfunction
36
SSRIs are used to treat which sex issue?
Premature ejaculation
37
Which class of drugs decrease libido?
SSRIs, beta blockers, other BP meds
38
Which class of drugs increase libido?
Dopamine (i.e. L-Dopa)
39
Which class of drugs responsible for erectile dysfunction?
SSRIs, beta blockers, BP meds, antipsychotics
40
Which class of drugs cause vaginal dryness?
Antihistamines, anticholinergics
41
Which class of drugs cause anorgasmia?
SSRIs
42
Most common STDs:
HPV, herpes, gonnorrhea, chlamydia
43
STDs passed via body fluids:
HIV, Hep B and C