Lecture 4 Flashcards

1
Q

What are masters and Johnsons 4 stages of sexual response

A

Excitement
Plateau
Orgasm
Resolution

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2
Q

What are the two basic physiological processes that occur during masters and johnsons 4 stages?

A

Vasocongestion (blood engorgement)

Myotonia (muscular tension)

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3
Q

Erection is male phase 1. The blood rushes into…..

A

Cavernous bodies

Spongy body

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4
Q

What is the main vein that drains the blood from the penis and brings it back to the brain

A

Dorsal vein

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5
Q

(1)What controls the diameters of the blood vessels/arteries of penis

A

Smooth muscles

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6
Q

(1) Which state must you be in to have an erection?

A

Parasympathetic (so that your smooth muscles dilate)

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7
Q

Which hormone is responsible for sexual desire in both men and women ?

A

Testosterone

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8
Q

Viagra inhibits

A

PDE5 inhibitors … helps maintain the blood engorgement

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9
Q

In the excitement phase, what happens to the testes and scrotum

A

Testes elevate towards perenium

Skin of scrotum tenses, thickens and elevates

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10
Q

What are the 2 highways to an erection

A

Touch receptor

Conscious control

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11
Q

What are other situations that produce erections

A
Morning wood
Sports 
General anesthetic
Asphyxiation 
Pre-pubescent boys
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12
Q

During plateau stage for men, engorgement is becoming more accentuated. What happens to the glans, cowpers glands and scrotum

A

Penile glans colour depens
Cowper glans secrete “pre cum”
Scrotum thickens

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13
Q

What are the 2 steps to ejaculation

Orgasm phase

A

Emission phase

Expulsion phase

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14
Q

In emission phase, you want internal sphincter of prostate to close. Why?

A

Accumulation of secretion into ejaculatory duct

70% comes from seminal vesicles whereas 30% comes from prostate

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15
Q

What happens if there’s damage to internal sphincter of the prostate?

A

Retrograde ejaculation

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16
Q

When during emission phase are you at the point of no return?

A

When external sphincter closes

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17
Q

What happens during expulsion phase, also known as true orgasm phase

A

External sphincters open and close and base of penis contracts

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18
Q

What happens during resolution phase

A

All blood brough back to heart

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19
Q

What is the refractory period?

A

Men cannot get another erection. Depends on age

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20
Q

What happens during excitement phase for females

A

Vasocongestion of clitoris and outer labia and inner labia

Uterus starts to elevate up and away from vagina

Lubrication

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21
Q

What is the female equivalent to erection

A

Lubrication

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22
Q

What happens during plateau phase for females

A

Inner 2 thirds of vagina expands and lengthens
Clitoris disappears
Entrance of vagina becomes narrower thanks to orgasmic platform

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23
Q

What contracts during orgasm phase for females

A

Uterus, orgasmic platform, anal sphincter

24
Q

What does multiorgasmic mean

A

Women can experience another orgasm very quickly after another one without having to go back to baseline

25
Q

What percent of women need clitoral stimhlatiknto trigger orgasm

A

75%

26
Q

Who coined the g spot

A

Dr. Graffenberg

27
Q

G spot is not a spot. It’s a region which contains ______

A

Skene glans (paraureuthral glans)

28
Q

What is homologous to the prostate

A

Skene glans

29
Q

Smaller quantities of squirt are believed to be from _____ (composition of PSA)
Whereas larger quantities of squirt are believe to come from _____

A

Skene glands

Bladder

30
Q

The g spot could be seen as a part of

A

Clitoral complex

31
Q

What is the best position to orgasm

A

Any position allowing access to clitoris stimulation

32
Q

Kaplans triphasic model is what kind of model

A

Cognitive physiological model

33
Q

What are the 3 steps in kaplan’s triphasic model

A

Sexual desire
Vasocongestion (excitement)
Muscular contractions (orgasm)

34
Q

What are 3 bacterial stis

A

Chlamydia
Gonorrhea
Syphilis

35
Q

What is the main prevention for bacterial stis

A

Condoms

36
Q

What are the most common main routes of transmission for bacterial stis

A

Penile vaginal and penile anal

37
Q

What is the highest prevalent reportable STI in Canada?

A

Chlamydia

38
Q

What are the main consequences from chlamydia and gonorrhea for women?

A

PID that can spread to Fallopian tubes and uterus and cause infertility

39
Q

What is diagnosis of chlamydia and gonorrhea

A

Swab or urine sample

40
Q

Who has the highest incidence of chlamydia

A

Heterosexual males and females aged 20-24

41
Q

What are the consequences of chlamydia in men?

A

Can cause epidymitis (swelling and redness of scrotum) which can lead to urethritis and cause infertility

42
Q

What is treatment of chlamydia

A

Oral antibiotics

43
Q

What are symptoms of chlamydia

A

Usually ashmptomatic or minimal symptoms (mild discharge)

44
Q

What are symptoms or gonorrhea

A

Pus like yellowing green discharge

Throat pain

45
Q

Ghonorrea is highest among

A

Cnd men who have sex with men or travellers

46
Q

What is consequence of gonorrhea to men?

A

Rarely, untreated can enter blood stream and affect joints; skin and tissues surrounding organs

47
Q

What is the treatment for fhonorrea

A

Oral or injectable antibiotics

Injectable used if present in pharynx or consequences happen

48
Q

Syphilis is not common in general population. What is the diagnosis

A

Blood test to detect antibodies

49
Q

What is primary syphilis

A

Swelling of lymph nodes and painless ulcers

Usually subsides in 3 weeks

50
Q

What’s secondary syphilus

A

Rash on hands, sole of feet and trunk. May also include legions, fever ….

51
Q

What is Tertiary syohilis

A

Affects blood vessels, heart, eyes and sensory/brain damage

Heightens risk of HIV

52
Q

What is treatment of syphilis

A

Injected penicillin (diffused through brains membrane)

53
Q

What are 4 viral STIS

A

Herpes, HPV, HIV, Viral hepatitis

54
Q

Herpes has higher prevalence in

A

Women

55
Q

What is the most prevalent on reportable STI in Canada

A

HPV

56
Q

What is the route of transmission of HPV

A

Skin to skin