Module 2 Practice Questions

Question 1

You’re preparing to perform a gynecologic exam on a 24 year-old woman and she begins to cry. She tells you “I’ve never been able to go through with a pelvic exam before.” Upon further questioning, she tells you that she also isn’t able to have sexual intercourse with her boyfriend because “no matter how much I try to relax, he just can’t put his penis inside me.” The best management approach for this patient will most likely include:

Answer 1

Progressive muscle relaxation exercises

Question 2

A 28 year-old woman whose depression is being treated with fluoxetine (Prozac) reports a decrease in libido. Of the following management approaches, which is the most appropriate?

Answer 2

Adding buproprion (Wellbutrin) to her medication regimen

Question 3

A woman is most likely to be diagnosed with vulvar vestibulitis if she:

Answer 3

Has burning pain with intercourse but penetration is possible.

Question 4

Describe Hypoactive sexual interest/desire disorder

Answer 4

Absent or diminished feelings of sexual interest or desire

Question 5

Describe Sexual arousal disorder

Answer 5

Absent or impaired genital sexual arousal and/or feelings of sexual arousal

Question 6

Describe Women’s orgasmic disorder

Answer 6

Lack of orgasm despite sexual arousal

Question 7

Describe dyspareunia

Answer 7

Pain on vaginal entry

Question 8

T/F: Dyspareunia can lead to other types of sexual dysfunction.

Answer 8

True

Question 9

What can cause dyspareunia?

Answer 9

Vaginismus, Allergic reactions, Vulvar vestibulitis, Endometriosis,Chronic vaginitis, Atrophic vaginitis

Question 10

T/F: Atrophic vaginitis may be caused by low estrogen levels during lactation.

Answer 10

True

Question 11

Give an example of appropriate questions to ask all women entering your practice:

Answer 11

-Do you have sex with men only, women only, or women and men both?
-How do you protect yourself from sexually transmitted infection?

Question 12

T/F: Lesbian women never have sex with men.

Answer 12

False

Sexual orientation and sexual behavior are not always 100% congruent. How someone identifies and what they do sexually may not always align in every case. Thus, asking the question “do you have sex with men, women, or both?” is useful because it addresses behavior and not orientation/identity.

Question 13

T/F: Lesbian women are not at risk of contracting a sexually transmitted infection.

Answer 13

False

While women who have sex with women are at a lower risk of contracting a sexually transmitted infection than women who have sex with men, they can still do so. In addition, many lesbian women have had sex with a male at some time in their history.

Question 14

T/F: Lesbian women do not need to have Pap smears.

Answer 14

False

Question 15

T/F: Women who have sex with women may avoid health care because they fear disapproval from providers or staff.

Answer 15

True