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3A GH > Sexual > Flashcards

Sexual Flashcards

1
Q

define vaginismus

A

persistent involuntary tightening of muscles around the vagina whenever penetration is attempted

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2
Q

sexual aversion disorder

A

persistent extreme aversion to genital sexual contact with a partner

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3
Q

hypoactive sexual desire

A

absence of sexual fantasies /desire for sexual activity

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4
Q

DSM diagnostic criteria for sexual dysfunction

A

A. persistent deficiency of part of the sexual response cycle, OR pain.

B. Causes marked distress / interpersonal difficulty

C. not better accounted for by other disorder/ drug

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5
Q

define paraphilia

A

abnormal sexual desires

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6
Q

in what 3 ways can physical illness impact on a patient sexually and give examples of each

A
  1. physical - vascular/neuro/immobility/fatigue
  2. psychological - carer role/ self esteem/ risk e.g. MI
  3. treatment - drugs/ surgery
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7
Q

define transsexualism

A

person who had genitalia/secondary sexual characteristics of one gender, but identifies psychologically as the other

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8
Q

name the 4 types of couple therapy

A

CBT [sensate focus]
psychodynamic
systemic
integrative

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9
Q

list 8 causes of erectile dysfunction

A 
DM
HTN
peripheral vascular disease/atherosclerosis
anxiety
parkinsons
MS
spinal cord injury
age
smoking
hypothyroid
antidepressants
alcohol
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10
Q

management options for erectile dysfunction

A 
remove causative agent (smoking/drugs/alcohol)
therapy
viagra [sildenafil]
vacuum device
intracavernosal injection alprostadil
intraurethral alprostadil
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11
Q

management of premature ejaculation

A

psychosexual therapy
kegels
dapoxetine (SSRI)
topical lidocaine spray

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12
Q

post menopausal sexual dysfunction managements

A

psychotherapy/ sensate focus
lubricants
local vaginal oestrogen cream
pelvic floor exercises

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13
Q

vulvodynia

A

persistent, unexplained pain in the vulva

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14
Q

blood tests in sexual problem investigation

A 
cholesterol
blood glucose
testosterone/prolactin/oestrogen
sex hormone binding globulin
TSH
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15
Q

causes of Hypoactive sexual desire disorder

A 
obesity
anaemia
DM
CVD
hyperprolactinaemia
androgen deficiency
hypothyroid
antidepressants/COCP/HRT
psychological
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16
Q

causes of premature ejaculation

A

Penile hypersensitivity
Hyperthyroid
anxiety

17
Q

chlamydia Tx

A

Azithromycin

18
Q

define Reiters syndrome

A

urethritis, conjunctivitis & reactive arthritis.

19
Q

triad of PID [1 Sx and O/E]

A

lower abdo pain
adnexal tenderness
cervical excitation

20
Q

treatment of gonorrhoea

A

Azithromycin + IM Ceftriaxone

21
Q

gonorrhoea in pregnancy - complications. + 1 Neonatal complication

A

miscarriage, prem

neonatal conjunctivitis

22
Q

multiple painful genital ulcers, fever, discharge

A

herpes

23
Q

herpes Tx

A

no cure but aciclovir helps symptoms

24
Q

Single PAINLESS geniptal papule erodes deeper into an ulcer. Indurated with clear base, clear serum, rounded edges. Dx?

A

syphilis

25
Q

risk factors for thrush

A

DM
broad-spec Abx
AIDS/immunosuppr/steroids

26
Q

thrush Tx

A

fluconazole PO

clotrimazole pessary and/ or cream

27
Q

clue cells

and whiff test done in lab

A

BV

28
Q

BV Tx

A

metronidazole

29
Q

yellow/green frothy smelly discharge, strawberry cervix

A

trichomonas

30
Q

trichomonas Tx

A

metronidazole

31
Q

describe systemic psychosexual therapy

A

focuses on roles in the relationship and interaction

32
Q

side effects of viagra

A

headache

flushing

33
Q

causes of deep Dyspareunia

A

endometriosis
PID
cervical pathology

34
Q

causes of superficial Dyspareunia

A

STIs, thrush, episiotomy, vaginal atrophy

35
Q

viral cause of genital warts

A

HPV

36
Q

2 ways in which a woman’s hypoactive sexual desire disorder could impact on partner

A

performance anxiety > ED

depression

37
Q

3 behavioural interventions for young woman who has never been penetrated / anxious

A

self-exploration
dilators
graded penetration therapy

3A GH (8 decks)

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