Sexuality - Test 3

Question 1

Name and describe the three types of erections.

Answer 1

Psychogenic: happen in response to images or sexual fantasy

Reflex: in repsonse to touch via a reflex arc (CNS is not needed)

Nocturnal

Question 2

____ acts on smooth muscle in the penis to maximize engorgement of blood

Answer 2

NO

Question 3

What hormone enhances male libido and increases NO synthase in the penis?

Answer 3

testosterone

Question 4

What is Erectile Dysfucntion?

Answer 4

ED is defined as the inability to achieve and maintain an erection sufficient for intercourse

Question 5

A patient presents to you with complaints of ED. How do you work him up?

Answer 5

Identify libido decreasing medications he may be taking

Identify life stressors or anything else that may have an effect on his libido

if warranted, check testosterone levels

Question 6

You decide a patient needs medication for his erectile dysfunction. What do you want to give him?

Answer 6

phosphodiesterase inhibitor

(-afil medications)

Sildenafil

Question 7

A patient has ED. What other medication (besides -afil meds) could you switch him to?

Answer 7

trazodone has been reported to help with ED

Question 8

Can smoking cause ED?

Answer 8

yeah

Question 9

Define premature ejaculation

Answer 9

Ejaculation that occurs in less than 60 seconds

Question 10

How can you treat premature ejaculation?

Answer 10

SSRIs

Question 11

Define desire (women term)

Answer 11

Desire, also known as libido, is the interest of being sexual and intimate

Question 12

Define arousal

Answer 12

The physiological process of becoming excited

Question 13

Define orgasm

Answer 13

Peak of sexual pleasure

Question 14

Define recovery

Answer 14

Muscle relaxation and sense of euphoria after sexual activity

Question 15

What is oxytocin responsible for in female sexual function?

Answer 15

influences emotional bonding, arousal, and response

Question 16

What is dopamine responsible for in female sexual function?

Answer 16

Dopamine is essential for experiencing sexual pleasure

Question 17

What is serotonin responsible for in female sexual function

Answer 17

Serotonin inhibits dopamine, thereby inhibiting sexual arousal and response

Question 18

If a woman comes to you with sexual dysfucntion, should you measure her hormon levels?

Answer 18

NO!!!

The etiology of sexual dysfunction is often multifactorial

Never evaluate hormone levels to identify sexual dysfunction because hormone levels are not linked to sexual dysfunction

Question 19

What is hypoactive sexual desire disorder? How can you treat it?

Answer 19

Deficiency or absence of sexual desire

CBT and Bupropion is shown to help

Question 20

What is hypo-arousal disorder? How do you treat it? Does Sildafinil help?

Answer 20

Inability to attain or maintain an adequate lubrication

Behavior modifications have been shown to help

Sildenafil has been inconsistent, but has been shown to work when SSRIs are the culprit

Question 21

What is female orgasmic disorder? How do you treat it?

Answer 21

Inability to orgasm

Masturbation is the best treatment

Question 22

What are LBGTQ people at high risk for?

Answer 22

suicide