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Discuss the major physical, behavioral, and psychological causes of erectile disorder.

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Identification of lifestyle factors that...

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The drug Cialis is preferred by many men as a treatment for ED because it


A) can be taken as a daily supplement.
B) has very mild side effects.
C) is broken down very quickly.
D) begins working within 15 minutes.
E) is least likely to cause headaches.

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A man is unable to prevent ejaculation after about two minutes of coitus. Is he suffering from premature ejaculation?


A) Yes, he should be able to choose his time of ejaculation.
B) Yes, he should be able to delay ejaculation for at least five minutes.
C) Yes, he should be able to delay ejaculation for at least eight minutes.
D) No, healthy men can delay ejaculation for two to eight minutes.
E) No, most men ejaculate within the first minute of thrusting.

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A woman feels no sexual desire for her husband but intense sexual desire for her lover. Her lack of desire is a(an) _______ sexual disorder.


A) primary
B) secondary
C) situational
D) emotional
E) sensate

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A sex therapist would be least helpful for a


A) man who climaxes too early.
B) man who is anxious about performance.
C) woman who is unable to reach orgasm.
D) woman who has never found pleasure in sex.
E) woman who has had problems with lubrication since menopause.

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Viagra and Cialis will not treat erectile disorder successfully unless


A) the ED is caused by atrophy of the erectile tissue.
B) blood pressure is high enough to force blood into the erectile tissue.
C) the drugs are combined with sex therapy.
D) the nerves supplying the erectile tissue are at least partially functional.
E) the ED is caused by psychological factors.

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A man whose erectile tissue is severely damaged would most likely benefit from which form of ED treatment?


A) A penile implant
B) Viagra or Cialis
C) Paxil or Zoloft
D) Sensate focus exercises
E) Directed masturbation

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A

One person's lack of interest in sex is most likely to be considered a problem among


A) gay couples.
B) lesbian couples.
C) heterosexual couples.
D) elderly couples.
E) couples with discrepant sexual desire.

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One reason some scientists do not consider "sex addiction" to be an accurate description of hypersexuality is that hypersexuality


A) lacks the craving common to addiction.
B) lacks the cyclical nature common to addiction.
C) is associated with guilt, but sex addiction is not.
D) rarely lasts past the age of 22.
E) does not involve tolerance or physical withdrawal symptoms.

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In cases where a woman has low estrogen levels (a post-menopausal woman, for example) , what benefit, if any, would there likely be in undertaking sex therapy as a treatment?


A) There would be no benefit.
B) It may have the same effect as hormone treatment.
C) It may help overcome negative beliefs and expectations.
D) Its usefulness is unknown, because no studies have been done.
E) It may be useful, but only if combined with hormone treatment.

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A young man has struggled with premature ejaculation in all of his sexual encounters. He does not currently have a sexual partner and wants to resolve this issue before resuming partnered sex. What treatments would you recommend and why?

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Discussion of sex therapy, whi...

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The stop-start method involves alternately stimulating and not stimulating the penis. The goal of this technique is to


A) increase sexual frustration to treat hypoactive desire.
B) help a man learn to control his ejaculations.
C) improve relationships by reducing the man's need for ejaculatory control.
D) teach a man to gain sexual satisfaction without ejaculation.
E) help a man identify the psychological causes of rapid ejaculation.

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A man with no history of injury or medical disorders has started suffering from delayed ejaculation. He is now able to orgasm only after lengthy, solo masturbations sessions. Explain possible reasons for his problem and suggest treatment options.

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Discussion of potential psychological and behavioral sources of his problem. Discussion of treatment options including talk therapy to identify thoughts or feelings interfering with his ability to orgasm and behavioral changes such as masturbating more gently/less often or providing more stimulation during partnered sex.

A man has decided to have a penile implant to treat his ED. He must decide between a hydraulic device and a semirigid implant. Which factor would most likely cause him to decide against the semirigid implant?


A) It is more expensive.
B) It is harder to conceal.
C) It interferes with ejaculation.
D) It is more likely to malfunction.
E) It produces a smaller erection.

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As part of her work with a sex therapist, a woman has been doing homework that involves inserting a narrow vaginal dilator into her vagina. This is likely


A) a sensate focus exercise.
B) part of her treatment for anorgasmia.
C) part of her treatment for vaginismus.
D) part of her treatment for dyspareunia.
E) part of her treatment for persistent genital arousal disorder.

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A medical or pathological cause for compulsive sexual behavior is most likely if the person


A) suffered sexual abuse as a child.
B) grew up in a strict, religious home.
C) showed a recent onset of symptoms.
D) has experienced the symptoms throughout adulthood.
E) has developed an increasing tolerance for sex.

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Refer to the figure. Refer to the figure.   The figure shows the mean time in seconds between the start of coitus and ejaculation under different treatment conditions. Both Zoloft and Paxil are SSRIs (selective serotonin reuptake inhibitors) . Data from this figure suggest that A)  only Paxil is effective in treating premature ejaculation. B)  only Zoloft is effective in treating premature ejaculation. C)  neither Paxil nor Zoloft is effective in treating premature ejaculation. D)  Zoloft and Paxil are both effective, but Paxil is more effective. E)  Zoloft and Paxil are both effective, but Zoloft is more effective. The figure shows the mean time in seconds between the start of coitus and ejaculation under different treatment conditions. Both Zoloft and Paxil are SSRIs (selective serotonin reuptake inhibitors) . Data from this figure suggest that


A) only Paxil is effective in treating premature ejaculation.
B) only Zoloft is effective in treating premature ejaculation.
C) neither Paxil nor Zoloft is effective in treating premature ejaculation.
D) Zoloft and Paxil are both effective, but Paxil is more effective.
E) Zoloft and Paxil are both effective, but Zoloft is more effective.

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A woman complains that she cannot engage in coitus. The walls of her vagina, as well as her pelvic floor muscles, go into painful spasm during attempts at coitus, preventing penetration. A doctor would most likely diagnose her with


A) vaginismus.
B) vulvodynia.
C) endometriosis.
D) vaginal atrophy.
E) insufficient genital arousal.

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A

A middle-aged man with erectile dysfunction wants to improve his ability to obtain and maintain erections without making his sexual partners aware of his difficulties. What treatment options would you recommend?

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Discussion of potential lifestyle change...

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What statement accurately describes faked orgasms during partnered sex?


A) Men can always tell if their partner fakes an orgasm.
B) Very few women have faked orgasms.
C) Faked orgasms are typically a turnoff for both partners.
D) Women sometimes fake orgasms to bring sex to an end.
E) Only about 2% of men have ever faked an orgasm.

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