SEXUALITY PART ONE: Select the Best Answer: 1. Characterized by deficiency or absence of sexual fantasies and desire for senual activity A. Hypoactive desire disorder E, Obsessive-compulsive personality disorder 2. Which of the following is not appropriate inthe treatment of hypoactive semual desire disorder? E. Minor tranquilizers 3. The sequence of the DSM-IV phases of the sexual response cycle is A. Appetitive, excitement, orgasm, resolution B. Excitement, plateau, orgasm, resolution C. Resolution, appetitive, orgasm, excitement D. Excitement, orgasm, plateau, resolution E, Non of the above 4 Which ofthe following surgical procedures may be utilized in treating sexual dysfunctions? A. Insertion ofa penile prosthesis B. Penile revascularization C. Hymenectomy D. Vaginoplasty *E. Allof the above‘A married man with a chief complaint of premature ejaculation is best treated with A. Psychoanal ysis B. Cognitive therapy *C. Squeeze toctnique D. Antiamxiety agents E. None of the above Primary inhibited female orgasm in women is associated most often with A. Lack of desire for sex B. Inability to achieve vaginal lubrication *C. Inability to achieve orgasm through masturbation D. Impotence in the male E_ Premature ejaculation in the male ‘Homosexuality is a A. Pathologic disorder *B. Alternative lifestyle C. mental disorder D. Genetic abnormality E. Emotional disorder ‘Homosexuality is more common in A Male B. Female *C. Both sexes D. Asian E. Americans AA strange emotional feeling toward same sex. A. Transexualism B, Transvestism *C. Homesexualism D. Paraphilia E. Bisexualism10, Most common STD in Homosexuals. ‘A. Gonorthea B, Herpes simplex virus *C. Syphilis D. Chamneroid E. HIV 11, Homosexuality can be recovered as early as A. Barly Adolescence in males B. Preadolescence in males C. Early Adolescence in female D, Proadolescence in female E. Both A and D only. 12. The following are routine laboratory procedures used to diagnose viral infection EXCEPT A. Measurement of antiviral titers in paired sera taken at early and late stages of infection. BB. Propagation of the suspected virus in cell culture or by animal inoculation. C. Examination of viral lesions for direct demonstration of viral cytopathic changes, in viral particles, viral antigen, or nucleic acid. *D. Assessment of immune lymphocyte function, especially CD4" + CELLS. 13. Which procedure is valuable in the monitoring of the clinical status of patients infected with HIV? (Choices as above) 14, The primary screening method in the detection of AIDS carriers is A. Vinus isolation B. Wester blot followed by immunoassay =C. Immunoassay followed by westem blot D. Immunoassay for viral antigen E. DNA by bridization for viral antigen1s 16, 17, 18. 19. Most of the obvious symptoms of AIDS are the result of, A. Infection by Pneumocystis cari B. Depletion ofB calls C. Depletion of CDS" t cells *D. Depletion of CD4* t cells E, HIV-infected macrophages ‘Modes of transmission for HIV are well documented, the highest incidence of transmission among sexual contacts occur in A. Male -to- male B. Male -to- fernale C. Female -to- male D. Female-to-ferale ‘The virus has been isolated from blood, semen, CSF, saliva and motre’s milk of infected patients but has only been transmitted in A. Blood, CSF and semen B. Blood, semen and saliva, C. Blood, CSF and semen *D. Blood, semen and motre’s milk Among the frequent opportunistics infection that occurs in AIDS the most frequent is ‘A. Disseminated cytomegulovirus (CMV) pneumonia B. Disseminated atypical mycobacteria *C. Pneumocystis carini pneumonia D. None of the above HIV specifically replicator in ¥-lymphocytes carrying the CD4 antigen on their surface. The following statements regarding CD4+T cells are true EXCEPT. A, Radioimmunoassay *B. Enzyme-linked immunosorbent assay CC. Polymenase chain reaction D. Two-dimensional immunoelectrophoresis E, Hemogelutination Inhibition20, All ofthe following statement about normal sexual response are true EXCEPT. A. Physical stimulation ofthe bladder may produce an involuntary sexual response. BB, Erection and lubrication depend upon arousal of the parasympathetic nervous system. CC. Arousal of the sympathetic nervous system inhibits sexual response, D. Stages of sexual response include excitement, plateau, and resolution. ‘*E, Psychic stimuli are mediated through the prefrontal cortex and the anterior spinal cord, 21. Lubrication of the vagina is a prominent feature of which ofthe following stages of normal sexual response in women? A. Desire B. Excitement *C. Platea D. Orgasm E, Resolution 22, What is the most common reason forthe cessation of sexual activity in married couples? A. Aging *B, Marital . Physical ines D. Cultural E. DepressionPART TWO: For each of the incomplete statements below, one or more of the compilations given are correct. Choose answer. A. Ionly 1, 2, and 3 are correct B. If Only 1 and 3 are correct C. Ienly 2 and 4 are correct D. I only 4 is correct E. Kall are correct, 1, Inhibited male orgasm oc 1. Usually has an organic cause 2. May be associated with orgasmic anhedonia 3. Is synonymous with retrograde ejaculation 4, Has a general prevalence of 5 percent 2. _ Which of the following statements about rape are accurate? s 1, Over 60 percent of rapists are under age 25 2. Ninety percent of rapists are black 3. Most rapists have a previous police record 4. Black rapists tend to rape white women 3. According to DSM-IV, paraphilias “A 1, Are characterized by specialized sexual 2. Are usually repetitive in nature 3, Are largely mate conditions 4. Include homosexual orientations 4, Measures used to help differentiate organically caused impotence from functional impotence are Monitoring of noctumnal penile tumescence Follicle-stimulating hormone determinations ‘Testosterone level Glucose tolerance curve seeped5. _ Exhibitionism is associated with on 1, The recurrent desire to expose the genitals to a stranger 2. ‘Sexual excitement occurring in anticipation of the exposure 3. A.wish to suprise or shock the observer 4. Physical violence 6. The DSM-IV category called paraphilias not otherwise specified (NOS) includes which ofthe following disorders? *E 1, Coprobilia 2. Klismaphilia 3. Urophil 4. Zoophilia 7. Premature ejaculation ‘May result from negative cultural conditioning Is often exacerbated by stress . Is not caused exclusively by organic factors [Is reported less frequently among college-educated men than among, ‘those with less education peers 8. Which of the following statements about incest are true? = 1. It is most frequently reported among families of low socioeconomic status Father-daughter incest is the most common ‘About 15 million women have been the object of incestuous attention One-third of incest cases occur before the age of 9 9. Vaginisms is associated with *E 1. Childhood sexual abuse 2. Vaginal pain 3. Insufficient lubrication 4. Uretiitis:10._ Sensate focus u. 3 1, Is used in dual-sex therapy 2. Refers to focusing on the sensations of the orgasm 3. Involves the sense of smell 4. Tused during coitus ‘Rape is predominately used to express power and anger in all ofthe following cases except "D 1, Rape of elderiy women 2. Homosexual rape 3. Rape of young children 4, Statutory rape 12. Hypoactive sexual desire *c 13, 1, Is experienced only by women 2. Can result from depression 3. Does not affect frequency of coitus 4. Protects against unconscious fear of sex -_ Dyspareunia “A Often coincides with vaginismus . Is caused by tension and anxiety {Isreal pain ‘Results from surgical procedure on the female genital area in 5 percent of ‘cases 14. The psychosexual disorder of hypoactive sexual desire can be diagnosed in patients with which of the following findings? Lille or no sexual desire lasting more than 6 months Lack of senual desire following major surgory. Distress reported by the sexual partner rather than by the patient. Lack of semual desire with the marriage partner but not with other partners Aer15. Sexual aversion disorder is characterized by which of the following statements? “c 1. Its sometimes secondary to organic canses 2. Its thought to be related to discord in the relationship 3. Iaffects more than 20% of couples 4. The diagnosis depends on cultural and lifestyle variables 16._True statements conceing inhibited female orgasm inchide 3 1. Inhibited female orgasm is common and usally doesnot indicate psychopathology 2. Primary organi dysfunction is more difficult to treat than secondary orgasmic djetunction 3. Associated symptoms include pelvic pan and vaginal discharge 4, Physiologic impairment i the most lily cause of secondary orgasmic dysfunction 17. Vasiniamas involves tightening of the paravaginal muscles to preven penile Penetration. Characteristics ofthe disorder inchde rd 1. Occasional occurrence during pelvic examinations 2, Occasional development secondary to vaginal infections 3, Occurence in all or Only sore sexual eocourters 4 A history of semi abuse in childhood PART II: Matching Type A. Syphilis B. Chlamydiae ©. Gonorrhea . Herpes simplex virus E. Cytomegalovirus F. Trichomonas HIV 1. Treponema pallidum = 2 Darkfield = 3. Giomsa’s stain4, Tetracyolines and Erythromycin 5. Gram Staining 6. Ceftriaxone 7. Multinucleated Giant cells 8 Tzanck smear 9. Immunefluorescenc 10. Protozoa 11. Wet mount 12. Westem blot analysis 13. Suppression of cell-mediated immunity [ BREE RE >ooAawo E>