HBM 07b: Sexuality Flashcards

1
Q

Klinefelter’s syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.

A

X = XXY

Male phenotype

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2
Q

Turner’s syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.

A

X = XO

Female phenotype

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3
Q

Androgen insensitivity syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.

A

X = XY

Female phenotype

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4
Q

Congenital adrenal hyperplasia has (X) genetic nomenclature and (male/female/neither) phenotype.

A

X = XX

Male phenotype as infants; female phenotype as adolescents

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5
Q

T/F: Gender identity is nearly identical to sexual identity.

A

False

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6
Q

Average age at sexual debut.

A

17 y.o.

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7
Q

(X)% of HS grads haven’t had sex.

A

X = 50

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8
Q

(X)% of college grads haven’t had sex.

A

X = 25

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9
Q

Kinsey scale/spectrum of (X). 0 means (Y). 6 means (Z).

A
X = sexual orientation
Y = exclusively heterosexual
Z = exclusively homosexual
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10
Q

T/F: Older adults have sexual intercourse until about 70 years old.

A

False - even over 70 y.o.

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11
Q

List the different categories of contraception.

A
  1. Barrier
  2. Hormonal
  3. Implanted
  4. Surgical
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12
Q

List phases of sexual response cycle

A
  1. Desire
  2. Excitement
  3. Plateau
  4. Orgasm
  5. Resolution
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13
Q

What happens in “desire” phase of sex response cycle?

A

Thoughts, fantasies

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14
Q

What happens in “excitement” phase of sex response cycle?

A

Physical changes (lubrication, erection)

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15
Q

What happens in “plateau” phase of sex response cycle?

A

More physical changes, like excitement phase, plus male secretion of fluid

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16
Q

What happens in “orgasm” phase of sex response cycle?

A

Rapid muscle contractions and ejaculation

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17
Q

What happens in “resolution” phase of sex response cycle?

A

HR and BP return to normal; men are refractory

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18
Q

What are some potential issues in “desire” phase of sex response cycle?

A
  1. Hypoactive desire

2. Sexual aversion disorder

19
Q

What are some potential issues in “excitement” phase of sex response cycle?

A
  1. Erectile dysfunction

2. Female sex arousal disorder

20
Q

What are some potential issues in “plateau” phase of sex response cycle?

A

Premature ejaculation

21
Q

What are some potential issues in “orgasm” phase of sex response cycle?

A
  1. Female and male orgasmic disorder

2. Retrograde ejaculation

22
Q

What’s retrograde ejaculation?

A

Entry of semen into the bladder instead of going out through the urethra

23
Q

What are some potential issues in “resolution” phase of sex response cycle?

A

There are none..

24
Q

List the common sex issues in primary care. In parenthesis, put M/F, depending on gender that presents with these issues.

A
  1. Low sex desire (M/F)
  2. Vaginismus (F)
  3. Dyspareunia (F)
  4. Erectile dysfunction (M)
  5. Premature ejaculation (M)
25
Q

What’s Dyspareunia?

A

Painful or difficult sexual intercourse

26
Q

What’s vaginismus?

A

Painful spasmodic contraction of the vagina (in response to physical contact or pressure)

27
Q

Midlife/relationship issues are risk factors for which sex issue?

A

Low sexual desire

28
Q

SSRIs, along with which other medication, are risk factors for (X) sex issue?

A

SSRIs and beta blockers;

X = low sex desire and erectile dysfunction

29
Q

List some risk factors for vaginismus.

A
  1. Anxiety
  2. Few partners
  3. History of abuse
30
Q

Depression is a risk factor for which specific sex issue?

A

Low sex desire

31
Q

List some risk factors for dyspareunia.

A

Medical conditions

32
Q

Diabetes is a risk factor for which sex issue?

A

Erectile dysfunction

33
Q

T/F: Anxiety is a risk factor for premature ejaculation.

A

True

34
Q

Couples therapy is a beneficial treatment for which sex issue?

A

Low sexual desire

35
Q

Viagra is used to treat:

A

Erectile dysfunction

36
Q

SSRIs are used to treat which sex issue?

A

Premature ejaculation

37
Q

Which class of drugs decrease libido?

A

SSRIs, beta blockers, other BP meds

38
Q

Which class of drugs increase libido?

A

Dopamine (i.e. L-Dopa)

39
Q

Which class of drugs responsible for erectile dysfunction?

A

SSRIs, beta blockers, BP meds, antipsychotics

40
Q

Which class of drugs cause vaginal dryness?

A

Antihistamines, anticholinergics

41
Q

Which class of drugs cause anorgasmia?

A

SSRIs

42
Q

Most common STDs:

A

HPV, herpes, gonnorrhea, chlamydia

43
Q

STDs passed via body fluids:

A

HIV, Hep B and C