Lecture 4

Question 1

What are masters and Johnsons 4 stages of sexual response

Answer 1

Excitement
Plateau
Orgasm
Resolution

Question 2

What are the two basic physiological processes that occur during masters and johnsons 4 stages?

Answer 2

Vasocongestion (blood engorgement)

Myotonia (muscular tension)

Question 3

Erection is male phase 1. The blood rushes into…..

Answer 3

Cavernous bodies

Spongy body

Question 4

What is the main vein that drains the blood from the penis and brings it back to the brain

Answer 4

Dorsal vein

Question 5

(1)What controls the diameters of the blood vessels/arteries of penis

Answer 5

Smooth muscles

Question 6

(1) Which state must you be in to have an erection?

Answer 6

Parasympathetic (so that your smooth muscles dilate)

Question 7

Which hormone is responsible for sexual desire in both men and women ?

Answer 7

Testosterone

Question 8

Viagra inhibits

Answer 8

PDE5 inhibitors … helps maintain the blood engorgement

Question 9

In the excitement phase, what happens to the testes and scrotum

Answer 9

Testes elevate towards perenium

Skin of scrotum tenses, thickens and elevates

Question 10

What are the 2 highways to an erection

Answer 10

Touch receptor

Conscious control

Question 11

What are other situations that produce erections

Answer 11

Morning wood
Sports 
General anesthetic
Asphyxiation 
Pre-pubescent boys

Question 12

During plateau stage for men, engorgement is becoming more accentuated. What happens to the glans, cowpers glands and scrotum

Answer 12

Penile glans colour depens
Cowper glans secrete “pre cum”
Scrotum thickens

Question 13

What are the 2 steps to ejaculation

Orgasm phase

Answer 13

Emission phase

Expulsion phase

Question 14

In emission phase, you want internal sphincter of prostate to close. Why?

Answer 14

Accumulation of secretion into ejaculatory duct

70% comes from seminal vesicles whereas 30% comes from prostate

Question 15

What happens if there’s damage to internal sphincter of the prostate?

Answer 15

Retrograde ejaculation

Question 16

When during emission phase are you at the point of no return?

Answer 16

When external sphincter closes

Question 17

What happens during expulsion phase, also known as true orgasm phase

Answer 17

External sphincters open and close and base of penis contracts

Question 18

What happens during resolution phase

Answer 18

All blood brough back to heart

Question 19

What is the refractory period?

Answer 19

Men cannot get another erection. Depends on age

Question 20

What happens during excitement phase for females

Answer 20

Vasocongestion of clitoris and outer labia and inner labia

Uterus starts to elevate up and away from vagina

Lubrication

Question 21

What is the female equivalent to erection

Answer 21

Lubrication

Question 22

What happens during plateau phase for females

Answer 22

Inner 2 thirds of vagina expands and lengthens
Clitoris disappears
Entrance of vagina becomes narrower thanks to orgasmic platform

Question 23

What contracts during orgasm phase for females

Answer 23

Uterus, orgasmic platform, anal sphincter

Question 24

What does multiorgasmic mean

Answer 24

Women can experience another orgasm very quickly after another one without having to go back to baseline

Question 25

What percent of women need clitoral stimhlatiknto trigger orgasm

Answer 25

75%

Question 26

Who coined the g spot

Answer 26

Dr. Graffenberg

Question 27

G spot is not a spot. It's a region which contains ______

Answer 27

Skene glans (paraureuthral glans)

Question 28

What is homologous to the prostate

Answer 28

Skene glans

Question 29

Smaller quantities of squirt are believed to be from _____ (composition of PSA) Whereas larger quantities of squirt are believe to come from _____

Answer 29

Skene glands | Bladder

Question 30

The g spot could be seen as a part of

Answer 30

Clitoral complex

Question 31

What is the best position to orgasm

Answer 31

Any position allowing access to clitoris stimulation

Question 32

Kaplans triphasic model is what kind of model

Answer 32

Cognitive physiological model

Question 33

What are the 3 steps in kaplan's triphasic model

Answer 33

Sexual desire Vasocongestion (excitement) Muscular contractions (orgasm)

Question 34

What are 3 bacterial stis

Answer 34

Chlamydia Gonorrhea Syphilis

Question 35

What is the main prevention for bacterial stis

Answer 35

Condoms

Question 36

What are the most common main routes of transmission for bacterial stis

Answer 36

Penile vaginal and penile anal

Question 37

What is the highest prevalent reportable STI in Canada?

Answer 37

Chlamydia

Question 38

What are the main consequences from chlamydia and gonorrhea for women?

Answer 38

PID that can spread to Fallopian tubes and uterus and cause infertility

Question 39

What is diagnosis of chlamydia and gonorrhea

Answer 39

Swab or urine sample

Question 40

Who has the highest incidence of chlamydia

Answer 40

Heterosexual males and females aged 20-24

Question 41

What are the consequences of chlamydia in men?

Answer 41

Can cause epidymitis (swelling and redness of scrotum) which can lead to urethritis and cause infertility

Question 42

What is treatment of chlamydia

Answer 42

Oral antibiotics

Question 43

What are symptoms of chlamydia

Answer 43

Usually ashmptomatic or minimal symptoms (mild discharge)

Question 44

What are symptoms or gonorrhea

Answer 44

Pus like yellowing green discharge | Throat pain

Question 45

Ghonorrea is highest among

Answer 45

Cnd men who have sex with men or travellers

Question 46

What is consequence of gonorrhea to men?

Answer 46

Rarely, untreated can enter blood stream and affect joints; skin and tissues surrounding organs

Question 47

What is the treatment for fhonorrea

Answer 47

Oral or injectable antibiotics | Injectable used if present in pharynx or consequences happen

Question 48

Syphilis is not common in general population. What is the diagnosis

Answer 48

Blood test to detect antibodies

Question 49

What is primary syphilis

Answer 49

Swelling of lymph nodes and painless ulcers Usually subsides in 3 weeks

Question 50

What's secondary syphilus

Answer 50

Rash on hands, sole of feet and trunk. May also include legions, fever ....

Question 51

What is Tertiary syohilis

Answer 51

Affects blood vessels, heart, eyes and sensory/brain damage Heightens risk of HIV

Question 52

What is treatment of syphilis

Answer 52

Injected penicillin (diffused through brains membrane)

Question 53

What are 4 viral STIS

Answer 53

Herpes, HPV, HIV, Viral hepatitis

Question 54

Herpes has higher prevalence in

Answer 54

Women

Question 55

What is the most prevalent on reportable STI in Canada

Answer 55

HPV

Question 56

What is the route of transmission of HPV

Answer 56

Skin to skin