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(3) PT in Special Conditions > S3L1: Disability-Related Sexual Dysfunctions > Flashcards

S3L1: Disability-Related Sexual Dysfunctions Flashcards

1
Q

What are the main fertility issues typically encountered in assisted reproductive technologies such as intravaginal and intrauterine insemination, as well as in vitro fertilization?
A) Egg quality and ovulation frequency
B) Ovarian reserve and menstrual irregularities
C) Uterine abnormalities and endometrial thickness
D) Quantity and Quality of semen

A

D) Quantity and Quality of semen

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2
Q

What are the conditions that may render women unable to participate in sexual intercourse due to sexual pain disorders?

A) Sjogren’s syndrome and fibromyalgia
B) Severe adductor spasm/spasticity and endometriosis
C) Vulvodynia and dyspareunia
D) Sjogren’s syndrome and severe adductor spasm/spasticity

A

D) Sjogren’s syndrome and severe adductor spasm/spasticity

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3
Q

How does spinal cord injury (SCI) typically affect sperm motility and semen count in men?

A) Increases sperm motility and semen count
B) Decreases sperm motility but increases semen count
C) Decreases sperm motility and semen count
D) Has no effect on sperm motility and semen count

A

C) Decreases sperm motility and semen count

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4
Q

What are common factors associated with pregnancy in women with spinal cord injury (SCI)?

A) High birthweight infants and natural deliveries
B) Vacuum and forceps extractions but no correlation with birthweight
C) Low birthweight infants and a higher rate of cesarean sections
D) No correlation between SCI and pregnancy outcomes

A

C) Low birthweight infants and a higher rate of cesarean sections

Vacuum and forceps extractions are also common

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5
Q

Which of the following are potential physiological changes in women during pregnancy?

A) Increased risk of urinary tract infections (UTIs)
B) Increased risk of thrombophlebitis
C) Development of pedal edema
D) A & B only
E) All of the above

A

E) All of the above

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6
Q

Which of the following are potential physiological changes experienced by women with spinal cord injury (SCI) during pregnancy, except for:

A) Changes in bladder function
B) Skin breakdown
C) Increased risk for deep vein thrombosis (DVT)
D) Thrombophlebitis
E) Elevated blood pressure

A

E) Elevated blood pressure

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7
Q

Which of the following are potential complications experienced by women with spinal cord injury (SCI) during pregnancy, except for:

A) UTI
B) Inflamed vein due to blood clot
C) Fatigue
D) Gestational diabetes
E) Edema on feet and ankles

A

D) Gestational diabetes

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8
Q

Which of the following are potential complications experienced by women during pregnancy?

A) Delayed bowel emptying
B) Difficulty in transfers
C) Fatigue
D) A & B only
E) All of the above

A

E) All of the above

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9
Q

Most acquired neurological damage must undergo how many years of recovery before the remaining neurological sexual function is known

A

2-4 years

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10
Q

Give 3 psychological factors

A

● Depression d/t loss of interest in activities
● Loss of self esteem
● Anxiety (premature ejaculation, ↓ orgasmic attainment)

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11
Q

Why is there a possibility for depression?

A

loss of interest in activities

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12
Q

During anxiety, what physiologic process happens?

A

(premature ejaculation, ↓ orgasmic attainment)

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13
Q

Identify: HR for CV Factors and Risks

A

110-130 bpm

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14
Q

Identify: peak SBP for CV Factors and Risks

A

150-170 mmHg

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15
Q

Identify: METs for CV Factors and Risks:

A

do not exceed 4-5

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16
Q

CV Factors and Risks: METs during sexual intercourse is equals to what 2 exercises?

A

walking on treadmill at 3 mph at a 5% grade OR climbing
2 flights of stairs (6 METs, 20 steps in 10 secs)

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17
Q

CV Factors and Risks: The 6 METs from climbing and walking that is compared with METs during sexual intercourse is for what kinds of couple?

A

couple with long standing relationships

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18
Q

6 METs= measure used to determine risk of __ or _

A

ischemia; safe return to sexual activities

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19
Q

__ METs= measure used to determine risk of ischemia or
safe return to sexual activities

A

6

20
Q

Studies reveal that extramarital sexual intercourse
reaches __

A

9 METs

21
Q

SCI pts exhibit abnormally (high/low) HR

A

high

22
Q

SCI pts exhibit abnormally HIGH hr DURING?

A

ejaculation

23
Q

SCI pts have abnormal __, leading
to abnormally __

A

autonomic control; high HR

24
Q

abnormal autonomic control and high HR can lead to?

A

autonomic dysreflexia

25
Q

Most commonly asked questions apart from sexual dysfunctions

A

CV factors and risk

26
Q

Due to the CV factors and risk, patients are discourage from participating in activities with __

A

high demands

27
Q

PTs measure and limit physical activity
depending on __ and suggested __

A

status; level of
metabolic equivalent

28
Q

Bladder and Bowel Control: Odor from leakage or visibility of urine or stool collection
devices ↓ __ & __

A

sexual interest & self esteem

29
Q

Bladder and Bowel Control: Factors affecting sexual functions

A
  1. odor from leakage of urine or stool
  2. dec appetite for sexual activities
30
Q

Why is there dec appetite for sexual activites

A

dec in self-esteem from the stool
collection devices

31
Q

Pain Issues: Pts with chronic pain report sexual difficulties to be how many times difficult than
that of the general population

A

2x

32
Q

Pain issues: physiological context as to why pain can decrease sexual function

A

Chronic pain → ↓ appetite → ↓ interest of individual

33
Q

Pain issues: Kind of pain felt (2)

A

(1) pain in the genitals & (2) chronic pain

34
Q

T or F: Disability-related sex dysfunctions are direct effects of vascular, neurologic (including pain), hormonal, anatomical, damage to any area functionally connected to sex response

A

True

35
Q

T or F: Disability-related sex dysfunctions are direct effect of medical/psychological condition

A

False (indirect effect)

36
Q

T or F: Disability-related sex dysfunctions involve Iatrogenic effects of Rx

A

True

37
Q

T or F: Disability-related sex dysfunctions involve contextual factors like biopsychosocial & situational components

A

True

38
Q

Give 3 Medications for Disability-related sex dysfunctions

A
  • Dopamine (DA), Noradrenaline (NA), Serotonin
  • Drugs that ↓ NA affect sexual function
  • DA Blockers ↓ or impair libido
  • DA Agonists ↑ libido
  • Serotonin reuptake inhibitors ↓ libido, orgasmic & ejaculatory delay
  • Sympathomimetic Drugs inhibit genital arousal
  • Drugs that serve to address hypotension, weight loss
39
Q

T or F: Aging is due to ↓ elasticity of tissues, narrowing of vasculature, and ↓ neural transmission → changes to the integrity & capacity of the sexual organs

A

True

40
Q

T or F: There is more sexual dysfunction in ♀

A

False (More in Males)

41
Q

Identify: painful sexual intercourse for females

A

Dyspareunia

42
Q

♂: How many times as long as to achieve erection, erection not as rigid, orgasm delay, ↓ ejaculatory fluid volume, penile detumescence (engorgement) occur rapidly, longer refractory period (days)?

A

2-3 times

43
Q

T or F: Males are not capable of impregnating due to old age

A

False

44
Q

T or F: Age and neurological disability can cause orgasmic delay, but it is important to remind men that an erection is not required to reach orgasm

A

True

45
Q

T or F: In women, sexual pain disorders appear to increase with age

A

False (decline)

46
Q

T or F: Impending mortality means increased interest & tendency to focus more on survival

A

False (decreased interest)

47
Q

Give 3 manifestations of Impending mortality

A

Fatigue, medications, change of body image, altered hormonal status, catheters, secondary paralysis

(3) PT in Special Conditions (41 decks)

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