9.Which of the following examples best
supports the diagnosis of Sexual Dysfunction:
Dyspareunia?
a.A patient with a colostomy believes she
cannot have a sexual relationship with her
husband because he will be repulsed by
her stoma.
b.A 50-year-old woman with a history of
stroke is afraid to have sex with her partner
for fear it will elevate her blood pressure.
c.A 50-year-old woman in the process of
menopause has pain and burning during
intercourse.
d.A 39-year-old alcoholic woman is no longer
interested in having sex with her partner.ALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
Circle the letters that correspond to the best
answers for each question.
1.Which of the following statements accurately
describe common sexual orientations? (Select
all that apply.)
a.A heterosexual is a person who experiences
sexual fulfillment with a person of the
opposite gender.
b.A homosexual is a person who experiences
sexual fulfillment with a person of the same
gender.
c.A bisexual is a person of a certain biologic
gender with the feelings of the opposite
sex.
d.A transvestite is a person who finds
pleasure with both opposite-sex and
same-sex partners.
e.Homosexual or heterosexual people may
have bisexual relationships at times.
f.A transsexual feels trapped within the body
of the wrong sex.
2.Which of the following statements describe
the physiology of the female genitalia? (Select
all that apply.)
a.The mons pubis consists of two rounded
folds of fatty tissue.
b.The clitoris is found above the urinary mea-
tus at the joining of the labia minora.
c.Women normally have two ovaries, one on
each side of the body.d.The cervix is a pear-shaped organ about
3 inches long located between the urinary
bladder and rectum.
e.The uterus consists of three layers: the
perimetrium, the myometrium, and the
endometrium.
f.The vagina is the structure at the lower por-
tion of the uterus that connects the uterus
and the cervix.
3.Which of the following statements regarding
the menstrual cycle are true? (Select all that
apply.)
a.The first menstrual period, called menarche,
is generally experienced at about 15 years
of age.
b.Menopause, the cessation of a woman’s
menstrual activity, occurs between the
ages of 55 and 60 years.
c.The menstrual cycle is controlled by a series
of reactions that rely on feedback from the
ovaries to the pituitary gland.
d.In the ovaries, in a typical 28-day cycle, the
phase from day 4 to 14 is called the luteal
phase.
e.In the luteal phase, the leftover empty folli-
cle fills with a yellow pigment and is then
called the corpus luteum, or yellow body.
f.At day 28 of the menstrual cycle, menses
begin as a result of the uterus shedding the
useless portion of its endometrium.
4.Which of the following are structures of the
male genitalia? (Select all that apply.)
a.Testes
b.Scrotum
c.Fallopian tubes
d.Mons pubis
e.Cul-de-sac of Douglas
f.Cowper’s glands
5.Which of the following are phases of the
sexual response cycle? (Select all that apply.)
a.Stimulation
b.Excitement
c.Valley
d.Plateau
e.Orgasm
f.ReinstatementCHAPTER 45 SEXUALITY 313
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