Sexual Dysfunctions Discussion Assignment

Sexual Dysfunctions Discussion Assignment
Sexual Dysfunctions Discussion Assignment
13.1 According to “Highlights of Changes From DSM-IV to DSM-5” in the DSM-5
Appendix, which of the following DSM-IV sexual dysfunction diagnoses is
still included in DSM-5?
A. Sexual aversion disorder.
B. Female orgasmic disorder.
C. Dyspareunia.
D. Vaginismus.
E. None of the above.
13.2 Female sexual interest/arousal disorder requires a lack of, or significantly reduced, sexual interest/arousal, as manifested by at least three of six possible
indicators. Which of the following is not one of these six indicators?
A. No/reduced initiation of sexual activity, and typically unreceptive to a
partner’s attempts to initiate.
B. Absent/reduced sexual excitement/pleasure during sexual activity with
the opposite sex.
C. Absent/reduced genital or nongenital sensations during sexual activity in
almost all or all sexual encounters.
D. Absent/reduced interest in sexual activity.
E. Absent/reduced sexual/erotic thoughts or fantasies.
Sexual Dysfunctions Discussion Assignment
13.3 Several of the sexual dysfunctions have criteria that contain the phrase “almost
all or all”; for example, “Absent/reduced sexual excitement/pleasure during
sexual activity in almost all or all sexual encounters.” How is “almost all or all”
defined?
A. At least 75%.
B. At least 90%.
C. Approximately 75%–100%.
D. Approximately 90%–100%.
E. In the clinician’s best estimate.
13.4 Which of the following is a subtype of sexual dysfunction in DSM-5?
A. Lifelong.
B. Secondary to a medical condition.
C. Due to relationship factors.
Sexual Dysfunctions—QUESTIONS | 95
D. Due to psychological factors.
E. None of the above.
Sexual Dysfunctions Discussion Assignment
13.6 A 65-year-old man who presented with difficulty in obtaining an erection due
to diabetes and severe vascular disease had received a DSM-IV diagnosis of
Sexual Dysfunction Due to…[Indicate the General Medical Condition] (coded
as 607.84 male erectile disorder due to diabetes mellitus). What DSM-5 diagnosis
would be given to a person with this presentation?
A. Sexual dysfunction due to a general medical condition.
B. Erectile disorder.
C. Somatic symptom disorder.
D. A dual diagnosis of erectile disorder and somatic symptom disorder.
E. No diagnosis.
13.7 A 35-year-old man with new-onset diabetes presents with a 6-month history of
inability to maintain an erection. His erectile dysfunction had a sudden onset:
he was fired from his job a month before the symptoms began. His serum glucose is well controlled with oral hypoglycemic medication. What is the appropriate DSM-5 diagnosis?
A. Sexual dysfunction due to a general medical condition.
B. Erectile disorder.
C. Adjustment disorder.
D. Unspecified sexual dysfunction.
E. No diagnosis.
13.8 Which of the following factors should be considered during assessment and diagnosis of a sexual dysfunction?
A. Partner factors.
B. Relationship factors.
C. Cultural or religious factors.
D. Individual vulnerability factors, psychiatric comorbidity, or stressors.
E. All of the above.
96 | Sexual Dysfunctions—QUESTIONS
13.9 A 30-year-old woman comes to your office and reports that she is there only
because her mother pleaded with her to see you. She tells you that although
she has a good social network with friends of both sexes, she has never had any
feelings of sexual arousal in response to men or women, does not have any
erotic fantasies, and has little interest in sexual activity. She has found other
like-minded individuals, and she and her friends accept themselves as asexual.
What is the appropriate diagnosis, if any?
A. Female sexual interest/arousal disorder, lifelong, mild.
B. Female sexual interest/arousal disorder, lifelong, severe.
C. Hypoactive sexual desire disorder.
D. No diagnosis, because she does not have the minimum number of symptoms required (Criterion A) for female sexual interest/arousal disorder.
E. No diagnosis, because she does not have clinically significant distress or
impairment.
13.10 Which of the following symptoms or conditions would rule out a diagnosis of
erectile disorder?
A. Presence of diabetes mellitus.
B. Marked decrease in erectile rigidity.
C. Age over 60 years.
D. Presence of alcohol use disorder.
E. Presence of symptom for less than 3 months
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