Instructions: Print this exam worksheet. Return to the course page using the link below. Read the course material. Enter your answers on this worksheet. Return to the course page and click the link 'Take Test.' Transfer your answers.

https://www.quantumunitsed.com/go/78

Quantum Units Education®

Human Sexuality

Topics in Human Sexuality: Freud's Contributions to Our Understanding of Sexual Development

1. The widely accepted notion that sexuality began at puberty began to change in the late 1800's with the advent of Sigmund Freud's psychosexual theory of development.

A. True

B. False


Recognition of Male-Female Differences

2. Children begin to recognize gender differences and can identify themselves as male or female at about age:

A. 2 years

B. 2 1/2 years

C. 3 years

D. 3 1/2 years


Sexuality In Early Childhood (Ages 3 to 7)

3. Early childhhood is a time for increasing social interaction, and childrens' curiosity about the world in general tends to extend to sexual realms during this time.

A. True

B. False


4. Which of the following is an accurate statement about sexual knowledge and interests during early childhood?

A. At about the age of 3 there is and increased interest in bathrooms and concerns about elimination. Children this age may frequently use words that refer to bowel movements and urination

B. At age 4 to 5 children first begin to recognize that there are genital differences between boys and girls. and may question these differences

C. It is at about the age of 5 to 6 that children begin to have more contacts outside the family and may learn new ideas about sex from other children

D. At about the age of 6 children generally give up wanting to "marry" mom or dad and begin to become closer to the parent of the same sex


Sexuality in Adolescence (Age 13 to 19)

5. During the ten year period from 1993 to 2003, the percentage of all high school students who reported ever having had sexual intercourse increased slightly from 49% in 1993 to 51% in 2003.

A. True

B. False


First Sexual Experience

6. The standard in which premarital intercourse is considered right for both sexes if part of a committed relationship is known as leniency with attachment.

A. True

B. False


Teen Pregnancy

7. Teens of all races have experienced steady declines in pregnancy rates since the 1990s.

A. True

B. False


Sexuality Across the Lifespan Adulthood/Male and Female Sexuality-Milestones in Adult Development

8. Data from a 2010 Kinsey survey indicated that more than _____ of the participants in the national sex survey ages 18-24 indicated that their most recent sexual partner was a casual or dating partner.

A. 65%

B. 60%

C. 55%

D. 50%


Singles, Marrieds and Cohabitators

9. According to the latest 2010 2U.S. Census, thirty percent of Americans have never been married, accounting for the largest percentage of never married in the past 60 years.

A. True

B. False


Sex and the Married Couple

10. Which of the following accurately describes the frequency of reported married male and female vaginal sex?

A. 28.4 % of married 25-29 year old men report having vaginal sex a few times per month to monthly

B. 35.3 % of married 18-24 women report having vaginal sex 2-3 times per week, while 11.8% of this age group report not having vaginal sex in the past year

C. Of married men age 50-59, 6.3% report having vaginal sex 4 or more times per week

D. For married women ages 60-69, only 5.2% report having vaginal sex 2-3 times per week


Changes in Sexual Patterns

11. Within marriage and partnerships, there is often a decrease in the number of sexual encounters due to couples becoming accustomed to one another sexually, which results in decreased interest in sex.

A. True

B. False


Factors That Contribute To Infidelity

12. Which of the following is NOT one of the likely factors that contributes to infidelity?

A. Having had a high number of previous sex partners

B. Stronger sexual interests

C. Being part of a couple for a short period of time

D. Having permissive sexual values


Sexuality and Aging-Loss of a Partner

13. When men who have lost their partner remarry, they may experience situations in which they become sexually aroused by a new partner but cannot maintain an erection, which is known as "survivors affliction."

A. True

B. False


14. Physical changes associated with healthy aging in women may limit the ability to relate sexually, and these may include reduced levels of the hormones estrogen, progesterone, and:

A. Androgen

B. HCG (human chorionic gonadotrophin)

C. Relaxin

D. Prolactin


Topics in Human Sexuality: Fertility -Conception

15. Experts believe that about one third of fertility issues are due to the woman, another one third are due to the man, and another one third of cases are caused by a mixture of male and female problems or cannot be traced to a cause.

A. True

B. False


Ovulation Disorders

16. Oligo-ovulation is a disorder in which eggs do not develop properly, or are not released from the follicles of the ovaries.

A. True

B. False


Male Infertility

17. There are a number of common drugs that may have a negative effect on sperm production and/or function, including each of the following EXCEPT:

A. Antibiotics such as nitrofuran, erythromycin, and gentamicin

B. Rituxan

C. Cimetidine

D. Calcium Channel Blockers


Intrauterine Insemination (IUI)

18. The average success rate for IUI ranges from 10-20% in one cycle, with the success rate being dependent on the health of the sperm and the woman's body.

A. True

B. False


Topics in Human Sexuality: Menstruation-Defining Puberty

19. A recent study published in Pediatrics found that puberty is developiung earlier than in the past, and by age 7, about _____ of white and _____ of African-American girls had started developing breasts.

A. 16%; 29%

B. 14%: 27%

C. 12%; 25%

D. 10%; 23%


Premenstrual dysphoric disorder (PMDD)

20. PMDD is a severe form of premenstrual syndrome, which is likely brought about by hormonal changes related to the menstrual cycle, and women with a personal or family history of depression or postpartum depression are at greater risk for developing PMDD.

A. True

B. False


Topics in Human Sexuality: Sexually Transmitted Diseases (STDs)

21. Adolescents and young adults are at great risk for contracting an STD because they are more likely to have multiple sexual partners, and almost half of new infections occur among people ages 15 to 24.

A. True

B. False


Chlamydia-Complications/PID

22. Chlamydia is often asymptomatic and therefore untreated, and in about 20-25 % of women with untreated infection, chlamydia spreads to the uterus or fallopian tubes, causing pelvic inflammatory disease (PID).

A. True

B. False


Gonorrhea

23. Which of the following is a true statement about the symptoms of gonorrhea?

A. Most women with gonorrhea have mild to moderate symptoms

B. Symptoms for women include the development of a rash on one or more areas of the body and abdominal pain between periods

C. When symptoms appear for men , they generally occur within three to five days of infection but can take as long as 60 days

D. Symptoms may include a burning sensation when urinating, a white, yellow, or green discharge from the penis, or painful or swollen testicles


Syphilis

24. Syphilis is a STD caused by the bacterium Treponema pallidum, and it has been called "the great imitator" because so many of the signs and symptoms are indistinguishable from those of other diseases.

A. True

B. False


Symptoms-Late and Latent Stages

25. In the late and latent stages of syphilis, which generally occurs in 20-25% of untreated people, symptoms include fever, swollen lymph glands, patchy hair loss, headaches, weight loss, muscle aches, and fatigue.

A. True

B. False


Treatment

26. For a person who has had syphilis less than a year, treatment involves a series of intramuscular injections of penicillin and doxycycline.

A. True

B. False


Genital Herpes-Complications

27. Regardless of severity of symptoms, genital herpes frequently causes psychological distress in people who know they are infected.

A. True

B. False


Human Immunodeficiency Virus (HIV)

28. While initially HIV was thought to be a disease that was limited to the homosexual population and IV drug users, approximately ______________ of new HIV diagnoses are among heterosexuals.

A. One-fifth

B. One-fourth

C. One-third

D. None of the above


29. Opportunistic infections associated with AIDS include pneumonia, yeast infections of the esophagus, and:

A. Toxoplasmosis

B. Urinary tract infections

C. Rhinocerebral mucormycosis

D. All of the above


Trichomoniasis

30. Trichomoniasis is the most common curable STD in young, sexually active women, with an estimated 5.2 million new cases being diagnosed each year.

A. True

B. False


Adolescents and STDs

31. Compared to older adults, adolescents (10- to 19-year-olds) are at higher risk for acquiring STDs for a number of reasons, including limited access to preventive and regular health care and physiologically increased susceptibility to infection.

A. True

B. False


Topics in Human Sexuality: Sexual Deviation

32. Paraphilias, which are defined as "recurrent, intense, sexual urges, fantasies, or behaviors that involve unusual objects, activities, or situations", include each of the following EXCEPT:

A. Pedophilia

B. Frotteurism

C. Compulsive masturbation

D. Voyeurism


The Development of Atypical Sexual Behavior

33. Pschodynamic theorists believe that abnormal sexual behavior is a conditioned response in which a person learns to become aroused in a way that deviates from sexual norms.

A. True

B. False


Other

34. A childhood history of attention-deficit/hyperactivity disorder (ADHD) is thought to increase the likelihood of developing a sexual paraphilia, although the reason for the connection is not yet known.

A. True

B. False


Transvetism

35. Research indicates the four basic motivations for transvestism are sexual arousal, relaxation, _______________, and role playing.

A. Adornment

B. Fantasy fulfillment

C. To relieve urges

D. Sexual expression


Hypersexual Disorder

36. Hypersexual behaviors such as excessive masturbation, viewing pornography, sexual behavior with consenting adults, cybersex, engaging in telephone sex, or frequenting strip clubs are frequently seen in the manic stages of bipolar disorder.

A. True

B. False


Individual Therapy

37. One cognitive behavioral technique to treat sexual deviations is illicit reconditioning in which the person's negative sexual variation is paired with an unpleasant stimulus in order to deter them from repeating the act.

A. True

B. False


Social Skills Training

38. The impetus for social skills training is the belief that paraphilias develop in individuals who lack the ability to develop relationships, so the training focuses on such issues as developing intimacy, carrying on conversations with others, and assertiveness skills.

A. True

B. False


Topics in Human Sexuality: Sexual Addiction

39. During the first three years of treatment for sex addiction, abstinence, ___________________, and rebuilding the capacity for healthy intimacy are the recommended primary tasks.

A. Shame reduction

B. Dealing with triggers

C. Replacing negative self esteem

D. Reduction of relationship conflicts


Prevalence and Gender Differences

40. Research suggests that in the United States, approximately 28 million people, including 12% of men and 5% of women, are sexually addicted.

A. True

B. False


Sexual Compulsivity and Trauma

41. The beginnings of sexual addiction are usually rooted in adolescence or childhood, especially in experiences of abuse, as demonstrated by each of the following EXCEPT:

A. Children who become sexually addicted may have grown up in harsh, chaotic or neglectful homes, or they may have been emotionally starved for love and affection

B. Boundaries in the family may have been overly rigid or permissive, which inhibited personal growth and individuality

C. For these children, sex may become a replacement for any kind of need, from escaping boredom, to feeling anxious, to being able to sleep at night

D. It is estimated that forty-five percent of sexual addicts were abused by someone in their childhood


Treatment of Sexual Addiction

42. Treatment of sexual addiction focuses on controlling the addictive behavior and helping the person develop a healthy sexuality and healthy interpersonal relationships.

A. True

B. False


43. Medications used to treat _______________ may also be used to treat sex addiction.

A. ADHD

B. Anxiety

C. Obsessive Compulsive Disorder

D. None of the above


Topics in Human Sexuality: Sexual Orientation

44. The American Psychological Association (2008) defines sexual orientation as "an enduring pattern of emotional, romantic, and/or sexual attractions to men, women, or both sexes", and it also refers to a person's:

A. Actions

B. Identity

C. Sexual expression

D. Morals


45. Sexual orientation is defined as a distinct trait that is seen on a continuim with other components of sex and gender, such as biological sex, gender identity, and social gender role.

A. True

B. False


Prejudice, Discrimination, Scope and Impact

46. The belief systems about homosexuality which states that homosexuality is morally neutral and that persons of all sexual orientations deserve equal rights is know as liberation.

A. True

B. False


Homosexuality as a Mental Disorder: An Important Shift

47. The publishing of the the first empirical research to challenge the prevailing psychiatric assumption that homosexuality was a mental illness is credited to Evelyn Hooker, who administered projective tests to 30 homosexual males and 30 heterosexual males matched for age, IQ, and education.

A. True

B. False


Homosexuality as a Mental Disorder: An Important Shift-Homosexuality As One Orientation

48. According to an American Psychological Association report on sexual orientation:

A. Research has found no inherent association between homosexual orientation and psychopathology

B. Both heterosexual behavior and homosexual behavior are normal aspects of human sexuality

C. Lesbian, gay, and bisexual orientations represent normal forms of human experience, and are normal forms of human bonding

D. All of the above


The Coming Out Process

49. In the first formal model of homosexual identity, the ____________________ stage is described as the period when people have accepted their sexual orientation, are fully immersed in gay and lesbian subcultures, and may choose to have less interaction with heterosexuals.

A. Identity acceptance

B. Identity pride

C. Identity synthesis

D. Identity satisfaction


Tips for Working With Gay and Lesbian Clients

50. When working with gay and lesbian clients, it is recommended that clinicians use terms such as 'sexual preference' and 'alternative lifestyle', as they tend to be less offensive than the term 'sexual orientation'.

A. True

B. False


Topics in Human Sexuality: Sexuality and Childhood Sexual Abuse-Definition

51. Child sexual abuse is defined as "the engagement of a child in sexual activities for which the child is developmentally unprepared and cannot give informed consent", with the most significant feature being that the dominant position of an adult allows him or her to coerce the child into sexual activity.

A. True

B. False


Effects of Trauma and Sexual Abuse Connected to Adult Sexuality

52. Which of the following in NOT identified as one of the effects of sexual abuse on adult sexuality?

A. Difficulty establishing intimate relationships

B. Intense emotional reactions or numbing

C. Displaying sexually risky behaviors

D. Distorted body image and feeling unattractive


53. Sexual abuse survivors often have difficulty with their sexuality, and they may have intrusive thoughts or fantasies about sex, such as wanting to be in power or control during sex or other types of aggressive sexual behavior.

A. True

B. False


Defining Sexual Disorders

54. When determining if sexual difficulties are serious enough to be considered a disorder, the clinician should look at the age and experience level of the person, the frequency and chronicity of symptoms, and:

A. The effect on overall functioning

B. The client's desire to participate in sexual activities

C. Direct feedback from both partners if possible

D. None of the above


Male Erectile Disorder

55. Most men experience transient episodes of erectile disorder that are temporary and usually associated with fatigue, anger, depression or stressful emotions.

A. True

B. False


Premature Ejaculation

56. Premature ejaculation is a common sexual complaint, and although estimates vary, as many as 1 out of 3 men may be affected by this problem at some time.

A. True

B. False


Female Orgasmic Disorder

57. About ____ of women experience orgasm through direct clitoral stimulation but not during intercourse, while about ____ of women never experience an orgasm, regardless of the situation or stimulation.

A. 60%; 20%

B. 55%; 15%

C. 50%; 10%

D. 45%; 5%


Vaginismus

58. Vaginismus is a general term used to describe sexual pain that occurs in the vaginal area during penetration, during intercourse, and/or following intercourse.

A. True

B. False


Sexual Desire Disorders

59. Inhibited sexual desire includes each of the following EXCEPT:

A. Sexual aversion

B. Sexual apathy

C. Hypoactive sexual desire

D. Unemotional sexuality


60. A behavior therapy that involves a person focusing on him or herself from a third person perspective during sexual activity, rather than focusing on one's sensations and/or sexual partner is know as:

A. Onlooking

B. Spectatoring

C. Monitoring

D. Eyewitnessing


Copyright © 2026 Quantum Units Education

Visit us at QuantumUnitsEd.com!