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Human Sexuality

Topics in Human Sexuality: Sexuality Across the Lifespan Childhood and Adolescence -Freud’s Contributions to Our Understanding of Sexual Development

1. The widely accepted notion that sexuality begins at puberty started 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. 2½ years

C. 3 years

D. 3½ years

Sexuality in Early Childhood

3. 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

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 approximately age 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)

4. 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

Teen Pregnancy

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

A. True

B. False

6Topics in Human Sexuality: Sexuality Across the Lifespan Adulthood/Male and Female Sexuality-Milestones in Adult Development

6. 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%

Sex and the Married Couple

7. 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 weekly

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 4.6% report having vaginal sex 2-3 times per week

Changes in Sexual Patterns

8. 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

9. Which of the following is NOT one of the likely factors that contribute 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

10. 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 “survivor's affliction.”

A. True

B. False

Topics in Human Sexuality: Fertility-Conception

11. 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 due to a mixture of male and female problems or cannot be traced to a cause.

A. True

B. False

Ovulation Disorders

12. 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

13. 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

Topics in Human Sexuality: Menstruation-Defining Puberty

14. A recent study published in Pediatrics found that puberty is developing 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)

15. 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)

16. 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


17. 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. Men's symptoms may include a burning sensation when urinating, a white, yellow, or green discharge from the penis, or painful or swollen testicles


18. Syphilis is an 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

19. 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


20. 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

Human Immunodeficiency Virus (HIV)

21. 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

22. 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

Adolescents and STDs

23. 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

24. 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

25. Psychodynamic 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


26. Research indicates that 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

27. Hypersexual behaviors such as excessive masturbation, viewing pornography, 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

28. 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

Topics in Human Sexuality: Sexual Addiction

29. 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

30. 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

31. 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

32. Medications used to treat _____________ may also be used to treat sex addiction.


B. Anxiety

C. Obsessive Compulsive Disorder

D. None of the above

Topics in Human Sexuality: Sexual Orientation

33. 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

Prejudice, Discrimination, Scope and Impact

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

A. True

B. False

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

35. 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

36. 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

Topics in Human Sexuality: Sexuality and Childhood Sexual Abuse Definition

37. 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

38. Which of the following is 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

Defining Sexual Disorders

39. 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

40. 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

41. 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


42. 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

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

A. Sexual aversion

B. Sexual apathy

C. Hypoactive sexual desire

D. Indifferent sexuality

44. 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 known as:

A. Onlooking

B. Spectatoring

C. Monitoring

D. Eyewitnessing

Therapies for Sexual Disorders-Couples Therapy

45. The goal of couple’s therapy is to address interpersonal issues in the relationship, which may include sexual libido, desire or practices different from partner, and poor sexual communication.

A. True

B. False

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