Psychiatry Question Bank – 9 Multiple Choice Questions on "Sexual Disorders"

9 Multiple Choice Questions (MCQs) with Answers on “Sexual Disorders” for Psychiatry Post Graduate Students:

1. Squeeze technique is used for:

A. Premature ejaculation

B. Ejaculation failure

C. Impotence

D. Nymphomania

Squeeze technique (Seeman’s technique) is used in premature ejaculation. Sensate focus technique is used in the treatment of impotence. Pharmaco­therapy, for impotence – Sildenafil citrate (Viagra) Tadalfil, sildenafil, vardenafil is phosphodiesterase type 5 inhibitors licensed in UK for the treatment of erectile dysfunction.

Sexual dysfunction is caused by the following medications:

Antihypertensive:

A. Methyldopa

B. Clonidine

C. Propranolol

D. Thiazide diuretic

E. Spironolactone

Hormonal preparations:

A. Corticosteroids

B. Estrogens

Psychotropic medications:

A. Tricyclic antidepressants and MAD inhibitors

B. SSRI’s

C. Thioridazine

D. Chlorpromazine

E. Haloperidol

F. Barbiturates& Benzodiazepines

G. Lithium

H. Disulfiram

Psychotic substance use

A. Alcohol

B. Opiates and cocaine

Others

A. Anti-inflammatory drugs

B. Anticholinergic drugs

C. L-dopa

2. In this process, the sexual partners are aroused and grati­fied by whipping or being whipped:

A. Fellatio

B. Flagellation

C. Sadism

D. Masochism

3. The essential ingredient of Master’s and Johnson’s treat­ment of impotence is:

A. Adequate history taking

B. Avoidance of the demand for performance

C. Therapeutic alliance

D. Reassurance

Technique used is called “sensate focus” Remember – squeeze (Seaman’s technique) is used for premature ejaculation.

4. Delusion of infidelity on part of the sexual partner is called as:

A. Ekbom’s syndrome

B. Othello syndrome

C. Couvades syndrome

D. De’ clerambault’s syndrome

Othello syndrome is also called as conjugal paranoia. Couvade’s syndrome-If husband develops non­specific physical complaints when wife is pregnant. Ekbom’s syndrome-delusional parasitosis. De’clerambault’s syndrome – delusion of love.

5. Impotence is expressed as:

A. Inability to perform the sexual act

B. Failure of ejaculation

C. Inability to fertilize

D. Primitive ejaculation

Also called as failure of genital response.

6. The most effective treatment for premature ejaculation:

A. Benzodiazepine medication

B. Brief dynamic psychotherapy

C. Prestige suggestion

D. The squeeze technique

Squeeze technique – is also called Seeman’s technique.

7. A useful diagnostic procedure for distinguish psychogenic and organic impotence is:

A. 24 hour monitoring of serum gonadotropin levels

B. Nasopharyngeal EEG recording during sexual stimulation

C. Monitoring penile tumescence during sleep

D. Projective testing

Nocturnal penile tumescence is abnormal in organic impotence.

Some other investigations:

Penile biothesiametry – DICC

Papaverine injection test Penile Doppler Duplex ultrasonography

8. All of the following are true about nocturnal penile tu­mescence except:

A. Differentiate organic and non-organic sexual dysfunction

B. Done in NREM sleep

C. Total about 100 min/night

D. It is a normal phenomenon

9. Which of the following statements concerning the prog­nosis of homosexuality in male is correct?

A. Dreams of heterosexual activity are indicative of a better prognosis

B. The prognosis is independent of the patient’s age at the beginning of therapy

C. The prognosis is independent of any childhood experience

D. All of the above

E. None of the above

Answer

1.A 2.B 3.B 4.B 5.A 6.D 7.C 8.B 9.A