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2024 NR547 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR547 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR547 MIDTERM EXAM WITHCORRECT ANSWERS
Medical Diagnoses Associated with Sexual Dysfunction: Male Erectile
Disorder - CORRECT-ANSWERSMedical cause:
-Disease Factors
• diabetes
• cardiovascular disease
• chronic kidney disease
• cancer
-Lifestyle Factors
• alcohol
• obesity
• smoking
Medical Diagnoses Associated with Sexual Dysfunction: Dyspareunia -
CORRECT-ANSWERSMedical Cause:
-surgical procedures on genitalia
-infected or irritated hymenal remnants
-episiotomy scars
-Bartholin gland infections
-vaginitis and cervicitis
-endometriosis
-adenomyosis
-thinning vaginal mucosa and decreased lubrication
Medical Diagnoses Associated with Sexual Dysfunction: Male Hypoactive
Sexual Desire Disorder and Female Interest/Arousal Disorder - CORRECT-
ANSWERSMedical Cause:
-major illness or surgery, particularly when body image is affected
-central nervous system (CNS) depressants or medications causing
testosterone production
Medical Diagnoses Associated with Sexual Dysfunction: Other Male Sexual
Dysfunction - Delayed Ejaculation - CORRECT-ANSWERSMedical Cause:
-surgery on the genitourinary (GU) tract
,-Parkinson's disease
-other neurologic disorders involving the lumbar and sacral regions of the
spinal cord
Medical Diagnoses Associated with Sexual Dysfunction: Other Female Sexual
Dysfunction - Orgasmic Disorders - CORRECT-ANSWERSMedical Cause:
-Endocrine disease
• diabetes
• hypothyroidism
• primary hyperprolactinemia
Pharmacologic agents implicated in male sexual dysfunction: - CORRECT-
ANSWERS-cyclic drugs
-other mood drugs
-antipsychotics
-chlordiazepoxide (Librium)
-antihypertensives
-barbiturates
-antiparkinsonians
-morphine
-antidepressants
-cardiovascular drugs
-antibacterials
-anticholinergics
-cocaine, cannabis, heroin
-alcohol
Pharmacologic agents implicated in female sexual dysfunction: - CORRECT-
ANSWERS-antihypertensives
-CNS stimulants
-tricyclic antidepressants
-SSRIs
-Monoamine oxidase inhibitors (MAOIs) in early treatment
Sexual dysfunction tx: - CORRECT-ANSWERSPharmacologic:
-Phoshodiesterase (PDE) inhibitors (erectile dysfunction & vaginal lubrication)
-Hormone therapy (increase sex drive)
-Antiandrogens & antiestrogens (compulsive sexual behavior in men)
-Dopaminergics (increased libido, function)
-SSRIs/Tryclics (premature ejaculation)
Surgical
-Male Prostheses
-Vascular Surgery
,Psychosocial
-Dual-Sex Therapy
-Behavior Therapy
-Group Therapy
-Hypnotherapy
-Sex Therapy
Treatment for Erectile Dysfunction: - CORRECT-ANSWERSPills
-Phosphodiesterase-5 inhibitors
• first line therapy
-Alpha-adrenergic blockers can also be used
Injections
-Papaverine (PDE inhibitor) ± phentolamine (α-adrenergic blocker)
Alprostadil (PGE1)
Penile Implants
Suppositories
Vacuum Devices
alogia - CORRECT-ANSWERS-decrease in speech or speech content
-symptom of schizophrenia.
-AKA poverty of speech.
avolition - CORRECT-ANSWERSlack of motivation
anosognosia - CORRECT-ANSWERSinability to realize that he or she is ill,
which is caused by the illness itself.
Excoriation disorder - CORRECT-ANSWERS-Recurrent skin picking resulting in
skin lesions
-Repeated attempts to decrease or stop skin picking
-skin picking causes clinically significant distress or impairment in social,
occupa-tional, or other important areas of functioning
-skin picking is not attributable to the physiological effects of a substance or
another medical condition
Hoarding disorder - CORRECT-ANSWERS-Persistent difficulty discarding or
parting with possessions, regardless of their actual value.
-difficulty is due to a perceived need to save the items and to distress
associated with discarding them
-difficulty discarding possessions results in the accumulation of possessions
that congest and clutter active living areas and substantially compromises
their intended use
-The hoarding causes clinically significant distress or impairment in social,
occupa-tional, or other important areas of functioning
, -The hoarding is not attributable to another medical condition
Body dysmorphic disorder - CORRECT-ANSWERS-Preoccupation with one or
more perceived defects or flaws in physical appearance that are not
observable or appear slight to others.
-At some point during the course of the disorder, the individual has
performed repeti-tive behaviors or mental acts in response to the
appearance concerns.
-The preoccupation causes clinically significant distress or impairment in
social, occu-pational, or other important areas of functioning.
-The appearance preoccupation is not better explained by concerns with
body fat or weight in an individual whose symptoms meet diagnostic criteria
for an eating disorder
Trichotillomania disorder - CORRECT-ANSWERS-Recurrent pulling out of one's
hair, resulting in hair loss.
-Repeated attempts to decrease or stop hair pulling
-hair pulling causes clinically significant distress or impairment in social,
occupa-tional, or other important areas of functioning
-hair pulling or hair loss is not attributable to another medical condition
DSM-5 Criteria for Schizophrenia - CORRECT-ANSWERS-Two (or more) of the
following, each present for a significant portion of time during a 1-month
period. At least one of these must be (1), (2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech
4. Grossly disorganized or catatonic behavior. 5. Negative symptoms
-For a significant portion of the time since the onset of the disturbance, level
of functioning in one or more major areas, such as work, interpersonal
relations, or self-care, is markedly below the level achieved prior to the onset
-Continuous signs of the disturbance persist for at least 6 months.
-Schizoaffective disorder and depressive or bipolar disorder with psychotic
features have been ruled out
-The disturbance is not attributable to the physiological effects of a
substance or another medical condition
-If there is a hx of autism spectrum disorder or a communication disorder of
child-hood onset, the additional dx of schizophrenia is made only if
prominent delusions or hallucinations, in addition to the other required
symptoms of schizophrenia, are also present for at least 1 month
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