Q.1 Which of the following is the most common sexual dysfunction in men?
Erectile dysfunction
Premature ejaculation
Delayed ejaculation
Hypoactive sexual desire disorder
Explanation - Premature ejaculation is considered the most prevalent male sexual dysfunction worldwide, often affecting men across age groups.
Correct answer is: Premature ejaculation
Q.2 Which sexual dysfunction is characterized by persistent difficulty in achieving orgasm despite adequate sexual stimulation in women?
Female sexual arousal disorder
Female orgasmic disorder
Genito-pelvic pain/penetration disorder
Hypoactive sexual desire disorder
Explanation - Female orgasmic disorder involves difficulty or inability to achieve orgasm, despite sufficient sexual arousal and stimulation.
Correct answer is: Female orgasmic disorder
Q.3 Hypoactive sexual desire disorder in women is primarily characterized by:
Pain during intercourse
Low or absent sexual desire
Inability to achieve orgasm
Premature ejaculation
Explanation - Hypoactive sexual desire disorder involves persistent or recurrent lack of sexual thoughts, fantasies, or desire for sexual activity.
Correct answer is: Low or absent sexual desire
Q.4 Which of the following is a criterion for diagnosing gender dysphoria in adolescents and adults according to DSM-5?
Strong desire to dress like the opposite sex
Persistent desire to be of another gender accompanied by distress
Preference for same-sex friendships
History of sexual abuse
Explanation - Gender dysphoria is diagnosed when there is a marked incongruence between experienced/expressed gender and assigned gender, causing significant distress or impairment.
Correct answer is: Persistent desire to be of another gender accompanied by distress
Q.5 Which medication class is most commonly associated with sexual dysfunction as a side effect?
SSRIs
Beta-blockers
Antihistamines
Benzodiazepines
Explanation - Selective serotonin reuptake inhibitors (SSRIs) can cause decreased libido, delayed orgasm, or anorgasmia in both men and women.
Correct answer is: SSRIs
Q.6 Erectile dysfunction can be caused by all of the following EXCEPT:
Diabetes mellitus
Hypertension
SSRIs
Increased sexual desire
Explanation - Increased sexual desire is not a cause of erectile dysfunction; ED is typically related to vascular, neurological, psychological, or medication-related factors.
Correct answer is: Increased sexual desire
Q.7 Genito-pelvic pain/penetration disorder primarily affects which group?
Men only
Women only
Both men and women
Adolescents only
Explanation - Genito-pelvic pain/penetration disorder is characterized by pain, fear, or anxiety associated with vaginal penetration and is diagnosed only in individuals assigned female at birth.
Correct answer is: Women only
Q.8 A common psychological treatment for sexual dysfunction is:
Hormone therapy
Cognitive-behavioral therapy
Antibiotic therapy
Surgery
Explanation - Cognitive-behavioral therapy addresses maladaptive thoughts, performance anxiety, and relationship factors contributing to sexual dysfunction.
Correct answer is: Cognitive-behavioral therapy
Q.9 Which of the following is TRUE regarding gender dysphoria in children?
It is always persistent into adulthood
It often resolves by adolescence
It is caused by poor parenting
It is identical to homosexuality
Explanation - Many children with gender dysphoria may not continue to have it in adulthood; persistence into adulthood is less common.
Correct answer is: It often resolves by adolescence
Q.10 Which of the following is considered a primary sexual dysfunction in men?
Premature ejaculation
Erectile dysfunction
Hypoactive sexual desire disorder
All of the above
Explanation - Premature ejaculation, erectile dysfunction, and hypoactive sexual desire disorder are all classified as primary male sexual dysfunctions.
Correct answer is: All of the above
Q.11 Which therapy is specifically used for gender dysphoria in adolescents considering transition?
Puberty blockers
SSRIs
CBT
Electroconvulsive therapy
Explanation - Puberty blockers (GnRH analogs) are used to delay puberty, giving adolescents time to explore gender identity without the distress of developing unwanted secondary sexual characteristics.
Correct answer is: Puberty blockers
Q.12 Delayed ejaculation in men is defined as:
Inability to achieve erection
Persistent difficulty achieving orgasm despite adequate stimulation
Early ejaculation before penetration
Low sexual desire
Explanation - Delayed ejaculation involves prolonged or absent orgasm despite sufficient sexual stimulation and desire.
Correct answer is: Persistent difficulty achieving orgasm despite adequate stimulation
Q.13 Which of the following is a psychosocial factor contributing to female sexual dysfunction?
Depression
Diabetes mellitus
SSRIs
Spinal cord injury
Explanation - Psychological factors such as depression, anxiety, stress, and relationship issues can significantly impact female sexual functioning.
Correct answer is: Depression
Q.14 Which of the following best describes gender dysphoria in adults?
Dislike of secondary sexual characteristics causing distress
Sexual aversion to the opposite sex
Sexual attraction to same-sex individuals
Preference for non-sexual activities
Explanation - Adults with gender dysphoria experience marked distress due to incongruence between their experienced/expressed gender and biological sex, often focused on secondary sexual characteristics.
Correct answer is: Dislike of secondary sexual characteristics causing distress
Q.15 Which sexual dysfunction is associated with pain during intercourse?
Genito-pelvic pain/penetration disorder
Hypoactive sexual desire disorder
Premature ejaculation
Delayed ejaculation
Explanation - Pain during intercourse, fear of pain, or tight pelvic muscles characterize genito-pelvic pain/penetration disorder.
Correct answer is: Genito-pelvic pain/penetration disorder
Q.16 Which of the following is NOT a DSM-5 sexual dysfunction?
Premature ejaculation
Hypoactive sexual desire disorder
Gender dysphoria
Female orgasmic disorder
Explanation - Gender dysphoria is categorized separately from sexual dysfunctions in DSM-5, under its own diagnostic category.
Correct answer is: Gender dysphoria
Q.17 Which of the following treatments may improve SSRI-induced sexual dysfunction?
Switching to bupropion
Increasing SSRI dose
Starting benzodiazepines
Reducing hydration
Explanation - Bupropion is less likely to cause sexual side effects and may be used as an alternative in patients with SSRI-induced sexual dysfunction.
Correct answer is: Switching to bupropion
Q.18 Which factor is most strongly associated with erectile dysfunction in men over 50?
Vascular disease
Low libido
Depression
Low educational level
Explanation - Vascular disease (e.g., atherosclerosis) is a primary contributor to erectile dysfunction in older men due to impaired penile blood flow.
Correct answer is: Vascular disease
Q.19 Which of the following is TRUE regarding female sexual arousal disorder?
It always coexists with orgasmic disorder
It involves persistent inability to attain sexual excitement
It is primarily a male disorder
It is always caused by hormonal imbalance
Explanation - Female sexual arousal disorder is characterized by difficulty achieving or maintaining sufficient sexual excitement or lubrication.
Correct answer is: It involves persistent inability to attain sexual excitement
Q.20 Which of the following is considered an important aspect in managing gender dysphoria?
Affirming gender identity
Ignoring distress
Immediate surgery without assessment
Use of SSRIs only
Explanation - Affirming the individual's experienced gender and providing supportive therapy are key steps in managing gender dysphoria, along with medical interventions as appropriate.
Correct answer is: Affirming gender identity
Q.21 Which of the following is a male sexual dysfunction more common in younger men?
Erectile dysfunction
Premature ejaculation
Delayed ejaculation
Hypoactive sexual desire disorder
Explanation - Premature ejaculation often occurs in younger men, while erectile dysfunction prevalence increases with age.
Correct answer is: Premature ejaculation
Q.22 Which of the following is TRUE about the prevalence of sexual dysfunction in women?
It decreases after menopause
It is uncommon in women under 40
It can occur at any age
It is only psychological in origin
Explanation - Female sexual dysfunction can occur at any age and is influenced by psychological, biological, and relational factors.
Correct answer is: It can occur at any age
Q.23 Which of the following is a first-line pharmacological treatment for male erectile dysfunction?
Sildenafil
Bupropion
SSRIs
Benzodiazepines
Explanation - Phosphodiesterase type 5 inhibitors, such as sildenafil, are first-line pharmacologic treatments for erectile dysfunction.
Correct answer is: Sildenafil
Q.24 Which is TRUE regarding the course of gender dysphoria in adults?
It always persists from childhood
It can emerge in adulthood even without childhood signs
It is always associated with sexual dysfunction
It resolves without intervention
Explanation - Gender dysphoria can manifest in adulthood, sometimes without a clear history of childhood gender incongruence.
Correct answer is: It can emerge in adulthood even without childhood signs