Practice Questions and Answers
, A 47-year-old male presents with difficulty maintaining sexual function. He
recently separated from his wife of 20 years. He reports having early morning
erections but is unable to perform otherwise. What is the most likely cause of his
condition?
A. Abnormal hypogastric arterial circulation
B. Psychological factors
C. Decreased testosterone levels
D. Impaired neural innervation
Correct Answer:
B. Psychological factors
Rationale:
The presence of early morning erections indicates that vascular and neurological
function is intact. This strongly suggests a psychogenic cause. Recent emotional
stress, such as marital separation, is a common contributing factor.