NM701 Exam 2 Questions and Answers
Graded A+
Define Sexual Interest/Arousal Disorder - Correct answer-interest - lack of interest
in sex that is distressing to the woman
arousal - interest in sex but lack of physical response (blood flow or lubrication)
Possible cause of atrophic vaginitis - Correct answer-low estrogen level during
lactation
Define Orgasm disorder - Correct answer-Not able to have orgasm and the woman
finds this distressing
primary - never had
second - has had and stopped
Define vaginismus (a sexual pain disorder) - Correct answer-vaginal/pelvic floor
musculature *involuntarily* spasms when anything is attempting to penetrate the
vagina (penis, tampon, speculum, etc)
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,think -ismus = isthmus aka narrow
often triggered by sexual trauma or rough speculum exams
Management of vaginismus - Correct answer-cognitive approach to reduce anxiety
ensuring person feels control in sexual encounters
physical therapy: pelvic floor desensitization/relaxation, graduated use of dilators
Define vestibulodynia/vulvodynia - Correct answer-a spot or region of vulvar area
is very painful, interferes with sex and life in general
causes - infections, episiotomy
-pain mapping can help ID, may need to refer
Management of vestibulodynia/vulvodynia - Correct answer-cotton underwear,
avoid irritants, avoid self-tx of perceived, undiagnosed infections, pelvic floor PT,
CBT, acupuncture, topical lidocaine, oral antidepressants/anticonvulsants
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, What is the PLISSIT Model in sexual health care? - Correct answer-*P*ermission
to discuss/raise concerns about sexual health
*L*imited *I*nfo: give basic info
*S*pecific *s*uggestions to address unique needs
*I*ntensive *t*herapy referral as needed
Assessment of sexual health - Correct answer--establish rapport, non-threatening,
avoid euphemisms
-focus on behaviors, practices, perceptions rather than labeling sexual orientation
-elicit STIs, pregnancy, IPV
-use term "partner" until/unless person designates a different word (husband, wife,
etc)
-include as assessment of overall health (if concerns weren't already brought up by
the person)
PE, dx testing, referral if indicated by history
Medical conditions that might impact sexual health - Correct answer-CV disease,
HTN, diabetes, metabolic syndrome, hypothyroid, hyperprolactinemia, urinary
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Graded A+
Define Sexual Interest/Arousal Disorder - Correct answer-interest - lack of interest
in sex that is distressing to the woman
arousal - interest in sex but lack of physical response (blood flow or lubrication)
Possible cause of atrophic vaginitis - Correct answer-low estrogen level during
lactation
Define Orgasm disorder - Correct answer-Not able to have orgasm and the woman
finds this distressing
primary - never had
second - has had and stopped
Define vaginismus (a sexual pain disorder) - Correct answer-vaginal/pelvic floor
musculature *involuntarily* spasms when anything is attempting to penetrate the
vagina (penis, tampon, speculum, etc)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,think -ismus = isthmus aka narrow
often triggered by sexual trauma or rough speculum exams
Management of vaginismus - Correct answer-cognitive approach to reduce anxiety
ensuring person feels control in sexual encounters
physical therapy: pelvic floor desensitization/relaxation, graduated use of dilators
Define vestibulodynia/vulvodynia - Correct answer-a spot or region of vulvar area
is very painful, interferes with sex and life in general
causes - infections, episiotomy
-pain mapping can help ID, may need to refer
Management of vestibulodynia/vulvodynia - Correct answer-cotton underwear,
avoid irritants, avoid self-tx of perceived, undiagnosed infections, pelvic floor PT,
CBT, acupuncture, topical lidocaine, oral antidepressants/anticonvulsants
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, What is the PLISSIT Model in sexual health care? - Correct answer-*P*ermission
to discuss/raise concerns about sexual health
*L*imited *I*nfo: give basic info
*S*pecific *s*uggestions to address unique needs
*I*ntensive *t*herapy referral as needed
Assessment of sexual health - Correct answer--establish rapport, non-threatening,
avoid euphemisms
-focus on behaviors, practices, perceptions rather than labeling sexual orientation
-elicit STIs, pregnancy, IPV
-use term "partner" until/unless person designates a different word (husband, wife,
etc)
-include as assessment of overall health (if concerns weren't already brought up by
the person)
PE, dx testing, referral if indicated by history
Medical conditions that might impact sexual health - Correct answer-CV disease,
HTN, diabetes, metabolic syndrome, hypothyroid, hyperprolactinemia, urinary
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
