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SOLUTION MANUAL FOR HUMAN SEXUALITY

SELF SOCIETY AND CULTURE 1ST EDITION HERDT


BY GILBERT HERDT NICOLE POLEN PETIT
0073532169 9780073532165
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sexuality-self-society-and-culture-1st-edition-herdt-by-gilbert-herdt-nicole-polen-
petit-0073532169-9780073532165/
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CHAPTER 6: TAKING CARE OF THE SEXUAL BODY

True/False Questions

1. Teens and young adults have a disproportionately higher rate of certain STIs than other age
groups in our society.
Answer: True
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Taking Responsibility for Our Own Sexual Health

2. The younger a woman is, the more likely she is to develop breast cancer.
Answer: False
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

3. Reaching menarche at an early age is a risk factor in the development of breast cancer.
Answer: True
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Female Sexual Health

4. A lumpectomy removes one or both breasts, and possibly other tissue around the breast, to
eradicate cancer from that area.
Answer: False
Difficulty: Easy
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

5. Men are more susceptible than women to developing urinary tract infections.
Answer: False
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

6. Cancer that originates in the vagina is called vulvar cancer.


Answer: False
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

7. Cryptorchidism is a risk factor in the development of prostate cancer.


Answer: True
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Male Sexual Health

8. Of all industrialized countries in the world, the United States has the highest rate of STIs.
Answer: True
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Sexually Transmitted Infections

9. Consistent condom use guarantees that person will not get an STI.
Answer: False
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Risks and Protective Factors for STIs

10. There is no corner of the earth that HIV/AIDS has not reached.
Answer: True
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
11. Condoms can help prevent the transmission of trichomoniasis.
Answer: True
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

12. Today heterosexual sex is one of the most common ways of transmitting HIV.
Answer: True
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

13. It is possible to transmit HIV by hugging someone, or sharing food or eating utensils.
Answer: False
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

14. Seroconversion occurs in the fourth stage of HIV infection.


Answer: False
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Human Immunodeficiency Virus

15. Bacteria that cause STIs are spread primarily via sexual contact, including oral, vaginal, and
anal sex, or when contact with bodily fluids occurs.
Answer: True
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

16. Gonorrhea is a viral STI.


Answer: False
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

17. Chlamydia is easily treated and cured with antibiotics.


Answer: True
Difficulty: Easy
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

18. Untreated, pelvic inflammatory disease can lead to infertility, ectopic pregnancy, chronic
pelvic pain, and other serious consequences.
Answer: True
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

19. A pap test is one of the methods of diagnosing human papilloma virus.
Answer: True
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Viral STIs

20. Hepatitis A is the hepatitis virus that is associated with sexual contact.
Answer: False
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Viral STIs

Multiple Choice Questions

21. Identify the age group that has a disproportionately higher rate of certain STIs than other age
groups in the U.S.
A. Infants
B. Teens and young adults
C. Middle-aged adults
D. Adults in late adulthood
E. Toddlers
Answer: B
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Taking Responsibility for Our Own Sexual Health

22. In the United States, _____ is the fifth leading cause of death for women.
A. heart disease
B. lung cancer
C. cervical cancer
D. breast cancer
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
E. diabetes
Answer: D
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

23. Not counting skin cancer, _____ is the most common cancer in women in the United States.
A. breast cancer
B. lung cancer
C. cervical cancer
D. leukemia
E. prostate cancer
Answer: A
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

24. Which of the following ethnicities of women have the highest incidence of breast cancer in
the U.S.?
A. Asian/American
B. Indian/American
C. African-American
D. Hispanic
E. Non-Hispanic White
Answer: E
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Female Sexual Health

25. A _____ removes the cancerous tumor in the breast while leaving the breast intact.
A. appendectomy
B. mastectomy
C. lumpectomy
D. laparotomy
E. colostomy
Answer: C
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

26. A _____ is the removal of one or both breasts, and possibly other tissue around the breast, to
eradicate cancer from that area.
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
A. laparotomy
B. lumpectomy
C. colostomy
D. mastectomy
E. appendectomy
Answer: D
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

27. _____ refers to an instrument used to open the vagina during vaginal exams performed by a
physician.
A. Speculum
B. Scalpel
C. Endoscope
D. Colposcope
E. Lancet
Answer: A
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

28. Emanuel has an exam where her doctor inserts two fingers into her vagina while placing her
other hand on top of the lower part of the abdomen in order to feel for any abnormalities and to
check the size, shape, and mobility of the uterus; that is, her Doctor is performing a:
A. digital rectal exam
B. mammogram
C. bimanual exam
D. colonoscopy
E. speculum exam
Answer: C
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Apply
Heading: Female Sexual Health

29. _____ refers to an infection of the urethra, bladder, or other urinary structure, usually caused
by bacteria.
A. Lower respiratory infection
B. Urolithiasis
C. Urinary bladder disease
D. Vaginitis
E. Urinary tract infection
Answer: E
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

30. Which of the following is a common symptom of urinary tract infection?


A. Urine that is light or straw-colored
B. Passing very little urine despite drinking plenty of fluids
C. Complete cessation of urine production
D. A strong, persistent urge to urinate
E. Lack of sensation during urination
Answer: D
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Female Sexual Health

31. _____ is an inflammation of the vagina that can result in some unpleasant symptoms
including discharge, itching, and pain.
A. Vaginismus
B. Vaginitis
C. Urinary tract infection
D. Gonorrhea
E. Syphilis
Answer: B
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

32. _____ refers to a type of vaginitis that results from overgrowth of one or more of several
organisms typically present in the vagina.
A. Atrophic vaginitis
B. Trichomoniasis
C. Yeast infection
D. Bacterial vaginosis
E. Urinary tract infection
Answer: D
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

33. _____ refers to a type of vaginitis that occurs when a naturally occurring fungus changes the
normal environment in the vagina, mouth, skinfolds, or fingernail beds.
A. Yeast infection
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
B. Trichomoniasis
C. Atrophic vaginitis
D. Bacterial vaginosis
E. Urinary tract infection
Answer: A
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

34. _____ is so common that it is estimated that three of four women will contract it in their
lifetime.
A. Atrophic vaginitis
B. Trichomoniasis
C. Yeast infection
D. Bacterial vaginosis
E. Urinary tract infection
Answer: C
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

35. _____ is a type of vaginitis caused by a parasite that is spread during sex with someone who
already has the infection.
A. Atrophic vaginitis
B. Trichomoniasis
C. Yeast infection
D. Bacterial vaginosis
E. Urinary tract infection
Answer: B
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

36. Symptoms of _____ in women include genital irritation, burning or pain during urination,
and a foul-smelling discharge.
A. atrophic vaginitis
B. vaginismus
C. yeast infection
D. bacterial vaginosis
E. trichomoniasis
Answer: E
Difficulty: Easy
Topic: Knowing Our Own Body
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Blooms: Remember
Heading: Female Sexual Health

37. Which of the following is the preferred treatment for trichomoniasis?


A. A suppository placed in the vagina
B. Antibiotics prescribed by a health care provider
C. Using water-based lubricants during sexual intercourse
D. Anti-yeast cream
E. Refraining from irritating feminine products
Answer: B
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Female Sexual Health

38. _____ is a type of vaginitis that occurs due to reduced estrogen levels resulting from
menopause and can cause vaginal tissues to become thinner and drier.
A. Atrophic vaginitis
B. Trichomoniasis
C. Yeast infection
D. Bacterial vaginosis
E. Urinary tract infection
Answer: A
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

39. Which of the following treatments for atrophic vaginitis can help women enjoy intercourse?
A. Administering a suppository
B. Using anti-yeast cream
C. Taking antibiotics prescribed by a health care provider
D. Using water-based lubricants
E. Drinking lots of water
Answer: D
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Female Sexual Health

40. Which of the following is the most common type of uterine cancer?
A. Cervical cancer
B. Endometrial cancer
C. Ovarian cancer
D. Vulvar cancer
E. Vaginal cancer
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Answer: B
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Female Sexual Health

41. Of all the gynecologic cancers, _____ cancer is the deadliest, but accounts for only about 3%
of all cancers in women.
A. cervical
B. vaginal
C. vulvar
D. uterine
E. ovarian
Answer: E
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

42. Which of the following is the easiest female cancer to prevent with regular screening tests?
A. Cervical cancer
B. Ovarian cancer
C. Uterine cancer
D. Vulvar cancer
E. Vaginal cancer
Answer: A
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Female Sexual Health

43. When found and treated early, _____ cancer is the most curable type of gynecologic cancer.
A. uterine
B. ovarian
C. cervical
D. vulvar
E. vaginal
Answer: C
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

44. Which of the following is the main cause of cervical cancer?


A. Neisseria gonorrhea
B. Herpes simplex virus (HSV)
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
C. Human immunodeficiency virus (HIV)
D. Human papillomavirus (HPV)
E. Chlamydia trachomatis
Answer: D
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Female Sexual Health

45. Nearly all testicular cancers are thought to begin in the _____.
A. germ cells
B. seminal vesicles
C. prostate gland
D. red blood cells
E. urethra
Answer: A
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Male Sexual Health

46. Identify the cells in the testicles that produce immature sperm.
A. Lymphocytes
B. Red blood cells
C. Goblet cells
D. Epithelial cells
E. Germ cells
Answer: E
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Male Sexual Health

47. _____ refers to condition that occurs in infancy in which one or both of the testicles do not
descend.
A. Anorchism
B. Monorchism
C. Polyorchidism
D. Cryptorchidism
E. Sertoli cell-only syndrome
Answer: D
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Male Sexual Health

© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
48. Which of the following is a risk factor for both testicular and prostate cancer?
A. Abnormal testicle development
B. An undescended testicle
C. Family history
D. High testosterone levels
E. High glucose levels
Answer: C
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Male Sexual Health

49. Which of the following is a risk factor for prostate cancer?


A. High testosterone levels
B. Abnormal testicle development
C. An undescended testicle
D. Low estrogen levels
E. A low-fat diet
Answer: A
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Understand
Heading: Male Sexual Health

50. _____ refers to an exam during which the physician inserts the fingers into the rectum in
order to feel the size of the prostate gland.
A. Colonoscopy
B. Speculum exam
C. Bimanual exam
D. Pelvic exam
E. Digital rectal exam
Answer: E
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Male Sexual Health

51. Why are routine prostate-specific antigen (PSA) tests not recommended for men?
A. The tests are known to increase the risk of prostate cancer.
B. The tests are known to result in many false positives.
C. The tests are not very effective at detecting late-stage prostate cancer.
D. The tests are known to cause impotence.
E. The tests increase the risk of contracting an STI.
Answer: B
Difficulty: Hard
Topic: Knowing Our Own Body
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Blooms: Understand
Heading: Male Sexual Health

52. _____ refers to a painful condition in women marked by inflammation of the uterus,
fallopian tubes, and ovaries; typically caused by the presence of one or more untreated STIs.
A. Gonorrhea
B. Chlamydia
C. Nongonococcal urethritis
D. Pelvic inflammatory disease
E. Trichomoniasis
Answer: D
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Risks and Protective Factors for STIs

53. Which of the following is a risk factor for contracting sexually transmitted infections (STIs)?
A. Using condoms instead of contraceptive pills
B. Being male
C. Being female
D. Never having contracted an STI
E. Delay in engaging in sex
Answer: C
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Risks and Protective Factors for STIs

54. Which of the following increases the risk of getting a sexually transmitted disease?
A. Alcohol and drug use
B. Consistent use of condoms
C. A high-fat diet
D. Being male
E. Engaging in sex at a late age
Answer: A
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Risks and Protective Factors for STIs

55. _____ refers to a virus that leads to the destruction of the immune system through a variety
of illnesses known as AIDS.
A. Neisseria gonorrhea
B. Herpes simplex virus (HSV)
C. Human papillomavirus (HPV)
D. Human immunodeficiency virus (HIV)
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
E. Hepatitis B virus (HBV)
Answer: D
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

56. HIV/AIDS has become a(n) _____.


A. global pandemic
B. endemic
C. spate
D. syndemic
E. counter-syndemic
Answer: A
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

57. _____ refers to a late-stage infection with HIV.


A. Hepatitis B
B. Trichomoniasis
C. Nongonococcal urethritis
D. Pelvic inflammatory disease
E. Acquired immunodeficiency syndrome (AIDS)
Answer: E
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

58. _____ refers to a virus that survives and multiplies by invading and destroying the DNA of
normal body cells and then replicating its own DNA into the host cell’s chromosomes.
A. Adenovirus
B. Reovirus
C. DNA virus
D. RNA virus
E. Retrovirus
Answer: E
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

59. The organism responsible for AIDS is a retrovirus that:


A. affects the body’s reproductive organs leading to infertility.
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
B. destroys the cells of the body’s immune system as it reproduces.
C. primarily infects and destroys the body’s red bloods cells.
D. causes excessive proliferation of red blood cells.
E. affects the neural pathways of the brain.
Answer: B
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Human Immunodeficiency Virus

60. What is meant by bare-backing?


A. Anal sex without condoms
B. Vaginal sex without the use of contraceptives
C. Oral sex performed on men
D. Anilingus
E. Oral sex performed on women
Answer: A
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Human Immunodeficiency Virus

61. Which of the following is a high-risk behavior that can lead to the transmission of HIV?
A. Protected oral sex
B. Anal sex with the use of condoms
C. Bare-backing
D. Vaginal sex without the use of contraceptives
E. Masturbation
Answer: C
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Human Immunodeficiency Virus

62. Which of the following behaviors is the most common mode of transmission of HIV?
A. An infected mother breast-feeding her baby
B. Cunnilingus
C. Anal sex with the use of condoms
D. Close-mouthed kissing
E. Vaginal sex without the use of condoms
Answer: E
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Apply
Heading: Human Immunodeficiency Virus

© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
63. Which of the following is NOT a possible mode of transmission of HIV?
A. Oral sex with an infected person
B. Bare-backing
C. Blood transfusions from an infected person
D. Sharing of food or utensils with an infected person
E. Engaging in deep kissing with an infected person
Answer: D
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Apply
Heading: Human Immunodeficiency Virus

64. Which of the following cells of the immune system does HIV infect?
A. Macrophages
B. T-cells
C. B-cells
D. Neutrophils
E. Phagocytes
Answer: B
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Human Immunodeficiency Virus

65. _____ play a critical role in our immune systems by coordinating the actions of other
immune system cells.
A. Red blood cells
B. Memory cells
C. T-cells
D. Goblet cells
E. Epithelial cells
Answer: C
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

66. During the _____ stage there is a large amount of HIV in the bloodstream, and the immune
system responds by producing HIV antibodies.
A. primary HIV infection
B. clinically asymptomatic
C. symptomatic HIV infection
D. progression from HIV to AIDS
E. opportunistic infection
Answer: A
Difficulty: Hard
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

67. If an HIV antibody test is done before the completion of _____, it may show as a false-
negative result.
A. vaccination
B. seroreversion
C. immunization
D. seroconversion
E. inoculation
Answer: D
Difficulty:Hard
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

68. Identify the process during which HIV antibodies produced by the immune system detect
HIV particles and disable them.
A. Vaccination
B. Seroconversion
C. Immunization
D. Seroreversion
E. Inoculation
Answer: B
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Human Immunodeficiency Virus

69. During the _____ stage, levels of HIV in the bloodstream drop to lower levels, but HIV
antibodies are still detectable in the blood.
A. Opportunistic infection
B. Primary HIV infection
C. Progression from HIV to AIDS
D. Symptomatic HIV infection
E. Clinically asymptomatic
Answer: C
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

70. _____ is mainly caused by the emergence of opportunistic infections and cancers that a
normal immune system would fight off and prevent.
A. Symptomatic HIV infection
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
B. Primary HIV infection
C. Clinically asymptomatic stage
D. Progression from HIV to AIDS
E. Secondary HIV infection stage
Answer: A
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

71. _____ refer to a group of infections that establish themselves in the human body as a result of
a weakened immune system due to HIV infection.
A. Retroviral infections
B. Recurrent infections
C. Latent HIV infections
D. Primary HIV infections
E. Opportunistic infections
Answer: E
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

72. The _____ stage of HIV infection is characterized by multisystem disease and infections,
which can occur in almost every bodily system.
A. progression from HIV to AIDS
B. primary HIV infection
C. clinically asymptomatic stage
D. symptomatic HIV infection
E. secondary HIV infection stage
Answer: D
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

73. “The clap” is a slang term for which of the following sexually transmitted infections?
A. Chlamydia
B. Gonorrhea
C. Syphillis
D. Scabies
E. Trichomoniasis
Answer: B
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Heading: Bacterial STIs

74. Identify the type of organism that causes gonorrhea.


A. Fungi
B. Protozoan
C. Parasitic mite
D. Bacteria
E. Retrovirus
Answer: D
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

75. If gonorrhea is left untreated in men, the infection can cause _____, which is a painful
condition of the ducts attached to the testicles.
A. vaginitis
B. prostatitis
C. epididymitis
D. syphilis
E. nongonococcal urethritis
Answer: C
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

76. Which of the following is a serious complication that women infected with gonorrhea are at
risk of developing?
A. Pelvic inflammatory disease
B. Acquired immunodeficiency syndrome
C. Down syndrome
D. Genital warts
E. Scabies
Answer: A
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

77. In the United States, _____ is the most frequently reported bacterial STI.
A. herpes
B. syphilis
C. gonorrhea
D. chlamydia
E. scabies
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Answer: D
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

78. Which of the following is a mode of transmission of Chlamydia?


A. Masturbation
B. Oral sex
C. Deep kissing
D. Blood transfusion
E. Sharing of food and utensils
Answer: B
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

79. _____ is a leading cause of early infant pneumonia and conjunctivitis (pink eye) in
newborns.
A. Chlamydia
B. Gonorrhea
C. Syphillis
D. Herpes
E. Scabies
Answer: A
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

80. _____ is an STI caused by the bacterium Treponema pallidum, and characterized by a
chancre, or sore, at the point of infection. Untreated, it can destroy brain tissue and cause death.
A. Herpes
B. Chlamydia
C. Scabies
D. Gonorrhea
E. Syphilis
Answer: E
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

81. Which of the following is NOT a mode of transmission of syphilis?


A. Prenatal exposure through an infected mother
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
B. Direct contact with a syphilis sore
C. Sharing clothing with an infected person
D. Vaginal intercourse
E. Oral sex
Answer: C
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

82. Which of the following is a mode of transmission of syphilis?


A. Contact with toilet seats
B. Direct contact with a syphilis sore
C. Through swimming pools
D. Sharing eating utensils with an infected person
E. Sharing a hot tub with an infected person
Answer: B
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

83. _____ refers to a sore that typically appears at the site of infection with syphilis.
A. Tumor
B. Ablation
C. Lesion
D. Chancre
E. Cyst
Answer: D
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

84. Which of the following marks the primary stage of syphilis?


A. Swollen lymph nodes
B. Appearance of skin rash and mucous membrane lesions
C. Appearance of a single sore called a chancre
D. The disappearance of skin rashes and mucous lesions
E. Gradual blindness
Answer: C
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
85. Which of the following is a common symptom of the secondary stage of syphilis?
A. Patchy hair loss
B. Significant damage to internal organs
C. Difficulty coordinating muscle movements
D. Paralysis
E. Numbness
Answer: A
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

86. Which of the following is a symptom of the latent stage of syphilis?


A. Fever
B. Dementia
C. Fatigue
D. Headaches
E. Sore throat
Answer: B
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

87. Women can effectively prevent PID by:


A. not acquiring STIs.
B. routinely taking contraceptive pills.
C. administering a vaginal douche after intercourse.
D. using water-based lubricants during sexual intercourse.
E. engaging in intercourse early in life.
Answer: A
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Bacterial STIs

88. _____ refers to a skin infestation caused by a microscopic mite that burrows under the skin
and causes a very itchy rash.
A. Chlamydia
B. Gonorrhea
C. Syphilis
D. Crabs
E. Scabies
Answer: E
Difficulty: Easy
Topic: Sexually Transmitted Infections
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Blooms: Remember
Heading: Parasitic STIs

89. Which of the following are the most common symptoms of scabies?
A. Seeing nits or crawling lice on the body
B. Intense itching and a pimple-like skin rash
C. Fever and nausea
D. Sores around the mouth
E. Irregular menstrual bleeding
Answer: B
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Parasitic STIs

90. _____ refers to very small parasitic insects that attach themselves to hair shafts and cause
itching.
A. Bed bugs
B. Lernaeocera branchialis
C. Ascaris
D. Pubic lice
E. Scabies mite
Answer: D
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Parasitic STIs

91. Which of the following is a recommended treatment for pubic lice?


A. Antibiotics
B. Scabicide
C. Pediculicide
D. Retroviral therapy
E. Gardasil
Answer: C
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Parasitic STIs

92. Which of the following is a viral STI that is characterized by sores on the mouth or genitals?
A. Herpes
B. Human papilloma virus
C. Gonorrhea
D. Syphilis
E. Chlamydia
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Answer: A
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Viral STIs

93. The _____ is a condition contracted from one of a group of more than 100 related viruses.
A. hepatitis B virus (HBV)
B. herpes simplex virus (HSV)
C. human papilloma virus (HPV)
D. human immunodeficiency virus (HIV)
E. Syphilis
Answer: C
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Viral STIs

94. Which of the following is a common symptom of HPV?


A. Chancre
B. Genital warts
C. Fever
D. Sores on the mouth
E. Intense itching and a pimple-like skin rash
Answer: B
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Viral STIs

95. _____ refers to a chronic viral infection of the liver.


A. Syphilis
B. Gonorrhea
C. Herpes
D. Hepatitis
E. Chlamydia
Answer: D
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Viral STIs

Fill In the Blanks

96. _____ refers to a group of five different cancers affecting a woman’s reproductive system,
including vaginal, vulvar, uterine, ovarian, and cervical cancers.
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Answer: Gynecologic cancer
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

97. Palomar is a smoker with a history of HPV. She goes to her gynecologist because she has
pain in her pelvis ans persistent itching. Her doctor is concerned that she might have ____, a
gynecologic cancer that begins in the vagina.
Answer: Vaginal cancer
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

98. Evangeline is obese and over 50, she also has a family history of cancer. She goes to her
gynecologist because she has abnormal bleeding between periods and pain in her pelvis. Her
doctor is concerned that she might have _____, cancer.
Answer: Vulvar cancer
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Apply
Heading: Female Sexual Health

99. _____ refers to a gynecologic cancer that begins in the uterus.


Answer: Uterine cancer
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

100. Sandrine is a middle aged Ashkenazi Jew and with a history if endometriosis and breast
cancer. She goes to her gynecologist because she has pain in her pelvis, is extremely tired, has an
upset stomach continuiously and abnormal vaginal discharge. Her doctor is concerned that she
might have _____ cancer.
Answer: Ovarian cancer
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Apply
Heading: Female Sexual Health

101. Emile has had HPV in the past and goes for PAP tests once a year, her doctor thinks she
should come more frequently because he is concerned she might develop _____ cancer, which
often has no symptoms, but is related to HPV.
Answer: Cervical cancer
Difficulty: Medium
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Topic: Knowing Our Own Body
Blooms: Apply
Heading: Female Sexual Health

102. Pedro is a 28-year-old white male with Klinefelters, which has resulted in an anatomical
variation in the development of his genitals. He goes to his doctor because he has a dull ache in
his abdomen, is tired, and has a collection of fluid in the scrotum. His doctor is concerned that he
might have _____ cancer.
Answer: Testicular cancer
Difficulty: Hard
Topic: Knowing Our Own Body
Blooms: Apply
Heading: Male Sexual Health

103. _____ refers to a routine screening used to detect prostate cancer.


Answer: Prostate-specific antigen (PSA) test
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Male Sexual Health

104. Greg has a burning sensation during urination and a cloudy discharge from his penis. His
doctor is concerned that he might have _____, a common STI, and prescribes an antibiotic
Answer: Gonorrhea
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Apply
Heading: Bacterial STIs

105. Jorganna is going to her gynecologist as she has a think cloudy vaginal discharge, pelvic
pain and discomfort during urination. Her doctor is concerned that she might have _____, a
common bacterial STI.
Answer: Chlamydia
Difficulty: Medium
Topic: Sexually Transmitted Infections
Blooms: Apply
Heading: Bacterial STIs

Essay Questions

106. List some of the risks associated with breast cancer. How can women reduce their risk of
getting breast cancer?
Answer: Risks associated with the development of breast cancer, in women
include (American Cancer Society, 2012): not having children or having a first child later in life
(i.e., 30s and 40s); reaching menarche at an early age; beginning menopause at a late age; having
a personal history of breast diseases; having close family relatives (mother, sister, father,
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
daughter) who have had breast cancer; having a genetic condition or genetic mutations that can
lead to breast cancer; having been treated with radiation therapy to the chest area or breasts;
being overweight, particularly after menopause; Using hormone replacement therapy for an
extended time; using oral contraceptives recently; drinking alcohol; being age 65 or older.
As numerous as these risk factors are, women can lessen the chances of getting breast cancer by
maintaining a healthy weight, avoiding the use of hormone replacement therapy (HRT), and
limiting alcohol consumption. Also, every woman should conduct a monthly breast self-exam.
These exams ought to be considered a regular part of how they maintain their sexual body. In
addition to performing self-exams, it is important to receive regular medical checkups.
Difficulty: Easy
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

107. Describe any two common types of vaginitis.


Answer: Bacterial vaginosis results from overgrowth of one or more of several organisms
typically present in the vagina, upsetting the natural balance of vaginal bacteria. It can be spread
during sexual intercourse but also occurs in people who are not sexually active. Bacterial
vaginosis is treated with an antibiotic and requires a prescription from a health care provider.
Yeast infection is so common that it is estimated that three of four women will have a yeast
infection in their lifetime. A naturally occurring fungus changes the normal environment in the
vagina. Yeast infections can also occur in the mouth, skinfolds, and fingernail beds. It is also
thought to be one of the causes of diaper rash in babies. Yeast infections are usually treated with
an anti-yeast cream or suppository placed in the vagina. Some products are available over the
counter, others by prescription only.
Difficulty: Medium
Topic: Knowing Our Own Body
Blooms: Remember
Heading: Female Sexual Health

108. How can alcohol and drug use compromise sexual health?
Answer: Alcohol and drug use are problematic for sexual health in many ways. We know that
using injectable drugs is a high-risk behavior for the transmission of HIV, hepatitis, and other
viruses due to the high incidence of sharing needles. In addition, people who are intoxicated or in
an altered state of mind may be less discriminating about whom they choose to have sex with.
Alcohol and drugs are also known to lower inhibitions, and people may make a decision while
intoxicated that they would not make when sober. Finally, in addition to compromised judgment,
being intoxicated may make it more difficult to negotiate condom use or to use them correctly
with your partner.
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Risks and Protective Factors for STIs

109. Discuss how partners can negotiate the risks associated with sexual activity.

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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
Answer: Sex partners must talk about STIs before having sex. If they wait until after having sex,
it may be more difficult and they may have already exposed the other person to an STI. Partners
should consider talking about STIs in a quiet face-to-face setting, perhaps while taking a walk or
on a quiet date together. The conversation should be in person, however, not by way of texting
and email, because of the depth of conversation and the details that need to be discussed.
Partners should also prepare themselves emotionally. One may be either defensive or
uncomfortable with the discussion, so both need to express their feelings toward each other
clearly, which is why the conversation is necessary. To minimize a partner’s defensiveness, the
supporting partner can offer her own risk factors first and refrain from interrogation tactics. The
couple should consider going together if they’re being tested for STIs. Getting tested together
may remove some of the pressure both are feeling at this time.
Finally, when sex partners start having sex and one notices a symptom of an STI, he or she must
tell the other partner immediately. This will be an upsetting time, but by gently pointing out the
symptom(s) and discussing their concerns about health and well-being, the partners are paving
the way to a healthy and enjoyable sexual relationship.
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Sexual Risk Negotiation

110. Explain the origin of the stigma of HIV/AIDS. Discuss the evolution of these views.
Answer: At the beginning of the AIDS crisis in the United States, most of the illnesses and
deaths were occurring among gay men—and so they were mistakenly referred to as the “gay
cancer.” This early trend is primarily responsible for the stigma HIV and AIDS still have today,
despite the fact that both occur in every community in the world. In December 1982, a 20-
month-old child who had received multiple transfusions of blood and blood products died from
infections related to AIDS. This case provided the first clear evidence that an infectious agent
caused AIDS. It also raised serious concerns about the safety of the world’s blood supply. In that
same month, the CDC reported the first cases of possible transmission of AIDS from mother to
child. Following this discovery, it was reported that increasing numbers of women were
contracting HIV through heterosexual sex. Today heterosexual sex is one of the most common
ways of transmitting HIV.
Difficulty: Hard
Topic: Sexually Transmitted Infections
Blooms: Understand
Heading: Human Immunodeficiency Virus

111. Describe the current treatment methods used for HIV/AIDS.


Answer: In the past decade, we have seen significant advances in the development of
antiretroviral therapy (ART) made up of a combination of medications that work together to
reduce the replication of the human immunodeficiency virus. The latest medications have
successfully reduced the levels of the virus in the bloodstream of HIV-infected persons to
undetectable levels, lengthening the time it takes for the virus to cause further symptoms and
develop into AIDS. Although these medications do not eliminate the possibility of viral
transmission to an uninfected partner, they do greatly reduce the risk of transmission.

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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
With proper treatment, the life span of HIV-infected individuals is rapidly increasing and, in the
United States, is approaching 25 years from the time of infection. Survival following diagnosis
with AIDS is approaching 10 years.
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Human Immunodeficiency Virus

112. What are the symptoms of chlamydia? Discuss its transmission and prevention.
Answer: The symptoms of Chlamydia include thick, cloudy discharge from the vagina or penis
occurring 1 to 3 weeks after exposure; less common: pelvic pain, irregular periods, increased
pain during menstrual periods, discomfort during urination, or irritation of the vaginal and/or
anal area; often asymptomatic.
Chlamydia is transmitted through Oral, vaginal, or anal sex. Extremely contagious bacterium;
may be transmitted during a single sexual encounter with an infected partner.
Condoms can help prevent the transmission of chlamydia infection.
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Bacterial STIs

113. How is scabies diagnosed? How is it treated?


Answer: Diagnosis of a scabies infestation is usually based on the customary appearance and
distribution of the rash and presence of burrows. Whenever possible, the diagnosis of scabies
should be confirmed by identifying the mite, mite eggs, or mite fecal matter. This process is done
by carefully removing a mite from the end of its burrow using the tip of a needle or by obtaining
a skin scraping in order to examine it underneath a microscope. Even though the mite may not be
found, it is still possible for a person to be infested; it is common for fewer than 10 to 15 mites to
be present on the entire body of an infested person who is otherwise quite healthy.
Scabies is quite treatable with a scabicide, a product that kills the scabies mites as well as the
eggs they produce. Scabicides are available only with a physician’s prescription. No over-the-
counter products have been tested and approved for humans as yet.
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Parasitic STIs

114. Describe the common symptoms of human papilloma virus.


Answer: Common symptoms of genital HPV strains are genital warts and precancerous genital
lesions. Genital warts are noncancerous and appear as a flat lesion, a small cauliflower-like
bump, or a stemlike protrusion. In women these warts most commonly appear on the vulva, but
they may be found near the anus, on the cervix, or in the vagina. In men, the warts may appear
on the penis and scrotum or around the anus. Genital warts are not known to cause pain or
discomfort.
Certain HPV infections can cause cellular changes that result in precancerous lesions in women.
A Pap test most often detects these abnormalities. Persistent infections (those that last more than
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for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.
2 years) create a greater risk for cancer. Abnormal vaginal bleeding is a common symptom of
cervical cancer.
Difficulty: Easy
Topic: Sexually Transmitted Infections
Blooms: Remember
Heading: Viral STIs

115. What are some of the ways in which a society can control the spread of STIs? How does
poverty affect sexual health of communities?
Answer: There are many ways for societies to improve conditions and control the spread of STIs.
They might, for example, launch community campaigns to alert people to HIV risk, distribute
condoms, and teach people how to talk with their intimate partners about sexual risk. More than
anything, such measures would equip people with the knowledge, skills, and motivation to fight
HIV in their own backyards.
Research shows that HIV infections are actually increasing in some populations globally and in
the United States. This is the result of poverty, poor health care, and lack of education about
HIV, as well as high-risk unprotected sexual behavior. Researchers have concluded that poverty
exerts a huge negative effect on sexual well-being and human rights. There appears to be a
strong correlation between poverty and being sexually exploited, being the victim of gender
violence, and being susceptible to sexually transmitted infection.
Difficulty: Hard
Topic: Sexual Well-Being and Innovation in STI Prevention
Blooms: Understand
Heading: Sexual Well-Being and Innovation in STI Prevention

© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized
for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded,
distributed, or posted on a website, in whole or part.

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