Managing Sexual Dysfunction in Women with Multiple Sclerosis -- Pre-Test

1. Pre-Test Questionnaire

Please take a minute to complete this pre-session survey to help ARHP assess the impact of its educational programs. Completing this survey will provide ARHP with an invaluable tool for understanding how health professionals use educational offerings and how ARHP activities might be improved to serve you better.

Question Title

* 1. Today's Date:

Enter today's date

Date

Question Title

* 2. Your primary professional category (choose the one best response):

Health Professional Educator

Nurse Midwife

Nurse Practitioner

Pharmacist

Physician

Physician Assistant

Registered Nurse

Resident

Student

Other (please specify)

Question Title

* 3. Do you interact with patients?

Yes

Question Title

* 4. What are the most frequently (more than 10% of patients) reported symptoms associated with the initial episode of MS?:

Sensory loss

Optic neuritis

Weakness and paresthesia

Diplopia and ataxia

All of the above

Question Title

* 5. Primary sexual dysfunction among women with MS frequently manifests itself as:

Increased spasticity and tremors

Increased fatigue

Reduced libido

Bowel dysfunction

Question Title

* 6. A side effect of anticholinergic medications for the treatment of bladder dysfunction attributed to MS may include:

Decreased vaginal lubrication

Decreased libido

Fecal incontinence

Increased fatigue

Question Title

* 7. Which of the following classes of medications may increase the risk of sexual dysfunction among your patients with MS?:

A. Selective serotonin reuptake inhibitors

B. Monamine oxidase inhibitors

C. Serotonin-norepinephrine reuptake inhibitors

D. Both A and C

Question Title

* 8. Eileen is a 30-year old graduate student who is in a long-term, monogamous relationship with a 35-year old attorney. During her appointment for her annual physical exam, she briefly mentions that she is having some 'sex problems but that it is not a big deal'. Optimal strategies to encourage patients with MS to discuss sexual health issues include:

Asking open-ended, non-judgmental questions

Allowing patients to raise the issue at their own time and pace

Referring patients to a sex counselor

All of the above

Question Title

* 9. Upon further questioning, Eileen discloses that she is experiencing symptoms associated with significant secondary sexual dysfunction including low libido, anorgasmia, vaginal dryness, dyspareunia, spasticity, and concerns about urinary retention during sexual intimacy. Which of the following interventions would you offer this patient.

Administer an office-based sexual dysfunction questionnaire

Provide education about behavioral interventions such as 'outercourse', increased sexual stimulation of the breasts and genitals, and masturbation

Use of vaginal lubricant

All of the above

Question Title

* 10. Following your appointment with Eileen, you call her urologist and discuss the possibility of removing her catheter and teaching Eileen to perform intermittent self-catheterization. The urologist agrees to discuss this with Eileen at her next appointment. Subsequently, Eileen has an appointment with her urologist who removes the indwelling pubic catheter. Eileen is instructed in proper techniques for performing clean intermittent self-catheterization. In addition, she and her husband have discussed issues related to sexuality and have focused on modifications to their sexual practices with positive effects and more pleasure experienced by Eileen. However, Eileen reports that she continues to be anorgasmic. What treatment and behavior modifications would you recommend to Eileen to increase her sexual pleasure?

A. Add bupropion to her medication regimen since the sertaline may be contributing to Eileen being anorgasmic

B. Reinforce the importance of use of lubricants and adequate sexual stimulation

C. Both A and B

D. None of the above

Question Title

* 1. Today's Date:

Question Title

* 2. Your primary professional category (choose the one best response):

Question Title

* 3. Do you interact with patients?

Question Title

* 4. What are the most frequently (more than 10% of patients) reported symptoms associated with the initial episode of MS?:

Question Title

* 5. Primary sexual dysfunction among women with MS frequently manifests itself as:

Question Title

* 6. A side effect of anticholinergic medications for the treatment of bladder dysfunction attributed to MS may include:

Question Title

* 7. Which of the following classes of medications may increase the risk of sexual dysfunction among your patients with MS?:

Question Title

Question Title

Question Title

Question Title

* 11. As a result of participating in this activity, I hope to be better able to: