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Kaplan Qbank USMLE



Author12 Posts
  #1

following suregery (appendicectomy) a female pt comes to see a doc for loss of interest in sexual contact with her husband.She says she had fighted with her husband latenight.She also states about the pressure at work and she is unable to cope with it.Medical history shows that she was taking sertaline for past 2 yrs and O.C. pills for past 5 yrs.Which of the follwoing is most likely reason for her reported suppression of libido:
A. O.C. pills
B. marital discord
C.post operative recovery
D. work stress
E. serotonin agents

  #2

work stress is most likely?

  #3

marital discord

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  #4

B.Marital discord.
SSRI cause anorgasmia, not loss of libido.

  #5

Why can't it be O.C pills,since she is taking it since 5 yrs.

  #6

what is the ans asmi?

  #7

E. serotonin agents :?:

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  #8

its A

  #9

please explain it. Thx :!:

  #10

Answer is E

if its correct let me know ? but this sounds most appropriate acc to behavior of Woman.

  #11

rizwan,

She was on sertaline which is SSRI and it won't cause loss of libido.

She was on O.C. pills since past 5 yrs and thats the cause of it .

  #12

Thanks. Yes you are right







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