19 - 107 - CARING FOR LGBT PERSONS IN DERMATOLOGY Flashcards
terms that refer to sexual orientation, or one’s characterization of emotional and/or sexual attraction to others
Lesbian, gay, bisexual, and straight
refer to same-sex sexual behaviors, attraction, and/or identity
Homosexual
many LGBT persons consider it an outdated and derogatory term
refers to one’s basic internal sense of gender, such as being a man or a woman
Gender identity
person whose sex assigned at birth was male but who identifies as a female
transgender woman (also known as “male-to-female” transgender person or “trans woman”)
distress from a marked and persistent incongruence between one’s assigned and experienced gender
gender dysphoria
Sex (sex assigned at birth, natal sex, biologic sex)
Sexual orientation
Gender identity
Gender expression
Sexual behavior
Transgender
Process of recognizing, accepting, and expressing one’s gender identity, which may include behavioral, social, legal changes, medical or surgical treatments
Gender affirmation /transition
T/F
MSM in mutually monogamous relationships might not require more frequent screening
true
T/F
Hepatitis B screening is recommended for all MSM
True
T/F
hepatitis C screening is recommended for HIV-positive MSM
True
Human papillomavirus (HPV) vaccination is indicated for MSM and for women through age ________;
for non-MSM men, HPV vaccination is indicated through age ________ (but permissible through age 26 years)
26 years
21 years
relevant exposure for MSM
for MSM, a relevant exposure would be unprotected receptive anal intercourse with an untreated HIV-positive person
for post exposure prophylaxis, a 28-day antiretroviral treatment course to prevent HIV acquisition must begin within how many hours of exposure
72 hours of exposure
What is the most common adverse effect within 46 months of testosterone initiation in persons seeking masculinizing hormone therapy?
a. Acne
b. Hirsutism
c. Deepening of voice
d. Male pattern alopecia
e. A and B
A
A person’s method of communicating through appearance, personality or behavior.
a. Gender expression
b. Transgender
c. Sexual orientation
d. Gender identity
A
An umbrella term describing persons whose gender identity or expression, to varying degrees, diverges from sex assigned at birth
a. Gender expression
b. Transgender
c. Sexual orientation
d. Gender identity
B
A person’s characterization of emotional and/or sexual attraction to others
a. Gender expression
b. Transgender
c. Sexual orientation
d. Gender identity
C
A person’s basic internal sense of being a man, woman, or other gender
a. Gender expression
b. Transgender
c. Sexual orientation
d. Gender identity
D
Recommendations on screening Hepatitis B virus in Men Who Have Sex with Men from the CDC.
a. One time screening
b. At least annually
c. No recommended screening
d. Every 6 months
A
Recommendations on screening HPV in Men Who Have Sex with Men from the CDC.
a. One time screening
b. At least annually
c. No recommended screening
d. Every 6 months
C
screening recommendations for HIV and syphilis
- Screen at least annually; every 3-6 months if risk behaviors persist or if the patient or his sexual partner(s) have multiple partners
screening recommendations for gonorrhea and chlamydia
Screen at least annually; every 3-6 months if risk behaviors persist or if the patient or his sexual partner(s) have multiple partners
hepa B screening is indicated to which population ?
All MSM
screening recommendation for hepa B
one-time screening
hepa C screening is indicated to which population ?
HIV-positive MSM
screening recommendation for hepa C
Screen at least annually
indications for Preexposure prophylaxis (PrEP)
Adult man:
■ Without acute or established HIV infection
■ With any male sex partners in past 6 months
■ Not in a monogamous relationship with a recently tested, HIV-negative man
AND at least 1 of the following:
■ Any anal sex without condoms (receptive or insertive) in past 6 months
■ A bacterial STI (syphilis, gonorrhea, or chlamydia) diagnosed or reported in past 6 months
