B8-064 CBCL Transgender Care

Question 1

changing one’s pronouns, clothing, hairstyle and presentation is referred to as […] affirmation

Answer 1

social

Question 2

changing one’s body to align with identity via medications/surgery is referred to as […] affirmation

Answer 2

medical

Question 3

changing one’s gender marker on identity documents is referred to as […] affirmation

Answer 3

legal

Question 4

are adult transgender patients required to have a psych eval prior to hormone therapy?

Answer 4

no

Question 5

anatomic inventories are used to guide

Answer 5

preventative care recommendations

Question 6

breast and chest surgery is referred to as

Answer 6

top surgery

Question 7

feminizing hormone therapy most commonly uses what type of estrogen?

Answer 7

17-beta estradiol

Question 8

the most medically serious risk of estrogen is

Answer 8

DVT

Question 9

a transgender patient is most likely to experience […] in their lifetime

Answer 9

homelessness

Question 10

[…] estrogen has the lowest risk of DVT

Answer 10

transdermal

Question 11

MOA of finasteride

Answer 11

5-alpha-reductase inhibitor

Question 12

MOA of spironolactone

Answer 12

androgen receptor antagonist

Question 13

serious side effect of spironolactone

Answer 13

hyperkalemia

Question 14

how does estrogen affect serum lipid profiles?

Answer 14

LDL: decrease
HDL: increase
triglycerides: increase

Question 15

factors that contribute to increased cardiovascular risk in transgender women

Answer 15

higher rates of tobacco use, obesity, and lipid disorders
lower rates of physical activity

Question 16

persistent cross-gender identification that leads to persistent distress with sex assigned at birth

Answer 16

gender dysphoria

Question 17

desire to live as the opposite sex, often through surgery or hormone treatment

Answer 17

trans-sexualism

Question 18

aromatase converts testosterone to

Answer 18

estradiol

Question 19

prohibits most health insurers from discriminating based on transgender status

Answer 19

ACA

Question 20

protects patients privacy when it comes to certain health information (like gender identity)

Answer 20

HIPAA

Question 21

non-random sampling, or treatment allocation of subject such that study population is not representative of target population

Answer 21

selection bias

Question 22

synthetic androgen that acts as partial agonist at androgen receptor

Answer 22

danazole

Question 23

aromatase inhibitor, inhibits peripheral conversion of androgens to estrogen

Answer 23

letrozole

Question 24

tamoxifen and clomiphene belong to what drug class?

Answer 24

SERMs

Question 25

most commonly observed side effect of androgen therapy

Answer 25

erythrocytosis

Question 26

men receiving androgen therapy should be monitored to keep the hematocrit less than […]%

Answer 26

50

Question 27

best contraception for a transgender male wanting to prevent pregnancy

Answer 27

long acting reversible contraception like copper IUD

(oral contraceptives not ideal because they contain estrogen)

Question 28

norethindrone and prometrium are

Answer 28

progestins

Question 29

competitive inhibitor of progestins at progesterone receptors

Answer 29

mifepristone

Question 30

has antagonist properties when used in a continuous fashion, leading to decreased FSH/LH

Answer 30

GnRH analog

Question 31

persistence of the paramesonephric duct during development results in […] phenotype

Answer 31

female