Care of the transgender patient

Question 1

the cumulative result of experiences, learning, specific instruction / indoctrination, and intuition, sensitivity to the surrounding expectations

Answer 1

gender role

Question 2

what is important to remember when thinking about sexual orientation?

Answer 2

the point of reference

Question 3

definition: sexual preference

Answer 3

sexual desires or chosen activities, actions and behaviors

Question 4

initial assignment at birth as male or female (natal gender)

Answer 4

gender assignment

Question 5

what is the DSM 5 definition of gender dysphoria?

Answer 5

• an individual’s affective / cognitive discontent with the assigned gender
• the distress that may accompany the incongruence between one’s experienced or expressed gender and one’s assigned gender

provides a marker for the presence

Question 6

DSM 5 definition: transgender

Answer 6

broad spectrum of individuals who identify with a gender different from their natal gender

Question 7

definition: transsexual

Answer 7

an individual who seeks or has undergone a social transition from male to female or female to male, which in many, but not all cases, also involves a somatic transition by cross-sex hormone treatment and genital surgery

Question 8

are cross sex hormones FDA approved?

Answer 8

NO

Question 9

cross gender behaviors are often present before age ____

Answer 9

3

Question 10

what are the contraindications to testosterone therapy?

Answer 10

• pregnancy
• uncontrolled coronary vascular disease
• allergy to medication

Question 11

what are the contraindications to estrogen therapy?

Answer 11

• estrogen dependent cancer
• history or pulmonary embolism, severe
• thrombophlebitis or embolic stroke
• pituitary adenoma

Question 12

what is the most commonly used anti androgen agent?

Answer 12

spironolactone