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NURS 5410: Common and Chronic Health Problems 2 > Exam 2 Lectures > Flashcards

Exam 2 Lectures Flashcards

1
Q

Feeling neither feminine nor masculine

A

Androgenous/agender

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2
Q

Gender cannot be identified within the margins of male or female, feels gender goes beyond man or woman.

A

Non-binary

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3
Q

Change over time in a persons’ gender expression or gender identity or both.

A

Gender-fluid

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4
Q

Gender identity to expression is different than assigned sex at birth.

A

Transgender

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5
Q

Sexual and/or emotional attraction or behavior with more than one gender.

A

Bisexual

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6
Q

Sexual and/or emotional attraction or behavior with any gender.

A

Pansexual

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7
Q

Sexual orientation to opposite sex

A

Straight

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8
Q

Sexual orientation, identity when used properly

A

Queer

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9
Q

How often should a transfeminine patient have a mammogram?

A

Every 2 years starting at 50 y/o

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10
Q

How often should a transmasculine patient have a mammogram?

A

Annually at age 40 y/o if no mastectomy or US with bilateral mastectomy

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11
Q

How long is binding recommended for?

A

8-12 hours/day

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12
Q

If a patient needs assistance with binder fitting, what discipline can be helpful?

A

OT

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13
Q

If a patient is on testosterone therapy, how long should they be on topical estrogen prior to a Pap?

A

2 weeks

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14
Q

When should DXA screening be completed in transgender persons?

A

At age 65 y/o regardless of gender assigned at birth

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15
Q

Irreversible or reversible?
-Male patterned hair loss
-Deepened voice
-Clitoral enlargement

A

Irreversible

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16
Q

Irreversible or reversible?
-Increased muscle mass
-Increased libido facial and body hair growth
-Acne
-Scalp hair loss
-Fat redistribution
-Cessation of menses
-Vaginal atrophy

A

Reversible

17
Q

Irreversible or reversible?
-Decrease in testicular volume
-Breast growth
-Possibly reduced or absent fertility

A

Irreversible

18
Q

Irreversible or reversible?
-Fat redistribution
-Decrease muscle mass
-Skin softening
-Decreased libido
-Decreased spontaneous erections
-Decreased terminal hair growth

A

Reversible

19
Q

Testosterone replacement has a risk for:

A

Erythrocytosis with hct >50%
Liver disease
CAD, CVD, HTN
Breast and uterine CA

20
Q

How often is an H/H completed in a person undergoing testosterone replacement therapy?

A

3, 6, 9. and 12 months

21
Q

On a patient undergoing testosterone therapy, how often would you check total testosterone, SHBG, and albumin

A

3, 6, 9, months

22
Q

A patient undergoing estrogen replacement therapy is at risk for…

A

Thromboembolism, macroprolactinoma, breast CA, CAD, CVD, cholelithiasis, hypertriglyceridemia

23
Q

In a patient completing estrogen replacement therapy, at 3 and 6 months you would check what levels within the first year of treatment?

A

BUN/Cr
K+
Estradiol
Total testosterone

24
Q

In a patient completing estrogen replacement therapy, at 12months you would check what levels within the first year of treatment?

A

BUN/Cr
K+
Total testosterone

25
Q

What is the yearly labs you would check in a patient on estrogen replacement therapy?

A

BUN/Cr
K+
Estradiol
Total testosterone

26
Q

Persistent, documented gender dysphoria/gender incongruence
Understanding reversible and irreversible changes of hormone thearpy
Mental health must be reasonably controlled
Informed consent counseling around fertility and medical risks associated with therapy
Full capacity to make fully informed decisions on treatment

A

Hormone therapy criteria

27
Q
  1. Persistent, well-documented gender dysphoria
  2. Capacity to make a fully informed decision and to consent for treatment
  3. Age of majority in a given country
  4. If significant medical or mental health concerns are present, they must be reasonably well controlled
A

WPaTH eligibility for gender affirming surgery

28
Q

T/F?
Transgender persons frequently are reticent to share their transgender status with health care providers due to discrimination

A

True

29
Q

T/F?
A transgender male patient taking testosterone can become pregnant

A

True

30
Q

T/F?
Hormone therapy will affect lab ranges and calculators like ASCVD, creatine, creatine clearance, H/H, LFTs, hormone levels, FRAX based on sex assigned at birth

A

True

31
Q

T/F?
STI rates highest amongst transfeminine persons of color. High rates of suicide in the trans community

A

True

32
Q

When counseling men in preconception care, screen for…

A

ETOH
Genetic counseling
Occupational exposure/hazards
STIs

33
Q

When counseling men in preconception care, management of chronic medical conditions include:

A

HTN, atherosclerosis, DM

34
Q
A

NURS 5410: Common and Chronic Health Problems 2 (6 decks)

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