Exam 2 Quizzes Flashcards
When discussing pros and cons and potential effects of estrogen therapy with a transgender female (assigned male at birth) patient, you include which of the following:?
a. muscle wasting at the injection site is common
b. monitoring liver and renal function is necessary
c. decrease in testicular volume is common and irreversible
d. estrogen therapy will increase the risk for heart disease
c. decrease in testicular volume is common and irreversible
A patient who describes feeling neither feminine nor masculine would most likely identify as:
a. androgynous
b. gender fluid
c. transgender
d. non-binary
a. androgynous
When discussing pros and cons and potential effects of testosterone therapy with a transgender male (assigned female at birth) patient, you will include which of the following:
a. Male patterned hair loss if irreversible
b. Testosterone therapy will decrease the risk for heart disease
c. Monitoring renal function levels is not necessary
d. Muscle wasting is common
a. Male patterned hair loss if irreversible
Transgender persons frequently are reticent to share their transgender status with health care providers due to discrimination.
True or False
True
A transgender male (assigned female at birth) patient taking testosterone can become pregnant.
True or False
True
In a transgender male (assigned female at birth) patient, which of the following effects of testosterone therapy is not reversible?
a. Reduced muscle mass
b. Hair growth
c. Deepened voice
d. Fat redistribution
c. Deepened voice
According to WPaTH (2022), an adult transgender person must meet which of the following requirements to be eligible for gender affirming surgery?
a. Parental consent
b. Absence of mental health or medical conditions
c. Capacity to consent for treatment
d. Gender anhedonia of 3-6 months
c. Capacity to consent for treatment
Sexual orientation and sexual behaviors are documented to identify possible health risks. A patient who describes themselves as attracted to more then one gender would identify as:
a. bisexual
b. straight
c. queer
d. pansexual
a. bisexual
In a transgender male (assigned female at birth) patient, which of the following effects of testosterone therapy is common?
a. Facial and body hair growth
b. Depression
c. Decrease muscle mass
d. Decreased libido
a. Facial and body hair growth
When preforming routine screenings for a transgender female (assigned male at birth) patient, you will order which of the following?
a. CMP every 3 years
b. Bone density testing at age 65 y/o
c. Serum PSA every 2 years
d. Estradiol and testosterone levels every 6 months
b. Bone density testing at age 65 y/o
You are providing care to Sally, a 22 /yo female with diabetes. You talk with her about the importance of keeping her blood sugars well controlled, especially as she is of childbearing age. She asks why you are talking about childbearing when she does not plan pregnancy for at least 4-5 more years. You reply:
a. “It is good to talk about it just in case you change your mind.”
b. “Many pregnancies are not planned and maintaining blood sugar control will both minimize end organ damage and make pregnancy easier when you are ready.”
c. “I know, but you have not been doing very well with managing your blood sugar and maybe this will motivate you.”
d. “it is a required element of meaningful use documentation. So, I have to discuss it with you even though it doesn’t really apply, sorry.”
b. “Many pregnancies are not planned and maintaining blood sugar control will both minimize end organ damage and make pregnancy easier when you are ready.”
Stephanie is you 28 y/o patient who is newly diagnosed with HTN. She has a family history of diabetes and HTN with renal end organ disease. Which of the follow antihypertensive medications would be most appropriate for Stephanie right now?
a. ARB
b. Beta blocker
c. Aldosterone antagonist
d. ACE-I
b. Beta blocker
Tracey is a 32 y/o white female with a hisotry of DVT 2 years ago. She plans pregnancy in 3-5 years and needs a reliable birth control method as she repeatedly forgets to use condoms. Which of the following would you recommend for her?
a. POP
b. Combined transdermal patch
c. Copper IUD
d. COCs
c. Copper IUD
Lisa calls 2 weeks after starting COC pills and says she has had some spotting on two different days. She is taking her COCs at the exact same time each day and started them exactly as you advised her. She is tolerating her pills well, however, she is worried that they are not working. How will you counsel her?
a. Add an estrogen patch to reduce the breakthrough bleeding that she is experiencing
b. Change her COC pills to a biphasic or triphasic COC
c. Reassure her that the pill is working, and that spotting is common initially. Continue the pills for 3 cycles and then re-evaluate
d. Explain that she is not absorbing the pills well. She needs to make sure she is taking the pill alone (not with anything else) and use a back-up method for the next 7 days.
c. Reassure her that the pill is working, and that spotting is common initially. Continue the pills for 3 cycles and then re-evaluate
Routine preconception care for men include which of the following?
a. Testing for sperm motility
b. Screening for HTN
c. Vitamin B intake of 400 mcg/daily
d. Genetic counseling
d. Genetic counseling
