LBTQ+

Question 1

What organization sets the standards of care for LBTQ+ healthcare?

Answer 1

World Professional Association of Transgender Health (WPATH)

Question 2

Any person with hormonally enhanced breast tissue over the age of 50 and how many years of estrogen therapy should undergo mammography?

Answer 2

5+ years

Question 3

Do transmen older than 30 need a pap smear to screen for HPV?

Answer 3

A pap is indicated if their HPV-self swab is positive, they are at the highest risk for HPV related cancer

Question 4

Who is at high risk for testicular cancer?

Answer 4

Transwomen or people who participate in drag

Question 5

Does the USPSTF recommend screening for testicular cancer?

Answer 5

No, they do recommend that patients be taught about signs of testicular cancer

Question 6

Will a trans female still have a prostate at total gender affirming surgery?

Answer 6

Yes

Question 7

What vaccines are recommended for men who have sex with men and transgender patients who have sex with men?

Answer 7

HPV: 2-3 doses up to age 45
Hep A: 2 doses
Hep B: 3 doses

Question 8

Is testosterone terattogenic?

Answer 8

Yes! Extremely.

Trans males having sex with men can still get pregnant, really important to ask pregnancy desire and provide education

Question 9

What topics should be included in screening of LGBTQ+ patients?

Answer 9

Intimate Partner Violence
Sexual Activity
Drugs
Shelter
Employment

Question 10

Women who have sex with women have what degree of risk for STD’s

Answer 10

Low risk, still have a moderate risk for HPV

Question 11

When screening LGBTQ+ patients for STD’s, HIV, Hepatitis panel, RPR, GC/chlamydia should be run every three months in what group?

Answer 11

High risk groups

Question 12

Is giardia considered an STI?

Answer 12

Yes

Question 13

What is the treatment for bacterial vaginosis in someone with a neovagina?

Answer 13

Clindamycin (not Metronidazole due to different tissue types)

Question 14

What is the treatment for Giardia in LBTQ patients?

Answer 14

Metronidazole

Question 15

What is the treatment of Epididymitis in patients engaging in penetrative anal sex?

Answer 15

Ceftriaxone and Levofloxacin (instead of Doxy)

Question 16

What is the treatment for non-gonococcal urethritis in LGBTQ+ patients?

Answer 16

Doxycycline

Question 17

What is the treatment of Proctitis?

Answer 17

Cetriaxone and Doxycycline

Question 18

How long does it take for PrEP to be taken up in the rectal tissue in high enough quantity to protect against HIV?

Answer 18

7 days (21 days for other tissues)

Question 19

Patients who are on oral PrEP should be screened for HIV every ____ months?

Answer 19

3

Question 20

Patients who are on IM PrEP should be screened for HIV every ___ months before administration?

Answer 20

2

Question 21

What labs and screens should be ordered prior to starting PrEP?

Answer 21

BMP
STI testing
Hep B and C

Question 22

Sex should always be

Answer 22

Safe, Sane, and Consensual

Question 23

How does the physical exam of a transgender patient compare to a cis gender patient?

Answer 23

It is the same!