Lgbtq

Question 1

What does cis gender mean?

Answer 1

It means on the same side

The population who identifies their sex as the sex they were born with

Question 2

What does transgender mean?

Answer 2

Means Moving across

Question 3

What is the preferred term when referring to an individuals physical or emotional attraction to the same or opposite gender?

Answer 3

Sexual orientation

Question 4

What is this:

one’s basics sense of being male or female or other genders, refers to one’s psychological sense of their gender?

Answer 4

Gender identity

Question 5

What is this? How a person present themselves in the world, their characteristics in appearance, personality, behavior culturally defined as masculine or feminine.

Answer 5

Gender expression

Question 6

What do you call people who identify differently from their biological sex?

Answer 6

Transgender

Question 7

What is a person who physically transitions from male to female or vice versa?

Answer 7

Transsexual

Question 8

For a child that is experiencing gender dysphoria it is important to know what?

Answer 8

It is important to know that it will most likely disappear and go away early before puberty or early in puberty

Question 9

What is the estradiol dosage for male to female transition?

Answer 9

2 mg

Question 10

How long will it take to see all the changes from hormones for a male to female transition?

Answer 10

Takes about two years to see all the changes from hormones

Question 11

Spirnolactone is given to which transitioning gender?

Answer 11

It is given to males for female transitions

Question 12

What is finasteride used for and what should be monitored?

Answer 12

Finasteride is used to treat BPH but also blocks the bodies production of a male hormone that causes the prostate to enlarge. Liver toxicity should be checked

Question 13

The hormone testosterone has an affect on what in relation to diabetes?

Answer 13

It can increase insulin resistance

Obtain baseline hemoglobin A-1 C, hematocrit and lipid profile.

Question 14

When a female is transitioning into a male, menses will stop usually by how many injections?

Answer 14

Menses usually stopped by the second or third injection

Question 15

What are the two requirements needed for a person to undergo trans gender reassignment surgery?

Answer 15

2 Letters of recommendation by mental health specialist.

Hormone treatment and real life test for one year

Question 16

A transgendered woman is who?

Answer 16

A male that has undergone female transition

Question 17

For trans women/men what is the screen recommendation for chlamydia and gonorrhea?

Answer 17

Screen at least annually for patients 25 years or younger and those at an increased risk

Question 18

 What is the recommendation for syphilis for trans women/men?

Answer 18

Screen at least annually for patients at increased risk

Question 19

Screen for hepatitis c in trans women/men for those at increased risk and also individuals born between what years and how often?

Answer 19

For patients born between 1945 and 1965 and at least once in their lifetime

Question 20

For trans women and men, what ages should be offered HIV testing in primary care? 

Answer 20

Patients ages 13 to 64

Question 21

For trans women/men, pre exposure prophylaxis (PrEP) for hiv can be given for individuals weighing how much?

Answer 21

At least 35 kg

Question 22

For trans women, what are the breast cancer screening recommendation?

Answer 22

Screen every two years for those over 50 and at least 5-10 yrs of feminizing hormone therapy

Question 23

For trans women, what is the recommendation for DIgital rectal exams of the prostate?

Answer 23

Digital rectal examination of the prostate annually after age 50

Question 24

What is the recommendation for prostate specific antigen screening for trans women?

Answer 24

It is not recommended

Question 25

Routine screening for prostate for trans women is not recommended if a patient is what? 

Answer 25

If patients are over the age of 70, and have a life expectancy less than 10 years

Question 26

Trans men is who?

Answer 26

Patient has undergone female to male transition

Question 27

For patients who are a trans women and have a neovagina, what maybe used for visualize for an anatomically appropriate visual exam?

Answer 27

An anoscope because they may have a posterior orientation that an a natal vagina

Question 28

For trans men, using testosterone can cause what affects on the vagina?

Answer 28

It can cause erythema and atrophy

Question 29

In examining a trans man pelvically, what are some considerations to use during exam? 
List 3

Answer 29

May need to use a topical anesthetic

Use smaller speculum

Use small water based lubricant

Question 30

in trans men, unable to tolerate speculum exam what can be done?

Answer 30

If all else fails, consider self admin vaginal swab for Hpv testing

Question 31

For trans men that retain a cervix, what is the pap recommendation?
List age and frequency

Answer 31

Persons aged 21 to 65, obtain baseline pap at diagnosis, then at 12 mon, if 3 consecutive normal paps, then do every 3 years

Question 32

What are the recommendations for routine ovarian and endometrial cancer in transmen?

Answer 32

It’s not recommended

Question 33

What is the recommendation for Trans men who have breast tissue even if it has been removed?
What’s the age and how often?

Answer 33

Breast cancer screening every 2 years for average risk individuals ages 50-74

Question 34

For trans men, what is the screening recommendation for musculoskeletal health for age 50 and 60?

Answer 34

At age 50, start screening if pt has been on testosterone therapy for more than 10 yrs. Otherwise start at 60

Question 35

Why ask her patients whether they identify as male, female or something else?

Answer 35

Because it can be framed as a part of culturally competent care