LGBTQ Flashcards

1
Q

all LGBTQ have health disparities in S/T/M

Trans, nonwhite, questionin LGBTQ health disparities H/P

large majority of HIV infections in __

A

substance use, mental health, tobacco

health care access, preventive health

MSM

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2
Q

_ is chronic high levels of __ faced by members of __ groups

Specific stressors
__ over and over, correcting __
constant assessmnet of __
family not ___

__ and ___

A

minority stress, stress, stigmatized minority

coming out, assumptions
safety
LGBTQ

homophobia/internalized homophobia

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3
Q

some americans __ as LGBTQ

more have __ experience, or non traditional __

transgender pt may identify as S/G/L/Q

___ to providers promotes __ testing, __ and __ outcomes

MTF is __
FTM is ___

A

identify

same sex, gender expression

Straight, gay, lesbian, queer

disclosure, appropriate, well being, health

transwoman
transman

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4
Q

questions should be __
avoid ___/__
ask __
use __ terms

such as P/S/G

A

patient centered
assumptions/value statements
specifics
gender neutral

partner/sexual orientation, gender identity

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5
Q

Adolescent delay of puberty is __
__ analogues
S
Contunous __ or __ (Depo provera)

__ therapy (__ revrsible)

S___ (irreversible)
age __, living in gender > __

auxillary: __ therapy, __ removal, B/T, N/G change

A

reversible
GnRH
spironolactone
OCP, progesterone

hormone, partially

surgery
18+. 1yr

voice, hair, binding/tucking, name/gender

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6
Q

Male to female change onet in __m and max effect in __yrs

Meds
E- P/P/I
S
Surgery
B
F
bottom is \_\_
O
V

Effect of E- ___ growth, thinning __, __ slowed
Dec __/__/__
Rsiks- V/B/ inc __, C/D, g

A

1-6m, 2-3y

estradiol- pill/patch/inject
spironolactone

breast augmentation
facial surgery

gender affirming
orchiectomy
vaginoplasty

breast, body hair, male baldness
libido/sex fxn, muscle mass
VTE, BC, TG, CVD, DM

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7
Q

Transwomen
Screen for __ at age __ or __ yrs of hormones
P/P
C/L

preventive care
T
B
S
M
T/D
\_\_ diet/activity
A

mammogram, 50, 5-10yrs
Paps/PSA
colon/lung

tucking
bone density
sti screening
mood
tobacco/drugs
healthy
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8
Q

Female to Male
onset of change ___m and max effect in __ yrs
__/__ continues up to 5yrs

Meds
T
M to stop periods
Surgery
M
C
Bottom with \_\_

Effects- __ redistribution, __ growth, inc ___/__/__
deepening __, stopped __

SE- male pattern _, a, __ mood, dec _, vag __/__

inc risk of __/A/S/C/
inc __/__

A

1-12,. 2yrs
muscle mass/hair growth

testosterone
medroxyprogesterone
mastectomy
chest reconstruction
none

body, clitoral, libido/body hair/muscle mass
voice, menses

baldness, acne, aggressive, fert, atrophy/dryness

HTN, athero, sleep apnea, CVD, Hgb/RBC

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9
Q

Transmen cancer screening
P/B/C/L

Other preventive care
B
B
M
T/T
Healthy \_\_/\_\_
A

pap, BC, colon, lung

binding
BC
mood
tobacco/drugs
diet/activity
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10
Q

Transgender person may/may not use __/__
address w __/__ preferred
need to address person __ and __ they have

WPATH standards
R
D, not 
Treatment access for \_\_
provide \_\_/\_\_

criteria- L, worse w __
P/M issues addressed, informed __

A

hormones/surgery
name/pronoun
they are, body

respect
diversity, pathology
all
competency/advocacy

longstanding, puberty, psych/med, consent

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11
Q

Egg and sperm possible relationship
1/both ___
trans__ and __ partner
Trans__ and __ partner

Egg and Egg
__ partners
trans__ and __ partner

sperm and sperm
__ partners
trans__ and __ partner

A

bisexual
man/male
woman/female

lesbian
man/female

gay
woman/male

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12
Q

__ is not contraceptive
__ may be permanent
__ is contraindicated in preg

consider __ sperm, eggs, embryo

A

testosterone
fertility changes

freezing

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13
Q
Egg and Egg
methods
T\_\_
ICI
IUI
IVF

other __

A

turkey blaster
intracervical insemination
intrauterine insemination
in vitro fertilization

meds

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14
Q

Sperm and sperm
need __ donor

find a __ carrier and ___ donor

choosing __ sperm donor

woman goes through __ to prepare uterus, create embryos and transfer to __

A

sperm donor

gestational, egg

biological

IVF, gestational carrier

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15
Q

IUI- at onset or after cycle w/out preg, meds taken to induce ___

may use __ to release egg to time insemination

home methods inseminate __ hrs after LH surge

A

multiple follicles

trigger shot

24-48 hrs

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16
Q

IVF- egg retrieval requires ___ to produce more follicles
produce __ as possible

eggs fertilzied in __ and grow __ to be implanted in __

hormones changed to prepare __ to accept egg and start ___

Reciprocal IVF- receiving partner must stop __ for a month and then __/__ to get uterus ready

Preimplantation genetic screening- embryos sent for __/__ analysis so that embryos w __/__ chromos can be selected

A

hormone change, as many

laboratory, 5-6 cells, uterus

uterus, preg

cycle, E/P

chromosomal/gene, correct/adequate

17
Q

AMH- meausre of __
stable and measured __

high levels predict ___ in IVF

low levels correlate w ___
esp in women > __

A

ovarian reserve, any day of cycle

more eggs retrieved

reduced IVF success
35+

18
Q

Chest feeding

occurs w growth of __ in preg
some __ more amenable
likely need __ support

__ contraindicated during chestfeeding

A

mammary tissue
surgical tech
lactation

testosterone

19
Q

Induced breast feeding

\_\_ protocol
consider \_\_\_ and alternative \_\_
pumping \_\_ and \_\_
likely \_\_\_
\_\_ often helpful
A

newman goldfarb
progesterone, OCP
prior/during

prior/during
lactation support
supplementer