McCaleb: Sexual Orientation in Medicine

Question 1

What does LGBTQI stand for?

Answer 1

Lesbian
Gay
Bi
Trans (live as the opposite sex)
Questioning
Intersex  (born with both male and female gonads)

Question 2

Stages of gay/lesbian identity development

Answer 2

Sensitization
Sexual Identity confusion
Sexual Identity assumption
Integration and commitment

Question 3

different from peers based on gender neutral or atypical gender role choices/behaviors; < age 12.

Answer 3

sensitization

Question 4

awareness of same-sex thoughts or feelings –> cognitive dissonance –> isolation, confusion, depression; early adolescence.

Answer 4

sexual identity confusion

Question 5

self-identify and “come out” to some, interact with g/l peers, strengthen self-esteem; mid/late adolescence, early adult.

Answer 5

sexual identity assumption

Question 6

self-acceptance –> integration of g/l identity into all aspects of life, come out to non-gay friends, colleagues; adulthood.

Answer 6

integration and commitment

Question 7

T/F: gay men and women may have higher rates of depression, suicide, alcohol abuse, certain cancers, social drug abuse…more likely to be victims of violence

Answer 7

True

Question 8

T/F: LGBT are at a greater risk for certain cancers, because they see physicians less often

Answer 8

True

Question 9

T/F: Lesbians are believed to be at higher risk for breast cancer as a result of smoking, inadequate diets, obesity, fewer pregnancies, and they are less likely to seek early diagnosis screening.

Answer 9

True

Question 10

T/F: Gay men and HIV+ men and women are at higher risk for anal cancer, most likely due to HPV (human papilloma virus)

Answer 10

True

Question 11

T/F: higher rates of smoking in LGBT patients

Answer 11

True

Question 12

T/F: higher rates of major depressive disorder in LGBT

Answer 12

True

Question 13

T/F: sex education in schools geared toward heterosexual sex

Answer 13

True

Question 14

T/F: gay teens more likely to carry a weapon

Answer 14

True

Question 15

T/F: LGBT twice as likely to be threatened with a weapon

Answer 15

True

Question 16

T/F: LGBT youth are more than four times as likely to skip whole days of school out of fear.
Harassed youth are more than four times as likely to report having made a serious enough suicide attempt to have been treated by a doctor or nurse.

Answer 16

True

Question 17

A key form of homophobia is (blank)

Answer 17

silence

Question 18

Intolerance of non-heterosexual expressions of sexuality

Answer 18

heterosexism

Question 19

T/F: Physicians who, for personal or religious reasons, cannot be objective MUST refer the homosexual patient to another professional for treatment and counseling.

Answer 19

True

Question 20

T/F: LGBT elders
Twice as likely to live alone
Four times less likely to have children
Half as likely to have a significant other or close relative to call on for help
Fear discrimination in long term or institutional care setting

Answer 20

True