module 10 LGBTAIQ+

Question 1

screenings

Answer 1

tobacco
alcohol
substance abuse
mental health issues
housing insecurity
intimate partner violence

Question 2

HIV and STD screenings

Answer 2

based on hx

• consider yearly
• risk reduction, education, PrEP

Question 3

hepatitis

Answer 3

screen and vaccinate for : A, B

screen for C

Question 4

PrEP

Answer 4

Risk: HIV + partner, recent STI, high number sex partners, inconsistent condom use, commercial sex work, IDU and needle sharing

Question 5

social transitioning

Answer 5

dressing and acting in accordance to ones gender identity as opposed to ones assigned gender

Question 6

medical transitioning

Answer 6

• sex hormones to create secondary sex characteristics
• voice therapy
• some physical changes are not reversible
• counseling: SW, psych

Question 7

Surgical transitioning

Answer 7

• top and/or bottom surgery
• difficult to reverse
• legal transition

Question 8

minority stress theory

Answer 8

framework to understand the health disparities in SGM communities
- due to societal prejudice and hostility towards gay, lesbian, and bisexual people

Question 9

implicit biases

Answer 9

unconscious, automatic, pervasive responses

- common for implicit biases to be in conflict with ones stated values or beliefs

Question 10

practice-level strategies to improve care

Answer 10

visual cues: welcoming iconography
work processes: intake forms
physical facilities: all-gender bathrooms

Question 11

gay men health disparities

Answer 11

depression
eating disorders
substance use
intimate partner violence 
STI
HIV

Question 12

lesbian women health disparites

Answer 12

mental and behavioral health 
tobacco
alcohol
drug use
depression
eating disorder

Question 13

bisexual health disparities

Answer 13

substance use
depression
eating disorders
emotional stress

Question 14

gender nonconforming/non-binary

Answer 14

may not identify as exclusively male or female

Question 15

transgender health disparites

Answer 15

depression
suicidality
victimization
negative experiences with health care
housing instability

Question 16

misgendering

Answer 16

transgender person’s gender identity is misstated

Question 17

gender dysphoria

Answer 17

can be seen in children as early as age 4 and is not an element of child’s play but insistence across all contexts that the child is a different gender

Question 18

adolescence

Answer 18

gender dysphoria worsens
anxiety
depression
social isolation
self-harm

Question 19

transgender men screenings

Answer 19

should have pap screening if still have cervix

mammogram if breasts have not been removed

Question 20

transgender women screenings

Answer 20

+ estrogen therapy
-> after 5 years breast cancer screening
Prostate and testicles intact
-> current rec. for screenings

Question 21

intersex

Answer 21

appearance of external genitalia is either atypical or does not match the gonadal or chromosomal sex of individual