Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Primary care II > Transgender pt > Flashcards

Transgender pt Flashcards

(46 cards)

Start Studying
1
Q

transgender

A

individuals who do not conform to the gender norms of their natal sex (assigned gender).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

cisgender

A

individuals whose gender identity is consistent with their natal sex (assigned gender).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

natal sex

A

the sex of an individual at the time of birth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

gender identity

A

the gender an individual identifies as regardless of their natal sex (assigned gender).

male female both or neither

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

transexual

A

diagnostic term- person who wants to live as opposite of their birth assigned sex and seeks medical treatment to make their body congruent with their identity through hormones and/or surgery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

gender expression

A

How a person expresses their gender through the way they behave, hair style, the way they dress, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

gender variant/non-conforming def

A

When a person’s gender expression is different from societal norms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

sexual orientation

A

How a person identifies their physical and emotional attraction to others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Gender identity does not equal ___________

A

sexual orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

intersex

A

Person born with sexual or reproductive anatomy that is not typical for either male or female

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

pansexual

A

Person who is attracted to any genders, not limited to the male-female binary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Terms not used

Transvestite-
Tranny-
Hermaphodite-

A

transvestite- cross dress
tranny- derogatory transgender
hermaphordite- intersex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Gender dysphoria in children DSM V criteria

A

strong incongruence between one’s experienced/expressed gender and their assigned gender and this must be at least 6 months in length**
6 of following:
desire to be other gender, cross dress, role play other gender, toys/games other gender, playmates of opposite sex, rejection of toys from assigned gender, dislike of anatomy, sex characteristics

impairs functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Gender dysphoria adults and adolescents criteria dx

A

incongruence x 6 months

+2 of these: incongruence, desire to rid sex organs, get other gender sex characteristics, be other gender, to be treated as other gender, reactions/feelings of other gender

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Posttransition definition

A

full time living in new gender plus one sex reassignment surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

gender affirmation def.

A

process of gender change

  • coming out
  • changing pronoun, -hormones
  • legal changes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

WPATH standards of care

A 
assessment of children 
mental health
hormones 
voice/communication therapy
surgery
life long prevention primary care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

children with dysphoria vs adolescent…will they transition later in life?

A

children- many do not go on to be trans

adolescent- majority will

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

standard of care for children with dysphoria

no changes until ______
length of time before initiation_______

Study These Flashcards
A
  • no changes until evaluated by mental health

- no set length of time to be in therapy before initiation

20
Q

hormone to prevent puberty

used until age____

fertility?

Study These Flashcards
A

gonadotropin-releasing hormone (leuprolide acetate IM monthly)

used until legal age to decide if want gender affirming hormones or surgery

does not effect fertility

21
Q

Labs/dx for suppression of puberty

q 3 months
q year

Study These Flashcards
A

q 3 mos: height* weight tanner + LH FSH estradiol/testosterone

q year: renal, lipids, liver, glucose, hemoglobin
bone density, bone age

22
Q

when to begin suppression of puberty

Study These Flashcards
A

tanner stage 2

23
Q

criteria for hormone therapy for gender affirmation

-documented_____
-can make_____
-
-control of?

Study These Flashcards
A
  • persistent, documented dysphoria
  • can make informed decision
  • age of majority
  • if medical or psych issues must be controlled
24
Q

Hormone targets for:
transgender male

transgender female

Study These Flashcards
A

(FTM)- testosterone target (300-1,000)

MTF- decrease testosterone promote levels of estradiol (>200) with anti-androgen and estrogen

25
Risk of feminizing hormones likely likely with factors possible no risk
likely: thrombo, gallstrones, elevated LFT, weight gain, high triglycerides likely with factors: cardiovascular possible risk- diabetes type II no risk- breast cancer
26
Risk of masculinizing hormones likely possible risk no risk
likely- polycythemia, weight gain, acne, androgenic alopecia, sleep apnea possible- destabilization (cardio, HTN, type II diabetes) no risk: bone density, reproductive cancers
27
Baseline labs before initiating hormones (not hormones) Trans men: Transwomen:
Transmen: hgb, lipids Transwomen: lipids, electrolyte, renal, ?liver
28
FtM hormones available in what forms and how often given?
Depo-testosterone, delatestryl q week x 1 month adjust to suppress period and create male characteristics androgel, androderm (patch) start 2.5
29
FTM monitoring follow up at what intervals? labs - target level, other screening
1 month, 3, 6, then q 6-12 testosterone (300-1000) peak level 1-2d after injection, trough-before Hct, lipid BMD (screening for those at risk or 10 years after starting hormone) Chest/axillae- increased risk breast CA (compared to natal males)
30
Characteristics that are not reversible in FTM after hormones
clitoral enlargement, voice, scalp loss
31
hormones MTF Two types and examples for each ``` 1) - - 2) - - - ```
Estrogen 1) dermal 2x/wk if >40 y or risk for DVT 2) oral estrace if <40 and low risk DVT Androgen antagonist 1) Aldactone 2) Proscar 3) Androcur
32
aldactone considerations
if on ACEI- max 25 mg and monitor K+ if renal insufficiency- start at 50 increase by 50 q week- renal function testing with each increased dose
33
monitor mtf follow up intervals labs- hormones, other screening PSA?
1 mo, 3, 6, then q6-12 ``` testosterone (30-100) E2 <200 prolactin q 1-2 y potassium screen breast and prostate cancer (no PSA, estradiol makes it low) ```
34
Breast cancer risk Transwomen (no hormones) Transwomen (hormones) Transmen (no surgery) Transmen (surgery)
TW no hormone- no increased risk TW on hormones- lower risk than females, but higher than other males TM no surgery- tx like female TM top surgery- reduced risk, higher than males
35
cervical cancer screening transwomen transgender men
transwomen- who had vaginoplasty may have risk of condyloma consider screening transgender men- not at increased risk, q3-5y, will have atrophy
36
transmen after hysterectomy | cervical ca screening
after hysterectomy- no paps if no history of high grade dysplasia if hx high grade- follow by gyn and onc
37
can do a total hysterectomy if meet these three criteria:
- no desire for pregnancy - older than 40 - surgery will do no harm
38
transmen have higher risk of:
PCOS (screen at least once) chance of infertility, cardiac, HTN, endometrial cancer
39
Prostate screening transwomen no hormones transwomen hormones
no hormones- PSA if high risk (AA) family hx (start at 45-50) hormones- decreased risk prostate cancer, prostate is not removed must start digital exam 50
40
``` Health screenings for hormones 1) 2) 3) 4) 5) ```
cardiac- hormones, smokers, PCOS lipids- testosterone HTN- estrogen increases, testosterone unknown DM- estrogen increases risk, PCOS (glucose intolerance) testosterone- decreased fat and glucose, increase insulin resistance yearly screening lipids- estrogen (inc HDL and triglycerides; decreased LDL) testosterone (decrease HDL increase LDL) osteoporosis- estrogen good, transmen after ovary removal bone density decrease if testosterone not replaced properly to prevent LH
41
transwomen with hyperlipidemia should use___
transdermal estrogen patch
42
Conceiving after hormone FTM MTF
FTM- may be able to MTF- sterile within a few months
43
chest surgery criteria required prerequisite MTF should take _______ prior to breast surgery
one referral mental health provider, hormone not prerequisite -MTF should take feminizing hormone to increase breast tissue
44
genital surgery criteria: 1) removal of sex organs: 2) rearranging surgery:
two mental health provider referals removal of sex organs- 12 months continuous hormones rearranging surgery- also 12 months living in gender full time
45
MTF post surgical considerations 1) 2) 3) 4) pap?
intercourse or dilation of vagina UTI incontinence from nerve damage pap if glans penis used to create cervix if no new cervix- pap if history of genital warts
46
FTM pap?
many will not have vaginectomy atrophy because of testosterone- painful

Primary care II (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions