Caring for Gender Diverse Patients

Question 1

Define biologic sex

Answer 1

Defined as the sex (male or female) that a person is born as, which is typically determined by a persons external genitalia, internal reproductive organs, and chromosomes

Question 2

What is another term to describe biologic sex?

Answer 2

Sex assigned at birth

Question 3

Define gender identity

Answer 3

Refers to a person self perceived gender, which may be the same or different than their sex assigned at birth

Question 4

Define cis gender

Answer 4

Refers to persons who’s gender identity aligns with their sex assigned at birth

Question 5

Gender can be considered _________________ that may change over time

Answer 5

along a continuum

Question 6

Define transgender

Answer 6

Refers to someone who’s gender identity or gender expression is different than their sex assigned at birth

Question 7

The CONCEPT of gender is based on what

Answer 7

Cultural standards

Question 8

Define gender dysphoria

Answer 8

Is a diagnostic classification that describes the distress that occurs when there is conflict between a person’s gender identity and their sex assigned at birth

Question 9

Define sexual orientation

Answer 9

Refers to how one identifies based on their sexual or romantic attraction to others. Sexual orientation sexual behavior can be considered across a continuum and can be influenced by social and cultural norms.

Question 10

What is the minority stress model?

Answer 10

The model assumes that a large part of health disparities experienced by the LGBTQ+ community stems from stressors that are associated with a culture that is hostile and results in a lifetime of harassment and victimization

Question 11

What are some of the negative impacts the LGBTQ community feels and what happens in disproportionate rate compared to heterosexuals?

Answer 11

Poverty
Substance abuse
Tobacco abuse
Depression
Anxiety
Violence
Victimization
cancers
Overweight/obesity
HIV and STIs

Question 12

Men who have sex with men especially those living with HIV have nearly twice the rate of what cancer?

Answer 12

anal cancer related to the human papilloma virus

Question 12

What does SOGIE training stand for?

Answer 12

Sexual orientation and gender identity and expression

Question 13

Lesbians have a higher incidence of what cancer?

Answer 13

Breast cancer

Question 14

What are some examples of different sexual orientations?

Answer 14

Gay, lesbian, bisexual, or pansexual, Straight, asexual etc

Question 15

“Sexual preference” is a term to avoid using what should be used instead?

Answer 15

Sexual orientation

Question 15

“Homosexual relations” or “homosexual couple” is a term to avoid using. Given example of a term to use instead

Answer 15

Relationship
Couple
Gay/lesbian/same-sex couple

Question 15

“Homosexual” is a term to avoid using. Give an example of a term that is OK to use

Answer 15

Gay
Gay man
Lesbian
Gay person/people

Question 16

“Gay lifestyle”, and “homosexual lifestyle” are terms to avoid. Give an example of what can be used instead.

Answer 16

LGBTQ+ people and their lives

Question 17

“Admitted homosexual” or “avowed homosexual” are terms to avoid what should be used instead?

Answer 17

out gay man
Out queer person
out lesbian

Question 18

Is queer a derogatory term?

Answer 18

it depends. intention is important.

Question 19

sexual orientation vs sexual identity

Answer 19

who you go to bed WITH vs who you go to bed AS

Question 20

what are three essential ideas about SOGIE?

Answer 20

1. Gender identity and sexual orientation are different
2. A person’s experience of gender is informed by three dimensions: body, identity, and social expression
3. Each dimension is on a spectrum

Question 21

In dimensions of gender the body means what?

Answer 21

Body is our physiological sex and other biological aspects (sex assigned at birth)

Question 22

What is intersex?

Answer 22

An umbrella term for a wide range of natural body variations. Describes a person who sex doesn't fit the typical definitions of a male or female body

Question 23

In dimensions of gender define identity

Answer 23

Ones deeply felt sense of self as well as the name we used to characterize that sense

Question 24

What are the three kinds of gender identity?

Answer 24

Cisgender Transgender Non-binary

Question 25

What is cis gender?

Answer 25

Describe someone who's gender identity matches or six assigned at birth

Question 25

Define transgender

Answer 25

Describe someone who is gender identity does not match their sex assigned at birth. Also an umbrella term for anyone not cis gender

Question 26

What is non-binary gender identity?

Answer 26

Describes someone whos gender identity does not align with a binary gender system

Question 27

Do not use term "real" gender or sex, use instead...

Answer 27

Sex assigned at birth

Question 28

Do not use biologically or genetically male or female, use instead....

Answer 28

Assigned male or female at birth

Question 29

Do not use transgendered transgenders a transgender Use instead.....

Answer 29

Transgender/ trans person Transgender people A transgender person

Question 30

Do not use transgenderism, use instead....

Answer 30

Being transgender

Question 31

Do not use pre-operative (post-op), use instead...

Answer 31

Nothing (none of your business)

Question 32

do you not use a sex change, use instead...

Answer 32

Gender affirmation surgery (if appropriate)

Question 33

how do we define gender expression?

Answer 33

How we present our gender in the world

Question 34

What is gender congruence? And how do we reach it?

Answer 34

Through activities that connector body identity and social expressions Name changes Medical interventions Clothes and jewelry

Question 35

what is gender nonconforming?

Answer 35

A term used to describe a person whose gendered appearance and or behavior does not conform to traditional masculinity or femininity

Question 36

what is transitioning?

Answer 36

Another way of talking about the steps transgender or non-binary individuals may take to seek congruence across all aspects of their gender (body, identity and social expression)

Question 37

What are pronouns and which ones are the most common?

Answer 37

She, he, they Is shorthand for someone's identity

Question 38

What are some Neopronouns?

Answer 38

Xe/Xem/Xir ZE/Zir/Zirs

Question 39

If you make a mistake with pronouns, what are you supposed to do?

Answer 39

correct yourself and move on with conversation, briefly apologize practice using correct names and pronouns

Question 40

what are you not supposed to do if you use the wrong pronoun?

Answer 40

Assume they didn't notice it Apologize profusely Turn the focus to how difficult it is for you Tell them you need more time to feel comfortable using their name and pronounce

Question 41

who prescribes hormone replacement therapy (HRT)?

Answer 41

An endocrinologist

Question 42

HRT is generally a ___________ with ___________-with other medications

Answer 42

low risk treatment little interaction

Question 43

Feminizing HRT can increase the risk of what?

Answer 43

Heart attack Stroke

Question 44

HRT can increase ___________ when combined with extended use of ____________-or pre-existing conditions

Answer 44

risk of blood clots blood thinners

Question 45

feminizing HRT slightly increases ___________ in transgender women

Answer 45

Risk for breast cancer (who already have a lowered risk since they were assigned a meal at birth)

Question 46

What are some potentially relevant questions to ask a transgender person in a medical situation?

Answer 46

First day of your last period? Any chance you could be pregnant? Have you had gender affirming surgery? Are you on hormones? Are you aware of the risks of medical transitioning? What are your current medications? What is your surgical history?