Chapter 107 - LGBT Dermatology

Question 1

Acne Develops in 88% to 94% of transgender men within __ mos of testosterone

Answer 1

4-6

Question 2

Acne decreases in severity beyond __ mos of treatment of testosterone

Answer 2

12

Question 3

Transgender persons who inject fillers from unlicensed low cost pumpers should be screened for

Answer 3

Hepatitis C

Question 4

Assigned to a person at birth, commonly based on natal external genital anatomy, and less commonly by internal genital anomaly and/or chromosomal analysis

Answer 4

Sex

Question 5

Person’s characterization of emotional and or sexual attraction to others

Answer 5

Sexual orientation

Question 6

Person’s basic internal sense of being a man, woman, or other gender

Answer 6

Gender identity

Question 7

Person’s method of communicating gender through appearance, personality, or behavior

Answer 7

Gender expression

Question 8

Terms used by clinicians and researchers to describe same sexual behaviors regardless of self identified sexual orientation; rarely used by patients themselves

Answer 8

Sexual behavior

Question 9

Umbrella term describing persons whose gender identity or expression, to varying degrees, diverges from sex assigned at birth

Answer 9

Transgender

Question 10

Distress from marked and persistent incongruence between one’s gender identity and sex assigned at birth

Answer 10

Gender dysphoria

Question 11

Process of recognizing, accepting, and expressing one’s gender identity, which may include behavioral, social, legal changes, medical, or surgical treatments

Answer 11

Gender affirmation/transition

Question 12

Gay, lesbian, bisexual, straight

Answer 12

Sexual orientation

Question 13

Gender nonconforming

Answer 13

Gender identity

Question 14

Masculine, feminine, androgynous, gender nonconforming

Answer 14

Gender expression

Question 15

Recommended screening for ALL MSM

Answer 15

Hep B

Question 16

Recommended screening for HIV + MSM

Answer 16

Hep C

Question 17

Pre-exposure prophylaxis recommended for HIV - MSM but at hugh risk of acquiring HIV

Answer 17

Emtricitabine + Tenofovir + Disoproxil fumarate

Question 18

Only condition associated with higher prevalence amongst WSM

Answer 18

HSV II

Question 19

__% of HiV + MSM hace high risk HPV types

Answer 19

16, 18

Question 20

___ develops in HIV + MSM with high CD4 count, HIV - MSM, and AIDS patients

Answer 20

Kaposi sarcoma

Question 21

Causes outbreaks of proctolitis in MSM

Answer 21

Lymphagranuloma venereum

Question 22

Gay and bisexual men uses indoor tanning __ more often than straight men hence increases risk of skin cancer

Answer 22

2 to 6 times

Question 23

Linked with poppers use

Answer 23

ICD/ACD
Chemical leukoderma in perinasal and perioral regions
Acrocyanosis
Methemoglobinemia

Question 24

Acne amongst MSM are __ more likely to cuase depression and __ more likely to cause suicidal ideation in past 12 months

Answer 24

4. 2x

8. 1x

Question 25

Treatment for severe testosterone-induced acne

Answer 25

Isotretinoin

Question 26

Treatment for testosterone induced alopecia in transgender males

Answer 26

Hair transplant

Question 27

Facial hair growth/ density is very responsive to hormonal therapy. True or False

Answer 27

False, resistant

Question 28

Treatments for facial hair growth/ density (3)

Answer 28

Topical eflornithine Electrolysis Photoepilation

Question 29

Treatment for silicone granulomas

Answer 29

``` IL corticosteroid Topical imiquimod or tacrolimus Oral doxycyline or minocycline Isotretinoin Etanercept CO2 laser Surgical excision ```

Question 30

Risk managment program that aims to minimize fetal exposure to teratogenic medication

Answer 30

IPLEDGE system

Question 31

CDC does not recommend routine screening for the ff dieseases

Answer 31

HPV HSV Anal cancer

Question 32

What diseases should be screened at least annually or every 3-6 months if behaviors persist?

Answer 32

HIV Syphilis Gonorrhea Chlamydia

Question 33

HPV vaccination is indicated for

Answer 33

MSM through age 26 years old

Question 34

Indications for preexposure prophylaxis of HIV

Answer 34

Adult man without HIV bu with male partner in past 6 mons or not in a monogamous relationship + 1 of ff 1. Any anal sex without condoms in past 6 months 2. Bacterial STI in past 6 months

Question 35

Nonoccupational post exposure prophylaxis should be instituted within ___ hours from exposure

Answer 35

72