Exam 2 Lectures

Question 1

Feeling neither feminine nor masculine

Answer 1

Androgenous/agender

Question 2

Gender cannot be identified within the margins of male or female, feels gender goes beyond man or woman.

Answer 2

Non-binary

Question 3

Change over time in a persons’ gender expression or gender identity or both.

Answer 3

Gender-fluid

Question 4

Gender identity to expression is different than assigned sex at birth.

Answer 4

Transgender

Question 5

Sexual and/or emotional attraction or behavior with more than one gender.

Answer 5

Bisexual

Question 6

Sexual and/or emotional attraction or behavior with any gender.

Answer 6

Pansexual

Question 7

Sexual orientation to opposite sex

Answer 7

Straight

Question 8

Sexual orientation, identity when used properly

Answer 8

Queer

Question 9

How often should a transfeminine patient have a mammogram?

Answer 9

Every 2 years starting at 50 y/o

Question 10

How often should a transmasculine patient have a mammogram?

Answer 10

Annually at age 40 y/o if no mastectomy or US with bilateral mastectomy

Question 11

How long is binding recommended for?

Answer 11

8-12 hours/day

Question 12

If a patient needs assistance with binder fitting, what discipline can be helpful?

Answer 12

OT

Question 13

If a patient is on testosterone therapy, how long should they be on topical estrogen prior to a Pap?

Answer 13

2 weeks

Question 14

When should DXA screening be completed in transgender persons?

Answer 14

At age 65 y/o regardless of gender assigned at birth

Question 15

Irreversible or reversible?
-Male patterned hair loss
-Deepened voice
-Clitoral enlargement

Answer 15

Irreversible

Question 16

Irreversible or reversible?
-Increased muscle mass
-Increased libido facial and body hair growth
-Acne
-Scalp hair loss
-Fat redistribution
-Cessation of menses
-Vaginal atrophy

Answer 16

Reversible

Question 17

Irreversible or reversible?
-Decrease in testicular volume
-Breast growth
-Possibly reduced or absent fertility

Answer 17

Irreversible

Question 18

Irreversible or reversible?
-Fat redistribution
-Decrease muscle mass
-Skin softening
-Decreased libido
-Decreased spontaneous erections
-Decreased terminal hair growth

Answer 18

Reversible

Question 19

Testosterone replacement has a risk for:

Answer 19

Erythrocytosis with hct >50%
Liver disease
CAD, CVD, HTN
Breast and uterine CA

Question 20

How often is an H/H completed in a person undergoing testosterone replacement therapy?

Answer 20

3, 6, 9. and 12 months

Question 21

On a patient undergoing testosterone therapy, how often would you check total testosterone, SHBG, and albumin

Answer 21

3, 6, 9, months

Question 22

A patient undergoing estrogen replacement therapy is at risk for…

Answer 22

Thromboembolism, macroprolactinoma, breast CA, CAD, CVD, cholelithiasis, hypertriglyceridemia

Question 23

In a patient completing estrogen replacement therapy, at 3 and 6 months you would check what levels within the first year of treatment?

Answer 23

BUN/Cr
K+
Estradiol
Total testosterone

Question 24

In a patient completing estrogen replacement therapy, at 12months you would check what levels within the first year of treatment?

Answer 24

BUN/Cr
K+
Total testosterone

Question 25

What is the yearly labs you would check in a patient on estrogen replacement therapy?

Answer 25

BUN/Cr K+ Estradiol Total testosterone

Question 26

Persistent, documented gender dysphoria/gender incongruence Understanding reversible and irreversible changes of hormone thearpy Mental health must be reasonably controlled Informed consent counseling around fertility and medical risks associated with therapy Full capacity to make fully informed decisions on treatment

Answer 26

Hormone therapy criteria

Question 27

1. Persistent, well-documented gender dysphoria 2. Capacity to make a fully informed decision and to consent for treatment 3. Age of majority in a given country 4. If significant medical or mental health concerns are present, they must be reasonably well controlled

Answer 27

WPaTH eligibility for gender affirming surgery

Question 28

T/F? Transgender persons frequently are reticent to share their transgender status with health care providers due to discrimination

Answer 28

True

Question 29

T/F? A transgender male patient taking testosterone can become pregnant

Answer 29

True

Question 30

T/F? Hormone therapy will affect lab ranges and calculators like ASCVD, creatine, creatine clearance, H/H, LFTs, hormone levels, FRAX based on sex assigned at birth

Answer 30

True

Question 31

T/F? STI rates highest amongst transfeminine persons of color. High rates of suicide in the trans community

Answer 31

True

Question 32

When counseling men in preconception care, screen for...

Answer 32

ETOH Genetic counseling Occupational exposure/hazards STIs

Question 33

When counseling men in preconception care, management of chronic medical conditions include:

Answer 33

HTN, atherosclerosis, DM