Pre-test: Fundamentals of Gender Affirming Care -- Level 2 Question Title * 1. Most transgender patients report better quality of life after gender affirmation surgeries. True False Question Title * 2. Which of these elements is not part of a complete Gender History? Prior “street” [non-prescribed] hormone use Family and friends support Interest in starting medical transition (hormone treatment) Preferred sexual role (top/bottom/switch) Age of first awareness of gender dysphoria Question Title * 3. Though fertility is lowered, transgender men or nonbinary people could still become pregnant while taking testosterone. True False Question Title * 4. Genital exams may be difficult or traumatic for some transgender people for any of these reasons except: Gender dysphoria Change in body temperature due to hormone therapy with estrogen Higher likelihood of sexual trauma history Vaginal atrophy due to hormone therapy with testosterone Provider using gendered terms for body parts (EX: "breast" vs. "chest") Question Title * 5. Difficulty finding comfortable language, specifically naming body parts and asking for what one desires, may negatively impact sexual satisfaction for transgender and nonbinary people. True False Question Title * 6. Assessment letters from a behavioral health therapist are required for all of the following medical treatments except: Hormone therapy Breast augmentation Hysterectomy Vaginoplasty Phalloplasty Question Title * 7. Patient requesting feminizing hormones presents with the following co-morbidities: A1C >9, uncontrolled hypertension, high cholesterol, and a history of blood clots.What medication may be most appropriate for this person? Estradiol injections Testosterone injections Estrogen patches "Minipills" (Over-the-counter progestin-only contraceptive pills) This patient is not a candidate for hormonal treatment Question Title * 8. Which of the following is NOT a risk associated with testosterone therapy? Erythrocytosis Increased libido Coronary artery disease increased aggression and mood swings Increased tooth decay Question Title * 9. The patient's personal goals for their gender transition should not influence the dose prescribed by their provider. True False Question Title * 10. Where can you go to find ongoing education, current best practices, and updated guidelines regarding transgender care? WPATH The Fenway Institute The Endocrine Society Transline All of the above Done