Post-test: Foundations of GCS for BH Providers Question Title * 1. Which organization publishes universal standards of care for treatment of transgender individuals? WPATH The Fenway Institute The Endocrine Society Transline The Trevor Project Question Title * 2. Which of the following is a NOT DSM-V criteria for a diagnosis of Gender Dysphoria? Marked incongruence between one’s experienced/expressed gender and primary &/or secondary sex characteristics Strong desire to be rid of one’s primary &/or secondary sex characteristics Strong desire to be of the other gender (or alt. gender) Strong romantic &/or sexual attraction to the other gender (or some alt. gender) Strong conviction that one has the typical feelings & reactions of the other gender (or some alt. gender) Question Title * 3. A patient with a Maryland Medicaid insurance plan presents for a BH assessment for Facial Feminization Surgeries (FFS). The BEST course of action is to: Inform the patient that FFS is not covered by their insurance and decline to conduct the assessment Connect the patient to resources for obtaining new insurance that provides FFS coverage before conducting the assessment Conduct the assessment and write a letter of support as appropriate, provide additional support and resources to assist patient in obtaining funding Connect the patient to legal resources to mount legal challenge to insurance company, conduct the assessment once legal case is settled Inform the patient that FFS is elective surgery and therefore BH assessments/letters are not needed Question Title * 4. A provider may write a letter of full support for gender affirming surgeries for a patient with a significant history of severe mental health symptoms if: Symptoms are reasonably well controlled The patient’s primary therapist has endorsed them for surgery The patient otherwise meets criteria for medical necessity and readiness for surgery The patient verbally contracts for safety Not applicable. A provider may not endorse a patient with a history of severe mental health symptoms Question Title * 5. What term may be BEST applied to gender identities that are neither male nor female, but a may be in-between, fluid, a mix of characteristics, or apart from the gender spectrum entirely? Intersex Nonbinary Pansexual Agender Cisgender Question Title * 6. A potential complication of certain “bottom” surgeries whereby a hole forms in the tissue lining is called a(n): Fistula Prolapse Hematoma Thrombus Embolus Question Title * 7. A masculinizing genital surgery which creates a penis by severing ligaments around the clitoris to enlarge the shaft and rerouting the urethra is called: Vaginoplasty Metoidioplasty Oophorectomy Mastectomy Phalloplasty Question Title * 8. When conducting a GCS assessment, the clinician should assess for all of the following EXCEPT: Medical necessity Readiness for surgery Completion of a Real-Life Experience Capacity to consent Mental health contraindications Question Title * 9. A feminizing surgery that shaves down the laryngeal prominence (“Adam’s Apple”) to reduce its appearance is called: Laryngoplasty Orchiectomy Facial Feminization Surgery (FFS) Labiaplasty Thyroid Chondroplasty Question Title * 10. A letter in support of breast augmentation mammoplasty surgery should include all of the following elements EXCEPT: Patient’s behavioral health treatment history Statement of medical necessity of surgery Statement of informed consent and readiness for surgery Statement of impact on fertility and fertility planning Statement of therapist’s availability for ongoing support Question Title * 11. A complete post-test is required in order to earn Continuing Education credit and or a Certificate of Completion for this course, please enter your first and last name. Done