2023 Symposium Pre-test: Foundations of GCS for BH Providers

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* 1. Which organization publishes universal standards of care for treatment of transgender individuals?

WPATH

The Fenway Institute

The Endocrine Society

Transline

The Trevor Project

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* 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)

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* 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

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* 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

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* 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

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* 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

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* 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

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* 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

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* 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

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* 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