Pre-test: Fundamentals of Gender Affirming Care -- Level 3

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* 1. If the patient is a tobacco smoker, hormone therapy with estrogen may increase risk of:

Venous thromboembolism (VTE)

Delirium tremens (DTs)

Chronic obstructive pulmonary disease (COPD)

Small-cell lung cancer

Increased unwanted hair growth

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* 2. Diabetes is more common for transgender populations than for the general public.

True

False

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* 3. What is the best strategy to manage chronic migraines for those seeking feminizing treatment with estrogen?

Prescribe estrogen injections

Prescribe estrogen pills (oral) or patches (transdermal)

Prescribe intermittent treatment with estrogen injections every other month

Balance estrogen treatment with testosterone gel

Patients with migraines are not candidates for feminizing HRT

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* 4. The main purpose of hormonal treatment for transgender patients is:

Managing PCOS symptoms

Developing secondary sex features (breast tissue, facial hair, fat distribution)

Improving sexual satisfaction

Decreasing gender dysphoria

Making the patient's transgender status undetectable

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* 5. Which of the following may be a concerning symptom of pituitary adenoma for patients using estrogen for feminization?

Low cerebrospinal fluid (CSF)

Hypothyroidism

Galactorrhea

Prolactin level lower than 20 ng/dL

Polycythemia/erythrocytosis

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* 6. If hormonal treatment is denied to a patient who wishes to feminize or masculinize their body, which of the following would likely DECREASE:

Depression and anxiety

Danger of street violence

Gender dysphoria

Suicidal ideation

Quality of life

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* 7. Polycystic ovarian syndrome (PCOS) is a counterindication for masculinizing hormone treatment with testosterone.

True

False

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* 8. Which of these medications may increase the risk of cardiovascular disease (CVD) in older adults?

Estrogen

Atorvastatin

Alendronate

Metformin

Testosterone

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* 9. What kind of experience may some transfeminine people seek at a "pumping party"?

Estradiol injections

Tattoos and piercings

Subcutaneous silicone injections

High-dose pre-exposure prophylaxis (PrEP)

Intense cardio exercise with weights

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* 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