CQMSA Education Program - Module 3 Quiz

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Thank you for completing content relevant to Section 3 - 2SLGBTQIA+ Health Care Needs! Please fill out the quiz below, based on the materials you have read and watched, to ensure completion of this section.

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Which of the following is false?

1 point

It is possible for STIs to be transmitted orally

A "top" is whoever is on top of their partner no matter the sexual position

Seeing a professional for painful sexual experiences can be beneficial

It is possible to engage in digital sex with long fingernails

Clear selection

Which of the following is true regarding STI testing of a post-vaginoplasty vagina?

1 point

The patient should not collect their own swabs

Pap tests of the vaginal vault are indicated (moderate-quality evidence)

In case of symptoms, it is safe to collect swabs in the early post-op period

If a prostate exam is necessary, a digital exam can be performed at the inferior aspect of the anterior wall of the vaginal vault

Clear selection

Which of the following is true regarding STI testing among patients with a penis?

1 point

A different algorithm exists for patients post-phalloplasty.

An asymptomatic screen should include swabs of the urethra post-phalloplasty.

Consent is paramount and a patient who does not wish to be examined can collect their own swabs.

Trans patients do not need to return after antibiotic therapy for gonorrhoea to verify elimination.

Clear selection

What feature of the Engage Study is a best practice to adopt in research concerning 2SLGBTQ+ communities?

1 point

Obtaining ethics board approval

Use of Community Engagement Committees at all steps of research design, implementation, and dissemination

Sending questionnaires in English and French

Focusing uniquely on HIV

Clear selection

Which test is NOT necessary before prescribing PrEP?

1 point

Liver panel

Creatinine, urinalysis

HepA, B, C serologies

Triple-site (or as-needed) gono/chlam screens

Clear selection

For MSM and trans women who report condomless anal sex within the last six months, which of the following is NOT an indication for PrEP?

1 point

History of infectious syphilis or rectal bacterial STI

More than one event of nonoccupational postexposure prophylaxis (nPEP) use

In the context of a stable closed relationship with a single partner with no or negligible risk of transmissible HIV

Ongoing sexual relationship with an HIV-positive partner with susbtantial risk of transmissible HIV

Clear selection

When prescribing a patient feminizing hormone therapy, which of the following statements is FALSE

1 point

Monitoring should be at baseline, 3 months, 6 months, 12 months, and then yearly thereafter

To assess androgen suppression, total testosterone is adequate (free testosterone is not needed)

All patients on feminizing hormones must reach cis-female testosterone range

Clinical effects, rather than specific lab values, are the goals of therapy

Clear selection

When considering a patient who is initiating masculinizing hormone therapy, which of the following is FALSE

1 point

Clitoral enlargement, facial hair growth, and scalp hair loss are all irreversible

Should the patient become pregnant, testosterone is teratogenic to the fetus

The conversion of excess androgen to estrogen is NOT a concern

For non-menstruating patients, the male reference range of Hemoglobin/Hematocrit should be used

Clear selection

When dealing with gender diverse youth, which of the following statements are true

1 point

The age that a person understands their gender identity is highly variable

Prior to disclosure of a gender identity that differs from sex assigned at birth, they do not commonly experience depression, anxiety, social isolation, behavioural problems, school struggles, or suicidal ideation

Mental health support is not beneficial to the patient

Physician advocacy for the patient to explore their gender identity is unncessary

Clear selection

Which of the following statements about puberty blockers (i.e. suppresion of endogenous puberty) is FALSE

1 point

To temporarily halt puberty, GnRH analogues can be initiated

Blood tests to determine the HPG axis suppression include ultrasensitive LH/FSH/total testosterone (in those with testes) or estradiol (in those with ovaries)

Options for GnRH analogues include an injection (Leuprolide acetate) or a time-released implant (Histrelin)

Gender-affirming hormones cannot be added to GnRH analogues

Clear selection

With respect to gender affirming surgeries, which of the following statements is FALSE

1 point

The majority of follow-up studies have shown an undeniable beneficial effect of sex reassignment surgery on postoperative outcomes such as subjective well being, cosmesis, and sexual function

There are high rates of regret post-op following gonad removal

Patients can elect to remove gonads without genital reconstruction

WPATH recommends 1 referral letter for chest/breast surgery, and 2 referral letters for genital surgery

Clear selection

When counselling a patient seeking gender affirming surgery, it is important to discuss

1 point

The potential of losing sensation, including sexual sensation

The surgical process, as not all surgeries are completed in a single procedure

The cost of care/time off work

All of the above

Clear selection

Cervical cancer screening recommendations do NOT include

1 point

Screening for those who have undergone vaginoplasty with the creation of a neo-cervix

Screening for those who have undergone vaginoplasty without the creation of a neo-cervix

Screening via vault test for those who have had their cervix removed and have a history of high-grade dysplasia or cervical cancer

Screening for trans-masc/nonbinary people who have not had their cervix removed

Clear selection

Which of these statements is incorrect

1 point

No screening required for colorectal cancer for those not engaging in receptive anal sex

Breast cancer screening for those on feminizing hormones >5yrs with breast implants

Breast cancer screening for those on testosterone therapy and no gender affirming surgeries

Breast cancer screening for those on feminizing hormone therapy >5yrs

Clear selection

What gonad type corresponds to someone with Swyer syndrome?

1 point

Internal testes

Streak

Ovaries

External testes that are smaller than average

Clear selection

What kinds of specialized care should be considered for people who are intersex?

1 point

Hormone therapy

Prevention of osteoporosis

Cancer surveillance of internal gonads

All of the above as required

Clear selection

Which of the following is false?

1 point

Bisexual women have higher rates of substance use than heterosexual women

Gay men are not an increased risk of substance use compared to heterosexual men

Female gender and older age are robust protective factors for most forms of substance use among heterosexuals

Bisexual men experience three-fold substance use rates compared to heterosexual men

Clear selection

Which vaccination does NOT have a specific indication for men who have sex with other men?

1 point

HepA

HepB

Meningococcal

HPV

Clear selection

Gender Identity Disorder is

1 point

A term widely accepted in medicine

Is an affirming term in the trans community

Is the most up to date term used in the DSM5

Is pathologizing of normal variants in gender identity

Clear selection

In psychiatry, the use of the term gender dysphoria is/can

1 point

Be a barrier to trans/gender diverse folks who do not experience distress about their gender identity but still desire to access gender-affirming services

Is used to describe the discomfort and distress one feels regarding their sex assigned at birth

Has replaced the diagnosis of gender identity disorder to de-pathologize the identity, and focus on the distress that one can experience if they are trans or gender diverse

All of the above

Clear selection

Gamete preservation options for trans folks is/are

1 point

The same for all (trans men, trans women, non binary, gender fluid, etc), regardless of reproductive organs

Financially and logistically easily accessible

Impossible for those who have previously taken GnRH analogues but discontinued and not gone on to have gender-affirming hormone therapy

Ideally performed prior to initiating hormone replacement therapy

Clear selection

Fertility preservation methods for trans/gender diverse folks is

1 point

Similar to patients wishing to preserve fertility prior to chemotherapy

Inherently more risky than the general population

More successful AFTER initating HRT

Always sought out

Clear selection

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