NR571 final Care of the LGBTQ+ Patient UPDATED ACTUAL Questions and
CORRECT Answers
Transgender Woman Goals Stimulate development of female secondary sex characteristics are goals of
Transgender Woman Treatment estrogen, antiandrogens, gonadotropin-releasing hormone (GnRH) agonists, or
others is the treatment
Transgender Woman Monitoring needs Estradiol, Testosterone, Prolactin, Triglycerides
Potassium if spironolactone used as antiandrogen this we monitor in
Transgender Woman Risks Thromboembolic events (small risk) are risk
Transgender Man Goals Stop menstruation, Stimulate development of male secondary sex characteristics
are goal of
Transgender Man Treatment testosterone as would be done in hypogonadism is the treatment for
Transgender Man Monitoring needs Serum testosterone levels every 3 months until optimal, then 1-2 times a year,
Hematocrit, Hemoglobin, Serum cholesterol needs to be monitored for
Transgender Man risk Acne Possible, male-pattern hair loss, Polycythemia
Hypercholesterolemia, Liver impairment, Thromboembolic disorders with
increased risk of myocardial infarction and stroke are risk for
elderly Added stress, Inconvenience, Feeling tied to the regimen are impacts on quality
of life for
nitrate-free interval Tolerance can occur when there are no
To prevent GI upset why medications be taken with food
Contin and Zine considerations related to Beer's Criteria what meds
Statin and Contin ? should be administered at least 2 hour before or after ?
Nitrate should not be taken after 4 pm to ensure a nitrate free interval what med
Dronate should be taken 30 minutes before eating with a full 8-ounce glass of water. Do
not lie down for 30 minutes after taking this medication what is it
Pharmacokinetic Interactions when one medication systemically alters the potency of another medication.
Absorption Interaction result of a change due to one medication's effect on another medication's route of
entry into the body.
, Distribution Interaction caused by the amount of unbound/free medications available at the various target
sites.
Metabolism Interaction concentration of the medication after biotransformation into active and inactive
metabolites in higher or lower than expected.
Elimination Interaction the body's ability to eliminate medications in pure form or by altering a metabolite
from the body.
Pharmacodynamic Interactions does not alter or impact absorption, distribution, metabolism, or elimination
because of the one medication's ability to manipulate the effect of another
medication at its site of action.
Distribution Warfarin (Coumadin) being sensitive to protein-bound displacement is an
example of a(n) ____ interaction.
Elimination Litium (Lithobid) unchanged medication concentration is increased due to the
amount of sodium concentration. This is a key contributor to a(n) ___________
interaction.
Challenges the providers Lack of familiarity with gender modification surgeries
Failure to use gender-neutral terms such as significant other, partner, personal
pronouns, Lack of sensitivity when addressing sexual practices unique to the
LGBTQ+ community, Lack of understanding of cultural behavior
Patient distrust in the medical system or prior traumatic experience with
healthcare providers, Lack of sensitivity toward individuals that may engage in
relationships with multiple partners are challenges for
Challenges that LGBTQ+ patients Use of excessive precautions or refusal to touch them
Blame for their sexual preference or health status
Use of harsh or abusive language, Harassment by providers or other patients in a
healthcare setting, Denial of medical services are challenges for
common challenge by both lack of understanding regarding the acceptable use of terminology is a challenge
for
independent characteristics. sexual orientation AND a gender identity which are
Sexual orientation refers to one's emotional and sexual attraction to others.
Gender identity on the other hand, refers to a person's sense of their own gender.
non-binary individual does not identify themselves exclusively as male or female.
Gender-affirming surgery include: Feminizing vaginoplasty, Orchiectomy, Masculinizing phalloplasty,
scrotoplasty, Masculinizing chest surgery, Mastectomy, Facial feminization
procedures are
CORRECT Answers
Transgender Woman Goals Stimulate development of female secondary sex characteristics are goals of
Transgender Woman Treatment estrogen, antiandrogens, gonadotropin-releasing hormone (GnRH) agonists, or
others is the treatment
Transgender Woman Monitoring needs Estradiol, Testosterone, Prolactin, Triglycerides
Potassium if spironolactone used as antiandrogen this we monitor in
Transgender Woman Risks Thromboembolic events (small risk) are risk
Transgender Man Goals Stop menstruation, Stimulate development of male secondary sex characteristics
are goal of
Transgender Man Treatment testosterone as would be done in hypogonadism is the treatment for
Transgender Man Monitoring needs Serum testosterone levels every 3 months until optimal, then 1-2 times a year,
Hematocrit, Hemoglobin, Serum cholesterol needs to be monitored for
Transgender Man risk Acne Possible, male-pattern hair loss, Polycythemia
Hypercholesterolemia, Liver impairment, Thromboembolic disorders with
increased risk of myocardial infarction and stroke are risk for
elderly Added stress, Inconvenience, Feeling tied to the regimen are impacts on quality
of life for
nitrate-free interval Tolerance can occur when there are no
To prevent GI upset why medications be taken with food
Contin and Zine considerations related to Beer's Criteria what meds
Statin and Contin ? should be administered at least 2 hour before or after ?
Nitrate should not be taken after 4 pm to ensure a nitrate free interval what med
Dronate should be taken 30 minutes before eating with a full 8-ounce glass of water. Do
not lie down for 30 minutes after taking this medication what is it
Pharmacokinetic Interactions when one medication systemically alters the potency of another medication.
Absorption Interaction result of a change due to one medication's effect on another medication's route of
entry into the body.
, Distribution Interaction caused by the amount of unbound/free medications available at the various target
sites.
Metabolism Interaction concentration of the medication after biotransformation into active and inactive
metabolites in higher or lower than expected.
Elimination Interaction the body's ability to eliminate medications in pure form or by altering a metabolite
from the body.
Pharmacodynamic Interactions does not alter or impact absorption, distribution, metabolism, or elimination
because of the one medication's ability to manipulate the effect of another
medication at its site of action.
Distribution Warfarin (Coumadin) being sensitive to protein-bound displacement is an
example of a(n) ____ interaction.
Elimination Litium (Lithobid) unchanged medication concentration is increased due to the
amount of sodium concentration. This is a key contributor to a(n) ___________
interaction.
Challenges the providers Lack of familiarity with gender modification surgeries
Failure to use gender-neutral terms such as significant other, partner, personal
pronouns, Lack of sensitivity when addressing sexual practices unique to the
LGBTQ+ community, Lack of understanding of cultural behavior
Patient distrust in the medical system or prior traumatic experience with
healthcare providers, Lack of sensitivity toward individuals that may engage in
relationships with multiple partners are challenges for
Challenges that LGBTQ+ patients Use of excessive precautions or refusal to touch them
Blame for their sexual preference or health status
Use of harsh or abusive language, Harassment by providers or other patients in a
healthcare setting, Denial of medical services are challenges for
common challenge by both lack of understanding regarding the acceptable use of terminology is a challenge
for
independent characteristics. sexual orientation AND a gender identity which are
Sexual orientation refers to one's emotional and sexual attraction to others.
Gender identity on the other hand, refers to a person's sense of their own gender.
non-binary individual does not identify themselves exclusively as male or female.
Gender-affirming surgery include: Feminizing vaginoplasty, Orchiectomy, Masculinizing phalloplasty,
scrotoplasty, Masculinizing chest surgery, Mastectomy, Facial feminization
procedures are
