Pre-Test Multi Choice Questions

Gender identity can be best described as:

A

the outward expression of one’s gender

B

a product of the sex assigned at birth

C

the gender assigned to a person by others

D

an internal sense of one’s own gender 

 

Gender dysphoria is:

A

distress or discomfort that occurs during puberty

B

distress or discomfort associated with gender incongruence

C

present in all people with a trans identity

D

only settled once cross-sex hormone therapy starts

 

Gender non-conformity describes:

A

people for whom sex does not match the sex assigned at birth

B

people who identify with those of the opposite sex

C

behaviours and/or presentation that challenge masculine or feminine gender norms

D

only transgender individuals

 

Someone with a non-binary gender identity could describe themselves as:

A

masculine

B

genderfluid

C

agender

D

genderqueer

E

all of the above

F

B, C and D

 

Regarding children and young people:

A

cross-gender play is exclusive to those with a trans identity

B

gender identity is cemented by parenting practices

C

gender-related distress can be misconstrued as behavioural maladaptation

D

social transition is advised under specialist supervision

E

all of the above

 

Clinical impressions suggest that trans people are more likely to be:

A

lesbian or gay

B

on the autistic spectrum

C

intersex

D

all the above

E

none of the above

 

Maxine is a 39-year old who was assigned female at birth. They are married with six-week old twins born through IVF and is well known to the surgery. They tell you that after many years of discomfort and questioning they identify as trans masculine and would like to medically transition. They have the full support of their partner. They appear tired and is tearful, saying that they were awake all night ahead of this appointment. You: 

They appear very anxious and at times tearful, reporting that they were awake all night ahead of this appointment. You:

A

suggest that their gender concerns might be confused with the manifestations of low mood and anxiety, and propose a trial of SSRI treatment at least as a first step

B

offer referral to the Gender Identity Clinic (GIC) as part the consultation

C

refer Maxine instead to a local psychologist to establish whether a gender-specific referral is appropriate or necessary

D

explain that gender incongruence is unlikely this late in adulthood

Charlotte, who is still listed as ‘Charles’ at the surgery would like to change the name, title and gender marker on her medical record and asks how she might go about it. You:

A

direct her to the gender identity clinic to obtain a letter from a gender specialist

B

explain that this is not legally possible as the record must match the birth certificate

C

propose she provide a deed poll or statutory declaration, and if not feasible put her request into writing

D

suggest she apply for a Gender Recognition Certificate, which she will require for this purpose

When sending laboratory samples, it is good practice to document ‘gender dysphoria’ on the form to avoid potential confusion over sex-based reference intervals:

A

True

B

False

Pertaining to a Gender Recognition Certificate:

A

it is illegal to ask a patient to provide it

B

holding a GRC entitles a patient to the same legal protections as that of their acquired gender in most situations

C

disclosing someone’s trans status or history without permission or cause can amount to a criminal offence in certain circumstances

D

this is the only mechanism by which a person is able to have their acquired gender reflected on their birth certificate

E

all of the above

F

B, and D


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