Pre-Test Multi Choice Questions

1. Gender identity can be best described as:

A

the outward expression of a person’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

 

 

 

2. 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

 

3. 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 biological sex

C

behaviours that challenge masculine or feminine gender norms

D

only transgender individuals

 

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

A

male

B

genderfluid

C

agender

D

genderqueer

E

all of the above

F

B, C and D

 

5. 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

 

6.When compared to the general population, gender diverse people are more likely to be:

A

bipolar

B

lesbian or gay

C

on the autistic spectrum

D

intersex

E

none of the above

 

7. 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: 

She appears tired and is tearful, saying that she was awake all night ahead of this appointment. You:

A

refer Maxine to a psychologist as you feel she may need longer to explore this with an appropriately trained professional

B

suggest this might be post-natal depression and propose a trial of SSRI treatment at least as a first step

C

refer her to the Gender Identity Clinic (GIC) as part of the consultation

D

explain that gender incongruence is unlikely this late in adulthood

8. 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 obtain a deed poll or statutory declaration, and if not feasible put her request into writing

D

show her how to apply for a Gender Recognition certificate which she can then use for this purpose

9. When referring a trans patient into secondary care it is good practice to always record ‘gender dysphoria / incongruence’ as a diagnosis in order to avoid potential confusion over sex-based laboratory reference intervals:

A

true

B

false

10. 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 in certain circumstances amount to a criminal offence

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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