Podcast
Questions and Answers
What is the purpose of determining the number and gender of sexual partners when taking a sexual history?
What is the purpose of determining the number and gender of sexual partners when taking a sexual history?
- To determine the patient's relationship status
- To establish the patient's social network
- To assess the risk of STD transmission (correct)
- To identify the patient's preferred gender for sexual partners
Why is it important to explore subjects like abstinence, monogamy, condom use, and STD testing when taking a sexual history?
Why is it important to explore subjects like abstinence, monogamy, condom use, and STD testing when taking a sexual history?
- To understand the patient's cultural background
- To identify potential risk factors for STDs (correct)
- To determine the patient's knowledge of safe sex practices
- To assess the patient's religious beliefs
Why may protection from STDs not be needed for patients in a monogamous relationship for more than 12 months?
Why may protection from STDs not be needed for patients in a monogamous relationship for more than 12 months?
- The patient's perception of risk is usually accurate
- The likelihood of exposure to new STDs is reduced (correct)
- The patient's immune system is less susceptible to STDs
- The patient has likely received vaccinations for STDs
What is the significance of exploring a patient's past history of STDs when taking a sexual history?
What is the significance of exploring a patient's past history of STDs when taking a sexual history?
Why might physicians be reluctant to address sexual health issues with their patients?
Why might physicians be reluctant to address sexual health issues with their patients?
How does routine assessment of sexual health provide opportunities for preventative health care?
How does routine assessment of sexual health provide opportunities for preventative health care?
When approaching history taking and physical examination with LGBT patients, what should the physician do?
When approaching history taking and physical examination with LGBT patients, what should the physician do?
What should be avoided when taking sexual orientation and practices history from LGBT patients?
What should be avoided when taking sexual orientation and practices history from LGBT patients?
What is an effective verbal or non-verbal strategy to identify sexual orientation and gender identity in the clinical environment?
What is an effective verbal or non-verbal strategy to identify sexual orientation and gender identity in the clinical environment?
What should the physician do when tailoring health promotion strategies to the needs of LGBT patients?
What should the physician do when tailoring health promotion strategies to the needs of LGBT patients?
What is one of the methods to engage LGBT patients in the clinical environment?
What is one of the methods to engage LGBT patients in the clinical environment?
What should be avoided when taking history from LGBT patients?
What should be avoided when taking history from LGBT patients?
What should the physician do when approaching history taking and physical examination with LGBT patients?
What should the physician do when approaching history taking and physical examination with LGBT patients?
What is an ineffective method when engaging LGBT patients in the clinical environment?
What is an ineffective method when engaging LGBT patients in the clinical environment?
What should be avoided when taking history from LGBT patients?
What should be avoided when taking history from LGBT patients?
What is the current definition of rape?
What is the current definition of rape?
Why is it important for physicians to ask patients about their sexual health history?
Why is it important for physicians to ask patients about their sexual health history?
What are the common concerns and considerations when addressing sexuality in the disabled?
What are the common concerns and considerations when addressing sexuality in the disabled?
Which of the following represents an impact of hormones, low desire, and physical limitations on sexuality in individuals with disabilities?
Which of the following represents an impact of hormones, low desire, and physical limitations on sexuality in individuals with disabilities?
What is drug facilitated sexual assault?
What is drug facilitated sexual assault?
What are some factors affecting the rate of reporting sexual assault?
What are some factors affecting the rate of reporting sexual assault?
What is a crucial facet of care in regards to sexual health with disabled individuals?
What is a crucial facet of care in regards to sexual health with disabled individuals?
What is the lifetime rate of rape for adult women according to the text?
What is the lifetime rate of rape for adult women according to the text?
What is a significant predictor of longevity according to the text?
What is a significant predictor of longevity according to the text?
What is considered drug facilitated sexual assault?
What is considered drug facilitated sexual assault?
What are some factors that affect the rate of reporting sexual assault according to the text?
What are some factors that affect the rate of reporting sexual assault according to the text?
What is a crucial facet of care in regards to sexual health with disabled individuals?
What is a crucial facet of care in regards to sexual health with disabled individuals?
What is the optimal timing for evidence collection after a sexual assault?
What is the optimal timing for evidence collection after a sexual assault?
What should the provider document in the case of a sexual assault survivor?
What should the provider document in the case of a sexual assault survivor?
What is the most commonly associated drug implicated in sexual assault?
What is the most commonly associated drug implicated in sexual assault?
What are potential long-term manifestations of sexual assault?
What are potential long-term manifestations of sexual assault?
What are the 5 stages of psychological and physiological changes of normal sexual function?
What are the 5 stages of psychological and physiological changes of normal sexual function?
What changes in sexual function can be observed in women during menopause?
What changes in sexual function can be observed in women during menopause?
What are potential contributing factors to sexual dysfunction in older adults?
What are potential contributing factors to sexual dysfunction in older adults?
What is recommended for medical treatment for survivors of sexual assault?
What is recommended for medical treatment for survivors of sexual assault?
What is the role of SANE and SAFE programs in assisting survivors of sexual assault?
What is the role of SANE and SAFE programs in assisting survivors of sexual assault?
What are the risks and incidence of sexually transmitted infections in the older adult population?
What are the risks and incidence of sexually transmitted infections in the older adult population?
What are potential manifestations of rape trauma syndrome?
What are potential manifestations of rape trauma syndrome?
What is recommended for survivors unable to give consent due to intoxication?
What is recommended for survivors unable to give consent due to intoxication?
When assessing sexual dysfunction in older adults, what is the most important fact to consider?
When assessing sexual dysfunction in older adults, what is the most important fact to consider?
What is a common cause of loss of sexual function following an acute illness?
What is a common cause of loss of sexual function following an acute illness?
What should be considered if one or both partners suffer from chronic medical illness or disability?
What should be considered if one or both partners suffer from chronic medical illness or disability?
For LGBT patients, what method should be used to sensitively approach history taking and physical examination?
For LGBT patients, what method should be used to sensitively approach history taking and physical examination?
What should be discussed when tailoring health promotion strategies to the needs of LGBT patients?
What should be discussed when tailoring health promotion strategies to the needs of LGBT patients?
What should the physician do to make the patient feel more comfortable during cervical cancer screening?
What should the physician do to make the patient feel more comfortable during cervical cancer screening?
What are potential risk factors for health conditions related to sexual orientation and gender identity?
What are potential risk factors for health conditions related to sexual orientation and gender identity?
What verbal or non-verbal strategies can be used to identify sexual orientation and gender identity in the clinical environment?
What verbal or non-verbal strategies can be used to identify sexual orientation and gender identity in the clinical environment?
What should be asked when tailoring health promotion strategies to the needs of LGBT patients?
What should be asked when tailoring health promotion strategies to the needs of LGBT patients?
What should be done when approaching history taking and physical examination with LGBT patients?
What should be done when approaching history taking and physical examination with LGBT patients?
What should be considered when one or both partners suffer from chronic medical illness or disability?
What should be considered when one or both partners suffer from chronic medical illness or disability?
Which term describes 'how a person identifies themselves in terms of who they are attracted to'?
Which term describes 'how a person identifies themselves in terms of who they are attracted to'?
What is the term for 'who you’re having sex with'?
What is the term for 'who you’re having sex with'?
Discuss one general treatment principle when dealing with sexual dysfunction in older adults.
Discuss one general treatment principle when dealing with sexual dysfunction in older adults.
What does 'gender expression' refer to?
What does 'gender expression' refer to?
What is the broad term that describes individuals whose gender expression does not conform to what society expects based on anatomy or secondary sex characteristics?
What is the broad term that describes individuals whose gender expression does not conform to what society expects based on anatomy or secondary sex characteristics?
What does 'DSD' stand for in the context of sexual health?
What does 'DSD' stand for in the context of sexual health?
Why should clinical terms or terms described in the literature be used cautiously when addressing patients?
Why should clinical terms or terms described in the literature be used cautiously when addressing patients?
What is an important consideration when dealing with adolescent patients, especially those who come in with their parents?
What is an important consideration when dealing with adolescent patients, especially those who come in with their parents?
How should mishaps in communication regarding patients' sexuality and gender identity be handled?
How should mishaps in communication regarding patients' sexuality and gender identity be handled?
Why is it important not to judge LGBT patients based on their symptoms or reasons for visiting the office?
Why is it important not to judge LGBT patients based on their symptoms or reasons for visiting the office?
What is an effective approach to make transgender patients feel welcome in a medical practice?
What is an effective approach to make transgender patients feel welcome in a medical practice?
Why is it important for healthcare providers to understand that gender identity can change throughout a person's lifetime?
Why is it important for healthcare providers to understand that gender identity can change throughout a person's lifetime?
What is an effective way to handle mishaps in communication regarding sexuality and gender identity?
What is an effective way to handle mishaps in communication regarding sexuality and gender identity?
Which of the following is NOT a unique risk factor for health conditions related to sexual orientation and gender identity?
Which of the following is NOT a unique risk factor for health conditions related to sexual orientation and gender identity?
Which of the following is NOT a technique for tailoring health promotion strategies to the needs of LGBT patients?
Which of the following is NOT a technique for tailoring health promotion strategies to the needs of LGBT patients?
What is a crucial aspect of making a patient feel more comfortable during cervical cancer screening based on the provided information?
What is a crucial aspect of making a patient feel more comfortable during cervical cancer screening based on the provided information?
What is an ineffective method when engaging LGBT patients in the clinical environment based on the given context?
What is an ineffective method when engaging LGBT patients in the clinical environment based on the given context?
What should the physician do when approaching history taking and physical examination with LGBT patients based on the provided information?
What should the physician do when approaching history taking and physical examination with LGBT patients based on the provided information?
What should be avoided when tailoring health promotion strategies to the needs of LGBT patients according to the text?
What should be avoided when tailoring health promotion strategies to the needs of LGBT patients according to the text?
What is sexual orientation?
What is sexual orientation?
What does 'gender non-conforming' mean?
What does 'gender non-conforming' mean?
Why should clinical terms or terms described in the literature be used cautiously when addressing patients?
Why should clinical terms or terms described in the literature be used cautiously when addressing patients?
What is gender identity?
What is gender identity?
Why is it important to respect a patient's gender identity?
Why is it important to respect a patient's gender identity?
What is sexual behavior?
What is sexual behavior?
What is DSD in the context of sexual health?
What is DSD in the context of sexual health?
Why should mishaps in communication regarding patients' sexuality and gender identity be handled with humility?
Why should mishaps in communication regarding patients' sexuality and gender identity be handled with humility?
When tailoring health promotion strategies to the needs of LGBT patients, what should the physician ask about?
When tailoring health promotion strategies to the needs of LGBT patients, what should the physician ask about?
How can the physician sensitively approach history taking and physical examination with LGBT patients?
How can the physician sensitively approach history taking and physical examination with LGBT patients?
What is an important technique for engaging LGBT patients in the clinical environment?
What is an important technique for engaging LGBT patients in the clinical environment?
What should be avoided when taking sexual orientation and practices history from LGBT patients?
What should be avoided when taking sexual orientation and practices history from LGBT patients?
What is a key strategy to avoid ineffective history taking and physical examination with LGBT patients?
What is a key strategy to avoid ineffective history taking and physical examination with LGBT patients?
What should the physician do to make the patient feel more comfortable during cervical cancer screening?
What should the physician do to make the patient feel more comfortable during cervical cancer screening?
What verbal or non-verbal strategies can be used to identify sexual orientation and gender identity in the clinical environment?
What verbal or non-verbal strategies can be used to identify sexual orientation and gender identity in the clinical environment?
Why is it important not to judge LGBT patients based on their symptoms or reasons for visiting the office?
Why is it important not to judge LGBT patients based on their symptoms or reasons for visiting the office?
What should healthcare providers do when approaching history taking and physical examination with LGBT patients?
What should healthcare providers do when approaching history taking and physical examination with LGBT patients?
What is the most important factor associated with cancer screenings in the LGBTQ population?
What is the most important factor associated with cancer screenings in the LGBTQ population?
What is the major difference between PrEP and PEP for HIV prevention?
What is the major difference between PrEP and PEP for HIV prevention?
What should a physician consider when discussing the use of vaccines with patients?
What should a physician consider when discussing the use of vaccines with patients?
What is the best way to discuss family planning with LGBTQ patients?
What is the best way to discuss family planning with LGBTQ patients?
What are the social determinants of health as mentioned in the text?
What are the social determinants of health as mentioned in the text?
What are the guiding principles of trauma-informed care for physical exams?
What are the guiding principles of trauma-informed care for physical exams?
What is the single most important question a physician can ask a patient before performing a sensitive patient exam?
What is the single most important question a physician can ask a patient before performing a sensitive patient exam?
What are some strategies for providers to optimize comfort for all patients during sensitive exams?
What are some strategies for providers to optimize comfort for all patients during sensitive exams?
What is recommended for survivors unable to give consent due to intoxication?
What is recommended for survivors unable to give consent due to intoxication?
What does 'gender expression' refer to?
What does 'gender expression' refer to?
What are some potential barriers to family planning options for LGBTQ patients?
What are some potential barriers to family planning options for LGBTQ patients?
What should a physician consider when tailoring health promotion strategies to the needs of LGBT patients?
What should a physician consider when tailoring health promotion strategies to the needs of LGBT patients?
What is the primary approach to making transgender patients feel welcome in a medical practice?
What is the primary approach to making transgender patients feel welcome in a medical practice?
How should transgender and gender nonconforming patient health content be integrated into the learner’s institution?
How should transgender and gender nonconforming patient health content be integrated into the learner’s institution?
What should providers avoid when it comes to treating the topic of transgender medicine?
What should providers avoid when it comes to treating the topic of transgender medicine?
What is the impact of social and behavioral determinants on LGBT individuals' health?
What is the impact of social and behavioral determinants on LGBT individuals' health?
What are some potential risk behaviors prevalent in LGBT populations?
What are some potential risk behaviors prevalent in LGBT populations?
What is a potential health risk due to electronic records being coded with only 'M' or 'F' as options?
What is a potential health risk due to electronic records being coded with only 'M' or 'F' as options?
What is an important consideration when dealing with sexual orientation and gender identity in the clinical environment?
What is an important consideration when dealing with sexual orientation and gender identity in the clinical environment?
What should be avoided when taking history from LGBT patients?
What should be avoided when taking history from LGBT patients?
What is recommended when assessing sexual dysfunction in older adults?
What is recommended when assessing sexual dysfunction in older adults?
Implicit biases are created through unconscious, automatic associations that rely on:
Implicit biases are created through unconscious, automatic associations that rely on:
How can implicit biases be assessed?
How can implicit biases be assessed?
What is a strategy to address implicit bias and its negative impact?
What is a strategy to address implicit bias and its negative impact?
What is a targeted approach to addressing the negative effects of implicit bias in schools?
What is a targeted approach to addressing the negative effects of implicit bias in schools?
What is one way to improve objectivity in decision-making processes and policies in the context of implicit bias?
What is one way to improve objectivity in decision-making processes and policies in the context of implicit bias?
Which factor contributes to the manifestation of implicit bias in schools?
Which factor contributes to the manifestation of implicit bias in schools?
What approach is recommended to address assumptions or microaggression in patient care?
What approach is recommended to address assumptions or microaggression in patient care?
What should be included in an inclusive intake for LGBTQ/DSD individuals?
What should be included in an inclusive intake for LGBTQ/DSD individuals?
"What does WPATH say about gender-affirming procedures for transgender patients who desire them as part of their transition?"
"What does WPATH say about gender-affirming procedures for transgender patients who desire them as part of their transition?"
"What treatment may benefit children struggling with their gender identity before puberty?"
"What treatment may benefit children struggling with their gender identity before puberty?"
"What should be considered when one or both partners suffer from chronic medical illness or disability?"
"What should be considered when one or both partners suffer from chronic medical illness or disability?"
"What is an essential aspect of care regarding sexual health with disabled individuals?"
"What is an essential aspect of care regarding sexual health with disabled individuals?"
What screening is not recommended for individuals who have had their cervix removed as part of gender-affirming surgery or other conditions?
What screening is not recommended for individuals who have had their cervix removed as part of gender-affirming surgery or other conditions?
When should low-dose computed tomography (LDCT) be considered for screening?
When should low-dose computed tomography (LDCT) be considered for screening?
What standard screening is recommended for all patients regarding mental health?
What standard screening is recommended for all patients regarding mental health?
What is recommended for patients struggling with unhealthy eating/body image behaviors?
What is recommended for patients struggling with unhealthy eating/body image behaviors?
What is recommended if the patient lacks social support?
What is recommended if the patient lacks social support?
What is the more inclusive or less-gendered term used for 'Pap test' in the context of transgender care?
What is the more inclusive or less-gendered term used for 'Pap test' in the context of transgender care?
'Chestfeeding' is a more inclusive or less-gendered term for what natural process?
'Chestfeeding' is a more inclusive or less-gendered term for what natural process?
'Bills of the speculum' is the neutral term used instead of what?
'Bills of the speculum' is the neutral term used instead of what?
'Front' is a more inclusive or less-gendered term used instead of what reproductive part?
'Front' is a more inclusive or less-gendered term used instead of what reproductive part?
'Absorbent product' is the inclusive term used instead of what?
'Absorbent product' is the inclusive term used instead of what?
'Frontal pelvic opening' is the inclusive term used instead of what anatomical part?
'Frontal pelvic opening' is the inclusive term used instead of what anatomical part?
Which cancer screening approach should be considered for individuals at high risk over the age of 50 with feminizing hormone use?
Which cancer screening approach should be considered for individuals at high risk over the age of 50 with feminizing hormone use?
What should be considered for men at high risk when it comes to breast cancer screening?
What should be considered for men at high risk when it comes to breast cancer screening?
Which individuals should have anal Pap tests as part of cancer screening?
Which individuals should have anal Pap tests as part of cancer screening?
What is the recommended cancer screening approach for individuals over the age of 50 without hormone use?
What is the recommended cancer screening approach for individuals over the age of 50 without hormone use?
In which population should biennial mammography begin at an earlier age due to the increased risk of breast cancer?
In which population should biennial mammography begin at an earlier age due to the increased risk of breast cancer?
What is indicated for individuals with no cervix, even after vaginoplasty, as part of cancer screening?
What is indicated for individuals with no cervix, even after vaginoplasty, as part of cancer screening?
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Study Notes
Sexual History and Health
- Determining the number and gender of sexual partners is crucial in taking a sexual history to identify risk factors for STDs and to provide appropriate guidance on prevention and testing.
- Exploring subjects like abstinence, monogamy, condom use, and STD testing helps to assess a patient's risk for STDs and provides opportunities for preventative health care.
- Patients in a monogamous relationship for more than 12 months may not need protection from STDs, as the risk is lower.
Importance of Sexual History
- Exploring a patient's past history of STDs helps to identify potential risks and provides guidance on prevention and testing.
- Physicians may be reluctant to address sexual health issues due to discomfort or lack of knowledge.
LGBT Patients
- When approaching history taking and physical examination with LGBT patients, the physician should use sensitive and non-judgmental language.
- Avoid making assumptions about a patient's sexual orientation or gender identity.
- Effective verbal or non-verbal strategies to identify sexual orientation and gender identity include using open-ended questions and respecting the patient's identity.
- When tailoring health promotion strategies to the needs of LGBT patients, the physician should ask about their specific needs and concerns.
Sexual Assault and Rape
- The current definition of rape is any sexual act or attempt directed against a person without their consent.
- Physicians should ask patients about their sexual health history to identify potential risks and provide guidance on prevention and testing.
- Drug facilitated sexual assault is a common form of sexual assault.
- Factors affecting the rate of reporting sexual assault include fear, shame, and lack of trust in authorities.
Sexual Health and Disability
- Common concerns and considerations when addressing sexuality in the disabled include physical limitations, low desire, and impact of hormones on sexual function.
- A crucial facet of care in regards to sexual health with disabled individuals is to provide personalized guidance and support.
Sexual Dysfunction
- The 5 stages of psychological and physiological changes of normal sexual function are excitement, plateau, orgasm, resolution, and refraction.
- Changes in sexual function can be observed in women during menopause, including decreased libido and vaginal dryness.
- Potential contributing factors to sexual dysfunction in older adults include chronic medical illness, disability, and medication side effects.
Care for Survivors of Sexual Assault
- The optimal timing for evidence collection after a sexual assault is within 72 hours.
- The provider should document the patient's history and physical examination findings in the case of a sexual assault survivor.
- Recommended medical treatment for survivors of sexual assault includes antibiotic prophylaxis and emergency contraception.
- SANE and SAFE programs play a crucial role in assisting survivors of sexual assault by providing medical and forensic care.
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