Psychosexual and Gender Identity Disorders
Psychiatry · Topic 9
Source: NMC CBME Curriculum 2024 · Volume II · Psychiatry · Topic 9 · combined PDF page 353
Practice questions
- Which statement best distinguishes the psychosexual domains assessed in studies of DSD?
- A newborn has atypical external genitalia in the context of a DSD. Which inference about the child's future gender identity is best supported?
- In the 2019 study of 144 adults with 46,XY DSD, which factor was associated with male psychosexual outcomes?
- A clinician observes marked genital virilization in a person with 46,XY DSD. Which conclusion is most consistent with the cited cohort study?
- Which measurement did the 2019 46,XY DSD study use to assess external genital virilization?
- What proportion of participants reported gender change in the 2019 adult 46,XY DSD cohort?
- In the adult 46,XY DSD cohort, the reported median age of gender change was:
- Which factor was associated with gender change in the 2019 46,XY DSD study?
- A family asks whether the 19% gender-change finding means their infant with 46,XY DSD has a 19% individual probability of changing gender. What is the best response?
- Which statement best describes the design and sample of the 2019 study reporting psychosexual outcomes in 46,XY DSD?
- Which follow-up implication did the authors draw for 46,XY DSD conditions involving prenatal androgen exposure?
- Why is the 2019 study's finding about prenatal androgen exposure not sufficient to predict an individual patient's gender identity?
- Which historical assumption about sex assignment and gender identity has been challenged, according to the reviews?
- A team is considering irreversible cosmetic genital surgery in infancy primarily to reinforce a sex assignment. Which issue is specifically highlighted in the reviews?
- What is the stated primary goal of gender assignment in the DSD review by Fisher and colleagues?
- Which management approach is described as best practice for people with DSD in the 2016 review?
- A clinician learns that a young person with DSD has a gender identity different from the sex assigned in infancy. Which approach best fits the reviewed principles?
- Which statement about DSD and LGBTQA+ identities is most accurate?
- A child has a gender-related presentation and emotional difficulties. Which statement is most consistent with the 2008 review?
- According to the 2008 review, which statement best characterizes the evidence for predicting persistence of childhood gender identity presentations?
- A trainee cites the 2008 review's estimate that 2.5%–20% of childhood cases were an initial manifestation of irreversible transsexualism as a precise current individual risk. What is the main problem with this interpretation?
- Which course-related conclusion is supported by the 2008 review of childhood and adolescent gender identity presentations?
- Which historical treatment debate is specifically identified in the 2008 review of childhood and adolescent presentations?
- Which research limitation did the 2008 review identify regarding the course of childhood gender identity presentations?
- Which broad etiological framework did the 2008 review describe as assumed by most models of childhood gender identity presentations?
- A clinician is discussing prenatal hormonal influences with a family of a child with DSD. Which framing best reflects the evidence?
- Which statement about prenatal estrogen exposure and age at gonadectomy was reported in the adult 46,XY DSD cohort?
- In counseling about a proposed irreversible procedure for an infant with DSD, which statement best reflects the ethical concerns described in the reviews?
- Which statement best captures how evidence about prenatal androgen exposure should influence clinical follow-up in 46,XY DSD?
- Which statement is the most appropriate interpretation of the finding that greater prenatal androgen exposure was associated with male psychosexual outcomes?
- A young person with a DSD reports wanting a gender change before the median age of gender change reported in one adult cohort. Which conclusion is best?
- Which statement best captures the relationship between assignment at birth and later psychosexual development described in the reviews?