Providing inclusive, affirming, and culturally competent care is a professional and ethical imperative for all pharmacists. LGBTQ+ individuals often face significant health disparities and barriers to care, making the pharmacist’s role as a trusted and knowledgeable provider particularly important. As highlighted in the Patient care 5 curriculum’s “Transcending Concept” on “Social and Cultural Competency in LGBTQ+ People,” pharmacists must be equipped with the knowledge and skills to serve this community effectively. This quiz will test your knowledge on the terminology, health needs, and communication strategies essential for providing equitable care to LGBTQ+ people.
1. A person’s internal sense of being male, female, both, or neither refers to their:
- a. Sexual orientation
- b. Gender identity
- c. Sex assigned at birth
- d. Gender expression
Answer: b. Gender identity
2. The term “cisgender” describes a person whose:
- a. Gender identity aligns with the sex they were assigned at birth.
- b. Gender identity differs from the sex they were assigned at birth.
- c. Sexual orientation is toward the same gender.
- d. Sexual orientation is toward a different gender.
Answer: a. Gender identity aligns with the sex they were assigned at birth.
3. What is the most appropriate way to know a patient’s gender pronouns?
- a. Assume based on their appearance.
- b. Assume based on their name.
- c. Politely ask them.
- d. Look at their driver’s license.
Answer: c. Politely ask them.
4. Using a patient’s correct name and pronouns is a critical component of:
- a. A legal requirement only.
- b. Providing respectful, patient-centered, and affirming care.
- c. An optional courtesy.
- d. A billing requirement.
Answer: b. Providing respectful, patient-centered, and affirming care.
5. Which of the following is a known health disparity affecting the LGBTQ+ community?
- a. Lower rates of mental health conditions like depression and anxiety.
- b. Higher rates of substance use disorders.
- c. Better access to preventative healthcare.
- d. Lower rates of HIV and other STIs.
Answer: b. Higher rates of substance use disorders.
6. The “Social and Cultural Competency in LGBTQ+ People” is a specific “Transcending Concept” in which course?
- a. PHA5787C Patient Care 5
- b. PHA5104 Sterile Compounding
- c. PHA5703 Pharmacy Law and Ethics
- d. PHA5784C Patient Care 4
Answer: a. PHA5787C Patient Care 5
7. Masculinizing gender-affirming hormone therapy for transgender men typically involves the use of:
- a. Estrogen
- b. Progesterone
- c. Spironolactone
- d. Testosterone
Answer: d. Testosterone
8. Feminizing gender-affirming hormone therapy for transgender women typically involves a combination of:
- a. Testosterone and spironolactone
- b. An estrogen and an anti-androgen
- c. An estrogen only
- d. A progestin and testosterone
Answer: b. An estrogen and an anti-androgen
9. Which medication is commonly used as an anti-androgen in feminizing hormone therapy due to its potassium-sparing diuretic and aldosterone antagonist effects?
- a. Finasteride
- b. Bicalutamide
- c. Spironolactone
- d. Dutasteride
Answer: c. Spironolactone
10. A key role for the pharmacist in managing gender-affirming hormone therapy is:
- a. Counseling on expected effects and timeline.
- b. Discussing potential risks and monitoring parameters.
- c. Teaching proper administration of injectable or topical medications.
- d. All of the above.
Answer: d. All of the above.
11. The curriculum requires students to demonstrate attributes that promote a professional therapeutic relationship, such as empathy and cultural competency.
- a. True
- b. False
Answer: a. True
12. To create a more inclusive pharmacy environment, intake forms should ideally include:
- a. Separate fields for sex assigned at birth and current gender identity.
- b. A field for the patient’s pronouns.
- c. Gender-neutral language.
- d. All of the above.
Answer: d. All of the above.
13. A patient who identifies as non-binary may prefer which of the following pronouns?
- a. She/Her
- b. He/Him
- c. They/Them
- d. Any of the above, which is why it is important to ask.
Answer: d. Any of the above, which is why it is important to ask.
14. Pre-exposure prophylaxis (PrEP) is a highly effective strategy for preventing which STI?
- a. Gonorrhea
- b. Chlamydia
- c. HIV
- d. Syphilis
Answer: c. HIV
15. “Minority stress” is a concept that describes the chronic stress faced by marginalized groups due to stigma and discrimination, which can lead to poor health outcomes.
- a. True
- b. False
Answer: a. True
16. A pharmacist who uses the term “partner” or “spouse” instead of “husband” or “wife” when talking to a new patient is using:
- a. Confusing language
- b. Inclusive, gender-neutral language
- c. Inappropriate language
- d. Outdated language
Answer: b. Inclusive, gender-neutral language
17. The lecture “Social and Cultural Competency in LGBTQ+ People” is part of the Patient Care 5 curriculum.
- a. True
- b. False
Answer: a. True
18. Which of the following is a barrier to care commonly faced by LGBTQ+ individuals?
- a. Fear of discrimination or judgment from healthcare providers.
- b. Lack of providers knowledgeable in LGBTQ+ health needs.
- c. Not feeling safe or welcome in a clinical environment.
- d. All of the above.
Answer: d. All of the above.
19. A pharmacist’s role in promoting public health includes ensuring equitable care for all populations.
- a. True
- b. False
Answer: a. True
20. An active learning session on urological and men’s/women’s health is part of the Patient Care 5 course.
- a. True
- b. False
Answer: a. True
21. A transgender man (FTM) on testosterone therapy should be monitored for which potential side effect?
- a. Anemia
- b. Polycythemia
- c. Decreased libido
- d. Hair loss
Answer: b. Polycythemia
22. A transgender woman (MTF) on estrogen therapy has an increased risk of:
- a. Venous thromboembolism (VTE).
- b. Prostate cancer.
- c. Testicular cancer.
- d. Osteoporosis.
Answer: a. Venous thromboembolism (VTE).
23. A patient’s sexual orientation is defined by:
- a. Their gender identity.
- b. Their physical anatomy.
- c. Who they are emotionally, romantically, or sexually attracted to.
- d. Their gender expression.
Answer: c. Who they are emotionally, romantically, or sexually attracted to.
24. An active learning session on endocrinology and urology is part of which course?
- a. PHA5787C Patient Care 5
- b. PHA5163L Professional Skills Lab 3
- c. PHA5781 Patient Care I
- d. PHA5782C Patient Care 2
Answer: a. PHA5787C Patient Care 5
25. A pharmacist can signal that their pharmacy is a safe and affirming space by:
- a. Displaying a rainbow sticker or other sign of inclusivity.
- b. Using inclusive language on intake forms and in conversation.
- c. Having resources available for LGBTQ+ health.
- d. All of the above.
Answer: d. All of the above.
26. A transgender man who has had a hysterectomy but retains his ovaries will still produce endogenous:
- a. Testosterone
- b. Estrogen
- c. Prolactin
- d. DHEA
Answer: b. Estrogen
27. What is the most important part of providing care to an LGBTQ+ patient?
- a. To treat them with the same dignity, respect, and patient-centered focus as any other patient.
- b. To ask invasive, irrelevant questions about their personal life.
- c. To become an expert in all aspects of LGBTQ+ culture.
- d. To assume all LGBTQ+ patients have the same health needs.
Answer: a. To treat them with the same dignity, respect, and patient-centered focus as any other patient.
28. An active learning session on social and cultural competency is part of which course module?
- a. Module 8: Urological Disorders
- b. Module 1: Diabetes Mellitus
- c. Module 3: Women’s Health
- d. Module 6: Geriatrics
Answer: a. Module 8: Urological Disorders
29. The term “transgender” is an adjective, not a noun. The correct way to refer to someone is:
- a. “a transgender”
- b. “a transgender person” or “a transgender man/woman”
- c. “transgendered”
- d. “one of the transgenders”
Answer: b. “a transgender person” or “a transgender man/woman”
30. The “Health Disparities” lecture is part of the Patient Care 5 curriculum.
- a. True
- b. False
Answer: a. True
31. When a patient discloses their sexual orientation or gender identity, the pharmacist should:
- a. Document it and share it with all other pharmacy staff.
- b. Acknowledge the information professionally and use it to provide better, more personalized care.
- c. Ask probing questions about their experiences.
- d. Ignore the information as it is not relevant.
Answer: b. Acknowledge the information professionally and use it to provide better, more personalized care.
32. A pharmacist’s personal beliefs about gender and sexuality should:
- a. Dictate the level of care a patient receives.
- b. Not interfere with their professional obligation to provide competent and compassionate care to all.
- c. Be shared with the patient during counseling.
- d. Be used to refuse service to LGBTQ+ patients.
Answer: b. Not interfere with their professional obligation to provide competent and compassionate care to all.
33. What is a key reason for higher rates of depression and anxiety in the LGBTQ+ community?
- a. A biological predisposition.
- b. The effects of minority stress, stigma, and discrimination.
- c. It is a side effect of hormone therapy.
- d. There are no differences in rates.
Answer: b. The effects of minority stress, stigma, and discrimination.
34. The pharmacist’s role in promoting public health includes addressing the needs of underserved populations like LGBTQ+ people.
- a. True
- b. False
Answer: a. True
35. A transgender woman is on spironolactone and estradiol. The pharmacist should counsel her on monitoring for:
- a. Hypertension and hypokalemia.
- b. Hypotension and hyperkalemia.
- c. Weight loss and increased energy.
- d. Anemia.
Answer: b. Hypotension and hyperkalemia.
36. A patient asks for information on HIV PrEP. The pharmacist should be able to:
- a. Provide basic information about what PrEP is and how it works.
- b. Counsel on the importance of adherence and continued condom use for STI prevention.
- c. Refer the patient to a knowledgeable provider or clinic.
- d. All of the above.
Answer: d. All of the above.
37. If a pharmacist makes a mistake and uses the wrong pronoun for a patient, the best action is to:
- a. Ignore it and hope the patient didn’t notice.
- b. Briefly apologize, correct themself, and move on without making a big deal out of it.
- c. Stop the conversation and refuse to speak further.
- d. Argue that the pronoun they used was correct.
Answer: b. Briefly apologize, correct themself, and move on without making a big deal out of it.
38. The lecture on Social and Cultural Competency is part of which course?
- a. PHA5787C Patient Care 5
- b. PHA5163L Professional Skills Lab 3
- c. PHA5781 Patient Care I
- d. PHA5782C Patient Care 2
Answer: a. PHA5787C Patient Care 5
39. A patient’s gender identity determines their sexual orientation.
- a. True
- b. False
Answer: b. False
40. An active learning session covering social and cultural competency is part of which course?
- a. PHA5787C Patient Care 5
- b. PHA5163L Professional Skills Lab 3
- c. PHA5781 Patient Care I
- d. PHA5782C Patient Care 2
Answer: a. PHA5787C Patient Care 5
41. The term “queer” is:
- a. Always considered a slur and should never be used.
- b. An older term that is no longer in use.
- c. An umbrella term that has been reclaimed by many in the LGBTQ+ community, but should be used with care.
- d. A term for a specific sexual orientation only.
Answer: c. An umbrella term that has been reclaimed by many in the LGBTQ+ community, but should be used with care.
42. Which of the following is NOT an appropriate question to ask a transgender person in the pharmacy?
- a. “What name and pronouns would you like me to use?”
- b. “Have you had ‘the surgery’?”
- c. “Are you experiencing any side effects from your hormone therapy?”
- d. “How can I help you today?”
Answer: b. “Have you had ‘the surgery’?”
43. A pharmacist providing non-judgmental counseling on condoms and PrEP is contributing to:
- a. The reduction of health disparities.
- b. Harm reduction.
- c. Public health.
- d. All of the above.
Answer: d. All of the above.
44. “Cultural competency” is listed as a key attribute for a professional therapeutic relationship.
- a. True
- b. False
Answer: a. True
45. A transgender woman still has her prostate gland. She:
- a. No longer needs to worry about prostate health.
- b. Is still at risk for prostate conditions like BPH and prostate cancer and should be screened appropriately.
- c. Should be treated with a 5-alpha reductase inhibitor.
- d. Cannot develop BPH.
Answer: b. Is still at risk for prostate conditions like BPH and prostate cancer and should be screened appropriately.
46. A patient is on testosterone for gender-affirming care. They need to be counseled on proper administration and disposal of:
- a. Oral tablets
- b. Needles and syringes if using an injectable form.
- c. Inhalers
- d. Eye drops
Answer: b. Needles and syringes if using an injectable form.
47. Understanding the unique health needs of diverse populations is part of which pharmacy practice domain?
- a. Compounding
- b. Patient-centered care
- c. Drug distribution
- d. Inventory management
Answer: b. Patient-centered care
48. An active learning session on social and cultural competency is part of which course module?
- a. Module 8: Urological Disorders
- b. Module 1: Diabetes Mellitus
- c. Module 4: Medication Safety
- d. Module 6: Geriatrics
Answer: a. Module 8: Urological Disorders
49. The overall management of care for an LGBTQ+ patient requires:
- a. A special set of clinical guidelines for every disease state.
- b. The same clinical guidelines as for cisgender/heterosexual patients, applied with cultural humility and an awareness of unique risks and barriers.
- c. A focus only on sexual health.
- d. The pharmacist to be a member of the LGBTQ+ community.
Answer: b. The same clinical guidelines as for cisgender/heterosexual patients, applied with cultural humility and an awareness of unique risks and barriers.
50. The ultimate goal of learning about social and cultural competency for LGBTQ+ people is to:
- a. Be able to provide care that is affirming, effective, and equitable, and to create a safe healthcare environment for all patients.
- b. Memorize all the letters in the LGBTQIA+ acronym.
- c. Pass the final exam.
- d. Avoid talking to LGBTQ+ patients to prevent making a mistake.
Answer: a. Be able to provide care that is affirming, effective, and equitable, and to create a safe healthcare environment for all patients.