Phys Vivas · endocrine
Transgender Medicine AND Hormone Therapy — Viva Defence
DCE viva defence for Transgender Medicine AND Hormone Therapy.
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Target exams
Transgender Medicine AND Hormone Therapy Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Transgender Medicine AND Hormone Therapy. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Hastie E, Khetan P, LaMere SA, George AF, et al. The HIV Reservoir and Immune Landscape Across the Life Course of Women: Implications for Cure Strategies Am J Reprod Immunol, 2026.PMID 42461585
- [2]Yoon JW, Kim G, Lee ES, Lee SY, et al. Cervical cancer screening and HPV vaccination among assigned female at birth transgender and gender-diverse individuals in South Korea: findings from the KITE cohort BMC Public Health, 2026.PMID 42437894
- [3]Thomas TA, Winston-McPherson GN, Amarillo I, Berry AD, et al. ADLM Guidance Document on Incorporating Gender Diversity in Pathology and Laboratory Medicine J Appl Lab Med, 2026.PMID 42383916
- [4]Hastie E, Bortner A, Wagner GA, Blumenthal J Gender-Affirming Medical Treatment of Transgender and Gender-Diverse Individuals Obstet Gynecol Clin North Am, 2026.PMID 42236065
- [5]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [6]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
- [7]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906
- [8]Weiß A, Haussmann J, Goeckenjan M Establishing a Transgender Outpatient Clinic Within the Gynaecology Department: a Retrospective Analysis of the First Few Years Geburtshilfe Frauenheilkd, 2026.PMID 42459842