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Home / CE Test: Gender Affirming Neuropsychological Assessment

Posted on October 16, 2025

CE Test: Gender Affirming Neuropsychological Assessment

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Question 1 of 18

1. Question
According to Dr. Purnell, what are the primary factors that have historically inflated perceived sex-based cognitive differences in neuropsychological research?
- Inadequate sample sizes and poor statistical methods
- Publication bias favoring difference findings and recruitment bias toward gender-extreme participants
- Over-reliance on self-report measures rather than objective testing
- Cultural differences in test-taking motivation between genders
Question 2 of 18

2. Question
What percentage of neuropsychologists reported never having received any training in LGBTQ+ health according to the 2022 survey mentioned by Dr. Trittschuh?
- 10-15%
- 15-20%
- 20-30%
- 35-40%
Question 3 of 18

3. Question
Which approach to norm selection does Dr. Purnell recommend as the default when testing transgender individuals?
- Using norms based on sex assigned at birth
- Using norms based on current gender identity if binary
- Double-scoring with both male and female norms
- Using collapsed/combined norms that include diverse populations
Question 4 of 18

4. Question
The "gender role mediation hypothesis" suggests that cognitive differences between men and women result from:
- Differential cultivation of abilities through lifetime socialization
- Hormonal influences during critical developmental periods
- Inherent biological brain structure differences
- Genetic variations on the X and Y chromosomes
Question 5 of 18

5. Question
According to the speakers, what does current research suggest about hormone replacement therapy (HRT) effects on cognition in transgender individuals?
- HRT causes significant cognitive impairment that must be considered in testing
- HRT has no measurable effects on cognitive performance
- HRT may have slight enhancing effects with no direct detrimental impacts
- HRT effects vary dramatically and unpredictably between individuals
Question 6 of 18

6. Question
"Medical voyeurism" in the context of transgender healthcare refers to:
- Asking detailed questions about surgical procedures for documentation purposes
- Asking questions about a person's body or transition out of curiosity rather than clinical necessity
- Requesting medical records from previous healthcare providers
- Conducting physical examinations as part of neuropsychological assessment
Question 7 of 18

7. Question
Why do the speakers argue against creating separate transgender-specific norms for neuropsychological tests?
- There isn't enough research funding available for such norm development
- Transgender individuals prefer to use standard cisgender norms
- Existing norms are already sufficiently inclusive of gender diversity
- Sample sizes would be too small and wouldn't capture individual variation in transgender experiences
Question 8 of 18

8. Question
According to the minority stress model as it applies to transgender individuals, chronic stress related to marginalized status can:
- Only affect emotional functioning, not cognitive performance
- Impact cognitive performance and should be considered in clinical interpretation
- Be easily controlled for through standardized testing procedures
- Primarily affect verbal abilities while sparing non-verbal skills
Question 9 of 18

9. Question
Which of the following represents appropriate language use in neuropsychological reports for transgender clients?
- John is a 34-year-old man who uses he/him pronouns
- John identifies as a man and uses preferred pronouns he/him
- John is a biological female who identifies as male
- John is a non-cisgender individual assigned female at birth
Question 10 of 18

10. Question
When should neuropsychologists be most concerned about timing of assessment in relation to HRT initiation?
- Always delay testing for at least 6 months after HRT initiation
- Only test during the first month of HRT when effects are minimal
- Focus on psychosocial context and life stress rather than direct hormonal effects
- Require medical clearance before any testing of individuals on HRT
Question 11 of 18

11. Question
The systematic exclusion of gender-diverse individuals from neuropsychological normative studies has resulted in:
- More accurate norms that better represent the general population
- Better statistical power for detecting true gender differences
- Norms that may be inappropriate for gender-diverse individuals
- More reliable test-retest coefficients across different populations
Question 12 of 18

12. Question
According to the speakers, what role should neuropsychologists play in transition-related letter writing?
- All licensed mental health professionals can write letters, focusing on clinical relevance
- Only neuropsychologists with specialized training should write such letters
- Neuropsychologists should avoid this role entirely due to ethical concerns
- Only psychiatrists and medical doctors should provide transition-related letters
Question 13 of 18

13. Question
The concept of intersectionality in working with transgender clients means that neuropsychologists should:
- Focus primarily on gender identity while minimizing other demographic factors
- Use separate assessment protocols for each intersecting identity
- Refer transgender clients with multiple marginalized identities to specialists
- Consider how multiple marginalized identities create compounding effects
Question 14 of 18

14. Question
Which of the following is MOST important for creating an affirming clinical environment for transgender clients?
- Displaying multiple pride flags and LGBTQ+ literature in the office
- Using inclusive intake forms and demonstrating intentional affirming interactions
- Completing extensive specialized training before seeing any transgender clients
- Asking detailed questions about transition history to show interest and support
Question 15 of 18

15. Question
Dr. Trittschuh mentions that the estimated percentage of veterans who are transgender is approximately:
- Two to three times higher than the general population
- The same as the general population
- Slightly lower than the general population
- Five to six times higher than the general population
Question 16 of 18

16. Question
What does the research suggest about structural versus functional brain differences between males and females?
- Functional differences are more pronounced than structural differences
- Most research focuses on structural differences, which don't translate directly to cognitive performance
- Both structural and functional differences are equally well-established
- Functional differences are the primary basis for cognitive test norms
Question 17 of 18

17. Question
According to the speakers, what happens to male-female cognitive performance differences in cultures with less rigid gender role expectations?
- The differences become more pronounced
- The differences remain constant across cultures
- New types of differences emerge
- The differences diminish or disappear
Question 18 of 18

18. Question
Which approach to using normative data is considered problematic when working with transgender individuals?
- Using collapsed norms that include diverse populations
- Using norms based on sex assigned at birth
- Double-scoring with both male and female norms
- Using norms based on current gender identity

Lessons

[B3940-A25] Print Version / Test Preview
[B3940-A25] Audio Version Gender Affirming Neuropsychological Assessment
[B3940-A25] Text Version Gender Affirming Neuropsychological Assessment
[B3940-A25] References and Citations
[B3940-A25] CE Test
[B3940-A25] Evaluation

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[B3940-A25] Print Version / Test Preview

[B3940-A25] Audio Version Gender Affirming Neuropsychological Assessment

[B3940-A25] Text Version Gender Affirming Neuropsychological Assessment

[B3940-A25] References and Citations

[B3940-A25] CE Test

[B3940-A25] Evaluation