Which screening is not appropriate for a 23-year-old transgender patient coming in for routine care?

Preoperative readiness screening is not typically appropriate for a 23-year-old transgender patient coming in for routine care unless the patient is actively seeking surgical intervention as part of their gender-affirming care. Routine care visits generally focus on overall health assessments, preventive screenings, and immediate health concerns rather than preoperative evaluations, which are specific to surgical candidates.

In contrast, the other screenings listed are widely applicable regardless of gender identity or surgical status. The PHQ-9 is a tool used for assessing depression, which can be relevant for any patient, including those in the transgender community. Domestic violence screening is critical for identifying potential risks and providing necessary support, as individuals in vulnerable populations may experience higher rates of violence. STI screening is important for all sexually active individuals to detect and treat infections early, contributing to better overall health. Thus, preoperative readiness screening is the least relevant in this scenario since it presupposes a surgical pathway that may not be applicable.