05: 16-year-old female health maintenance visit

Question 1

What could poor performance at school and coarse hair be signs of in an adolescent?

Answer 1

Hypothyroidism

Question 2

What disease causes extreme fatigue, pharyngitis, and LAD?

Answer 2

Mono

Question 3

What’s the only real difference between adolescent and adult depression symptoms?

Answer 3

Adolescents may not have early morning waking and difficulty falling asleep

Question 4

What heart rhythm can be a result of anorexia?

Answer 4

Bradycardia

Question 5

When do girls start puberty?

Answer 5

8-13 years

Question 6

What’s the order of pubertal symptoms in girls?

Answer 6

Breast buds, pubic hair, growth spurt, periods, adult height

Question 7

What age do girls attain adult height?

Answer 7

15 years old

Question 8

When do boys start puberty?

Answer 8

10-15 years

Question 9

What’s the order of pubertal symptoms in boys?

Answer 9

Testicle growth, pubic hair, penis & scrotum growth, first ejaculations, growth spurt, adult height

Question 10

When do boys attain adult height?

Answer 10

17 years

Question 11

What is the definition of constitutional short stature?

Answer 11

Late bloomer in terms of height compared with peers

Question 12

What’s the aPTT level in Von Willebrand Deficiency?

Answer 12

Normal or prolonged

Question 13

How do you confirm vWD?

Answer 13

Check the VW factor and or platelet function analysis and get Factor VIII levels

Question 14

What does the HEEADSSS mnemonic stand for in adolescent screening?

Answer 14

H- home
E- education/employment
E- eating disorder
A- activities
D- drugs
S- sexuality
S- suicide risk/depression
S- safety (fights, car, weapons)

Question 15

What’s the treatment for vWD?

Answer 15

Desmopression (IV or intranasally)