06: 16-year-old male preparticipation evaluation

Question 1

Does hot skin indicate syncope or seizure?

Answer 1

Seizure

Question 2

What’s the most common cause of chest pain in adolescents?

Answer 2

Precordial catch syndrome

Question 3

What is precordial catch syndrome?

Answer 3

Benign, sudden onset of sharp pain, usually along L sternal border, often exacerbated by deep inspiration

Question 4

What is costochondritis?

Answer 4

Lasts for hours/days; also benign

Question 5

What kind of chest pain has retrosternal, burning, non-radiating pain associated with meals?

Answer 5

GI causes

Question 6

Which Tanner stage does the phallus grow?

Answer 6

Stage 3

Question 7

Which Tanner stage does the moderate amount of curly pubic hair grow?

Answer 7

Stage 3

Question 8

Which Tanner stage does the pubic hair extend to the medial thighs?

Answer 8

Stage 5

Question 9

Which Tanner stage does the scrotum darken in?

Answer 9

Stage 4

Question 10

Which 3 shots are given at age 11?

Answer 10

1. Tdap
2. MCV4
3. HPV

Question 11

What’s the difference between DTaP and Tdap?

Answer 11

DTap (big D) contains 3-5 times more diptheria toxoid than Tdap, and is only given to kids 6 or younger

Question 12

Which 2 shots are given at age 16?

Answer 12

1. MCV4

2. MenB

Question 13

What 3 characteristics of a murmur indicate that further evaluation should occur?

Answer 13

1. Louder than grade III/VI
2. Diastolic
3. Increases with standing or Valsalva

Question 14

What part of the preparticipation physical exam accounts for 50% of abnormal physical findings?

Answer 14

MSK

Question 15

What should be obtained in any patient with syncope?

Answer 15

ECG