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PPS 2018 > Adol Med > Flashcards

Adol Med Flashcards

1
Q

Early adolescence (age)
Middle
Late

A

Early 10-13 yr
Middle 14-17 yr
Late 18-21 ye

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2
Q

First sign of puberty and hallmark of SMR 2 in males

A

testicular enlargement

beginning as early as 9.5 yr

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3
Q

First sign of puberty and hallmark of SMR 2 in females

A 
breast buds (thelarche)
between 8-12 yr
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4
Q

Peak height velocity females

A

8-9 cm/yr at SMR 2-3

approximately 6 mo before menarche

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5
Q

Peak height velocity males

A

9-10 cm/yr at SMR 3-4

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6
Q

SMR stage with secondary mound

A

SMR 4

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7
Q

Normal menses
cycle length
duration
blood flow

A

Length 21-35
7 days or fewer
6 pads or fewer

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8
Q

Treatment of Chlamydia

A

azithromycin 1 g PO once
or
Doxycycline 100 mg PO BID x 7 days

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9
Q

Treatment of gonorrhoeae (cervix, urethra, rectum)

A

Ceftriaxone 250 mg IM in a single dose
or
Single dose injectable cephalosporin plus azithromycin 1 g PO once

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10
Q

Treatment of gonorrhea (pharynx)

A

Ceftriaxone 250 mg IM in a single dose

plus Azithromycin 1 g PO once

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11
Q

Treatment of Treponema pallidum (primary and secondary syphillis or early latent syphillis)

A

Benzathine penicillin G 2.4 M u IM in 1 dose

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12
Q

Treatment of Treponema pallidum (late latent syphillis or syphillis of unknown duration)

A

Benzathine penicillin G 7.2 M u total, administered as 3 doses of 2.4 M u IM each week at 1 week intervals

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13
Q

Haemophilus ducreyi (chancroid: genital ulcers, lymphadenopathy)

A 
Azithromycin 1 g PO in a single dose
or
Ceftriaxone 250 mg IM in a single dose
or 
Ciprofloxacin 500 mg PO BID x 3 days
or 
Erythromycin base 500 mg PO TID x 7 days
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14
Q

Chlamydia trachomatis serovars L1, L2 or L3 (lymphogranuloma)

A

Doxycycline 100 mg PO BID x 21 days

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15
Q

Trichomonas vaginalis

A

Metronidazole 2 g PO in a single dose
or
Tinidazole 2 g PO in a single dose

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16
Q

Phthirus pubis

A

Permethrin 1% cream rinse applied to affected areas and washed off after 10 minutes
or
Pyrethrins with piperonyl butoxide

17
Q

Sarcoptes scabiei

A

Permethrin 5% cream applied to all areas from the neck down, washed off after 8-14 hr
or
Ivermectin 200 mcg/kg orally, rapeated in 2 wk

18
Q

Herpes simplex virus

Episodic therapy for recurrences

A

Acyclovir 400 mg PO TID x 5 days

19
Q

Herpes simplex virus

Suppressive therapy to reduce frequency of recurrences

A

Acyclovir 400 mg PO BID

20
Q

WHO definition of adolescent, youth

A

adolescents: 10-19 yr
youth: 15-24 yr
Together they are the young people

21
Q

3 developments in the hypothalamic-pituitary unit that trigger puberty:

A
  1. nocturnal sleep-related reinforcement LH secretion
  2. diminished sensitivity of the hypothalamus and pituitary to estradiol and testosterone, allowing increase in gonadotropins LH and FSH
  3. initiation of a positive feedback mechanism among females by which critical levels of estrogen trigger an increased release of GnRH, stimulating LH, initiating ovulation
22
Q

Linear growth during puberty accounts for __ of adult height

A

20%

23
Q

Timing of growth spurt in male

A

11.5 yr

SMR 3-4

24
Q

Start of growth spurt in female

A

10 yr

SMR 2-3

25
Q

Age at peak height velocity in male

A

13.5 yr

26
Q

Age at peak height velocity in female

A

11.5 yr

27
Q

Average gain in height in male

A

28 cm

28
Q

Average gain in height in female

A

25 cm

29
Q

Average age of thelarche

A

10 yr

range 8-14 yr

30
Q

Average duration for completion of puberty in females

A

4 yr

31
Q

Average age at menarche among Filipino girls

A

13.3 yr

32
Q

Delayed puberty in female:

A
  1. Breast SMR 1 beyond 13 yr
  2. Pubic hair SMR 1 beyond 14 yr
  3. Failure to menstruate beyond 16 yr
33
Q

Delayed puberty in female

A
  1. Genital SMR 1 beyond 14 yr

2. Pubic hair SMR 1 beyond 15 yr

PPS 2018 (17 decks)

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