Adolescence Flashcards

1
Q

What are the signs of early adolescence in females?

A

Breast buds and pubic hair

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2
Q

What is a sign of early adolescence in males?

A

Testicular enlargement

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3
Q

Give 2 signs of mid adolescence in females

A

Menarche

End of growth spurt

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4
Q

Give 2 signs of mid adolescence in males

A

Start of growth spurt

Voice breaks

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5
Q

What does the HEADS history taking model stand for?

A
Home 
Education
Activities 
Driving, drinking, drugs 
Smoking, sex, suicide
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6
Q

Which two hormones are responsible for increasing growth hormone secretion during puberty?

A

Testosterone and oestradiol

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7
Q

Around which ages does breast development occur?

A

8-12 years old

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8
Q

When do females grow pubic hair and have a growth spurt?

A

Immediately after breast development

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9
Q

How long after the start of puberty does menarche begin?

A

2 and a half years

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10
Q

At which age do boys begin to grow pubic hair?

A

10-14 years old after testicle growth

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11
Q

In males, what testicular volume corresponds with a height spurt?

A

12-15ml

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12
Q

Define delayed puberty

A

Absence of pubertal development by age 14 in girls and 15 in boys

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13
Q

Give 2 causes of hypergonadotrophic hypogonadism (primary)

A

Klinefelter’s syndrome

Gonadal trauma

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14
Q

Give 2 causes of hypogonadotrophic hypogonadism (secondary)

A

Hypothalamo-pituitary (Kallman’s syndrome)

Systemic disease (anorexia)

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15
Q

What is the treatment for constitutional delay in puberty?

A

Nothing, will resolve alone

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16
Q

What treatment for delayed puberty can be given to younger boys?

A

Oral Oxandrolone

17
Q

What treatment for delayed puberty can be given to older boys?

A

Low dose IM testosterone

18
Q

What treatment for delayed puberty can be given to girls?

A

Oestradiol

19
Q

Give 3 risks of STIs in adolescence

A

Avoiding barrier contraception

Multiple partners

Mental illness

20
Q

Give 3 risks of substance misuse in adolescence

A

Poor parenting
Peer pressure
Early substance misuse experience

21
Q

Give 3 acute effects of substance misuse

A

Pupillary changes
Agitation
Reduced consciousness

22
Q

Give 3 chronic effects of substance misuse

A

Emotional changes
Social difficulties
Poor school attendance

23
Q

Give 3 areas of health promotion to young people

A

Anti-social behaviour
Health risk behaviours
Mental health