Adolescence and puberty

Question 1

What is menarche

Answer 1

First occurence of menstruation

Question 2

What is anarche

Answer 2

Start of production of adrenal androgens- precursor to puberty

Question 3

What has happened to age of menarche and adrenarche

Answer 3

It is dropping significantly

Question 4

What is age of start of adrenarche in girls

Answer 4

6-9 years

Question 5

What is age of start of adrenarche in boys

Answer 5

7-10 years

Question 6

What characterises adrenarche

Answer 6

Rise in production of DHEA and DHEAS

Clinical presentation of pubic and axillary hair

Question 7

What does KISS gene code for

Answer 7

Kisseptin

Question 8

What is kisseptin

Answer 8

Protein produced in hypothalamus that increases the production of GHRH and LH

Question 9

How has the modern world influenced age menarche

Answer 9

Despite the age of menarche dropping the average weight of people at the onset of puberty has remained the same suggesting the drop in age is due to an improvement in nutrition

Question 10

Difference in psycological attitude to improvement

Answer 10

Boys become taller and broader which is more asthetic and gives increased status
Girls increase in adipose tissue associated with ambivalent feelings towards this

Question 11

Implications of body shape dissatisfaction

Answer 11

Negative feelings towards body shape encourages desire to weight

Question 12

What is dysphoria

Answer 12

Unhappiness with life

Question 13

Cardinal features of anorexia nervosa

Answer 13

Body weight maintained well below expected weight
Delayed growth
Amenorrhoea
Delayed puberty

Question 14

Psycopathology of anorexia nervosa

Answer 14

Dread of fatness and being preoocupied with this

Question 15

Affective symptoms of depression

Answer 15

Sadness
Loss of enjoyment
Irritability

Question 16

Congnitive symptoms of depression

Answer 16

Hoplessness

Guilt

Question 17

Biological symptoms of depression

Answer 17

Disturbed sleep

Reduced appetite