Adolescence and puberty Flashcards

1
Q

What is menarche

A

First occurence of menstruation

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2
Q

What is anarche

A

Start of production of adrenal androgens- precursor to puberty

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3
Q

What has happened to age of menarche and adrenarche

A

It is dropping significantly

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4
Q

What is age of start of adrenarche in girls

A

6-9 years

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5
Q

What is age of start of adrenarche in boys

A

7-10 years

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6
Q

What characterises adrenarche

A

Rise in production of DHEA and DHEAS

Clinical presentation of pubic and axillary hair

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7
Q

What does KISS gene code for

A

Kisseptin

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8
Q

What is kisseptin

A

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

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9
Q

How has the modern world influenced age menarche

A

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

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10
Q

Difference in psycological attitude to improvement

A

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

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11
Q

Implications of body shape dissatisfaction

A

Negative feelings towards body shape encourages desire to weight

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12
Q

What is dysphoria

A

Unhappiness with life

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13
Q

Cardinal features of anorexia nervosa

A

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

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14
Q

Psycopathology of anorexia nervosa

A

Dread of fatness and being preoocupied with this

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15
Q

Affective symptoms of depression

A

Sadness
Loss of enjoyment
Irritability

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16
Q

Congnitive symptoms of depression

A

Hoplessness

Guilt

17
Q

Biological symptoms of depression

A

Disturbed sleep

Reduced appetite