Adolescent Flashcards
How many in 100 have engaged in phone sex?
6
Screening tests for adolescence
scoliosis, genital exam, hemoglobin (at least once during adolescence)
How many in 100 have had sex with someone they met online or through texting?
4
How many in 100 have taken videos of themselves having sex?
1
Today how many percent of adolescents are sexually active?
32%
Among the sexually active adolescents today, how many percent do so without protection?
78%
How much of today’s population has cellphones?
78%
Between the male and the female adolescent, which one has a higher percentage of exposure to pornography and contact with friends they haven’t met yet?
Males
True or False: 4HPV is taken every (0,1,6 months)
False. This interval is for 2HPV
What is the recommended HPV for boys? This protects them from what?
4HPV. Genital warts
How often is the influenza vaccine taken?
Annually
True or False: Catch-up doses cannot be taken anymore if you miss the prescribed date for it.
False. Regardless of interval, you must still take the catch-up dose to complete your immunization.
How many doses is required for Hepa A and Hepa B respectively?
Hepa A: 2, Hepa B: 4
How many doses of Tdap is required for immunization?
One
When is confidentiality discussed and established to the adolescent during the psychosocial history-taking?
At the beginning, to establish rapport, encourage health-seeking behaviors, areas for intervention and prevention, etc.
What does HEADSSS stand for?
Home, Education/Educational environment, Activities, Drugs, Suicidal Tendencies/Depression, Sexuality, Safety
What other word can “A” in HEADSSS stand for?
Abuse
What does FIRST stand for?
Friends, Image, Recreation, Spirituality, Threats/Violence
True or False: The pelvic and rectal exams are necessary steps in adolescent genital examination procedures
False. This is only done if the female adolescent is sexually active.
What test is necessary in high-risk, sexually-active patients?
Syphilis serology
The “A-B-C” of Psychosocial History-Taking
Autonomy - recognize the adolescent’s right and responsibility to his/her own opinion, decisions, and initiatives to seek out health-promoting options
Body Image and Behaviors - inclusive of privacy, and being open to the fact that risky behavior is part of this stage
Cognitive - Language to be used on individuals of particular cognitive levels must be appropriate for their age/dev’t.
In which SMR does Spermarche occur?
2.5
In which SMR does ejaculation occur?
3
Formula for target height of boys
(Father’s height + 13cm) + Mother’s Height/2
Formula for target height of girls
(Father’s height - 13cm) +Mother’s Height/2
What happens to the female’s lean body mass during puberty?
Decreases by 80-75%
What happens to the male’s lean body mass during puberty?
Increases by 80-90%
What hormones are potent stimulators of muscle growth?
Androgens
True or False: The skeletal muscles of BOTH male and female increase during puberty
True
Which spurt lags behind the other by 1 year?
Muscle Mass
Muscle Strength
Muscle Strength lags behind Muscle Mass spurt by 1 year
At what age do males reach their maximum strength spurt?
25 y.o.
Between males and females, where does erythrocyte mass increase?
Males. This is due to increase in androgens -> muscle building. More muscles need more O2
With rapid bone growth, alkaline phosphatase increases to around what percent above normal range?
50-100%
What does SMR stand for?
Sexual Maturity Rating
What does PHV stand for?
Peak Height Velocity
What part of the brain in adolescents take longer to develop? (This is also the reason why adolescents have to be guided by parents)
Prefrontal Cortex
True or False: There is an increase in gray matter in adolescents
False. There is a DECREASE in gray matter. An increase in myelination. (Pruning)
What is considered the major determinant of growth in adolescents?
Nutrition
Genes influence what aspect of our somatic growth?
Height
At which part of adolescence is there idealism and altruism?
Middle Adolescence
The age ranges for the ff:
Early Adolescence
Middle Adolescence
Late Adolescence
Early: 10-13
Middle: 14-16
Late: 17-20
