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PEDS exam 2 > Adolescent > Flashcards

Adolescent Flashcards

1
Q

age range of adolescent

A

11-21

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2
Q

Thelarche

A

breast development-first visible sign of puberty

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3
Q

Menarche

A

first menses, average age 12 yo

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4
Q

Tanner staging

A

breast and pubic hair development in girls and boys

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5
Q

first visible sign of puberty in males

A

increase in testicular volume

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6
Q

early adolescent

A

11-14 yo

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7
Q

middle adolescent

A

15-17 yo

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8
Q

late adolescent

A

18-21 yo

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9
Q

what stage is this: prepubertal, with no palpable breast tissue

A

stage 1

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10
Q

what stage is this: breast and papilla elevated as small mound; areolar diameter increased

A

stage 2

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11
Q

what stage is this: breast and areola enlarged; no contour separation

A

stage 3

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12
Q

what stage is this: areola and papilla form secondary mound

A

stage 4

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13
Q

what stage is this: mature; nipple projects, areola part of the general breast contour

A

stage 5

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14
Q

what stage is this: no pubic hair

A

stage 1

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15
Q

what stage is this: sparse, slightly pigmented, straight, at medial border of labia

A

stage 2

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16
Q

what stage is this: darker, beginning to curl, increased amount

A

stage 3

17
Q

what stage is this: course, curly, abundant, but amount less than in adult stage

A

stage 4

18
Q

what stage is this: adult feminine triangle, spread to medial surface of thigh

A

stage 5

19
Q

what stage is this (male): pubic hair is darker, starting to curl, small amount

A

stage 3

20
Q

when does menarche usually occur for a women

A

between breast stage 4 and pubic hair stage 5

21
Q

when do males reach their peak height velocity

A

after pubic hair has started but before there is sperm in the urine; usually around age 13

22
Q

when do females reach their peak height velocity

A

after breast development has started but before menarche: usually around age 11

23
Q

screening recommendations for adolescents engaged in sexual activity

A

screen for STIs and HIV; HIV screening in sexually active beginning at age 13

24
Q

By what age should patients be seen alone

A

11 or 12 yo

25
Q

list the legal exceptions to informed consent requirement

A
  • emergency
  • emancipated minor
  • mature minor
  • other exceptions are based on specific medical conditions (state laws vary)
26
Q

In AZ, under what conditions can minors consent for thier own care

A
  • emancipated, homeless, married
  • emergencies
  • STI/HIV test
  • sexual assault if > or = 12 yo
  • substance abuse if > or = 12 yo
27
Q

AZ: rules of minor consent in relation to chemical dependency

A
  • consent is implied if minor is under the influence of a substance
  • parents/gaurdians must be notified once admitted for treatment
28
Q

AZ: rules of minor consent in relation to mental health screening or treatment

A
  • need to obtain written or oral consent of a parent or legal custodian of the minor child
    • exception: mental health treatment prevents serious injury to or saves life of a minor child
29
Q

AZ: rules of minor consent in relation to pregnancy

A

generally recieve care under “mature minor”

30
Q

AZ: rules of minor consent in relation to contraceptives

A

confidential access

31
Q

AZ: rules of minor consent in relation to emergency contraception

A

parental consent is not required for Plan B

32
Q

AZ: rules of minor consent in relation to abortion

A
  • minor may NOT consent for care for abortion in AZ
  • exceptions
    • emancipated
    • judicial bypass
    • inappropriate sexual misconduct
    • pregnancy is harmful to patient’s health
33
Q

recommendations of preventitive services from AAP/Bright Futures

A
  • annual routine health visits
  • immunizations
  • anticipatory guidelines
34
Q

what is the HEEADSSS assesment

A
  • Home
  • Education
  • Eating
  • Activities
  • Drugs
  • Safety
  • Sex
  • Suicidality
35
Q

if a patient admits to drugs, you should ask the CRAFFT questionnaire. what does it ask?

A
  • Car
  • Relax
  • Alone
  • Forget
  • Friends/Family
  • Trouble

PEDS exam 2 (3 decks)

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