adolescent

Question 1

5 adol. tasks

Answer 1

1. indep from parents
2. peer codes and lifestyle
3. body image
4. sex ego
5. moral and phil. code

Question 2

parts of HEADDSSS

Answer 2

Home
Education/employment
Activities
Drugs
Diet
Safety
Sex
Suicide

Question 3

change in epi of eating disorders (3)

Answer 3

1. more men
2. younger
3. more in other countries where was not common

Question 4

3 crit for anorexia

Answer 4

1. low intake/weight
2. fear of weight gain
3. disturbance in weight and shape

Question 5

5 crit for bulemia

Answer 5

1. reccurent binges ( large amount/lack of control)
2. comp. behavs
3. at least weekly
4. self eval on weight and shape
5. not with anorexia

Question 6

2 types of BM

Answer 6

purge and non-purge

Question 7

4 crit for avoidance/restrictive intake disorder

Answer 7

1. distubance in weight or feeding
   - loss of weight
   - nut def.
   - feeding tubes
2. not due to no food avail
3. not due to AN or BM
4. not medical

Question 8

5 risk factors

Answer 8

1. fam hx
2. previously overweight
3. affective disorder
4. impulse/negative
5. activities where lean stressed

Question 9

DDx for eatiing disorder

Answer 9

1. malig
2. GI
3. endocrine disorder
4. depression. OCD

Question 10

invest. for ED

Answer 10

labs
- CBC, lytes, TSH, LH/FSH, prolactin
ECG
bone denstiy study

Question 11

see pg. 46 for crit to hosp.

Answer 11

due it

Question 12

crit for depression

Answer 12

Sadness
Interest
Guilty/worthless
Energy
Concentration
Appetite
Pyschomotor retard/agit
Suicide

Question 13

3 risks for depression

Answer 13

1. genetic and family
2. environment stress
3. meds

Question 14

only drug approved for kids

Answer 14

fluoxetine

better with CBT

Question 15

5 risks for STI

Answer 15

1. no protection
2. new partner
3. > 2/ year
4. previous STI
5. vulnerable pop

Question 16

Sx of clam

Answer 16

• discharge
• dysruia
• bleeding

Question 17

investigations for chlam

Answer 17

1. swab and send for NAAT test
2. first cathc urine
   possible bloodwork

Question 18

mgmt of Chlam

Answer 18

azithro 1g PO once

or doxy 100mg PO x7

Question 19

Chlam follow up

Answer 19

contact tracing

- treat for gonnococal unless neg.

Question 20

Sx of gonococcal

Answer 20

males: urethritis, epidydimitis
females: cervicitis, PID, urethrirts
both: phaynx infection, purulunt conjunct., disseminated

Question 21

Phx findings for gonococcal

Answer 21

• vag discharge
• adnexal tenderness
• mucopurulent cervicitis

Question 22

invest for gonococcal

Answer 22

swabs for NAAT
- TVUS if PID suspected
may want HIV test

Question 23

Tx for gonococcal

Answer 23

cef 250mg and axithro 1g

Question 24

F/U for gon

Answer 24

contact trace

- repeat screen in 3 months

Question 25

4 main HPV types and the things they cause

Answer 25

6 and 11 - warts

16 and 18 - cancer

Question 26

incubation time for warts

Answer 26

1-8 mos

Question 27

main Sx oh HPV

Answer 27

warts, bumps

- flesh colored, irregular papule

Question 28

Hx of HPV in pre-adol

Answer 28

1. abuse
2. maternal
3. vertical transmission

Question 29

invest. for HPV

Answer 29

pap after 3 years of sex activity

Question 30

Tx of warts (2)

Answer 30

medical 
- 5-FU
- TCA
- podofilox
Surgical
- cryotherapy
- excision
- laser