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Pediatric studying torture > Adolescent > Flashcards

Adolescent Flashcards

1
Q

Boys: Tanner stage 1

A

prepubertal

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2
Q

Boys: Tanner stage 2

A

Enlargement of scrotum and testes. Scrotum changes skin reddens and changes in texture

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3
Q

Boys: Tanner stage 3

A

Enlargement of penis (length @ first). Further growth of testes.

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4
Q

Boys: Tanner stage 4

A

Increased size of penis with growth in breadth and development of glans; testes and scrotum larger, scrotum skin darker.

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5
Q

Boys: Tanner stage 5

A

Adult genitalia

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6
Q

Girls breast dev Tanner stage 1

A

Prepubertal

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7
Q

Girls breast dev Tanner stage 2

A

Breast bud stage with elevation of breast and papilla; enlargement of areola

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8
Q

Girls breast dev Tanner stage 3

A

Further enlargement of breast and areola; no separation of their contour

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9
Q

Girls breast dev Tanner stage 4

A

Areola and papilla form a secondary mound above the breast

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10
Q

Girls breast dev Tanner stage 5

A

Mature stage; projection of papilla only, related to recession of areola

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11
Q

B and G pubic hair Stage 1

A

prepubertal

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12
Q

B and G pubic hair Stage 2

A

Sparse growth of long slightly pigmented hair, straight or curled, at base of penis or along labia

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13
Q

B andG pubic hair Stage 3

A

Darker, coarser and more curled hair, spreading sparsely over junction of pubes

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14
Q

B and G pubic hair Stage 4

A

Hair adult in type but covering smaller area than in adult; no spread to medical surface of thighs

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15
Q

B and G pubic hair Stage 5

A

Adult in type quantity with horizontal distribution

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16
Q

Most common breast mass

A

Fibroadenoma

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17
Q

Primary amenorrhea

A

Failure to menstruate by 16 years in the presence of breast development. Caused by depression, weight loss, PCOS, too much exercise, stress

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18
Q

OCP

A

Medroxyprogesterone 150 mg every 12 weeks

19
Q

Minipill

A

Inhibits ovulation

Progestin alone

20
Q

Varicocele

A

Dilatation of vessels in the spermatic cord

Bag of worms

21
Q

Hydrocele

A

Fluid filled cavity in the sac that trans-illuminates and does not reduce. usually disappears without treatment by age 1.

22
Q

Spermatocele

A

Fluid filled cyst of epididymis that transilluminates (smaller than hydrocele and nodular). Spermatoceles do not go away without treatment. most Spermatoceles require no treatment. If the spermatocele is not causing pain or is not so large that clothing is uncomfortable, the Spermatoceles can be left alone

23
Q

Primary cause of secondary amenorrhea

A

pregnancy

24
Q

Vaginal secretion that is green and copious

A

gonorrhea

25
Q

Vaginal secretion that is thin and malodorous

A

Bacterial vaginosis

26
Q

Vaginal secreion that is frothy/strawberry in color

A

Trichomonas

27
Q

Bumpy and friable cervix. May be asymptomatic.

A

Chlamydia

28
Q

Precocious puberty: girls

A

before 8

29
Q

Precocious puberty: boys

A

before 9

30
Q

Caloric intake is insufficient to maintain weight or normal growth
Delusion of being fat
Weight loss of over 15% of ideal body weight

A

Anorexia nervosa

31
Q

Recurrent episodes of binge eating

Inappropriate compensatory bx to prevent weight gain

A

Bulimia nervosa

32
Q 
Confusion
Dizziness
Dry brittle hair
Languo
Low voltage ECG, pulse, and BP
Loss of menses
Hypothermia + weight loss
A

Anorexia

33
Q 
Arrhythmias
Electrolyte abnormalities
Diarrhea
Normal weight or over weight
Purging and eating
Enamel erosion
Esophagitis
A

Bulimia

34
Q

Female athletic triad

A

Disordered eating pattern
Menstrual dysfunction
Osteoperosis

35
Q

Adolescent well visit labs

A 
Cholesterol: once 16-20 and once between 9-11
BP
Substance abuse screen
Sexual maturation screen
STI/HIV screen 16-18y
36
Q

Common drug adolescent females should take

A

folic acid 400 mg

37
Q

Cervical dysplasia screen age

A

Do not screen until 21. If immunocompromised yearly PAP tests w onset of sexual activity

38
Q

Weight gain age in adolescence

A

10-12 for girls
12-14 for boys
Onset of growth spurt is 1 year before menarche

39
Q

Supplement needed vegan diet

A

B12

40
Q

Weight gain in pregnant teens

A

Normal weight gain for age +20lbs for pregnancy

41
Q

Painless papule with serous discharge

Copper penny rash on handsfeet with lymph and mucocutaneous lesions

A

Syphylis as STI

42
Q

Thick green discharge that can bleed. Urethritis, dyspareunia

A

Gonorrhea STI

43
Q

Gonorrhea sti tx

A

Ceftriaxone 125 mg IM x 1

44
Q

Syphilis treatment

A

Benzathine Penn 2.4 million UIM or doxy/tetra if allergic

Pediatric studying torture (23 decks)

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