Adolescent

Question 1

Boys: Tanner stage 1

Answer 1

prepubertal

Question 2

Boys: Tanner stage 2

Answer 2

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

Question 3

Boys: Tanner stage 3

Answer 3

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

Question 4

Boys: Tanner stage 4

Answer 4

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

Question 5

Boys: Tanner stage 5

Answer 5

Adult genitalia

Question 6

Girls breast dev Tanner stage 1

Answer 6

Prepubertal

Question 7

Girls breast dev Tanner stage 2

Answer 7

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

Question 8

Girls breast dev Tanner stage 3

Answer 8

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

Question 9

Girls breast dev Tanner stage 4

Answer 9

Areola and papilla form a secondary mound above the breast

Question 10

Girls breast dev Tanner stage 5

Answer 10

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

Question 11

B and G pubic hair Stage 1

Answer 11

prepubertal

Question 12

B and G pubic hair Stage 2

Answer 12

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

Question 13

B andG pubic hair Stage 3

Answer 13

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

Question 14

B and G pubic hair Stage 4

Answer 14

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

Question 15

B and G pubic hair Stage 5

Answer 15

Adult in type quantity with horizontal distribution

Question 16

Most common breast mass

Answer 16

Fibroadenoma

Question 17

Primary amenorrhea

Answer 17

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

Question 18

OCP

Answer 18

Medroxyprogesterone 150 mg every 12 weeks

Question 19

Minipill

Answer 19

Inhibits ovulation

Progestin alone

Question 20

Varicocele

Answer 20

Dilatation of vessels in the spermatic cord

Bag of worms

Question 21

Hydrocele

Answer 21

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

Question 22

Spermatocele

Answer 22

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

Question 23

Primary cause of secondary amenorrhea

Answer 23

pregnancy

Question 24

Vaginal secretion that is green and copious

Answer 24

gonorrhea

Question 25

Vaginal secretion that is thin and malodorous

Answer 25

Bacterial vaginosis

Question 26

Vaginal secreion that is frothy/strawberry in color

Answer 26

Trichomonas

Question 27

Bumpy and friable cervix. May be asymptomatic.

Answer 27

Chlamydia

Question 28

Precocious puberty: girls

Answer 28

before 8

Question 29

Precocious puberty: boys

Answer 29

before 9

Question 30

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

Answer 30

Anorexia nervosa

Question 31

Recurrent episodes of binge eating | Inappropriate compensatory bx to prevent weight gain

Answer 31

Bulimia nervosa

Question 32

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

Answer 32

Anorexia

Question 33

``` Arrhythmias Electrolyte abnormalities Diarrhea Normal weight or over weight Purging and eating Enamel erosion Esophagitis ```

Answer 33

Bulimia

Question 34

Female athletic triad

Answer 34

Disordered eating pattern Menstrual dysfunction Osteoperosis

Question 35

Adolescent well visit labs

Answer 35

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

Question 36

Common drug adolescent females should take

Answer 36

folic acid 400 mg

Question 37

Cervical dysplasia screen age

Answer 37

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

Question 38

Weight gain age in adolescence

Answer 38

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

Question 39

Supplement needed vegan diet

Answer 39

B12

Question 40

Weight gain in pregnant teens

Answer 40

Normal weight gain for age +20lbs for pregnancy

Question 41

Painless papule with serous discharge | Copper penny rash on handsfeet with lymph and mucocutaneous lesions

Answer 41

Syphylis as STI

Question 42

Thick green discharge that can bleed. Urethritis, dyspareunia

Answer 42

Gonorrhea STI

Question 43

Gonorrhea sti tx

Answer 43

Ceftriaxone 125 mg IM x 1

Question 44

Syphilis treatment

Answer 44

Benzathine Penn 2.4 million UIM or doxy/tetra if allergic