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Hamilton 2020 Questions > Adolescent > Flashcards

Adolescent Flashcards

1
Q

Sexual activity amongst Canadian youth Which statement is False?

  1. Oral sex is more common than sexual intercourse
  2. By age 17, > 1/2 of teens are sexually active
  3. Approximately 2/3 of sexually active youth report having more than one partner
  4. Rates of reported sexual intercourse are increasing amongst teens
A
  1. Approximately 2/3 of sexually active youth report having more than one partner
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2
Q

A 17 year old young woman has a 4 month old son. Which of the following statements is TRUE?

  1. Pregnancy rates among Canadian adolescents are on the rise.
  2. More than 90% of teen pregnancies will end by induced abortion.
  3. > 1/3 of adolescents who deliver will have another pregnancy within the following 2 years.
  4. It is not necessary to screen for post-partum depression because it is very rare in teen mothers.
A
  1. > 1/3 of adolescents who deliver will have another pregnancy within the following 2 years.
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3
Q

Long Acting Reversible Contraception (LARC) is the most effective contraceptive method for adolescents. All are true but one:

  1. LARCs offer 3-5 year protection against pregnancy
  2. Return to fertility after removal is approximately 6 months
  3. Pain on insertion and expulsion rates are higher among younger women
  4. Beyond the first 21 days after insertion, there is no increased risk of STIs or PID in adolescent females
  5. IUDs can be immediately inserted in the post partum period for teens
A
  1. Return to fertility after removal is approximately 6 months
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4
Q

Which of the following are not contraindications for combination oral contraceptive pills?

  1. Migraine with focal neurologic symptoms
  2. Unexplained vaginal bleeding
  3. Migraine with aura
  4. Smoking
  5. History of DVT
A
  1. Smoking
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5
Q

Which of the following is not a combined birth control contraceptive effect:

  1. Reduced blood loss
  2. Reduced PMS symptoms & ovarian cysts
  3. Reduced acne & hirsutism
  4. Reduction in certain cancers
  5. Weight gain
A
  1. Weight gain
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6
Q

Emergency Contraception- which of the following is true?

  1. There are currently 5 methods of Emergency Contraception available to adolescents
  2. Birth control option that can be utilized after unprotected intercourse including condom breaking, ejaculation on genitals and assault
  3. Must be utilized within 72 hours after unprotected intercourse and all reduce efficacy the longer away from unprotected intercourse
  4. All available “over the counter” in Canada
A
  1. Birth control option that can be utilized after unprotected intercourse including condom breaking, ejaculation on genitals and assault
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7
Q

The following facts are true regarding gender dysphoria in children & transgender youth, except one

  1. Transgender youth represent approximately 1% of the population
  2. Highest risk for suicidal behaviour in transgender youth is while awaiting consultation
  3. In most children, gender dysphoria will persist into adolescence
  4. Boys referred for gender dysphoria will most likely later identify as gay rather than transgender
  5. There appears to be a link with autism and transgender youth
A
  1. In most children, gender dysphoria will persist into adolescence
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8
Q

The following are all medical treatment options for transgender youth, except:

  1. Puberty suppression – LUPRON
  2. Menstrual suppression – Continuous OCP
  3. Masculinizing Hormones (TESTOSTERONE)
  4. Feminizing hormones (ESTROGEN, SPRINOLACTONE, CYPROTERONE ACETATE)
  5. Surgery (“top-surgery” & “bottom surgery”)
A
  1. Surgery (“top-surgery” & “bottom surgery”)
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9
Q

All of the following are required to make a diagnosis of Anorexia Nervosa except:

  1. Low body weight
  2. Amenorrhea
  3. Intense fear of gaining weight
  4. Disturbance in perception of experience of one’s body weight or shape
  5. All of the above are required criteria
A
  1. Amenorrhea
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10
Q

Avoidant Restrictive Food Intake Disorders in Children are characterized by the following, except one:

  1. Lack of appetite, interest in food or dislike of textures
  2. Body image disturbance
  3. Results in failure to thrive or failure to grow as expected
  4. May be reliant on liquid nutritional supplements in order to gain weight
A
  1. Body image disturbance
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11
Q

Which of the following is true about STI in adolescents?

  1. The prevalence of Chlamydia is greater than HPV.
  2. Teens must be screened for STI’s prior to starting the oral contraceptive pill.
  3. The majority of teens with gonorrhea are asymptomatic.
  4. A longer course of treatment (1 week) offers higher cure rates than single dosing
A
  1. The majority of teens with gonorrhea are asymptomatic.
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12
Q

A 15 year old sexually active teen female presents with lower abdominal pain and uterine tenderness. What is your next step:

  1. You measure temp & send off labs for inflammatory markers in order to be able to make dx of PID
  2. You make the dx of PID and begin treatment by bringing adolescent in to hospital for IV antibiotics
  3. You make the dx of PID and treat with antibiotics as an outpatient with close F/U
  4. You send endocervical swab for GC/Chlamydia in order to make dx of PID
A
  1. You make the dx of PID and treat with antibiotics as an outpatient with close F/U
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13
Q

A 16 year old girl presents with a unilateral painless breast mass. The most likely diagnosis is:

  1. Fibroadenoma
  2. Adenocarcinoma
  3. Fibrocystic changes
  4. Metastatic tumor
  5. Lipoma
A
  1. Fibroadenoma
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14
Q

Canadian adolescent substance use facts, all our true except:

  1. Alcohol, high energy drinks and cannabis are the top 3 substances (in order of prevalence) utilized by high school students
  2. Alcohol, cannabis, high energy drinks are the top 3 substances utilized by high school students
  3. Opioid pain medications are now more common than tobacco cigarettes among high school students
  4. 5% of HS students vape cannabis oil
A
  1. Alcohol, cannabis, high energy drinks are the top 3 substances utilized by high school students
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15
Q

Cannabis in adolescence is associated with one of the following:

  1. Clearly demonstrated decline in IQ with continuous use from adolescence to adulthood
  2. Doubles the risk of having a psychotic disorder if heavy & prolonged use in adolescence
  3. Hyperemesis Cannabinoid Syndrome noted by resolution of symptoms in cold showers
  4. Heavy use increases the risk of developing an anxiety disorder for youth
  5. Insomnia is one of the first symptoms to resolve with Cannabis Withdrawal Syndrome
A
  1. Doubles the risk of having a psychotic disorder if heavy & prolonged use in adolescence
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Hamilton 2020 Questions (29 decks)

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