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BOARDS > Adolescent > Flashcards

Adolescent Flashcards

1
Q

anorexia diagnosis

A
  1. distorted body perception
  2. weight 15% below expected
  3. fear of gaining weight
  4. absence of 3 consecutive menstrual cycles
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2
Q

weight % with anorexia that indicates admission

A

<75% of ideal body weight

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3
Q

SMR 1 male

A

no pubic hair, testicular size <2.5 mL

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4
Q

SMR 2 male

A

fine pubic hair, increased testicular size and texturized scrotum

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5
Q

SMR 3 male

A

coarse and curly pubic hair, increased phallus size, increased testicular size

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6
Q

SMR 5 male

A

pubic hair to inner thigh

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7
Q

SMR 2 female

A

hair along labia, small breast buds with glandular tissue

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8
Q

SMR 3 female

A

coarse and curly hair, breast tissue extensions beyond areola

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9
Q

SMR 4 female

A

denser hair, enlarged areola and papilla forms secondary mound

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10
Q

SMR 5 female

A

hair to inner thigh, no separation between areola and breast of the breast

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11
Q

on average menses occurs when

A

2 years after thelarche (12 to 13)

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12
Q

peak height velocity in girls

A

before menarche (SMR 3 or 4)

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13
Q

after menarche girls are within ___ of adult height

A

4 cm (2 inches)

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14
Q

menstruation longer than ___ is abnormal

A

10 days

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15
Q

OCPs decrease risk of

A

ovarian cysts, endometrial and ovarian cancers, colorectal cancer and osteoporosis

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16
Q

absolute contraindications to OCPs

A

migraine with aura, breast cancer, uncontrolled HTN, liver disease, DVT, PE, factor V Leiden mutation

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17
Q

primary amenorrhea definition

A

no period by 15 or 3 years after thelarche

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18
Q

normal breast development without pubic hair or menstruation

A

androgen insensitivity syndrome

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19
Q

breast budding, no pubic hair and no period in 16 yr old

A

turner syndrome

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20
Q

secondary amenorrhea definiton

A

3 months of amenorrhea after onset of menarche

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21
Q

female athlete triad

A
  1. amenorrhea
  2. osteoporosis
  3. disordered eating
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22
Q

lab findings in PCOS

A

LH:FSH ratio >2.5 and elevated androgen levels

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23
Q

anti androgen medication used in PCOS

A

spironolactone

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24
Q

lab findings in exercise induced amenorrhea

A

low serum estradiol (E2) levels –> increased risk of osteoporosis

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25
Q

delayed puberty and bone density

A

associated with low bone density

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26
Q

cause of primary dysmenorrhea

A

prostaglandins produced during ovulatory cycle

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27
Q

primary dysmenorrhea treatment

A

prostaglandin inhibitors (NSAIDs), OCP if they fail

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28
Q

most common cause of dysfunctional uterine bleeding

A

anovulation

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29
Q

a common cause of DUB in developing countries

A

TB

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30
Q

heavy or prolonged bleeding at regular intervals

A

menorrhagia

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31
Q

irregular vaginal bleeding at irregular intervals

A

menometrorrhagia

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32
Q

vaginal bleeding more often than every 21 days

A

polymenorrhea

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33
Q

common cause of heavy menstrual bleeding without pain

A

chlamydia

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34
Q

pink vaginal discharge in an otherwise healthy newborn

A

normal - maternal estrogen withdrawal

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35
Q

labial adhesion treatment

A

estrogen cream if causing dysuria or secondary bacterial infections otherwise reassurance

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36
Q

cyclical abdominal pain, midline abdominal mass, bluish bulging hymen in premenstrual female

A

imperforate hymen

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37
Q

collection of fluid in the uterus

A

hydrometrocolpos

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38
Q

candida vaginitis treatment

A

topical clotrimazole

39
Q

flat papular non tender lesions that are pedunculated in the genital or anal mucosa and bleed with minor trauma

A

condyloma acuminata - HPV

40
Q

condyloma acuminata

A

HPV

41
Q

medical treatment of condyloma acuminata

A

observe for 1 to 2 years, then chemical cauterization with podophyllin or podofilox OR surgical excision

42
Q

smooth flesh colored lesion with central umbilication

A

molluscum contagiosum

43
Q

large tender fluctuant mass on the vaginal wall

A

bartholin cyst

44
Q

whitish gray papule that coalesce in the genital area

A

condyloma lata - secondary syphilis

45
Q

condyloma lata

A

secondary syphilis

46
Q

primary HSV lesion

A

painful with tender inguinal nodes

47
Q

subsequent HSV lesions

A

ulcerative

48
Q

best diagnostic test for vesicular lesions

A

viral culture for HSV (tzank is not sensitive and does not differentiate HSV from varicella)

49
Q

red crusted suprapubic macules, blue gray dots

A

pediculosis pubis

50
Q

maculae cerulea

A

pediculosis pubis

51
Q

pediculosis pubis treatment

A

permethrin 1% or 5%, pyrethrin with piperonyl but oxide and malathion (petroleum jelly several times a day for 10 days for eye lashes)

52
Q

gardnerella vaginalis

A

part of normal vaginal flora but can lead to bacterial vaginosis if unbalanced

53
Q

clue cells on wet prep

A

bacterial vaginosis

54
Q

adding KOH to wet prep to test for amines

A

whiff test - positive in bacterial vaginosis

55
Q

most common nonviral STD in US teens

A

trich

56
Q

frothy yellow discharge and strawberry cervix

A

trich (friable mucosa)

57
Q

flagellated organism on wet prep

A

trich

58
Q

trichomonas treatment

A

metronidazole

59
Q

most common reportable STD

A

chalmydia

60
Q

dysuria and discharge that progresses to epididymitis with unilateral pain and swelling of the scrotum

A

GC

61
Q

perihepatitis aka

A

fitz-hugh-curtis

62
Q

prelim diagnosis of disseminated GC

A

intracellular G- diplococci on gram stain

63
Q

gold standard diagnosis of disseminated GC

A

culture (but start treatment while waiting)

64
Q

minimal criteria for PID

A

lower abdominal pain or pelvic pain with uterine, adnexal OR cervical motion tenderness

65
Q

outpatient PID treatment

A

Ceftriaxone 250 mg and doxy 100 mg BID x14 days +/- metronidazole 500 mg BID x 14 days

66
Q

management for persistent pain in PID even with treatment

A

abdominal US looking for tubo-ovarian abscess

67
Q

periheptatitis lasts how long once treatment is started for PID

A

better within 2 days of treatment

68
Q

unilateral abdominal pain midcycle

A

ovarian cyst

69
Q

ovarian cyst management

A

<6 cm follow up US, >6 cm or significant symptoms laparoscopic cyst aspiration

70
Q

sudden lower abdominal pain that radiates to the back, side or leg with nausea and vomiting

A

ovarian torsion

71
Q

common hymen variant

A

no tissues above 3 and 9 o’clock positions

72
Q

hyperemic doughnut shaped mass from genital area in young african American girl

A

urethral prolapse

73
Q

desquamation of epithelial cells under the influence of estrogen

A

physiologic leukorrhea

74
Q

congenital condyloma acuminata

A

genital wart can present up to age 3 (after age 3 think sexual abuse)

75
Q

how long can rectal/vaginal chlamydia infection transmitted at birth persist until

A

18 months

76
Q

contender nodule above and posterior to the R tests that transilluminates and does not change w/ valsalva

A

spermatocele

77
Q

B-HCG is elevated in what tumors

A

choriocarcinoma and mixed germ cell tumors

78
Q

alpha fetoprotein is elevated in what tumors

A

yolk sac tumors and embryonal carcinoma

79
Q

genital warts at time of delivery

A

okay to have vaginal (herpes lesions c-section)

80
Q

painless ulcer on dorsal penis that appears punched out with clean slightly elevated borders and bilateral LAD

A

primary syphilis

81
Q

primary syphilis treatment

A

penicillin G benzathine 2.4 million units IM x 1 dose

82
Q

erythematous papule that becomes a pustule and then painful ulcer

A

chancroid - haemophilus ducreyi

83
Q

painless, friable, beefy-red ulcerative lesion that bleeds easily

A

granuloma inguinale - klebsiella granulomatis

84
Q

chancroid

A

haemophilus ducreyi

85
Q

granuloma inguinale

A

klebsiella granulomatis

86
Q

inpatient PID treatment if anaphylaxis with cephalosporin

A

clindamycine and gentamicin

87
Q

most common reason for hospitalization in adolescents

A

pregnancy

88
Q

BMI that is considered obese in adolescents

A

> /= 95th%ile

89
Q

mean age of menarche

A

12.8 years

90
Q

most common solid breast mass in adolescent girls

A

fibroadenoma

91
Q

most likely diagnosis in 17 yr old female with amenorrhea and galactorrhea and negative HCG

A

pituitary adenoma

92
Q

1st line birth control recommendation by AAP

A

LARC

93
Q

most likely diagnosis of contender fluid filled mass in testicle of 15 yr old

A

hydrocele

94
Q

most likely diagnosis of L sided scrotal mass that increases with valsalva and feels like a bag of worms

A

varicocele

BOARDS (24 decks)

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