Adolescent/ behavioural medicine and psych

Question 1

Conduct disorder

Answer 1

irresponsible behaviour
hostile
physically violent behaviour
disregard for others

Question 2

which hormone is associated with risk taking

Answer 2

high levels testosterone

Question 3

which part of the brain is last to mature at around 16/17?

Answer 3

superior temporal cortex/ prefrontal cortex (in the frontal lobe)
complex decision making and control over impulsive/ inappropriate behaviour

Question 4

PTSD

Answer 4

occur within 6/12 of event
unresponsiveness to surroundings
emotional detachment and numbness

flashbacks, nightmares, low mood, anxiety, lethargy, anorexia also common

Question 5

diagnosis of chronic fatigue syndrome

Answer 5

symptoms persisting for at least 3/12 and all other possible causes excluded

Question 6

which has the best evidence for treating conduct disorder

Answer 6

parent training
- aged 3-11

Question 7

which of the following HPV strain most likely to cause cervical cancer

Answer 7

HPV 16+18

Question 8

purulent urethral discharge and dysuria in a male after unprotected sex.
urethral swab: gram neg diplococci

Answer 8

gonorrhoea
neisseria gonorrhoeae
first line: ceftriaxone

Question 9

changes to which area of the brain most likely to be associated with taking risks e.g. drinking and driving

Answer 9

volume of grey matter

Question 10

syphillis

Answer 10

trenponema pallidum
gram neg spirochetes
erythematous papules which ulcerate
more common gay men

Question 11

RF for bacterial vaginosis

Answer 11

vaginal douching
smoking
change of sexual partner
STI
black race
high vaginal PH

organisms: gardnerella vaginalis, prvotella spp., mycoplama hominis, mobiluncus spp.

Question 12

methylphenidate monitoring

Answer 12

can cause growth suppression, monitor height
is a stimulant medicaiton

Question 13

trichomoniasis

Answer 13

classified as protozoa
fishy discharge and vaginal itching/pain