Adolescent Care

Question 1

mental health disorder where the patient can’t stop perseverating over perceived flaws in their appearance, whether real or non-existent, therefore imagined.

Answer 1

body dysmorphic disorder

Question 2

episodic binge eating, consuming large amounts of food with a sense of lack of control with recurrent compensating behavior. Dissatisfaction with body weight or shape.

Answer 2

bulimia

Question 3

restrictive and binge purging, usually less than 85% of ideal body weight, with fears of gaining weight or becoming fat even though underweight.

Answer 3

anorexia

Question 4

what questionnaire is used to screen eating disorders?

Answer 4

SCOFF

Question 5

greater than or equal to 85th percentile to less than 95th percentile

Answer 5

overweight

Question 6

greater than or equal to 95th percentile to less than 120% of the 95th percentile

Answer 6

class I

Question 7

greater than or equal to 120% to less than 140% of the 95th percentile, or BMI greater than or equal to 35, whichever is lower

Answer 7

class II

Question 8

greater than or equal to 140% of the 95th percentile, or BMI greater than or equal to 40, whichever is lower

Answer 8

class III

Question 9

what is used during the physical exam to identify secondary sexual characteristics?

Answer 9

tanner staging

Question 10

when is a pelvic exam indicated?

Answer 10

abnormal bleeding
pelvic pain

Question 11

at what age is a pap smear indicated?

Answer 11

over 21 years old

Question 12

when should a chlamydia and gonorrhea test be done?

Answer 12

if female is 24 or younger + sexually active

Question 13

when should HIV testing be done?

Answer 13

if sexually active

Question 14

what is the median age of a normal menarche?

Answer 14

12.43 years

Question 15

what is the mean menstrual cycle interval that is considered normal?

Answer 15

32 days in first year

Question 16

what is the normal menstrual cycle interval?

Answer 16

21-45 days

Question 17

what is the normal menstrual flow length?

Answer 17

7 days or less

Question 18

what is the normal menstrual product use?

Answer 18

3-6 pads/tampons per day

Question 19

a lack of breast development by age ____ may require evaluation

Answer 19

13

Question 20

the patient should be evaluated if their menstrual periods have not started by ____ years of age

Answer 20

15

Question 21

the patient should be evaluated if their menstrual periods have not started within ____ years of thelarche

Answer 21

3

Question 22

painful menstruation in the absence of pathology, usually within 6-12 months of menarche

Answer 22

primary dysmenorrhea

Question 23

what is thought to cause primary dysmenorrhea?
treatment?

Answer 23

elevated prostaglandin levels
NSAIDs

Question 24

painful menstruation due to pelvic pathology

Answer 24

secondary dysmenorrhea

Question 25

what is the most common cause of secondary dysmenorrhea?

Answer 25

endometrosis

Question 26

what 2 factors affect the adolescent pregnancy rate?

Answer 26

contraceptive use
sexual activity

Question 27

what is the ideal contraceptive practice for adolescents?

Answer 27

dual method

use of condoms in combination with more effective contraceptive methods

Question 28

what 2 contraceptive options are endorsed by the ACOG and American Academy of Pediatrics?

Answer 28

intrauterine devices
implants

Question 29

which 2 HPV genotypes are oncogenic and high risk?

Answer 29

HPV 16
HPV 18

Question 30

which 2 HPV genotypes cause genital warts?

Answer 30

HPV 6
HPV 11

Question 31

at what age do The Advisory Committee on Immunization Practices and the American College of Obstetricians and Gynecologists recommend routine HPV vaccination for girls and boys?

what’s the earliest age it can be given?

Answer 31

11-12 years

9 years

Question 32

which HPV vaccine is recommended by the Advisory Committee on Immunization Practices?

Answer 32

9-valent HPV (9vHPV)

Question 33

what is the dosing requirement for HPV at ages 9-14?

Answer 33

2 doses

Question 34

what is the dosing requirement for HPV at ages over 14?

Answer 34

three doses

Question 35

what should patients be assessed for prior to HPV vaccine dose?

Answer 35

yeast allergy

Question 36

in which patients is HPV vaccine contraindicated in?

Answer 36

pregnant patients