Adolescent Care Flashcards
mental health disorder where the patient can’t stop perseverating over perceived flaws in their appearance, whether real or non-existent, therefore imagined.
body dysmorphic disorder
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.
bulimia
restrictive and binge purging, usually less than 85% of ideal body weight, with fears of gaining weight or becoming fat even though underweight.
anorexia
what questionnaire is used to screen eating disorders?
SCOFF
greater than or equal to 85th percentile to less than 95th percentile
overweight
greater than or equal to 95th percentile to less than 120% of the 95th percentile
class I
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
class II
greater than or equal to 140% of the 95th percentile, or BMI greater than or equal to 40, whichever is lower
class III
what is used during the physical exam to identify secondary sexual characteristics?
tanner staging
when is a pelvic exam indicated?
abnormal bleeding
pelvic pain
at what age is a pap smear indicated?
over 21 years old
when should a chlamydia and gonorrhea test be done?
if female is 24 or younger + sexually active
when should HIV testing be done?
if sexually active
what is the median age of a normal menarche?
12.43 years
what is the mean menstrual cycle interval that is considered normal?
32 days in first year
what is the normal menstrual cycle interval?
21-45 days
what is the normal menstrual flow length?
7 days or less
what is the normal menstrual product use?
3-6 pads/tampons per day
a lack of breast development by age ____ may require evaluation
13
the patient should be evaluated if their menstrual periods have not started by ____ years of age
15
the patient should be evaluated if their menstrual periods have not started within ____ years of thelarche
3
painful menstruation in the absence of pathology, usually within 6-12 months of menarche
primary dysmenorrhea
what is thought to cause primary dysmenorrhea?
treatment?
elevated prostaglandin levels
NSAIDs
painful menstruation due to pelvic pathology
secondary dysmenorrhea
what is the most common cause of secondary dysmenorrhea?
endometrosis
what 2 factors affect the adolescent pregnancy rate?
contraceptive use
sexual activity
what is the ideal contraceptive practice for adolescents?
dual method
use of condoms in combination with more effective contraceptive methods
what 2 contraceptive options are endorsed by the ACOG and American Academy of Pediatrics?
intrauterine devices
implants
which 2 HPV genotypes are oncogenic and high risk?
HPV 16
HPV 18
which 2 HPV genotypes cause genital warts?
HPV 6
HPV 11
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?
11-12 years
9 years
which HPV vaccine is recommended by the Advisory Committee on Immunization Practices?
9-valent HPV (9vHPV)
what is the dosing requirement for HPV at ages 9-14?
2 doses
what is the dosing requirement for HPV at ages over 14?
three doses
what should patients be assessed for prior to HPV vaccine dose?
yeast allergy
in which patients is HPV vaccine contraindicated in?
pregnant patients
