Adolescent Development

Question 1

Which are the first signs of puberty?

A: menarche for girls, first semen emission for boys
B: clitoral enlargement for girls, penile enlargement for boys
C: breast beds for girls, testicular enlargement for boys
D: the appearance of pubic hair
E: the appearance of axillary hair

Answer 1

C: breast buds for girls, testicular enlargement for boys

Question 2

At what Tanner stage is peak height velocity reached and boys? Girls?

Answer 2

Stage IV. Stage III.

Question 3

What is the testicular size that suggests puberty is starting in a boy?

Answer 3

> 3 ml

Question 4

Invoice, at what Tanner stage does the growth velocity increase?

Answer 4

Stage III, one stage later than girls.

Question 5

The peak height velocity envoys averages what rate? At what Tanner stage?

Answer 5

10 cm per year, stage IV.

Question 6

At whatever stage and boys might you see gynecomastia?

Answer 6

Stage III

Question 7

True or false: the penis starts to grow in tanner stage I for boys

Answer 7

False. That doesn’t start until stage II.

Question 8

At what Tanner stage do you typically see voice begin to change in boys

Answer 8

stage III

Question 9

And girls, at what Tanner stage do they reach peak height velocity? At what rate?

Answer 9

Stage III (One earlier than boys), 8 cm per year

Question 10

At what Tanner stages for boys and girls do you typically see acne?

Answer 10

Boys, stage IV. Girls, stage III.

Question 11

A boy undergoing normal sexual maturity develops facial hair. What Tanner stage is he in?

Answer 11

Stage V

Question 12

A girl undergoing normal sexual maturity has developed acne. What is the minimum Tanner stage she is in?

Answer 12

Stage III

Question 13

A girl undergoing normal sexual maturity has developed axillary hair. What minimum Tanner stage is she in?

Answer 13

Stage III

Question 14

On exam of a normally developing adolescent female, you notice the Ariola has a secondary mound. What Tanner stage is she in?

Answer 14

Stage IV

Question 15

At what Tanner stage does growth typically stop in females? Males? What are their typical respective ages?

Answer 15

Stage V for both. 16 for girls, 17 for boys.

Question 16

Counseling and assisting the patient with obtaining treatment for which of the following conditions typically requires parental consent?

A: sexually transmitted infections
B: drug addiction
C: contraception and pregnancy
D: chronic disease
E: mental health issues

Answer 16

D: chronic health issues