Adolescent health

Question 1

Binge +purge to deal with stress/negative emotions and preoccupation with losing weight suggests what?

Answer 1

Bulimia Nervosa

Question 2

What is psychological treatment for anorexia?

Answer 2

Family Therapy

Question 3

What is psychological treatment for Bulimia nervosa?

Answer 3

Cognitive behavioural therapy

Question 4

What are MEED admission criteria for feeding disorder?

Answer 4

BMI <13 / <70% mBMI
HR <40
Temp < 35.5 tympanic/ <25 axillary
Syncope with BP <90 and >20mmHg postural drop
Clinical dehydration
Unable to sit up from lying flat
Consuming < 500kcal per day

Question 5

What are the symptoms of refeeding syndrome?

Answer 5

delerium/parasthesia/hallucination/weakness/coma /death

Question 6

What are lab findings of refeeding syndrome?

Answer 6

Low PO4-, K+ and MG 2+. May have raised glucose.
Rasied CK 2ndry to rhabdomyolysis

Question 7

Describe genital herpes

Answer 7

Multiple painful crops of blisters on gentials that appear 4-7 days post exposure and quickly burst leaving erosions.

Question 8

Describe HPV infection

Answer 8

Soft, cauliflower warts in ano-genital region, esp in friction areas.

Question 9

Describe syphilis rash

Answer 9

solitary, painless, indurated genital ulcers with sharp border.
T.pallidum from swabs

Question 10

What is treatment for chamydia?

Answer 10

If >13 and not pregnant, doxycycline 100mg BD 7 days.
2nd line azithromycin

Question 11

What is treatment for Gonnorrhoea?

Answer 11

If suscepitbility known Ciprofloxacin 500mg PO one off
If not known, Ceftriaxone 1g IM one off.