Adolescent Health Visit

Question 1

Which of the following is correct regarding screening recommendations for adolescents?

A: screen all sexually active females for chlamydia during routine pelvic exams.
B: screen all adolescents once for renal disease with analysis of the first morning urine specimen
C: screen all adolescents between ages 10 and 12 for high cholesterol.
D: screen all adolescents between ages 10 and 18 for tuberculosis with an annual PPD.
E: Screen all adolescents for anemia before age 12 with the hemoglobin.

Answer 1

A: chlamydia screen for all sexually active females.

B: screening for renal disease is not cost-effective.

Question 2

True or false: and adolescent health visit with generally include screening for anemia in males.

Answer 2

False. Screen menstruating females, but screening males would not be necessary unless they were at risk.

Question 3

True or false: a 14-year-old female should be screened for tuberculosis at her adolescent health visit if she volunteers at the hospital.

Answer 3

True. Screening is recommended for those at risk.

Question 4

True or false: 15-year-old male with a grandmother suffering with TB live in the same home. Should he be screened for TB at his health visits?

Answer 4

Yes

Question 5

As a physician counseling adolescent patients, which of the following best describes the most effective approach?

A: use abstract concepts so the patient can practice this type of thinking.
B: be concrete, using specific facts not open to interpretation.
C: use visual aids sparingly.
D: provide multiple handouts so the patient has something to take home to read later
E: repeat instructions several times

Answer 5

B: Be concrete.