Adolescent Medicine 1

Question 1

Adolescence begins at age _____ and ends between ages _____.

Answer 1

Adolescence begins at age 10-12 and ends between ages 18-21.

Question 2

What are the top 5 causes of death among teenagers?

Answer 2

1. accidents (unintentional injuries)
2. homicide
3. suicide
4. Cancer
5. heart dz

Question 3

What is the leading cause of death in teenagers that represents over 1/3rd of all deaths?

Answer 3

motor vehicle fatality

Question 4

What is the 2nd leading cause of death?

Answer 4

suicide

Question 5

What are the main components of the Mission of HP 2020?

Answer 5

identify health improvement priorities

inc. public awareness & understanding of the determinants of health and dz.

Provide objectives and goals

Strengthen policies by best available evidence

Identify critical research needs

Question 6

What is the difference between adolescence and puberty?

Answer 6

adolescence = period of development

puberty = biologic process in which a child becomes an adult

Question 7

What are the 3 stages of adolescence and what 3 characeristics are they made up of?

Answer 7

3 stages: early, middle, late

3 characteristics make up these 3 stages: biologic, psychological, social.

Question 8

What 3 characteristics happen during puberty?

Answer 8

Secondary sexual characteristics

Increase to adult size

Reproductive capacity

Question 9

What is the science behind puberty?

Answer 9

HPG axis activation

in early to middle adolescence: LH & FSH secretion increases –> gonad stimulation –> estrogen/testosterone production

Question 10

Pubertal growth spurt begins nearly ___ yrs earlier in girls than boys.

Answer 10

Pubertal growth spurt begins nearly 2 yrs earlier in girls than boys.

Question 11

When do girls/boys reach peak velocity? (between what age range)

Answer 11

girls: 11.5 — 12 yrs.
boys: 13.5—14 yrs.

Question 12

What age is most of ultimate height attained by for girls/boys?

Answer 12

girls: 11

boys: 12

Question 13

growing capacity for abstract thought

interested in present, limited thought to future

expanding intellectual interests

deeper moral thinking

Cognitive thinking during what adolescent stage?

Answer 13

Early Adolescence (10-13 y/o)

Question 14

struggle w/ sense of identity

worry about being “normal”

feels awkward about self & body

realize parents aren’t perfect - increased conflict w/ parents

desire for independence

tendency to return to “childish” behavior, especially when stressed

moodiness

rule & limit testing

greater interest in privacy

Social-emotional development of which adolescent stage?

Answer 14

Early Adolescence (10-13 y/o)

Question 15

continued growth of capacity for abstract thought

greater capacity for setting goals

interest in moral reasoning

thinking about meaning of life

Cognitive development of which adolescent stage?

Answer 15

Middle Adolescence (14-16 y/o)

Question 16

intense self involvement

continued adjustment to changing body

worries about being “normal”

distance from parents- drive for independence

peers gain importance

feelings of love & passion

Social-emotional development of which adolescent stage?

Answer 16

Middle Adolescence (14-16 y/o)

Question 17

ability to think ideas through

ability to delay gratification

examination of inner experiences

increased concern for future

continued interest in moral reasoning

Cognitive development of which adolescent stage?

Answer 17

Late Adolescence (> 17 y/o)

Question 18

firmer sense of self identity

increased emotional stability

increased concern for others

increased independence & self reliance

peer relationships remain important

development of more serious relationships

Social-emotional development of which adolescent stage?

Answer 18

Late Adolescence (> 17 y/o)

Question 19

Elevation of papilla only

no pubic hair

Which Tanner stage?

Answer 19

Stage 1 (prepubertal)

Question 20

Elevation of breast and papilla as small mound

areola diameter enlarged

median age: 9.8

Sparse, long, pigmented hair along labia majora @ age 10.5

What Tanner stage?

Answer 20

Stage 2

Question 21

further enlargement w/o separation of breast and areola @ age 11.2

dark, course, curled hair sparsely spread overmons @ age 11.4

What Tanner stage?

Answer 21

Stage 3

Question 22

Secondary mound of areola and papilla above breast @ age 12.1

Adult type hair, abundant but limited to mons @ age 12

What tanner stage?

Answer 22

Stage 4

Question 23

Recession of areola to contour of breast @ age 14.6

Adult type spread in quantity and distribution @ age 13.7

Answer 23

Stage 5