Adolescent Medicine

Question 1

Early adolescent (10-13) - egocentris, impulsive behaviour, body image.
Middle (14-17) - anorexia, omnipotence, high risk behaviors.
Late (18-21) rational and realistic, personal values becoming more defined.

Question 2

What stage does mental illness (mental breakdown, MDD, etc) worsen?

Answer 2

18-25 year.

Question 3

Make sure you know how to describe what confidentiality means and do not describe it as a secret.

Question 4

What 3 components are an important part of adolescent diet?

Answer 4

Iron, vit D and vit a

Question 5

What does HEEADSSS stand for in adolescence ?

Answer 5

Home environment
Education and employment
Eating
Activities/social media
Drugs/substance
Sexuality
Suicide/depression/anxiety
Safety from injury and violence / trafficking

Question 6

What is the CRAFFT acronym and what is it used for?

Answer 6

To assess unhealthy alcohol/drug use:
Car - driven by someone (including yourself) while drinking/intoxicated?
Relax - take drugs or alcohol to relax or feel better about yourself?
Alone -
Forget - did you every forget you did certain things while using drugs or alcohol (black out)
Friends or family - did F or F tell you you should cut down your drinking/drug use?
Trouble - got into trouble while using (arrest)?

Question 7

Adolescent immunizations

Answer 7

HPV - 2 dose series if given between 9+14 (routine at 11/12)
Meningococcal conjugate (routine) 2 dose at 11/12 and 16
Meningococcal B (at risk) - college military, travel
Influenza annually

Question 8

Review tanner stages. And average ages for puberty (M+F)

Question 9

Gynecomastia, eating disorders, vacicocele, scoliosis, osgood schlatter, acne, dysmenorrhea, migraines, obesity, STIs, mono, strep, sprains and strains, depression, anxiety.