adolescent medicine

Question 1

main causes of adolescent mortality

Answer 1

accidents > homicide > suicide. 73% of deaths are preventable

Question 2

1. Summarize adolescent morbidity statistic.

Answer 2

831,000 pregnancies, 4 million STDs, 1/3 high school males carried a weapon, 6% physical fights

Question 3

list the developmental stages of adolescence

Answer 3

early: 12-14 yrs. Middle: 15-17 yrs. Late: 18-21 yrs

Question 4

first signs of puberty

Answer 4

females: thelarche. Males: increase in testicular size

Question 5

peak height velocity in males vs females

Answer 5

Occurs later in males. Precedes menarche in females

Question 6

adolescent cognitive development

Answer 6

starts at 12 years. Concrete to abstract. Moral choices. Ideal partner. Serial monogamy.

Question 7

independence

Answer 7

early: decreased interest in parental acitivities and wide mood swings. Middle: peak of parental conflicts. Late: re acceptance of parental advice and values. Adult-adult interaction

Question 8

body image

Answer 8

early: Preoccupation with self and pubertal changes. Uncertainty about appearance. Middle: acceptance of body, concern over making body more attractive. Late: comfort with pubertal changes

Question 9

Peers

Answer 9

early: Intense friendship with same-sex friends. Middle: peak peer involvement, conformity with peers, increased sexual activity and experimentation. Late: peers less important, more time with intimate relationsihps

Question 10

identity

Answer 10

early: abstract reasoning, fantasy world, increased need for privacy, lack of privacy. Middle: increased scope of feelings, increased intellectual ability, feeling of omnipotence, risk taking behavior. Late: practical, realistic, refinement of moral religious and sexual values, ability to compromise and set limits

Question 11

anticipatory guidance

Answer 11

early: reassurance, encourage postponing coitus. Middle: safe sex counseling, contraception. Late: encourage, empower

Question 12

HEEADSSS

Answer 12

home, education/employment, eating, activity, drugs, suicide/ depression, sexuality, safety

Question 13

education topics

Answer 13

school/grade, regular or sp ed, grades, favorite and difficult subjects, teachers, suspensions

Question 14

eating topics

Answer 14

what do you think about your weight, obesity, anorexia, bulemia

Question 15

suicide/depression topics

Answer 15

mood, self worth, family history, substance use, scale for depression