Adolescent Medicine, Gyne, Psych

Question 1

Refeeding syndrome is marked by what features? (Name 8)

Answer 1

1. Hypophosphatemia
2. Hypokalemia
3. Vitamin (i.e. thiamine) deficiencies
4. CHF
5. Peripheral edema
6. Rhabdomyolysis
7. Seizures
8. Hemolysis

Question 2

What is the leading cause of school absence in teenage girls

Answer 2

Dysmenorrhea

Question 3

What SMR rating is associated for a) Early adolescence, b) Middle adolescence, c) Late adolescence

Answer 3

Early adolescence = 1-2
Middle adolescence = 3-5
Late adolescence = 5

Question 4

List five acute signs of cannabis intoxication?

Answer 4

Tachycardia
Increased blood pressure
Tachypnea
Conjunctival injection
Dry mouth
Increased appetite
Nystagmus
Ataxia
Slurred speech

Question 5

List absolute complications to combined OCP (list has 12)

Answer 5

1.

Question 6

For refeeding anorexia patients, the initial 24 hour meal plan should not be more than how many calories?

Answer 6

1250

Question 7

How do you determine the caloric intake for refeeding anorexia patients?

Answer 7

Starting caloric intake should be determined by the 24 hour caloric intake and then add 250 calories

Question 8

What is the standard treatment for PID?

Answer 8

IV cefoxitin and po doxycycline for 7 days

Question 9

What tanner stage does menstruation start at?

Answer 9

Tanner stage IV

Question 10

Define primary amenorrhea

Answer 10

Not having a period by 13 years of age without secondary sexual characteristics; OR not having a period by 15 years of age with secondary sexual characteristics