Adolescent Medicine - Lec Flashcards
Gender identity ia fixed by age
2 to 3 years
Characterized by individual Identification of their own and others’ sex
Gender labeling
Learn thay gender is stable over time
Gender constancy
Concept that gender is permanent
Gender consistency
Internal distress incongruence between sex assigned at birth and gender identity is called _______________
Gender dysphoria
Transgender identity development stage where one acknoewledges one’s transgender identity to self and others
Stage model of coming o
Acknowledgement of one’s transgender identity
Stage model of coming out
What could be the earliest and best indicator of ultimate sexual identity?
Sexual attractions
Recommended vaccinations for MSM
Hep A Hep B
3 routine adolescent vaccines (11-12y.o.)
Tdap
MCV4
HPV
Meaning of HEADS/SS/FIRST
Home Education Abuse Drugs Sexuality Suicidality Safety Family/Friends Image Recreation Spirituality Threats/Violoence
FISTS Mnemonic for structuring assessment of Violent Behavior. What does FISTS stand for?
Fighting Injuring Sex Threats Self-defense
T/F Individuals who initiate drug use at an early age are at a greater risk for becoming addicted than those who try drugs in early adulthood.
T
Stage of Substance abuse in which the user is just learning the euphoria that comes with taking the substance
Experimentation
Stage of Substance abuse in which the user seeks the euphoria
regular use
Stage of Substance abuse in which the user is preoccupied with the euphoria
regular use
Stage of Substance abuse in which the user needs to take the drug to feel normal.
burnout
What type of drug is the most common abused category?
prescription drugs
T/F It is not recommended for patients with psych/behavioral diagnosis to be screened for substance abuse.
F
Direct effect of cocaine and amphetamines or of withdrawal of barbiturates or tranquilizers
Seizures
CRAFFT mnemonic for screening of substance abuse
Car Relax Alone Forget Family/Friends Trouble
This is characterized by maladaptive pattern of use indicated by continued use despite serious consequences or physical harm.
Substance abuse
Chronic and progressive disease process characterized by loss of control over use, compulsion and establishment of an altered state requiring continued administration.
Chemical dependence
T/F in recovery from substance abuse, self esteem and anxiety are more important influences on outcomes in males
F; in females. peer use patterns and parental use have major influence on males
Family risk factors for substance abuse include the ff EXCEPT:
a. low parental supervision
b. poor parent to teen communication
c. family conflicts
d. consistent family discipline
D
Individual risk factors include the ff EXCEPT:
a. poor impulse control
b. emotional instability
c. begins drinking before 16 years old
d. perceived risk of drinking is low
C; 14 y.o.
T about alcohol except
a. Increase talkativeness
b. centrally mediated vasodilation and hypothermia
c. antidiuretic
d. may cause repiratory depression at very high levels
C
alcohol dose at risk for death
> 200mg/dL
median lethal dose for alcohol
> 500mg/dL
blood alcohol level that indicates the need for dialysis
> 400mg/dL
Halflife of nicotine
2 hours
True of tobaco use EXCEPT
a. may cause chronic cough
b. smoking during pregnancy will cause increase in fetal weight.
c. withdrawal symptoms include increase appetite
B
5A’s for tabacco treatment
A sk A dvise A ssess A ssist A rrange
What is the active chemical in Cannabis sativa?
Tetrahydrocannabinol (THC)
How long will it take for effect of marijuana to kick in?
10 min and 1 hr (nasal and oral)
Effects of marijuana EXCEPT
a. elation and euphoria
b. impairment of long term memomry
c. poor performace of tasks requiring divided attention
d. suppression of plasma testosterone and spermatogenesis
B
How long since discontinuation will marijuana withdrawal syndrome kick in?
24-48 hr.
When will marijuana withdrawal peak?
4th day
When will marijuana resolve?
10-14 days
treatment for marijuana addiction
CBT, motivational incentives
How is cocaine taken?
snorting
What organ detoxifies cocaine?
liver
cocaine is excreted in urine as
benzoylecoginine
Cocaine will get you high in ____s
<10s
True of cocaine EXCEPT
a. strong CNS stimulant
b. decreased fatiguability and mental alertness
c. Parasympathetic effects
d. when taken with alcohol, enhances euphoria and greater risk of death.
C; sympathetic effects
White, odorless, bitter tasting powder a.k.a. ICE
amphetamines
Development of milk line begins at
5 wks gestation
initial lactiferous form of breast begin at
10-20wks
Thelarche usually occurs at ages
8-13
T/F No thelarche by age 13 is still considered normal
F
Most common cause of infection of the breast
S. aureus
Pubertal gynecomastia is normal in ___% of males
60
Nonpubertal gynecomastia with hypothyroidism is associated with
Klinefelter syndrome
Pelvic Inflammatory Disease is highest in females ___ to ___ y.o.
15-24 y.o.
fall in pH in vaginal epithelium makes it resistant to organisms like _______ and increase susceptibility to others like ________
N. gonorrhea
Candida and Trichomonas
urethral discharge, urethral itching, dysuria, urinary frequency present in which condition?
Urethritis
Urethritis may be caused by
A. C. trachomatis B. N. gonorrhea C. Mycoplasma genitalium D. Ureaplasma urelyticum E. AOTA
E
STI with unilateral scrotal swelling and tenderness
Epididymitis
A differential of epididymitis that is a surgical emergency
testicular torsion
Diffuse, malodourous, yellow green vaginal discharge with vulvar irritation
Trichomoniasis
Sydrome of unusual fatigability with mild to debilitating somatic symptoms that result in severe impairment of daily functioning. Unexplained fatigue > 6 months
Chronic fatigue syndrome
What is the cause of chronic fatigue syndrome?
Unkown
Tx of Chronic Fatigue Syndrome
CBT, graded exercise theory,
