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PEDIA Y3 > Adolescent Medicine - Lec > Flashcards

Adolescent Medicine - Lec Flashcards

1
Q

Gender identity ia fixed by age

A

2 to 3 years

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2
Q

Characterized by individual Identification of their own and others’ sex

A

Gender labeling

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3
Q

Learn thay gender is stable over time

A

Gender constancy

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4
Q

Concept that gender is permanent

A

Gender consistency

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5
Q

Internal distress incongruence between sex assigned at birth and gender identity is called _______________

A

Gender dysphoria

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6
Q

Transgender identity development stage where one acknoewledges one’s transgender identity to self and others

A

Stage model of coming o

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7
Q

Acknowledgement of one’s transgender identity

A

Stage model of coming out

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8
Q

What could be the earliest and best indicator of ultimate sexual identity?

A

Sexual attractions

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9
Q

Recommended vaccinations for MSM

A

Hep A Hep B

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10
Q

3 routine adolescent vaccines (11-12y.o.)

A

Tdap
MCV4
HPV

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11
Q

Meaning of HEADS/SS/FIRST

A 
Home
Education
Abuse
Drugs
Sexuality
Suicidality
Safety
Family/Friends
Image
Recreation
Spirituality
Threats/Violoence
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12
Q

FISTS Mnemonic for structuring assessment of Violent Behavior. What does FISTS stand for?

A 
Fighting
Injuring
Sex
Threats
Self-defense
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13
Q

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.

A

T

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14
Q

Stage of Substance abuse in which the user is just learning the euphoria that comes with taking the substance

A

Experimentation

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15
Q

Stage of Substance abuse in which the user seeks the euphoria

A

regular use

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16
Q

Stage of Substance abuse in which the user is preoccupied with the euphoria

A

regular use

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17
Q

Stage of Substance abuse in which the user needs to take the drug to feel normal.

A

burnout

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18
Q

What type of drug is the most common abused category?

A

prescription drugs

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19
Q

T/F It is not recommended for patients with psych/behavioral diagnosis to be screened for substance abuse.

A

F

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20
Q

Direct effect of cocaine and amphetamines or of withdrawal of barbiturates or tranquilizers

A

Seizures

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21
Q

CRAFFT mnemonic for screening of substance abuse

A 
Car
Relax
Alone
Forget
Family/Friends
Trouble
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22
Q

This is characterized by maladaptive pattern of use indicated by continued use despite serious consequences or physical harm.

A

Substance abuse

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23
Q

Chronic and progressive disease process characterized by loss of control over use, compulsion and establishment of an altered state requiring continued administration.

A

Chemical dependence

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24
Q

T/F in recovery from substance abuse, self esteem and anxiety are more important influences on outcomes in males

A

F; in females. peer use patterns and parental use have major influence on males

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25
Q

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

A

D

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26
Q

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

A

C; 14 y.o.

27
Q

T about alcohol except

a. Increase talkativeness
b. centrally mediated vasodilation and hypothermia
c. antidiuretic
d. may cause repiratory depression at very high levels

A

C

28
Q

alcohol dose at risk for death

A

> 200mg/dL

29
Q

median lethal dose for alcohol

A

> 500mg/dL

30
Q

blood alcohol level that indicates the need for dialysis

A

> 400mg/dL

31
Q

Halflife of nicotine

A

2 hours

32
Q

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

A

B

33
Q

5A’s for tabacco treatment

A 
A sk
A dvise
A ssess
A ssist
A rrange
34
Q

What is the active chemical in Cannabis sativa?

A

Tetrahydrocannabinol (THC)

35
Q

How long will it take for effect of marijuana to kick in?

A

10 min and 1 hr (nasal and oral)

36
Q

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

A

B

37
Q

How long since discontinuation will marijuana withdrawal syndrome kick in?

A

24-48 hr.

38
Q

When will marijuana withdrawal peak?

A

4th day

39
Q

When will marijuana resolve?

A

10-14 days

40
Q

treatment for marijuana addiction

A

CBT, motivational incentives

41
Q

How is cocaine taken?

A

snorting

42
Q

What organ detoxifies cocaine?

A

liver

43
Q

cocaine is excreted in urine as

A

benzoylecoginine

44
Q

Cocaine will get you high in ____s

A

<10s

45
Q

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.

A

C; sympathetic effects

46
Q

White, odorless, bitter tasting powder a.k.a. ICE

A

amphetamines

47
Q

Development of milk line begins at

A

5 wks gestation

48
Q

initial lactiferous form of breast begin at

A

10-20wks

49
Q

Thelarche usually occurs at ages

A

8-13

50
Q

T/F No thelarche by age 13 is still considered normal

A

F

51
Q

Most common cause of infection of the breast

A

S. aureus

52
Q

Pubertal gynecomastia is normal in ___% of males

A

60

53
Q

Nonpubertal gynecomastia with hypothyroidism is associated with

A

Klinefelter syndrome

54
Q

Pelvic Inflammatory Disease is highest in females ___ to ___ y.o.

A

15-24 y.o.

55
Q

fall in pH in vaginal epithelium makes it resistant to organisms like _______ and increase susceptibility to others like ________

A

N. gonorrhea

Candida and Trichomonas

56
Q

urethral discharge, urethral itching, dysuria, urinary frequency present in which condition?

A

Urethritis

57
Q

Urethritis may be caused by

A. C. trachomatis
B. N. gonorrhea
C. Mycoplasma genitalium
D. Ureaplasma urelyticum
E. AOTA
A

E

58
Q

STI with unilateral scrotal swelling and tenderness

A

Epididymitis

59
Q

A differential of epididymitis that is a surgical emergency

A

testicular torsion

60
Q

Diffuse, malodourous, yellow green vaginal discharge with vulvar irritation

A

Trichomoniasis

61
Q

Sydrome of unusual fatigability with mild to debilitating somatic symptoms that result in severe impairment of daily functioning. Unexplained fatigue > 6 months

A

Chronic fatigue syndrome

62
Q

What is the cause of chronic fatigue syndrome?

A

Unkown

63
Q

Tx of Chronic Fatigue Syndrome

A

CBT, graded exercise theory,

PEDIA Y3 (19 decks)

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