Adolescents

Question 1

What age range is early adolescents

Answer 1

10-14

Question 2

What is the age range for late adolescents

Answer 2

17-20

Question 3

What is the first sign for girls starting puberty

Answer 3

breast development

Question 4

What is the first sign of boys starting puberty

Answer 4

testicular enlargement

Question 5

When do girls typically start puberty

Answer 5

8-12

Question 6

When do boys typically begin puberty

Answer 6

9-13

Question 7

What is precocious puberty

Answer 7

Onset of puberty 2-3 S.D. before the mean

Question 9

When is a common timing for a growth spurt for girls

Answer 9

Girls: ~6 months before menses

Question 10

How long do growth spurts typically last in adolescents

Answer 10

2 years

Question 11

What are Tanner stages

Answer 11

Sexual maturity rating

Question 12

How can you measure testes size

Answer 12

Trader Orchidometer

Question 13

At what age is the brain is fully developed

Answer 13

in the 20s
(Esp. pre frontal cortex)

Question 14

What are the struggles for adolescents with social/emotional development

Answer 14

Identify
Independance
Intimacy

Question 15

What are the major causes of morbidity and mortality in adolescents

Answer 15

Car accidents
Homicide & suicide
Alcohol and drug use
Unintended pregnancy
STI
Obesity

Question 16

At what age are adolescents considered a legal adult

Answer 16

most states: 18

Question 17

What are the different categories for minors

Answer 17

Emancipated
Medically emancipated
Mature minor

Question 18

When is the only time you do not need consent to treat a patient

Answer 18

Emergencies

Question 19

When do you have to break confidentiality with an adolescents

Answer 19

Suicidal
Homicidal
Physical/sexual abuse
Reportable STDs

Question 20

What are the main topics of communication you should have with adolescents

Answer 20

HEADSS
Home
Education / Employment
Activities
Drugs
Sexuality
Suicide / mental health

Question 21

When is the only time you would use a speculum in young girls

Answer 21

Suspicion for foreign body or severe trauma

Question 22

At what age do most girls have their first speculum exam

Answer 22

21

Question 23

What age do you start doing cervical cancer screening

Answer 23

25

Question 24

What age do you start scoliosis screening

Answer 24

Usually 9-10 y/o
*Before adolescent growth spurt

Question 25

What age do you give the meningococcal vaccine

Answer 25

11-12 & 16 (2 doses)

Question 26

What age do you give the Tdap booster

Answer 26

11-12

Question 27

What age do you start depression screening

Answer 27

12

Question 28

When do you test an adolescents hearing

Answer 28

9-11
&
15-17
*Once in both time spans

Question 29

When is HIV screening done

Answer 29

once between 15-18

Question 30

When do you test an adolescents vision

Answer 30

12

Question 31

What heart problems are associated with Marian’s syndrome

Answer 31

Aortic root dilation
Dissection
Aneurysm

Question 32

How does the arm span compare to height in a person with Marfan’s syndrome

Answer 32

Arm length will exceed height

Question 33

What is coarctation of the aorta

Answer 33

abnormal narrowing in aorta

Question 34

What is a benign murmur

Answer 34

Grade less than or equal to 2
-musical or vibratory
-short systolic murmur

Question 35

What is an AHA-14

Answer 35

Element CV screen

Question 36

What occurs if there is a positive / abnormal AHA-14 screen

Answer 36

12 lead ECG
Further evaluation-> preferably with pediatric cardiology