adolescnet Flashcards
Male teen who is football player. Has gynecomastia, hepatitis, and jaundice. Most likely taking: a. Anabolic steroids b. Growth hormone c. Creatine d. Ginseng
a. Anabolic steroids
15 yr old girl presents with a 6 month history of 8 kg weight
loss. She does not have any other symptoms. She is not
bothered by the weight loss and has no difficulties with
eating. She is doing well in school, participates in
gymnastics 5 times per week, is happy and has a good
family life. On exam, her HR is 70 bpm and her BP is
100/60. Her BMI is 15 kg/m2. She has a normal physical
exam. You request a CSF (colony stimulating factor),
electrolytes, urea, creatinine, ferritin and albumin, and they
are all normal. What should you do next:
a. Request anti-TTG and a small bowel xray
b. Consult a dietitian and a psychologist
c. Admit for observation
d. Ask her parents to monitor her diet and to reduce
her physical activity
d. Ask her parents to monitor
A 15 yr girl come 50 hours after having broken
condom during sexual relation. What do you
need to do before giving her the emergency
contraception
a. Pap test
b. Physical examination
c. Gonorrhoea and Chlamydia screen
d. Nothing
nothing
A 15 year old girl in your practice tells you that
she plans to become sexually active soon. When
does she need her first pap smear?
a. Now
b. Before she starts OCPs, then every 1-2 years
c. In three years with q yearly follow up
d. At age 21
21
Teenager (girl) with isolated breast lump. Most common cause? a. Fibroadenoma b. Fibrocystic change c. Ductal carcinoma in situ d. Breast abscess
fibroadenoma
Teenage girl presents with weight loss of 22 lbs over the last four months. She is amenorrheic. Heart rate is 40 and lanugo hair is seen on exam. Expected ECG finding: a. peaked T waves b. prolonged QT c. prolonged pr interval d. QRS interval prolongation
prolonged qt
Teenager presents to ED with suicide attempt.
greatest risk for attempting suicide again in a
week
a. recent relationship breakup
b. homosexuality
c. school failure
d. watching “13 reasons why”
homosexuality
Male teen who is football player. Has gynecomastia, hepatitis, and jaundice. Most likely taking: a. Anabolic steroids b. Growth hormone c. Creatine d. Ginseng
anabolic steroids
Mom asks for help with managing menses of 15 yo Down Syndrome girl. What would you recommend? a. 84 day OCP b. progesterone IUD c. LHRH antagonist d. Progesterone
84 OCP
Teen with anorexia. Most worrisome clinical feature? a. Decrease temperature b. HR 40 c. Hypokalemia d. Alkalosis
hypoK
Teen with chlamydial urethritis. You are writing
his prescription when he asks you when
should he become sexually active again? You
tell him:
a. in 7 days
b. after treatment
c. after his partner receives treatment
d. until retested and found to be negative
c. after his partner receives treatment
A teenager tells you he enjoys drinking energy
drinks. You advise him against this because of
the dangerous levels of:
a. Ginseng
b. Sodium Chloride
c. Guarana
d. Vitamin B Complex
Guarana
Teen girl has acne and is sexually active. She
requests a method of birth control to help
improve acne.
a. Depo
b. Combined OCP
c. Progestin only pill
d. Barrierq
combined
Teenage boy admits to smoking marijuana with friends. What to recommend? a. warn about effects of drug use and discuss ways to reduce risk b. don’t hang out with those friends c. tell his parents d. discuss that pending legalization suggests that this is a relatively benign substance to use
warn effect of drug use and reduce rsk
An adolescent girl with diabetes for the last ten
years is seen in diabetes follow up clinic. Her
HbA1c is 7.6%. She is a straight A student. She
has no complaints. Her weight has dropped from
the 25th to the 5th percent. What is the most
likely cause of her symptoms?
a. Eating disorder
b. Celiac disease
c. Hypothyroidism
d. renal d/o
ED
