Adolscents

Question 1

What is the leading cause of death in teenagers?

Answer 1

Motor Vehicle Fatality

Question 2

Define Adolescence

Answer 2

Period of Development:

1. Early
2. Middle
3. Late

Question 3

Define Puberty

Answer 3

Biologic process in which a child becomes an adult:

1. Secondary sexual characteristics
2. Increase to adult size
3. Reproductive capacity

Question 4

What hormones are responsible for puberty?

Answer 4

LH & FSH

Question 5

When do girls reach peak velocity?

Answer 5

11.5-12 yrs

Question 6

How much earlier do girls experience pubertal growth spurts than boys?

Answer 6

2 yrs

Question 7

When do boys reach peak velocity?

Answer 7

13.5-14 yrs

Question 8

Early adolescence age range

Answer 8

10-13 y.o.

Question 9

Middle adolescence age range

Answer 9

14-16 y.o.

Question 10

Late adolescence age range

Answer 10

> 17 y.o.

Question 11

According to the Tanner Stages of puberty, at what age/stage do you see breast elevation and pubic hair in girls?

Answer 11

Stage 2: Ages 9-10

Question 12

When does Menarche typically occur?

Answer 12

Begins 2-2.5 yrs post Pubarche/Thelarche=STages 3/4

Question 13

What is the first visible sign of puberty in boys? What age?

Answer 13

Scrotum enlargement

Ages 9-10

Question 14

What Stage does Spermarche begin? Age?

Answer 14

Stages 4/5

Ages 14-15

Question 15

What is the MC reason for not seeking care in adolescence?

Answer 15

“Not wanting to tell parents”

Question 16

What does the state of AZ consider a Minor?

Answer 16

Ages 12-18

Question 17

What are the exceptions when a Minor CAN give consent?

Answer 17

1. Emancipated
2. Married
3. Homeless
4. Care relates to: STI, HIV testing, Alcoholism, Substance abuse, Rape

Question 18

What MUST a clinical do in the setting of sexual assault in a minor?

Answer 18

Report to CPS

Question 19

When must the parent/guardian be notified about a minors chemical dependency?

Answer 19

Once admitted for treatment

Question 20

What is the dyslipidemia screening recommendation?

Answer 20

Fasting Lipid Profile @ ages 19-21

Question 21

What is the largest preventable and most costly pubic health problem?

Answer 21

Adolescent substance use

Question 22

What is the MC substance use?

Answer 22

Alcohol

Question 23

What is the leading cause of suicide in youth?

Answer 23

Depression

Question 24

Beck Depression Inventory is used in what ages?

Answer 24

12-18

Question 25

Children’s Depression Inventory is used in what ages?

Answer 25

7-17

Question 26

What is the only medication approved for the treatment of depression in children < 8?

Answer 26

SSRI: Fluoxetine

Question 27

What is the 3rd MC chronic illness among adolescent girls?

Answer 27

Eating disorders