Aquifer Assorted

Question 1

Tanner stage I (female)

Answer 1

A. Tanner Stage I breast development consists of no glandular tissue and is prepubertal. Tanner Stage I consists of no pubic hair at all. This is usually around age 10 or younger.

Question 2

Tanner stage II (female)

Answer 2

B. Tanner Stage II breast development occurs when breast buds form and the areola begins to widen. A small amount of long, downy hair with slight pigmentation appears on the labia majora. This patient’s elevated breast buds and pubic hair distribution puts her beyond Tanner Stage II.

Question 3

Tanner stage III (female)

Answer 3

C. The patient in the vignette is at Tanner Stage III of development. Her breast buds are elevated but do not have the secondary mound characteristic of Tanner Stage IV. Her pubic hair distribution extends more laterally than Stage II but is not adult-like in hair quality and does not extend onto the mons pubis.

Question 4

Tanner stage IV (female)

Answer 4

D. In Tanner Stage IV, breasts are increased in size and elevation and the areola and papilla form a secondary mound that projects from the contour of the rest of the breast, and the pubic hair extends across the mons pubis and spares the medial thighs.

Question 5

Tanner stage V (female)

Answer 5

E. In Tanner Stage V, breasts reach their adult size and the areola returns to the contour of the surrounding breast while the central papilla remains projecting and the pubic hair extends to the medial surface of the thighs.

Question 6

What is the treatment for peds pyelonephritis?

Answer 6

Intravenous ceftriaxone