Assessment of Adolescents

Question 1

When is the normal onset of puberty in males and females?

Answer 1

8-13 years in females

9-14 years in males

Question 2

What is “Tanner Staging”?

Answer 2

the staging of sexual development by inspection

Question 3

How is female development staged?

Answer 3

breast development, pubic hair distribution

Question 4

How is male development staged?

Answer 4

genitalia size, pubic hair distribution

Question 5

When is skeletal maturity reached?

Answer 5

14-15 years in females

17-18 years in males

Question 6

What is important to note if an adolescent breaks a bone?

Answer 6

Injuries to the growth plate may result in complications such as growth arrest, limb deformity, and shortening of long bones

Question 7

What is the main difference between collecting a health history for an adolescent and adults?

Answer 7

the caregiver becomes the primary historian

Question 8

What is important when obtaining a history from an adolescent?

Answer 8

obtain history from both the adolescent AND the caregiver

Question 9

What increases adolescent willingness to divulge private information and to seek healthcare?

Answer 9

A promise of confidentiality

Question 10

What screening instrument assesses psychosocial history?

Answer 10

HEEADSSS

Home, Education, Employment, Activities, Drugs, Sexuality, Suicide/Depression, Safety

Question 11

What age does the USPSTF recommend screening for major depressive disorder (MDD)?

Answer 11

12-18 years old

Question 12

What tool is used to screen for MDD?

Answer 12

9 item PHQ-A

Question 13

What should be performed if an adolescent screens positive for depression?

Answer 13

suicide risk assessment

Question 14

What tool is used to screen adolescents for tobacco, drugs, and alcohol?

Answer 14

CRAFT

car, relax, alone, forget, friends, trouble

Question 15

What is important to consider when performing a complete history and physical on an adolescent?

Answer 15

state laws