CLIPP 5

Question 1

6 signs of hypothyroidism

Answer 1

Cold skin
Slowness
Fatigue
Preferring hot weather to cold
Doing poorly at school
Coarse hair

Question 2

common signs of mono

Answer 2

fatigue

pharyngitis

lymphadenopathy

Question 3

Are menses in adolescence light/heavy/regular/irregular? do they cause pain?

Answer 3

often light and irregular and cause MORE cramping and discomfort

Question 4

How do symptoms of depression in adolescents differ from adults?

Answer 4

they do NOT experience early morning waking and difficulty falling asleep at night

Question 5

After the noted weight loss or failure to gain weight in anorexia, what is the next physical finding usually noted? What is the next sign?

Answer 5

bradycardia (can become severe enough to lead to postural hypotension)

electrolyte abnormalities (hypoalbuminemia, hpoglycemia, hyponatremia)

Question 6

When do boys start puberty? What are the stages?

Answer 6

boys start between 10-15

growth of testicles
pubic hair
growth of penis
first ejaculations
Growth spurt
Attainment of adult height

Question 7

When do girls start puberty? What are the stages?

Answer 7

girls start puberty between 8-13

Breast buds
pubic hair
Growth spurt
Menarche
Attainment of adult height

Question 8

What is constitutional short stature?

Answer 8

an individual who is a late bloomer in puberty, but will attain normal adult height - just later than his or her peers

Question 9

What is the inheritance pattern of von Willebrand’s disease?

Answer 9

autosomal dominant

Question 10

What is the HEEADSSS mnemonic?

Answer 10

Home
Education
Eating and employment
Activities
Drugs
Sexuality
Suicide risk and depression
Safety (fights, car, weapons)

Question 11

What is the differential diagnosis for fatigue in an adolescent?

Answer 11

anemia
bleeding disorder
hypothyroidism
depression
Substance abuse