Exam 3: Adolescent Medicine

Question 1

Adolescent morbidity

Answer 1

Accidents>homicide>suicide

Question 2

Three stages of development

Answer 2

Physical (girls reach peak velocity first, menarche towards end of puberty)
Cognitive
Psychosocial

Question 3

Psychosocial tasks of adolescents

Answer 3

Independence
Body image
Peers
Identity

Question 4

HEEEADSSS (this one is actually useful for clinic - and maybe even the test)

Answer 4

Home
Education
Employment
Eating
Activity
Drugs
Suicide/depression
Sexuality
Safety

Question 5

Early adolescent tasks

Answer 5

Pubertal growth development
Concrete thinking of childhood
Begin separation from parents

Question 6

Early adolescent anticipatory guidance

Answer 6

Reassurance

Encourage postponing coitus (buzzkill)

Question 7

Middle adolescent tasks

Answer 7

Starts making moral choices
Imagines consequences but unable to assess
Increased peer pressure
Conflicts with parents at peak

Question 8

Middle adolescent anticipatory guidance

Answer 8

Safe sex counseling

Contraception

Question 9

Late adolescent tasks

Answer 9

Formal operational thought
Personal values governs choice
Acceptance/development of parental values

Question 10

Late adolescent anticipatory guidance

Answer 10

Encourage
Empower
Ability to negotiate system

Question 11

Confidentality

Answer 11

Important to ensure
STD Rx
Contraception
Termination of pregnancy
Sharing information
Interview these things alone