Exam 3 - Adolescents Flashcards
What age range is defined by adolescents?
11-21
What classification is use to determine stage of sexual maturity and secondary sexual characteristics?
Tanner staging
During examination you appreciate no palpable breast tissue and no pubic hair. What tanner stage is the patient in?
Stage 1
During examination you appreciate breast elevated as a small mound and sparse, slightly pigmented pubic hair along the medial border of the labia. What tanner stage is the patient in?
Stage 2
During examination you appreciate enlarged breasts and aureoles, but no contour separation and dark, slightly curly pubic hair. What tanner stage is the patient in?
Stage 3
During examination you appreciate enlarged breasts and the aureoles and papilla form a secondary mound. As well as dark, course, curly pubic hair. What tanner stage is the patient in?
Stage 4
During examination you appreciate enlarged breast tissue, nipple projections with the aureoles apart of the general breast contour. As well as dark, course, curly pubic hair that spreads to the medial surface of the thigh. What tanner stage is the patient in?
Stage 5
During examination you appreciate scantly, long, slightly pigmented pubic har, minimally enlarged penis, and enlarged scrotum that is pink. What tanner stage is the patient in?
Stage 2
During examination you appreciate a small amount of dark pubic hair that is starting to curl, lengthened penis, and enlarged testes. What tanner stage is the patient in?
Stage 3
During examination you appreciate a moderate amount of dark curly pubic hair, larger penis with increased glans and breadth, and enlarged testes with a dark scrotum. What tanner stage is the patient in?
Stage 4
During examination you appreciate dark curly pubic hair that spreads to the medial surface of the thighs, adult sized penis and testes. What tanner stage is the patient in?
Stage 5
What is the sequence of puberty in girls?
Thelarche Pubic hair growth Peak height velocity Menarche Completion
What is the sequence of puberty in boys?
Increased testicular volume Penile and pubic hair growth Peak height velocity Nocturnal sperm emission, sperm in the urine Completion
When should you worry about precocious puberty?
Pubertal onset at an age 2 to 3 standard deviations below the mean age of onset of puberty
When should you worry about delayed puberty?
If the patient has absence of signs of puberty at an age 2 to 3 standard deviations above the mean age of onset of puberty
What defines precocious puberty in girls and boys?
Girls- breast development before the age of 8
Boys- testicular enlargement before the age of 9
What is defined as the upper limit of puberty development in girls and boys?
Girls- 12 to 13 for breast development
Boys - 13 to 14 for testicular enlargement
What is the last cognitive function to develop in adolescence?
Weighing long term consequences and controlling impulses
Are males or females more likely to die during adolescence? What do death rates increase with?
Males 2-3x more likely to die than females
Death rates increase with every yr of age
What are the leading causes or morbidity in adolescence?
Pregnancy STIs Drug and alcohol use Obesity Tobacco use (delayed morbidity)
Does parents involvement and attitudes have an affect on health outcomes?
Yes
What is the one health-risk behavior that parent/family connectedness is not protective against?
Pregnancy
What immunizations should adolescences have by age 11-12?
Hep A and B MMR HPV Meningococcal Pneumococcal Varicella Influenza Tdap
“Having A Buddy Makes Me Realize How Much Puberty Varies In Teens”
What can be a good way to gather information and identify problems?
Questionnaires
